This bill proposes the establishment of 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 services, enhance state regulatory authority, and support military spouses. It outlines the responsibilities of member states, including licensing requirements, participation in a data system, and complaint investigation mechanisms. Key definitions are provided, and criteria for exercising compact privileges are established, including valid licensure, criminal background checks, and adherence to state regulations. The bill also emphasizes the supervision of occupational therapy assistants by licensed therapists in remote states and details procedures for maintaining and reinstating compact privileges.

Additionally, the bill establishes the Occupational Therapy Compact Commission, which will oversee the compact's implementation and administration, including rule-making, financial record maintenance, and compliance investigations. It introduces provisions for dispute resolution, allowing the commission to mediate disputes and initiate legal action against defaulting states. The compact will take effect upon enactment by the tenth member state, with provisions for withdrawal and compliance requirements for exiting states. Overall, the bill aims to streamline occupational therapy practice across state lines while ensuring public safety and regulatory compliance.