The bill proposes the adoption of the Respiratory Care Interstate Compact in South Dakota, aimed at facilitating the practice of respiratory therapy across state lines. It introduces new licensure requirements for respiratory care practitioners, including mandatory state and federal criminal background checks, with the results considered by the licensing board before issuing a license. The bill also emphasizes the confidentiality of background check information and outlines the objectives of the compact, such as improving access to respiratory therapy services and supporting military members and their spouses.

Additionally, the bill establishes the Respiratory Care Interstate Compact Commission, which will oversee the compact's implementation and ensure compliance among member states. It details the Commission's structure, powers, and responsibilities, including the ability to conduct joint investigations and create binding rules. The bill also includes provisions for qualified immunity for Commission members, a coordinated database for licensure data, and a clear process for member states to withdraw from the Compact while maintaining compliance during the notice period. Overall, the legislation aims to streamline the regulation of respiratory therapists while safeguarding practitioners' rights and ensuring state sovereignty.