Back to Florida

SB0970 • 2026

Respiratory Care Interstate Compact

Respiratory Care Interstate Compact

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Wright
Last action
2026-03-13
Official status
Senate - Died in Health Policy
Effective date
2026-07-01

Plain English Breakdown

The official source material does not provide specific details on enforcement and dispute resolution between member states.

Respiratory Care Interstate Compact

This bill creates the Respiratory Care Interstate Compact, which sets rules for states joining and participating in a compact that allows respiratory therapists licensed in one state to practice in other member states.

What This Bill Does

  • Creates the Respiratory Care Interstate Compact.
  • Sets requirements for states to join and participate in the compact.
  • Defines criteria for respiratory therapists to practice across state lines under the compact.
  • Authorizes joint investigations of licensees by member states.
  • Establishes a commission to oversee the compact.

Who It Names or Affects

  • Respiratory therapists licensed in member states
  • States that join and participate in the compact

Terms To Know

Compact privilege
Permission given by one state to a respiratory therapist from another state to practice there.
Remote state
A member state where a licensee is practicing or wants to practice.

Limits and Unknowns

  • The bill does not specify how many states are needed to join the compact.
  • It's unclear what happens if a state withdraws from the compact after joining.
  • Details about enforcement and dispute resolution between member states are limited.

Bill History

  1. 2026-03-13 Senate

    • Died in Health Policy

  2. 2026-01-13 Senate

    • Introduced

  3. 2026-01-07 Senate

    • Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy

  4. 2025-12-18 Senate

    • Filed

Official Summary Text

Respiratory Care Interstate Compact; Enacting the Respiratory Care Interstate Compact; requiring member states to meet certain requirements to join and participate in the compact; providing criteria that a respiratory therapist licensee must satisfy to practice under the compact; authorizing a certain licensing authority or government agency to establish the scope of practice for a licensee providing therapy in a remote state; authorizing member states to participate with other member states in joint investigations of licensees under certain circumstances; establishing the Respiratory Care Interstate Compact Commission, etc.

Current Bill Text

Read the full stored bill text
Florida Senate
-
2026

SB 970

By
Senator Wright

8-01271-26 2026970__
1 A bill to be entitled
2 An act relating to the Respiratory Care Interstate
3 Compact; creating s. 468.371, F.S.; enacting the
4 Respiratory Care Interstate Compact; providing purpose
5 and intent; defining terms; requiring member states to
6 meet certain requirements to join and participate in
7 the compact; providing that the compact does not
8 prohibit member states from charging a specified fee;
9 providing criteria that a respiratory therapist
10 licensee must satisfy to practice under the compact;
11 authorizing a certain licensing authority or
12 government agency to establish the scope of practice
13 for a licensee providing therapy in a remote state;
14 providing processes for a licensee whose license is
15 removed, encumbered, restricted, or limited; providing
16 requirements for renewal of an equivalent license in a
17 member state; authorizing an active military member
18 and his or her spouse to be deemed as having a home
19 state license under certain circumstances; authorizing
20 member states to impose adverse actions against
21 licensees under certain circumstances; authorizing
22 member states to participate with other member states
23 in joint investigations of licensees under certain
24 circumstances; providing construction; establishing
25 the Respiratory Care Interstate Compact Commission;
26 providing commission membership, duties, and powers;
27 providing for powers, duties, and responsibilities of
28 an executive committee; requiring the committee to
29 adopt and provide an annual report to member states;
30 providing for commission and executive committee
31 meetings; authorizing the commission or executive
32 committee to convene in closed, nonpublic meetings
33 under certain circumstances; requiring the commission
34 to keep meeting minutes in a specified manner;
35 providing for financing of the commission; requiring
36 the commission to keep certain financial
37 documentation; providing for qualified immunity,
38 defense, and indemnification of the commission;
39 providing exceptions; providing for the development,
40 maintenance, and use of a coordinated database and
41 reporting system; requiring member states to submit
42 specified information to the data system; providing
43 requirements for the information in the data system;
44 providing rulemaking procedures; providing for state
45 enforcement of the compact; providing for the
46 termination of compact membership; providing
47 procedures for the resolution of certain disputes;
48 providing for an effective date; providing for
49 withdrawal from the compact; providing compact
50 amendment procedures; providing construction and
51 severability and binding effect of the compact;
52 amending ss. 456.076, 468.353, 468.355, 468.361, and
53 768.28, F.S.; conforming provisions to changes made by
54 the act; providing an effective date.
55
56 Be It Enacted by the Legislature of the State of Florida:
57
58 Section 1. Section 468.371, Florida Statutes, is created to
59 read:
60
468.371

Respiratory Care Interstate Compact.—The

61
Respiratory Care Interstate Compact is hereby enacted into law

62
and entered into by this state with all other states legally

63
joining therein in the form substantially as follows:

64
65
RESPIRATORY CARE INTERSTATE COMPACT

66
67
ARTICLE I

68
PURPOSE AND INTENT

69
70
(1)

The purpose of this compact is to facilitate the

71
interstate practice of respiratory therapy with the goal of

72
improving public access to respiratory therapy services by

73
providing respiratory therapists licensed in a member state the

74
ability to practice in other member states. The compact

75
preserves the regulatory authority of states to protect public

76
health and safety through the current system of state licensure.

77
(2)

This compact is designed to achieve all of the

78
following objectives:

79
(a)

Increase public access to respiratory therapy services

80
by creating a responsible, streamlined pathway for licensees to

81
practice in member states with the goal of improving outcomes

82
for patients.

83
(b)

Enhance states’ ability to protect the public’s health

84
and safety.

85
(c)

Promote the cooperation of member states in regulating

86
the practice of respiratory therapy within such member states.

87
(d)

Ease administrative burdens on states by encouraging

88
the cooperation of member states in regulating multistate

89
respiratory therapy practice.

90
(e)

Support relocating active military members and their

91
spouses.

92
(f)

Promote mobility and address workforce shortages.

93
94
ARTICLE II

95
DEFINITIONS

96
97
As used in this compact, the term:

98
(1)

“Active military member” means any person with a full

99
time duty status in the Armed Forces of the United States,

100
including members of the National Guard and the United States

101
Reserve Forces.

102
(2)

“Adverse action” means any administrative, civil,

103
equitable, or criminal action permitted by a state’s laws which

104
is imposed by any state authority with regulatory authority over

105
respiratory therapists, such as license denial, censure,

106
revocation, suspension, probation, monitoring of the licensee,

107
or restriction on the licensee’s practice
. The term does
not

108
includ
e
participation in an alternative program.

109
(3)

“Alternative program” means a nondisciplinary

110
monitoring or practice remediation process applicable to a

111
respiratory therapist approved by any state authority with

112
regulatory authority over respiratory therapists. This includes,

113
but is not limited to, programs to which licensees with

114
substance abuse or addiction issues are referred in lieu of

115
adverse action.

116
(4)

“Charter member states” means those member states who

117
were the first seven states to enact the compact into law.

118
(5)

“Commission” or “Respiratory Care Interstate Compact

119
Commission” means the government instrumentality and body

120
politic whose membership consists of all member states that have

121
enacted the compact.

122
(6)

“Commissioner” means the individual appointed by a

123
member state to serve as the member of the commission for that

124
member state.

125
(7)

“Compact” means the Respiratory Care Interstate

126
Compact.

127
(8)

“Compact privilege” means the authorization granted by

128
a remote state to allow a licensee from another member state to

129
practice as a respiratory therapist in the remote state under

130
the remote state’s laws and rules. The practice of respiratory

131
therapy occurs in the member state where the patient is located

132
at the time of the patient encounter.

133
(9)

“Criminal background check” means the submission by the

134
member state of fingerprints or other biometric-based

135
information on license applicants at the time of initial

136
licensing for the purpose of obtaining that applicant’s criminal

137
history record information, as defined in 28 C.F.R. s. 20.3(d)

138
or successor provision, from the Federal Bureau of Investigation

139
and the state’s criminal history record repository, as defined

140
in 28 C.F.R. s. 20.3(f) or successor provision.

141
(10)

“Data system” means the commission’s repository of

142
information about licensees as further set forth in Article

143
VIII.

144
(11)

“Domicile” means the jurisdiction which is the

145
licensee’s principal home for legal purposes.

146
(12)

“Encumbered license” means a license that a state’s

147
respiratory therapy licensing authority has limited in any way.

148
(13)

“Executive committee” means a group of directors

149
elected or appointed to act on behalf of, and within the powers

150
granted to them by, the commission.

151
(14)

“Home state,” except as provided in Article V, means

152
the member state that is the licensee’s primary domicile.

153
(15)

“Home state license” means an active license to

154
practice respiratory therapy in a home state which is not an

155
encumbered license.

156
(16)

“Jurisprudence requirement” means an assessment of an

157
individual’s knowledge of the state laws and regulations

158
governing the practice of respiratory therapy in such state.

159
(17)

“Licensee” means an individual who currently holds an

160
authorization from the state to practice as a respiratory

161
therapist.

162
(18)

“Member state” means a state that has enacted the

163
compact and been admitted to the commission in accordance with

164
this compact and commission rules.

165
(19)

“Model compact” means the model for the Respiratory

166
Care Interstate Compact on file with the Council of State

167
Governments or other entity as designated by the commission.

168
(20)

“Remote state” means a member state where a licensee

169
is exercising or seeking to exercise the compact privilege.

170
(21)

“Respiratory therapist” or “respiratory care

171
practitioner” means an individual who holds a credential issued

172
by the National Board for Respiratory Care or its successor and

173
holds a license in a state to practice respiratory therapy. For

174
purposes of this compact, any other title or status adopted by a

175
state to replace the term “respiratory therapist” or

176
“respiratory care practitioner” is synonymous with “respiratory

177
therapist” and shall confer the same rights and responsibilities

178
to the licensee under the provisions of this compact at the time

179
of its enactment.

180
(22)

“Respiratory therapy,” “respiratory therapy practice,”

181
“respiratory care,” “the practice of respiratory therapy,” and

182
“the practice of respiratory care” mean the care and services

183
provided by or under the direction and supervision of a

184
respiratory therapist or respiratory care practitioner.

185
(23)

“Respiratory therapy licensing authority” means the

186
agency, board, or other body of a state that is responsible for

187
licensing and regulation of respiratory therapists.

188
(24)

“Rule” means a regulation adopted by an entity that

189
has the force and effect of law.

190
(25)

“Scope of practice” means the procedures, actions, and

191
processes a respiratory therapist licensed in a state or

192
practicing under a compact privilege in a state is permitted to

193
undertake in that state and the circumstances under which the

194
respiratory therapist is permitted to undertake those

195
procedures, actions, and processes. Such procedures, actions,

196
and processes, and the circumstances under which they may be

197
undertaken, may be established through means including, but not

198
limited to, statute, regulations, case law, and other processes

199
available to the state respiratory therapy licensing authority

200
or other government agency.

201
(26)

“Significant investigative information” means

202
information, records, and documents received or generated by a

203
state respiratory therapy licensing authority pursuant to an

204
investigation for which a determination has been made that there

205
is probable cause to believe that the licensee has violated a

206
statute or regulation that is considered more than a minor

207
infraction for which the state respiratory therapy licensing

208
authority could pursue adverse action against the licensee.

209
(27)

“State” means any state, commonwealth, district, or

210
territory of the United States.

211
212
ARTICLE III

213
STATE PARTICIPATION IN THIS COMPACT

214
215
(1)

In order to participate in this compact and thereafter

216
continue as a member state, a member state shall:

217
(a)

Enact a compact that is not materially different from

218
the model compact.

219
(b)

License respiratory therapists.

220
(c)

Participate in the data system.

221
(d)

Have a mechanism in place for receiving and

222
investigating complaints against licensees and compact privilege

223
holders.

224
(e)

Notify the commission, in compliance with the terms of

225
this compact and commission rules, of any adverse action against

226
a licensee, a compact privilege holder, or a license applicant.

227
(f)

Notify the commission, in compliance with the terms of

228
this compact and commission rules, of the existence of

229
significant investigative information.

230
(g)

Comply with the rules of the commission.

231
(h)

Grant the compact privilege to a holder of an active

232
home state license and otherwise meet the applicable

233
requirements of Article IV in a member state.

234
(i)

Complete a criminal background check for each new

235
licensee at the time of initial licensure. Where expressly

236
authorized or permitted by federal law, whether such federal law

237
is in effect before, at, or after the time of a member state’s

238
enactment of this compact, a member state’s enactment of this

239
compact authorizes the member state’s respiratory therapy

240
licensing authority to perform criminal background checks as

241
defined herein. The absence of such a federal law as described

242
in this paragraph does not prevent or preclude such

243
authorization where it may be derived or granted through means

244
other than the enactment of this compact.

245
(2)

This compact does not prohibit a member state from

246
charging a fee for granting and renewing the compact privilege.

247
248
ARTICLE IV

249
COMPACT PRIVILEGE

250
251
(1)

To exercise the compact privilege under this compact, a

252
licensee shall:

253
(a)

Hold and maintain an active home state license as a

254
respiratory therapist.

255
(b)

Hold and maintain an active credential from the

256
National Board for Respiratory Care, or its successor, that

257
would qualify him or her for licensure in the remote state in

258
which he or she is seeking the compact privilege.

259
(c)

Have not had any adverse action against a license

260
within the previous 2 years.

261
(d)

Notify the commission that he or she is seeking the

262
compact privilege within a remote state.

263
(e)

Pay any applicable fees, including any state and

264
commission fees and renewal fees, for the compact privilege.

265
(f)

Meet any jurisprudence requirements established by the

266
remote state in which he or she is seeking a compact privilege.

267
(g)

Report to the commission any adverse action taken by

268
any nonmember state within 30 days after the date the adverse

269
action is taken.

270
(h)

Report to the commission, when applying for a compact

271
privilege, the address of his or her domicile and thereafter

272
promptly report to the commission any change of address within

273
30 days after the effective date of the change in address.

274
(i)

Consent to accept service of process by mail at his or

275
her domicile on record with the commission with respect to any

276
action brought against him or her by the commission or a member

277
state, and consent to accept service of a subpoena by mail at

278
the licensee’s domicile on record with the commission with

279
respect to any action brought or investigation conducted by the

280
commission or a member state.

281
(2)

The compact privilege is valid until the expiration

282
date or revocation of the home state license unless terminated

283
pursuant to adverse action. The licensee must comply with all of

284
the requirements of subsection (1) to maintain the compact

285
privilege in a remote state. If those requirements are met, no

286
adverse actions are taken, and the licensee has paid any

287
applicable compact privilege renewal fees, then the licensee

288
will maintain the compact privilege.

289
(3)

A licensee providing respiratory therapy in a remote

290
state under the compact privilege functions
may practice only

291
within the scope of practice authorized by the remote state for

292
the type of respiratory therapist license the licensee holds.

293
Such procedures, actions, processes, and the circumstances under

294
which they may be undertaken may be established through means

295
including, but not limited to, statute, regulations, case law,

296
and other processes available to the state respiratory therapy

297
licensing authority or other government agency.

298
(4)

If a licensee’s compact privilege in a remote state is

299
removed by the remote state, the licensee shall lose or be

300
ineligible for the compact privilege in that remote state until

301
the compact privilege is no longer limited or restricted by that

302
state.

303
(5)

If a home state license is encumbered, the licensee

304
shall lose the compact privilege in all remote states until
both

305
of
the following occur:

306
(a)

The home state license is no longer encumbered.

307
(b)

Two years have elapsed from the date on which the

308
license is no longer encumbered due to the adverse action.

309
(6)

Once a licensee with a restricted or limited license

310
meets the requirements of subsection (5), the licensee must also

311
meet the requirements of subsection (1) to obtain a compact

312
privilege in a remote state.

313
314
ARTICLE V

315
ACTIVE MILITARY MEMBERS AND THEIR SPOUSES

316
317
(1)

An active military member, or his or her spouse, shall

318
designate a home state where the individual has a current

319
license in good standing. The individual may retain the home

320
state designation during the period the service member is on

321
active duty.

322
(2)

An active military member and his or her spouse are not

323
required to pay to the commission
any fee
for a compact

324
privilege
which
may otherwise be charged by the commission. If a

325
remote state chooses to charge a fee for a compact privilege, it

326
may choose to charge a reduced fee or no fee to an active

327
military member and his or her spouse for a compact privilege.

328
329
ARTICLE VI

330
ADVERSE ACTIONS

331
332
(1)

A member state in which a licensee is licensed may

333
impose adverse action against the license issued by that member

334
state.

335
(2)

A member state may take adverse action based on

336
significant investigative information of a remote state or the

337
home state, so long as the member state follows its own

338
procedures for imposing adverse action.

339
(3)

This compact does not override a member state’s

340
decision that participation in an alternative program may be

341
used in lieu of adverse action and that such participation shall

342
remain nonpublic if required by the member state’s laws.

343
(4)

A remote state may:

344
(a)

Take adverse actions as provided herein against a

345
licensee’s compact privilege in that state.

346
(b)

Issue subpoenas for both hearings and investigations

347
that require the attendance and testimony of witnesses and the

348
production of evidence.

349
1.

Subpoenas may be issued by a respiratory therapy

350
licensing authority in a member state for the attendance and

351
testimony of witnesses and the production of evidence.

352
2.

Subpoenas issued by a respiratory therapy licensing

353
authority in a member state for the attendance and testimony of

354
witnesses shall be enforced in the latter state by any court of

355
competent jurisdiction in the latter state, according to the

356
practice and procedure of that court applicable to subpoenas

357
issued in proceedings pending before it.

358
3.

Subpoenas issued by a respiratory therapy licensing

359
authority in a member state for production of evidence from

360
another member state shall be enforced in the latter state,

361
according to the practice and procedure of that court applicable

362
to subpoenas issued in the proceedings pending before it.

363
4.

The issuing authority shall pay any witness fees, travel

364
expenses, mileage, and other fees required by the service

365
statutes of the state where the witnesses or evidence are

366
located.

367
(c)

Unless otherwise prohibited by general law, recover

368
from the licensee the costs of investigations and disposition of

369
cases resulting from any adverse action taken against that

370
licensee.

371
(d)

Notwithstanding paragraph (b), a member state may not

372
issue a subpoena to gather evidence of conduct in another member

373
state
which
is lawful in such other member state for the purpose

374
of taking adverse action against a licensee’s compact privilege

375
or application for a compact privilege in that member state.

376
(e)

This compact does not authorize a member state to

377
impose discipline against a respiratory therapist’s compact

378
privilege in that member state for the licensee’s otherwise

379
lawful practice in another state.

380
(5)(a)

In addition to the authority granted to a member

381
state by its respective respiratory therapy practice act or

382
other applicable state law, a member state may participate with

383
other member states in joint investigations of licensees,

384
provided, however, that a member state receiving such a request

385
has no obligation to respond to any subpoena issued regarding an

386
investigation of conduct or practice that was lawful in a member

387
state at the time it was undertaken.

388
(b)

Member states shall share any significant investigative

389
information, litigation, or compliance materials in furtherance

390
of any joint or individual investigation initiated under the

391
compact. In sharing such information between member state

392
respiratory therapy licensing authorities, all information

393
obtained shall be kept confidential, except as otherwise

394
mutually agreed upon by the sharing and receiving member states.

395
(6)

This compact does not permit a member state to:

396
(a)

Take any adverse action against a licensee or holder of

397
a compact privilege for conduct or practice that was legal in

398
the member state at the time it was undertaken.

399
(b)

Take disciplinary action against a licensee or holder

400
of a compact privilege for conduct or practice that was legal in

401
the member state at the time it was undertaken.

402
403
ARTICLE VII

404
ESTABLISHMENT OF THE RESPIRATORY CARE

405
INTERSTATE COMPACT COMMISSION

406
407
(1)

ESTABLISHMENT OF THE COMMISSION.—The member states

408
hereby create and establish a joint government agency whose

409
membership consists of all member states that have enacted the

410
compact
, to be
known as the Respiratory Care Interstate Compact

411
Commission. The commission is an instrumentality of the compact

412
member states acting jointly and not an instrumentality of any

413
one state. The commission shall come into existence on or after

414
the effective date of the compact, as provided in Article XI.

415
(2)

MEMBERSHIP, VOTING, AND MEETINGS.—

416
(a)

Each member state shall have one commissioner selected

417
by that member state’s respiratory therapy licensing authority.

418
(b)

The commissioner or his or her designated staff member

419
shall be an administrator of the member state’s respiratory

420
therapy licensing authority.

421
(c)

The commission shall by rule or bylaw establish a term

422
of office for commissioners and may by rule or bylaw establish

423
term limits.

424
(d)

The commission may recommend to a member state the

425
removal or suspension any commissioner from office.

426
(e)

A member state’s respiratory therapy licensing

427
authority shall fill any vacancy occurring on the commission

428
within 60 days after the vacancy.

429
(f)

Each commissioner shall be entitled to one vote on all

430
matters before the commission requiring a vote.

431
(g)

A commissioner shall vote in person or by such other

432
means as provided in the bylaws. The bylaws may provide for

433
commissioners to meet by telecommunication, videoconference, or

434
other means of communication.

435
(h)

The commission shall meet at least once during each

436
calendar year. Additional meetings may be held as provided in

437
the bylaws.

438
(3)

POWERS OF THE COMMISSION.—The commission may:

439
(a)

Establish and amend the fiscal year of the commission.

440
(b)

Establish and amend bylaws and policies, including, but

441
not limited to, a code of conduct and conflict of interest.

442
(c)

Establish and amend rules, which shall be binding in

443
all member states.

444
(d)

Maintain its financial records in accordance with the

445
bylaws.

446
(e)

Meet and take such actions as are consistent with this

447
compact, the commission’s rules, and the bylaws.

448
(f)

Initiate and conduct legal proceedings or actions in

449
the name of the commission, provided that the standing of any

450
respiratory therapy licensing authority to sue or be sued under

451
applicable law is not affected.

452
(g)

Maintain and certify records and information provided

453
to a member state as the authenticated business records of the

454
commission and designate an agent to do so on the commission’s

455
behalf.

456
(h)

Purchase and maintain insurance and bonds.

457
(i)

Accept or contract for services of personnel,

458
including, but not limited to, employees of a member state.

459
(j)

Conduct an annual financial review.

460
(k)

Hire employees, elect or appoint officers, fix

461
compensation, define duties, grant such individuals appropriate

462
authority to carry out the purposes of the compact, and

463
establish the commission’s personnel policies and programs

464
relating to conflicts of interest, qualifications of personnel,

465
and other related personnel matters.

466
(l)

Assess and collect fees.

467
(m)

Accept any and all appropriate gifts, donations, grants

468
of money, other sources of revenue, equipment, supplies,

469
materials, and services, and receive, use, and dispose of the

470
same, provided that the commission avoids any appearance of

471
impropriety or conflict of interest.

472
(n)

Lease, purchase, retain, own, hold, improve, or use any

473
property, real, personal, or mixed, or any undivided interest

474
therein.

475
(o)

Sell, convey, mortgage, pledge, lease, exchange,

476
abandon, or otherwise dispose of any property, real, personal,

477
or mixed.

478
(p)

Establish a budget and make expenditures.

479
(q)

Borrow money in a fiscally responsible manner.

480
(r)

Appoint committees, including standing committees,

481
composed of commissioners, state regulators, state legislators

482
or their representatives, and consumer representatives, and such

483
other interested persons as may be designated in this compact

484
and the bylaws.

485
(s)

Provide and receive information from, and cooperate

486
with, law enforcement agencies.

487
(t)

Establish and elect an executive committee, including a

488
chair, vice-chair, secretary, treasurer, and such other offices

489
as the commission shall establish by rule or bylaw.

490
(u)

Enter into contracts or arrangements for the management

491
of the affairs of the commission.

492
(v)

Determine whether a state’s adopted language is

493
materially different from the model compact language such that

494
the state does not qualify for participation in the compact.

495
(w)

Perform such other functions as may be necessary or

496
appropriate to achieve the purposes of this compact.

497
(4)

THE EXECUTIVE COMMITTEE.—

498
(a)

The executive committee shall have the power to act on

499
behalf of the commission according to the terms of this compact.

500
The powers, duties, and responsibilities of the executive

501
committee include:

502
1.

Overseeing the day-to-day activities of the

503
administration of the compact, including enforcement of and

504
compliance with the compact, commission rules and bylaws, and

505
other such duties as deemed necessary.

506
2.

Recommending to the commission changes to the rules or

507
bylaws, changes to the compact legislation, fees charged to

508
compact member states, fees charged to licensees, and other

509
fees.

510
3.

Ensuring compact administration services are

511
appropriately provided, including by contract.

512
4.

Preparing and recommending the budget.

513
5.

Maintaining financial records on behalf of the

514
commission.

515
6.

Monitoring compact compliance of member states and

516
providing compliance reports to the commission.

517
7.

Establishing additional committees as necessary.

518
8.

Exercising the powers and duties of the commission

519
during the interim between commission meetings, except for

520
adopting or amending rules, adopting or amending bylaws, and

521
exercising any other powers and duties expressly reserved to the

522
commission by rule or bylaw.

523
9.

Performing other duties as provided in the rules or

524
bylaws of the commission.

525
(b)

The executive committee shall be composed of up to nine

526
members, as further provided in the bylaws of the commission:

527
1.

Seven voting members who are elected by the commission

528
from the current membership of the commission.

529
2.

Two ex-officio, nonvoting members.

530
(c)

The commission may remove any member of the executive

531
committee as provided in the commission’s bylaws.

532
(d)

The executive committee shall meet at least annually.

533
1.

Executive committee meetings shall be open to the

534
public, except that the executive committee may meet in a

535
closed, nonpublic meeting as provided in paragraph (6)(d).

536
2.

The executive committee shall give advance notice of its

537
meetings, posted on its website and as determined to provide

538
notice to persons with an interest in the business of the

539
commission.

540
3.

The executive committee may hold a special meeting in

541
accordance with paragraph (6)(b).

542
(5)

REPORT.—The commission shall adopt and provide to the

543
member states an annual report.

544
(6)

MEETINGS OF THE COMMISSION.—

545
(a)

All meetings of the commission
which
are not closed

546
pursuant to paragraph (d) shall be open to the public. Notice of

547
public meetings shall be posted on the commission’s website at

548
least 30 days before the public meeting.

549
(b)

Notwithstanding paragraph (a), the commission may

550
convene an emergency public meeting by providing at least 24

551
hours’ notice on the commission’s website, and
by
any other

552
means as provided in the commission’s rules, for any of the

553
reasons it may dispense with notice of proposed rulemaking under

554
subsection (7) of Article IX. The commission’s legal counsel

555
shall certify that one of the reasons justifying an emergency

556
public meeting has been met.

557
(c)

Notice of all commission meetings must provide the

558
time, date, and location of the meeting, and if the meeting is

559
to be held or accessible via telecommunication, video

560
conference, or other electronic means, the notice shall include

561
the mechanism for access to the meeting.

562
(d)

The commission or the executive committee may convene

563
in a closed, nonpublic meeting for the commission or executive

564
committee to receive or solicit legal advice or to discuss
any

565
of
the following:

566
1.

Noncompliance of a member state with its obligations

567
under the compact;

568
2.

The employment, compensation, discipline, or other

569
matters, practices, or procedures related to specific employees;

570
3.

Current or threatened discipline of a licensee or

571
compact privilege holder by the commission or by a member

572
state’s respiratory therapy licensing authority;

573
4.

Current, threatened, or reasonably anticipated

574
litigation;

575
5.

Negotiation of contracts for the purchase, lease, or

576
sale of goods, services, or real estate;

577
6.

Accusing any person of a crime or formally censuring any

578
person;

579
7.

Trade secrets or commercial or financial information

580
that is privileged or confidential;

581
8.

Information of a personal nature where disclosure would

582
constitute a clearly unwarranted invasion of personal privacy;

583
9.

Investigative records compiled for law enforcement

584
purposes;

585
10.

Information related to any investigative reports

586
prepared by
,
on behalf of
,
or for use
by
the commission or other

587
committee charged with responsibility of investigation or

588
determination of compliance issues pursuant to the compact;

589
11.

Legal advice;

590
12.

Matters specifically exempted from disclosure by

591
federal or member state law; or

592
13.

Other matters as adopted by the commission by rule.

593
(e)

If a meeting, or portion of a meeting, is closed, the

594
presiding officer shall state that the meeting will be closed

595
and reference each relevant exempting provision, and such

596
reference shall be recorded in the minutes.

597
(f)

The commission shall keep minutes in accordance with

598
commission rules and bylaws. All documents considered in

599
connection with an action shall be identified in such minutes.

600
All minutes and documents of a closed meeting shall remain under

601
seal, subject to release only by a majority vote of the

602
commission or order of a court of competent jurisdiction.

603
(7)

FINANCING OF THE COMMISSION.—

604
(a)

The commission shall pay, or provide for the payment

605
of, the reasonable expenses of its establishment, organization,

606
and ongoing activities.

607
(b)

The commission may accept any and all appropriate

608
revenue sources as provided herein.

609
(c)

The commission may levy on and collect an annual

610
assessment from each member state and impose fees on licensees

611
of member states that are granted compact privilege to cover the

612
cost of the operations and activities of the commission and its

613
staff. The aggregate annual assessment amount for member states,

614
if any, shall be allocated based upon a formula that the

615
commission shall adopt by rule.

616
(d)

The commission may not incur obligations of any kind

617
before securing the funds or a loan adequate to meet the same,

618
nor pledge the credit of any of the member states, except by and

619
with the authority of the member state.

620
(e)

The commission shall keep accurate accounts of all

621
receipts and disbursements. The receipts and disbursements of

622
the commission are subject to the financial review and

623
accounting procedures established under its bylaws. However, all

624
receipts and disbursements of funds handled by the commission

625
are subject to an annual financial review by a certified or

626
licensed public accountant, and the report of the financial

627
review shall be included in and become part of the annual report

628
of the commission.

629
(8)

QUALIFIED IMMUNITY, DEFENSE, AND INDEMNIFICATION.—

630
(a)

This compact does not limit the liability of any

631
licensee for professional malpractice or misconduct, which shall

632
be governed solely by any other applicable state laws.

633
(b)

The member states, commissioners, officers, executive

634
directors, employees, and agents of the commission are immune

635
from suit and liability, both personally and in their official

636
capacity, for any claim for damage to or loss of property,

637
personal injury, or other civil liability caused by or arising

638
out of any actual or alleged act, error, or omission that

639
occurred, or that the person against whom the claim is made had

640
a reasonable basis for believing occurred, within the scope of

641
commission employment, duties, or responsibilities. This

642
paragraph does not protect any such person from suit or

643
liability for any damage, loss, injury, or liability caused by

644
the intentional, willful, or wanton misconduct of that person.

645
The procurement of insurance of any type by the commission does

646
not in any way compromise or limit the immunity granted

647
hereunder.

648
(c)

The commission shall defend any commissioner, officer,

649
executive director, employee, and agent of the commission in any

650
civil action seeking to impose liability arising out of any

651
actual or alleged act, error, or omission that occurred within

652
the scope of commission employment, duties, or responsibilities,

653
or as determined by the commission that the person against whom

654
the claim is made had a reasonable basis for believing occurred

655
within the scope of commission employment, duties, or

656
responsibilities. This paragraph does not prohibit that person

657
from retaining counsel at his or her own expense; and provided

658
further, that the actual or alleged act, error, or omission did

659
not result from that person’s intentional, willful, or wanton

660
misconduct.

661
(d)

The commission shall indemnify and hold harmless any

662
commissioner, member, officer, executive director, employee, and

663
agent of the commission for the amount of any settlement or

664
judgment obtained against that person arising out of any actual

665
or alleged act, error, or omission that occurred within the

666
scope of commission employment, duties, or responsibilities, or

667
that such person had a reasonable basis for believing occurred

668
within the scope of commission employment, duties, or

669
responsibilities, provided that the actual or alleged act,

670
error, or omission did not result from the intentional, willful,

671
or wanton misconduct of that person.

672
(e)

This compact does not waive or otherwise abrogate a

673
member state’s state action immunity or state action affirmative

674
defense with respect to antitrust claims under the Sherman Act,

675
the Clayton Act, or any other state or federal antitrust or

676
anticompetitive law or regulation.

677
(f)

This compact does not waive sovereign immunity by the

678
member states or by the commission.

679
680
ARTICLE VIII

681
DATA SYSTEM

682
683
(1)

The commission shall provide for the development,

684
maintenance, operation, and utilization of a coordinated

685
database and reporting system containing licensure, adverse

686
action, and the presence of significant investigative

687
information.

688
(2)

Notwithstanding any other provision of state law to the

689
contrary, a member state shall submit a uniform data set to the

690
data system as required by the rules of the commission,

691
including, but not limited to, all of the following:

692
(a)

Identifying information.

693
(b)

Licensure data.

694
(c)

Adverse actions against a licensee, license applicant,

695
or compact privilege holder and information related thereto.

696
(d)

Nonconfidential information related to alternative

697
program participation, the beginning and ending dates of such

698
participation, and other information related to such

699
participation not made confidential under member state law.

700
(e)

Any denial of application for licensure and the reasons

701
for such denial.

702
(f)

The presence of current significant investigative

703
information.

704
(g)

Other information that may facilitate the

705
administration of this compact or the protection of the public,

706
as determined by commission rules.

707
(3)

A member state may not submit any information that

708
constitutes criminal history record information, as defined by

709
applicable federal law, to the data system.

710
(4)

The records and information provided to a member state

711
pursuant to this compact or through the data system, when

712
certified by the commission or an agent thereof, constitutes the

713
authenticated business records of the commission and are

714
entitled to any associated hearsay exception in any relevant

715
judicial, quasi-judicial, or administrative proceedings in a

716
member state.

717
(5)

Significant investigative information pertaining to a

718
licensee in any member state will only be available to other

719
member states.

720
(6)

It is the responsibility of the member states to report

721
any adverse action against a licensee and to monitor the

722
database to determine whether adverse action has been taken

723
against a licensee. Adverse action information pertaining to a

724
licensee in any member state will be available to any other

725
member state.

726
(7)

Member states contributing information to the data

727
system may designate information that may not be shared with the

728
public without the express permission of the contributing state.

729
(8)

Any information submitted to the data system which is

730
subsequently expunged pursuant to federal law or the laws of the

731
member state contributing the information shall be removed from

732
the data system.

733
734
ARTICLE IX

735
RULEMAKING

736
737
(1)

The commission shall adopt reasonable rules in order to

738
effectively and efficiently implement and administer the

739
purposes and provisions of this compact. A rule shall be invalid

740
and have no force or effect only if a court of competent

741
jurisdiction holds that the rule is invalid because the

742
commission exercised its rulemaking authority in a manner that

743
is beyond the scope and purposes of this compact, or the powers

744
granted hereunder, or based upon another applicable standard of

745
review.

746
(2)

For purposes of this compact, the rules of the

747
commission shall have the force of law in each member state.

748
(3)

The commission shall exercise its rulemaking powers

749
pursuant to the criteria provided in this article and the rules

750
adopted hereunder. Rules become binding as of the date specified

751
in each rule.

752
(4)

If a majority of the legislatures of the member states

753
rejects a rule or portion of a rule, by enactment of a statute

754
or resolution in the same manner used to adopt the compact

755
within 4 years after the date of adoption of the rule, then such

756
rule shall have no further force and effect in any member state.

757
(5)

Rules shall be adopted at a regular or special meeting

758
of the commission.

759
(6)

Before adoption of a proposed rule, the commission

760
shall hold a public hearing and allow persons to provide oral

761
and written comments, data, facts, opinions, and arguments.

762
(7)

Before adoption of a proposed rule by the commission,

763
and at least 30 days before the meeting at which the commission

764
will hold a public hearing on the proposed rule, the commission

765
shall provide a notice of proposed rulemaking in all of the

766
following manners:

767
(a)

On the website of the commission or other publicly

768
accessible platform.

769
(b)

To persons who have requested notice of the

770
commission’s notices of proposed rulemaking.

771
(c)

In such other ways as the commission may by rule

772
specify.

773
(8)

The notice of proposed rulemaking shall include all of

774
the following information:

775
(a)

The time, date, and location of the public hearing at

776
which the commission will hear public comments on the proposed

777
rule and, if different, the time, date, and location of the

778
meeting where the commission will consider and vote on the

779
proposed rule.

780
(b)

If the hearing is held via telecommunication, video

781
conference, or other electronic means, the commission shall

782
include the mechanism for access to the hearing in the notice of

783
proposed rulemaking.

784
(c)

The text of and reason for the proposed rule.

785
(d)

A request for comments on the proposed rule from any

786
interested person.

787
(e)

The manner in which interested persons may submit

788
written comments.

789
(9)

All hearings will be recorded. A copy of the recording

790
and all written comments and documents received by the

791
commission in response to the proposed rule shall be available

792
to the public.

793
(10)

This article does not require a separate hearing on

794
each rule. Rules may be grouped for the convenience of the

795
commission at hearings required by this article.

796
(11)

The commission shall, by majority vote of all

797
commissioners, take final action on the proposed rule based on

798
the rulemaking record and the full text of the rule.

799
(a)

The commission may adopt changes to the proposed rule,

800
provided the changes are consistent with the original purpose of

801
the proposed rule.

802
(b)

The commission shall provide an explanation of the

803
reasons for substantive changes made to the proposed rule as

804
well as reasons for substantive changes not made which were

805
recommended by commenters.

806
(c)

The commission shall determine a reasonable effective

807
date for the rule. Except for an emergency as provided in

808
subsection (12), the effective date of the rule shall be no

809
sooner than 30 days after issuing the notice that it adopted or

810
amended the rule.

811
(12)

Upon determination that an emergency exists, the

812
commission may consider and adopt an emergency rule with 24

813
hours’ notice, and with opportunity to comment, provided that

814
the usual rulemaking procedures provided in the compact and in

815
this article shall be retroactively applied to the rule as soon

816
as reasonably possible, in no event later than 90 days after the

817
effective date of the rule. For the purposes of this subsection,

818
an emergency rule is one that must be adopted immediately in

819
order to:

820
(a)

Meet an imminent threat to public health, safety, or

821
welfare;

822
(b)

Prevent a loss of commission or member state funds;

823
(c)

Meet a deadline for the adoption of a rule that is

824
established by federal law or rule; or

825
(d)

Protect public health and safety.

826
(13)

The commission or an authorized committee of the

827
commission may direct revisions to a previously adopted rule for

828
purposes of correcting typographical errors, errors in format,

829
errors in consistency, or grammatical errors. Public notice of

830
any revisions shall be posted on the website of the commission.

831
The revision shall be subject to challenge by any person for a

832
period of 30 days after posting. The revision may be challenged

833
only on grounds that the revision results in a material change

834
to a rule. A challenge shall be made in writing and delivered to

835
the commission before the end of the notice period. If no

836
challenge is made, the revision will take effect without further

837
action. If the revision is challenged, the revision may not take

838
effect without the approval of the commission.

839
(14)

A member state’s rulemaking process or procedural

840
requirements do not apply to the commission.

The commission does

841
not have authority over any member state’s rulemaking process or

842
procedural requirements that do not pertain to the compact.

843
(15)

This compact, or any rule or regulation of the

844
commission, does not limit, restrict, or in any way reduce the

845
ability of a member state to enact and enforce laws,

846
regulations, or other rules related to the practice of

847
respiratory therapy in that state, where those laws,

848
regulations, or other rules are not inconsistent with the

849
provisions of this compact.

850
851
ARTICLE X

852
OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT

853
854
(1)(a)

The executive and judicial branches of state

855
government in each member state shall enforce this compact and

856
take all actions necessary and appropriate to implement this

857
compact.

858
(b)

Venue is proper and judicial proceedings by or against

859
the commission shall be brought solely and exclusively in a

860
court of competent jurisdiction where the principal office of

861
the commission is located. The commission may waive venue and

862
jurisdictional defenses to the extent it adopts or consents to

863
participate in alternative dispute resolution proceedings.

864
Nothing herein affects or limits the selection or propriety of

865
venue in any action against a licensee for professional

866
malpractice, misconduct, or any such similar matter.

867
(c)

The commission is entitled to receive service of

868
process in any proceeding regarding the enforcement or

869
interpretation of this compact and has standing to intervene in

870
such a proceeding for all purposes. Failure to provide the

871
commission service of process shall render a judgment or order

872
void as to the commission, this compact, or adopted rules.

873
(2)(a)

If the commission determines that a member state has

874
defaulted in the performance of its obligations or

875
responsibilities under this compact or the adopted rules, the

876
commission shall provide written notice to the defaulting state.

877
The notice of default shall describe the default, the proposed

878
means of curing the default, and any other action that the

879
commission may take and shall offer training and specific

880
technical assistance regarding the default.

881
(b)

The commission shall provide a copy of the notice of

882
default to the other member states.

883
(3)

If a state in default fails to cure the default, the

884
defaulting state may be terminated from the compact upon an

885
affirmative vote of a majority of the commissioners of the

886
member states, and all rights, privileges, and benefits

887
conferred on that state by this compact may be terminated on the

888
effective date of termination. A cure of the default does not

889
relieve the offending state of obligations or liabilities

890
incurred during the period of default.

891
(4)

Termination of membership in this compact shall be

892
imposed only after all other means of securing compliance have

893
been exhausted. Notice of intent to suspend or terminate shall

894
be given by the commission to the Governor, the Majority Leader
s

895
and Minority Leader
s
of the defaulting state’s Legislature, the

896
defaulting state’s respiratory therapy licensing authority, and

897
each of the member states’ respiratory therapy licensing

898
authorities.

899
(5)

A state that has been terminated is responsible for all

900
assessments, obligations, and liabilities incurred through the

901
effective date of termination, including obligations that extend

902
beyond the effective date of termination, if necessary.

903
(6)

Upon the termination of a state’s membership from this

904
compact, that state shall immediately provide notice to all

905
licensees and compact privilege holders of which the commission

906
has a record within that state of the termination. The

907
terminated state shall continue to recognize all licenses

908
granted pursuant to the compact for a minimum of 180 days after

909
the date of the notice of termination.

910
(7)

The commission may not bear any costs related to a

911
state that is found to be in default or that has been terminated

912
from the compact, unless agreed upon in writing between the

913
commission and the defaulting state.

914
(8)

The defaulting state may appeal the action of the

915
commission by petitioning the United States District Court for

916
the District of Columbia or the federal district where the

917
commission has its principal offices. The prevailing party shall

918
be awarded all costs of such litigation, including reasonable

919
attorney fees.

920
(9)(a)

Upon request by a member state, the commission shall

921
attempt to resolve disputes related to the compact which arise

922
among member states and between member and nonmember states.

923
(b)

The commission shall adopt a rule providing for both

924
mediation and binding dispute resolution for disputes, as

925
appropriate.

926
(10)(a)

By majority vote, as may be further provided by

927
rule, the commission may initiate legal action against a member

928
state in default in the United States District Court for the

929
District of Columbia or the federal district where the

930
commission has its principal offices to enforce compliance with

931
this compact and its adopted rules. A member state, by enactment

932
of this compact, consents to venue and jurisdiction in such

933
court for the purposes provided herein. The relief sought may

934
include both injunctive relief and damages. In the event

935
judicial enforcement is necessary, the prevailing party shall be

936
awarded all costs of such litigation, including reasonable

937
attorney fees. The remedies herein are not the exclusive

938
remedies of the commission. The commission may pursue any other

939
remedies available under federal law or the defaulting member

940
state’s law.

941
(b)

A member state may initiate legal action against the

942
commission in the United States District Court for the District

943
of Columbia or the federal district where the commission has its

944
principal offices to enforce compliance with this compact and

945
its adopted rules. The relief sought may include both injunctive

946
relief and damages. In the event judicial enforcement is

947
necessary, the prevailing party shall be awarded all costs of

948
such litigation, including reasonable attorney fees.

949
(c)

Only a member state may enforce this compact against

950
the commission.

951
952
ARTICLE XI

953
EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT

954
955
(1)

This compact shall come into effect on the date on

956
which the compact statute is enacted into law in the seventh

957
member state.

958
(a)

On or after the effective date of the compact, the

959
commission shall convene and review the enactment of each of the

960
first seven member states to determine if the statute enacted by

961
each such charter member state is materially different from the

962
model compact.

963
1.

A charter member state whose enactment is found to be

964
materially different from the model compact is entitled to the

965
default process provided in Article X.

966
2.

If any member state is later found to be in default, or

967
is terminated or withdraws from the compact, the commission

968
shall remain in existence and the compact shall remain in effect

969
even if the number of member states is fewer than seven.

970
(b)

Member states enacting the compact subsequent to the

971
seven initial charter member states shall be subject to the

972
process provided herein and commission rule to determine if such

973
state’s enactments are materially different from the model

974
compact and whether the state qualifies for participation in the

975
compact.

976
(c)

All actions taken for the benefit of the commission or

977
in furtherance of the purposes of the administration of the

978
compact before the effective date of the compact or the

979
commission coming into existence are considered to be actions of

980
the commission unless specifically repudiated by the commission.

981
The commission owns and has all rights to any intellectual

982
property developed on behalf or in furtherance of the commission

983
by individuals or entities involved in organizing or

984
establishing the commission, as may be further provided in

985
commission rules.

986
(d)

Any state that joins the compact subsequent to the

987
commission’s initial adoption of the rules and bylaws is subject

988
to the rules and bylaws as they exist on the date on which the

989
compact becomes law in that state. Any rule or bylaw that has

990
been previously adopted by the commission has the full force and

991
effect of law on the date the compact becomes law in that state.

992
(2)

Any member state may withdraw from this compact by

993
enacting a statute repealing the same.

994
(a)

A member state’s withdrawal does not take effect until

995
180 days after enactment of the repealing statute.

996
(b)

Withdrawal does not affect the continuing requirement

997
of the withdrawing state’s respiratory therapy licensing

998
authority to comply with the investigative and adverse action

999
reporting requirements of this compact before the effective date

1000
of withdrawal.

1001
(c)

Upon the enactment of a statute withdrawing from this

1002
compact, a state shall immediately provide notice of such

1003
withdrawal to all licensees and compact privilege holders of

1004
which the commission has a record within that state.

1005
Notwithstanding any subsequent statutory enactment to the

1006
contrary, such withdrawing state shall continue to recognize all

1007
licenses granted pursuant to this compact for a minimum of 180

1008
days after the date of such notice of withdrawal.

1009
(3)

This compact does not invalidate or prevent any

1010
licensure agreement or other cooperative arrangement between a

1011
member state and a nonmember state that does not conflict with

1012
the provisions of this compact.

1013
(4)

This compact may be amended by the member states. An

1014
amendment to this compact does not become effective and binding

1015
upon any member state until it is enacted into the laws of all

1016
member states.

1017
1018
ARTICLE XII

1019
CONSTRUCTION AND SEVERABILITY

1020
1021
(1)

This compact and the commission’s rulemaking authority

1022
shall be liberally construed so as to effectuate the purposes

1023
and the implementation and administration of the compact.

1024
Provisions of the compact expressly authorizing or requiring the

1025
adoption of rules does not limit the commission’s rulemaking

1026
authority solely for those purposes.

1027
(2)

The provisions of this compact are severable, and if

1028
any phrase, clause, sentence, or provision of this compact is

1029
held by a court of competent jurisdiction to be contrary to the

1030
constitution of any member state, a state seeking participation

1031
in the compact, or the United States, or the applicability

1032
thereof to any government, agency, person, or circumstance is

1033
held to be unconstitutional by a court of competent

1034
jurisdiction, the validity of the remainder of this compact and

1035
the applicability thereof to any other government, agency,

1036
person, or circumstance is not affected.

1037
(3)

Notwithstanding subsection (2), the commission may deny

1038
a state’s participation in the compact or, in accordance with

1039
the requirements of Article X, terminate a member state’s

1040
participation in the compact, if it determines that a

1041
constitutional requirement of a member state is a material

1042
departure from the compact. Otherwise, if the compact is held to

1043
be contrary to the constitution of any member state, the compact

1044
shall remain in full force and effect as to the remaining member

1045
states and in full force and effect as to the member state

1046
affected as to all severable matters.

1047
1048
ARTICLE XIII

1049
CONSISTENT EFFECT AND CONFLICT WITH OTHER STATE LAWS

1050
1051
(1)

This compact does not prevent or inhibit the

1052
enforcement of any other law of a member state that is not

1053
inconsistent with the compact.

1054
(2)

Any laws, statutes, regulations, or other legal

1055
requirements in a member state in conflict with this compact are

1056
superseded to the extent of the conflict, including any

1057
subsequently enacted state laws.

1058
(3)

All permissible agreements between the commission and

1059
the member states are binding in accordance with their terms.

1060
(4)

Other than as expressly provided herein, this compact

1061
does not impact initial licensure.

1062 Section 2. Subsection (5) of section 456.076, Florida
1063 Statutes, is amended to read:
1064 456.076 Impaired practitioner programs.—
1065 (5) A consultant shall enter into a participant contract
1066 with an impaired practitioner and shall establish the terms of
1067 monitoring and shall include the terms in a participant
1068 contract. In establishing the terms of monitoring, the
1069 consultant may consider the recommendations of one or more
1070 approved evaluators, treatment programs, or treatment providers.
1071 A consultant may modify the terms of monitoring if the
1072 consultant concludes, through the course of monitoring, that
1073 extended, additional, or amended terms of monitoring are
1074 required for the protection of the health, safety, and welfare
1075 of the public. If the impaired practitioner is an audiologist or
1076 a speech-language pathologist practicing under the Audiology and
1077 Speech-Language Pathology Interstate Compact pursuant to s.
1078 468.1335,
a respiratory therapist holding compact privilege

1079
under the Respiratory Care Interstate Compact pursuant to s.

1080
468.371,
a physical therapist or physical therapist assistant
1081 practicing under the Physical Therapy Licensure Compact pursuant
1082 to s. 486.112, a psychologist practicing under the Psychology
1083 Interjurisdictional Compact pursuant to s. 490.0075, or a health
1084 care practitioner practicing under the Professional Counselors
1085 Licensure Compact pursuant to s. 491.017, the terms of the
1086 monitoring contract must include the impaired practitioner’s
1087 withdrawal from all practice under the compact unless authorized
1088 by a member state.
1089 Section 3. Present subsection (3) of section 468.353,
1090 Florida Statutes, is redesignated as subsection (4), and a new
1091 subsection (3) is added to that section to read:
1092 468.353 Board of Respiratory Care; powers and duties.—
1093
(3)

The board shall appoint an individual to serve as the

1094
state’s commissioner on the Respiratory Care Interstate Compact

1095
Commission pursuant to s. 468.371.

1096 Section 4. Section 468.355, Florida Statutes, is amended to
1097 read:
1098 468.355 Licensure requirements.—To be eligible for
1099 licensure by the board, an applicant must be an active
1100 “certified respiratory therapist” or an active “registered
1101 respiratory therapist” as designated by the National Board for
1102 Respiratory Care, or its successor, and submit to background
1103 screening in accordance with s. 456.0135.
A person licensed as a

1104
respiratory therapist in another state who is practicing under

1105
the Respiratory Care Interstate Compact under s. 468.371, and

1106
only within the scope provided therein, is exempt from the

1107
licensure requirements of this section.

1108 Section 5. Subsection (5) is added to section 468.361,
1109 Florida Statutes, to read:
1110 468.361 Renewal of licensure; continuing education.—
1111
(5)

The board may take adverse action against the compact

1112
privilege of a respiratory therapist under s. 468.371 and may

1113
impose any of the penalties in s. 456.072(2) if a respiratory

1114
therapist commits an act specified in s. 468.365(1) or s.

1115
456.072(1).

1116 Section 6. Paragraph (m) is added to subsection (10) of
1117 section 768.28, Florida Statutes, to read:
1118 768.28 Waiver of sovereign immunity in tort actions;
1119 recovery limits; civil liability for damages caused during a
1120 riot; limitation on attorney fees; statute of limitations;
1121 exclusions; indemnification; risk management programs.—
1122 (10)
1123
(m)

For purposes of this section, the individual appointed

1124
under s. 468.371 as the state’s commissioner on the Respiratory

1125
Care Interstate Compact Commission, when serving in that

1126
capacity pursuant to s. 468.371, and any administrator, officer,

1127
executive director, employee, or representative of the

1128
Respiratory Care Interstate Compact Commission, when acting

1129
within the scope of his or her employment, duties, or

1130
responsibilities in this state, is considered an agent of the

1131
state. The commission shall pay any claims or judgments pursuant

1132
to this section and may maintain insurance coverage to pay any

1133
such claims or judgments.

1134 Section 7. This act shall take effect July 1, 2026.