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HB 1235

Respiratory Care Interstate Compact

2026 Regular Session Introduced by Bill Conerly

HB 1235 creates an interstate compact enabling respiratory care practitioners to hold multistate licenses and practice across participating states with streamlined credentialing.

Now in Health & Human Services Committee
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Bill Summary · HB 1235

Legislative bill overview

HB 1235 establishes an interstate compact allowing respiratory care practitioners to practice across state lines under a multistate licensure system. The bill enables respiratory therapists and related practitioners to obtain a compact license that facilitates mobility between participating states without requiring separate state licenses.

Why this is important

Respiratory care is a critical healthcare profession, and interstate compacts can reduce licensing barriers that limit practitioner mobility during healthcare workforce shortages. This could improve access to respiratory services—particularly important in emergency situations, rural areas, and during public health crises—while streamlining the licensing process for qualified professionals.

Potential points of contention

  • State autonomy concerns: Some states may resist compacts that reduce their independent regulatory control over healthcare licensing standards and discipline
  • Quality assurance inconsistency: Different states have varying continuing education and competency requirements; a unified compact could dilute higher standards in some jurisdictions
  • Scope of practice definitions: States differ on what respiratory care practitioners can do; compacts require standardized scope language that may not fit all state regulatory frameworks
  • Enforcement challenges: Disciplinary action against a practitioner licensed in one state but practicing in another creates jurisdictional complexity

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

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