The proposed bill establishes Chapter 43-40.1 of the North Dakota Century Code, creating an occupational therapy licensure compact designed to facilitate the interstate practice of occupational therapy. The compact aims to improve public access to occupational therapy services, enhance state regulatory authority for public health and safety, and support military spouses. It allows for mutual recognition of licenses among member states, encourages cooperation in regulating multistate practices, and promotes the use of telehealth technology. Member states must license occupational therapists and assistants, comply with the commission's rules, and implement complaint investigation procedures. The bill also outlines the requirements for licensees to exercise compact privileges, including holding a valid home state license and completing a criminal background check.

Additionally, the bill details the governance and operational framework of the Occupational Therapy Compact Commission, which will oversee the compact's implementation. The commission is responsible for creating a code of ethics, maintaining financial records, and adopting uniform rules. It has the authority to conduct joint investigations and enforce compliance among member states. The bill also introduces provisions for qualified immunity for commission members, establishes a coordinated database for licensure information, and outlines dispute resolution mechanisms. If a state defaults on its obligations, it may be terminated from the compact following a majority vote, while also remaining liable for obligations incurred during the default period. Overall, the bill aims to enhance the efficiency and accountability of the interstate compact for occupational therapy practice.