The 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 occupational therapy services, enhance state regulatory authority for public health and safety, and support military spouses. It allows for the 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 have mechanisms for investigating complaints. The bill also outlines the requirements for licensees to exercise their compact privileges, including holding a valid home state license and completing a criminal background check.

Additionally, the bill details the governance and operational structure 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 take adverse actions against licenses. The bill also introduces provisions for dispute resolution, compliance mechanisms for defaulting states, and establishes qualified immunity for commission members. The compact will take effect once enacted by the tenth member state, and any state may withdraw with a six-month notice. Overall, the bill aims to enhance the efficiency and accountability of the commission while ensuring transparency and protection for its members.