The proposed bill establishes an interstate compact for audiology and speech-language pathology, designed to enhance public access to these services while preserving state regulatory authority. It outlines the compact's objectives, including mutual recognition of licenses among member states, improved public health protection, and support for military families. Key definitions are introduced, such as "active duty military," "compact privilege," and "remote state." The bill sets 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.

Additionally, the bill creates the Audiology and Speech-Language Pathology Compact Commission, a joint public agency with the authority to enforce subpoenas, take adverse actions against licenses, and conduct joint investigations among member states. The commission will maintain a coordinated database for licensure and adverse action information, ensuring data sharing while protecting confidentiality. It emphasizes transparency and public participation in the rule-making process, requiring advance notice of proposed rules and opportunities for public comment. The bill also establishes a framework for dispute resolution among member states and specifies that the compact will take effect upon enactment by the tenth member state, with provisions for withdrawal and amendments. Overall, the compact aims to streamline the practice of audiology and speech-language pathology across state lines while ensuring public safety and regulatory compliance.