The bill proposes the establishment of sections 4761.20 and 4761.21 of the Revised Code to facilitate Ohio's participation in the Respiratory Care Interstate Compact. This compact aims to enhance public access to respiratory therapy services while preserving state regulatory authority for public health and safety. Key provisions include definitions related to respiratory therapy, requirements for member states, and conditions for licensed respiratory therapists to practice across state lines. The bill emphasizes the necessity of maintaining an active home state license, undergoing criminal background checks, and adhering to the compact's rules. It also establishes a framework for the mutual recognition of licenses among member states, particularly benefiting active military members and their spouses.

Additionally, the bill introduces amendments to the existing legal framework governing the Compact, including requirements for public meeting notices and the conditions under which closed meetings may occur. It establishes a data system for managing licensure and adverse action information, mandates transparency in rulemaking, and outlines enforcement mechanisms for addressing defaults by member states. The bill clarifies that conflicting state laws will be superseded by the Compact and requires the state medical board to select a commissioner to represent Ohio on the compact commission within sixty days of joining. Overall, these provisions aim to enhance operational efficiency, accountability, and cooperation among member states in the practice of respiratory therapy.