The bill establishes the "Occupational Therapy Licensure Compact," which aims to facilitate the interstate practice of occupational therapy by allowing licensed occupational therapists and assistants to practice in any member state without obtaining additional licenses. The compact is designed to improve public access to occupational therapy services, enhance the ability of states to protect public health and safety, and support the use of telehealth technology. It sets forth the conditions under which a practitioner can exercise compact privileges, such as holding a license in the home state and having no encumbrances on any state license. The bill also creates the "Occupational Therapy Compact Commission," a national administrative body responsible for governing the compact, and outlines the roles and responsibilities of member states, including licensing requirements, participation in the commission's data system, and mechanisms for investigating complaints.

The bill includes provisions for the administration of the compact, such as the establishment of a compact fee, budget preparation, and compliance monitoring. It mandates open public meetings with proper notice, allows for closed meetings under certain conditions, and provides legal protections for commission members and staff. Additionally, the bill requires the creation of a coordinated database for licensure and investigative information, sets forth rulemaking procedures with opportunities for public comment, and details the enforcement of the compact. Key insertions include the handling of state defaults, dispute resolution, and enforcement mechanisms. The compact will be activated once the tenth state enacts it, with provisions for withdrawal and amendment by member states. The act is effective upon passage.