The bill proposes the establishment of Chapter 43-40.1 of the North Dakota Century Code, which creates 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 procedures for investigating complaints. The bill also outlines specific requirements for licensees, including holding a valid home state license and completing a criminal background check.

Additionally, the bill establishes the Occupational Therapy Compact Commission, which will oversee the compact's implementation and governance. The commission is empowered to create bylaws, establish a code of ethics, and manage adverse actions against licenses. It will also maintain a coordinated database for licensure and investigative information, ensuring that sensitive data can be designated as non-public. The bill includes provisions for qualified immunity for commission members and staff, as well as mechanisms for dispute resolution and enforcement of compliance among member states. 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 operational efficiency and accountability of the compact while safeguarding the interests of its members.