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HB 2145

Interstate Compacts - As introduced, enacts the "Respiratory Care Interstate Compact Act." - Amends TCA Title 4 and Title 63.

114th Regular Session (2025-2026) Introduced by Bryan Terry

Tennessee enacts interstate compact allowing respiratory therapists licensed in member states to practice across borders without separate state licenses.

H. Placed on Consent Calendar for 4/20/2026
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Bill Summary · HB 2145

Legislative bill overview

HB 2145 establishes the Respiratory Care Interstate Compact Act in Tennessee, creating an agreement that allows respiratory care professionals licensed in one participating state to practice in other member states without obtaining separate licenses. The bill amends Tennessee Code Annotated Titles 4 and 63 to implement this interstate licensing framework.

Why is this important

Interstate compacts reduce regulatory barriers for healthcare workers, potentially addressing shortages of respiratory therapists in underserved areas and allowing professionals greater mobility for employment opportunities. This can improve patient access to respiratory care services while reducing licensing costs and administrative burden for practitioners working across state lines.

Potential points of contention

  • Standardization concerns: Varying state licensure requirements and training standards could create quality control issues if less stringent states' credentials are recognized across borders
  • Job competition: In-state respiratory care professionals may face increased competition from out-of-state practitioners, potentially affecting wages and employment opportunities
  • Regulatory oversight: Questions about enforcement mechanisms and disciplinary jurisdiction when licensed practitioners from one state practice in another

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

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