Summary of Bill S 2672: An Act Relative to the Occupational Therapist Interstate Licensure Compact

Purpose and Intent

Bill S 2672 aims to establish the Occupational Therapist Interstate Licensure Compact in Massachusetts. The primary goal of this legislation is to facilitate the practice of occupational therapy across state lines, allowing licensed occupational therapists and occupational therapy assistants to provide services in multiple states without the need for separate licenses in each state. This compact is designed to enhance access to occupational therapy services, particularly in underserved areas, and to streamline the licensure process for practitioners.

Key Provisions

The bill introduces a new chapter, Chapter 112A, to the General Laws of Massachusetts, which includes the following key provisions:

1. Definitions: Establishes clear definitions for terms such as "Active Duty Military," "Compact Privilege," "Home State," and "Remote State," among others, to ensure clarity in the application of the compact.

2. State Participation: Outlines the requirements for states to participate in the compact, including:

   • Licensing occupational therapists and assistants.
   • Utilizing a shared data system for tracking license status and adverse actions.
   • Implementing procedures for investigating complaints against licensees.
   • Conducting criminal background checks for applicants seeking Compact Privileges.

3. Compact Privilege: Defines the "Compact Privilege" as the authorization for a licensed occupational therapist or assistant from one member state to practice in another member state under its laws.

4. Regulatory Framework: Establishes the Occupational Therapy Compact Commission, which will oversee the administration of the compact, including the creation of rules and regulations that member states must follow.

5. Telehealth Services: Includes provisions for the delivery of occupational therapy services via telehealth, expanding access to care.

Impact

The implementation of this compact is expected to have several significant impacts:

• Increased Access: Patients in remote or underserved areas will benefit from improved access to occupational therapy services, as therapists can practice across state lines.
• Streamlined Licensure: Occupational therapists will face fewer barriers to practice in multiple states, reducing the administrative burden associated with obtaining multiple licenses.
• Enhanced Collaboration: The compact fosters collaboration among states, promoting consistency in licensure standards and practices.

Procedural Aspects

• Introduced: November 13, 2025
• Current Status: The bill has been reported favorably by the committee on Consumer Protection and Professional Licensure and is currently referred to the Senate Ways and Means Committee for further consideration.

This legislation represents a significant step toward modernizing the practice of occupational therapy and improving healthcare delivery across state lines.