The proposed bill establishes the Respiratory Care Interstate Compact, which facilitates the practice of respiratory therapy across member states by allowing licensed respiratory therapists to practice in any member state. This initiative aims to enhance public access to respiratory therapy services while preserving state regulatory authority to ensure public health and safety. Key objectives include increasing service access, fostering inter-state cooperation, and addressing workforce shortages, particularly for active military members and their spouses. The bill also outlines specific provisions for member states regarding licensing requirements, participation in a data system, and complaint investigation mechanisms.

Additionally, the bill creates the Respiratory Care Interstate Compact Commission, responsible for overseeing the compact's implementation and operations. The commission will consist of representatives from member states and will have the authority to establish bylaws, maintain financial records, and conduct legal proceedings. It mandates the development of a coordinated database for licensure and adverse actions, ensuring confidentiality while requiring member states to submit specific data. The bill also details governance structures, dispute resolution processes, and procedures for addressing defaults by member states, emphasizing transparency and public participation in rule-making. Overall, the legislation aims to create a cohesive regulatory framework for respiratory therapy across member states while allowing for flexibility and accountability within the commission's operations.