The proposed bill establishes Chapter 43-40.1 of the North Dakota Century Code, creating an occupational therapy licensure compact 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 by allowing mutual recognition of licenses among member states. It sets forth requirements for member states, including licensing occupational therapists and assistants, complying with commission rules, and investigating complaints. The compact privilege enables licensed therapists to practice across state lines, provided they meet specific criteria, such as holding a valid license and passing a criminal background check.

Additionally, the bill establishes the Occupational Therapy Compact Commission, which will oversee the compact's implementation, maintain financial records, and coordinate joint investigations. The commission will consist of delegates from each member state's licensing board and will have the authority to take adverse actions against licenses. The bill also introduces provisions for qualified immunity for commission members, a coordinated database for licensure information, and a process for addressing states in default. It outlines the compact's implementation and amendment processes, ensuring that it becomes effective upon enactment by the tenth member state and allowing for member states to withdraw with prior notice. Overall, the bill aims to streamline occupational therapy practice while maintaining regulatory oversight and accountability.