The bill establishes the Occupational Therapy Licensure Compact, enabling the Governor of Oklahoma to join an agreement with other jurisdictions to enhance the interstate practice of Occupational Therapy. This Compact aims to improve public access to Occupational Therapy services while maintaining state regulatory authority for public health and safety. It creates a framework for mutual recognition of licenses, facilitates cooperation in multi-state practice regulation, and supports military spouses. The bill outlines requirements for member states, including licensing Occupational Therapists and Assistants, maintaining a data system for tracking licenses, and implementing criminal background checks. It also details the conditions under which licensees can practice in remote states and the process for obtaining a new home state license.

Additionally, the bill establishes the Occupational Therapy Compact Commission, a joint public agency responsible for overseeing the regulation of occupational therapy licensure across state lines. The Commission is empowered to conduct investigations, take adverse actions against licensees, and share investigative materials among member states. It includes provisions for public hearings, oversight, and dispute resolution, as well as mechanisms for enforcing compliance among member states. The Compact will take effect once enacted by the tenth member state, and any conflicting existing laws will be superseded by the Compact's provisions. The act is set to become effective on November 1, 2026.