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 maintaining state regulatory authority to ensure public health and safety. Key provisions include the mutual recognition of licenses among member states, allowing licensed respiratory therapists to practice across state lines, and specific exemptions for active military members and their spouses regarding fees and home state designations. The bill also establishes the Respiratory Care Interstate Compact Commission, which will oversee the compact's operations, including rulemaking, investigations, and financial management.

Additionally, the bill introduces amendments to existing laws governing the Commission, such as requirements for public meeting notices and the ability to hold closed meetings for sensitive topics. It outlines the financial responsibilities of the Commission, including the collection of fees and assessments from member states, and mandates the establishment of a data system for licensure and investigative information. The bill emphasizes that any conflicting state laws will be superseded by the Compact, ensuring its terms take precedence. Furthermore, it requires the state medical board to select a commissioner to represent Ohio on the Commission within sixty days of joining the Compact, streamlining governance and regulatory processes for respiratory care across participating states.