The proposed bill establishes an interstate compact for audiology and speech-language pathology, aimed at improving public access to these services while preserving state regulatory authority. It includes provisions for mutual recognition of licenses among member states, enhanced public health protection, and support for military families. Key definitions are introduced, such as "active duty military," "compact privilege," and "remote state." The bill outlines the requirements for audiologists and speech-language pathologists to practice across state lines, including holding an active license in their home state, meeting educational qualifications, undergoing background checks, and adhering to the laws of the remote state where they provide services. It also allows for telehealth services and includes specific provisions for active duty military personnel regarding their home state designation.

Furthermore, the bill creates the Audiology and Speech-Language Pathology Compact Commission, which will oversee the enforcement of the compact, including the authority to take adverse actions against licenses and conduct joint investigations. The commission will maintain a coordinated database for licensure and adverse action information and will consist of delegates from each member state's licensing board. It emphasizes transparency in the rule-making process, requiring public input and hearings for proposed rules. The commission is also granted the authority to resolve disputes, enforce compliance, and initiate legal action against member states in default. The compact is designed to be flexible, allowing for amendments and ensuring its effectiveness even if certain parts are deemed unconstitutional.