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Ohio Enacts Respiratory Care Interstate Compact to Permit Multi-State Practice

Original title: Enter into the Respiratory Care Interstate Compact

Last action · June 16, 2026: IntroducedSponsors: Kristina Roegner and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio enacts the Respiratory Care Interstate Compact, allowing licensed respiratory therapists from member states to practice in Ohio and Ohio therapists to practice in other member states under a streamlined privilege system. The State Medical Board must select a compact commissioner within sixty days, and incoming privilege holders must complete criminal records checks unless equivalent checks were done in their home state.

Why it matters

Licensed respiratory therapists gain a regulated pathway to treat patients across state lines, while state licensing boards share disciplinary data through a centralized system and retain authority to impose s.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Respiratory Therapists

Licensed respiratory therapists gain the ability to practice in other member states through a streamlined compact privilege pathway, subject to specific eligibility requirements and background checks.

Directly affected

Active Military Members and their spouses

Active military members and their spouses retain home state designations while on active duty and are exempt from paying Commission fees for the compact privilege.

Directly affected

State Medical Board

The board must select a compact commissioner within sixty days, report adverse actions and investigative information, and review criminal records check results.

Key Facts

  • Ohio ratifies and enters into the Respiratory Care Interstate Compact.
  • The State Medical Board must select one individual to serve as a commissioner on the Respiratory Care Interstate Compact Commission within sixty days after the compact is entered into.
  • Individuals holding a compact privilege must comply with sections 4776.01 to 4776.04 of the Revised Code within sixty days of receiving the privilege in Ohio, unless an equivalent criminal records check was already completed by their home state.
  • The Commission is established as a joint government agency whose membership consists of all member states.
Show all 6 facts
  • Active military members and their spouses are exempt from paying any compact privilege fee charged by the Commission.
  • A licensee exercising the compact privilege must hold an active home state license, an active credential from the National Board for Respiratory Care, and have no adverse action against a license within the previous two years.

Frequently Asked Questions

What does the Respiratory Care Interstate Compact do?
It facilitates the interstate practice of respiratory therapy by giving respiratory therapists licensed in a member state the ability to practice in other member states under a .
Do active military members have to pay fees for the compact privilege?
Active military members and their spouses are not required to pay any fee to the Commission for a .
Who represents Ohio on the Interstate Commission?
The state medical board selects one individual to serve as a commissioner not later than sixty days after the compact is entered into.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

5 actions
  1. Jun 16, 2026HouseIntroduced
    Introduced
  2. Jun 10, 2026SenateFloor
    Passed
  3. Jun 10, 2026SenateCommittee
    Reported - Amended (Health)
  4. Mar 19, 2025SenateCommittee
    Referred to Health
  5. Mar 18, 2025SenateIntroduced
    Introduced

Version history & redline

3 versions on file
Comparing As Reported by the Senate Health Committee → As Passed by the Senate
removed addedOfficial text
removed: sb149_01_RS added: sb149_02_PS As removed: Reported added: Passed by the Senate removed: Health Committee 136th General Assembly Regular Session Am. S. B. No. 149 2025-2026 Senator Roegner Cosponsors: Senators Huffman, removed: Romanchuk added: Romanchuk, Cirino, DeMora, Gavarone, Hicks-Hudson, Lang, O'Brien, Patton, Reineke, Reynolds A BILL To enact sections 4761.20, 4761.21, and 4761.22 of the Revised Code to enter into the Respiratory Care Interstate Compact. BE IT ENACTED […]
Redline computed from the official version text (record lane).View this version →

Voting Record

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Interstate Licensing Framework for Respiratory Care

Ohio joins a multi-state agreement that bypasses traditional single-state licensing barriers for respiratory therapists while preserving state regulatory oversight and adverse action reporting.

Connected Entities

National Board for Respiratory Care, Federal Bureau of Investigation, The Council of State Governments and 3 more
OrganizationNational Board for Respiratory Care“Issuing body for credentials required of respiratory therapists.”Map →
OrganizationFederal Bureau of Investigation“Source of criminal history record information.”Map →
OrganizationThe Council of State Governments“Entity holding the Model Compact file.”Map →
OrganizationState Medical Board“Required to select a commissioner and authorized to pursue actions on compact pr”Map →
OrganizationRespiratory Care Interstate Compact Commission“The government instrumentality created by member states to administer the compac”Map →
OrganizationRespiratory Care Interstate Compact“The interstate agreement being enacted by Ohio.”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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