H.B. No. 4409 proposes the establishment of the Audiology and Speech-Language Pathology Interstate Compact in Texas, aimed at facilitating the interstate practice of audiology and speech-language pathology. The compact will enhance public access to these services by allowing for the mutual recognition of licenses from member states, while also prioritizing public health protection and supporting military spouses. The bill introduces new legal language into Chapter 401 of the Occupations Code, specifically adding Subchapter L, which includes definitions and outlines state participation in the compact. It mandates criminal background checks for applicants and emphasizes compliance with the laws of the state where services are provided, including provisions for telehealth practices.

The bill establishes the Audiology and Speech-Language Pathology Compact Commission, which will oversee the compact's implementation and compliance. The Commission will consist of delegates from each member state's licensing board and will have the authority to create bylaws, establish a budget, and promulgate uniform rules. It also outlines the financial structure of the Commission, including the ability to accept donations and levy assessments on member states. The bill includes provisions for legal protections for Commission members and employees, a coordinated database for licensure information, and a rulemaking process with public input. The Compact will take effect once enacted by the tenth member state, with provisions for amendments and withdrawal, ensuring compliance with reporting requirements. The Act is set to take effect on September 1, 2025.

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