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Bill

Bill

A 4522

Adopts the Physical Therapy Licensure Compact, the Interstate Occupational Therapy Compact, and the Audiology and Speech-Language Pathology Interstate Compact

2025 Regular Session Introduced by Brian Manktelow and 1 co-sponsor

New York joins three interstate compacts allowing physical therapists, occupational therapists, audiologists, and speech-language pathologists to practice across state lines with single multistate licensure.

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Bill Summary · A 4522

Legislative bill overview

Bill A 4522 authorizes New York to join three interstate compacts that allow licensed physical therapists, occupational therapists, audiologists, and speech-language pathologists to practice across state lines without obtaining separate licenses in each state. The bill establishes reciprocal recognition agreements that streamline licensure for these allied health professions while maintaining professional standards.

Why is this important

These compacts address workforce mobility challenges in healthcare by reducing administrative barriers and costs for practitioners who work across state borders or relocate. This can improve access to these services in underserved areas and reduce provider shortages, particularly in rural regions and telehealth contexts.

Potential points of contention

  • Consumer protection concerns: Critics may worry that streamlined licensing could lower standards if interstate reciprocity reduces the rigor of individual state oversight and disciplinary processes
  • State regulatory autonomy: Some may argue the compacts limit New York's ability to set independent standards that reflect local healthcare needs and demographic considerations
  • Implementation costs: State agencies will need resources to participate in compact administration, data sharing, and coordination with other states' regulatory bodies

Compiled from official sources — confirm details with the bill’s official record.

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