SESSION WATCH
Died HOUSE · SESSION 2026

No. HB 1235

Respiratory Care Interstate Compact
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SPONSOR
Conerly
FILED BY
William Conerly — District 72, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health & Human Services Committee

Filed under Healthcare.

PROVIDED SUMMARY

Respiratory Care Interstate Compact; Creates Respiratory Care Interstate Compact; provides purpose & objectives; requires member states to meet certain requirements to join & participate in compact; provides criteria that licensee must satisfy to practice under compact; provides requirements for renewal of equivalent license in member state; authorizes active military member & his or her spouse to be deemed as having home state license; requires member states to report adverse actions taken against license of occupational therapist or occupational therapy assistant by other member states; establishes Respiratory Care Interstate Compact Commission; provides for jurisdiction & venue for court proceedings; provides membership, duties, & powers; requires member states to participate in exchange of specified information; authorizes commission to adopt rules & bylaws; provides for development, maintenance, & use of coordinated database & reporting system; requires member states to submit specified information to data system; provides requirements for information in data system; provides rulemaking procedures; provides for state enforcement of compact; provides for termination of compact membership; provides procedures for resolution of certain disputes.

Full bill text →

Plain English Summary

AI-GENERATED
Lets respiratory therapists from compact states practice in Florida without relicensing.

Respiratory therapists licensed in another compact state gain a 'compact privilege' to practice in Florida without obtaining a separate Florida license, as long as they hold an active home-state license and meet compact conditions.

A new multistate commission writes rules that bind Florida and every other member state, runs a shared database of licensee discipline history, and can subpoena Florida therapists as part of another state's investigation.

Florida's board can discipline an out-of-state therapist's compact privilege the same way it disciplines its own licensees, and losing a home-state license blocks practice in every member state for two years.

Florida also extends its own lawsuit-liability rules to cover the commission's staff and the state's appointed commissioner, treating them as state agents and having the commission pay resulting claims or judgments.

KEY PROVISIONS
§ 1 Creates a multistate 'compact privilege' for respiratory therapists majors. 468.371

AIA respiratory therapist licensed in one member state can obtain a compact privilege to practice in Florida, or any other member state, without applying for that state's own full license, subject to compact conditions.

“allow a licensee from another member state to practice as a respiratory therapist in the remote state” bill text, line 117 →
§ 2 Exempts compact-privilege therapists from Florida licensure majors. 468.355

AIA therapist licensed in another compact state who is practicing in Florida under the compact privilege does not need to meet Florida's own licensure requirements, as long as the practice stays within the scope the compact allows.

“is practicing under the Respiratory Care Interstate Compact under s. 468.371, and only within the scope provided therein, is exempt from the licensure requirements” bill text, line 1097 →
§ 3 Gives a multistate commission binding rulemaking power majors. 468.371

AIThe compact commission, made up of one appointee per member state, can adopt rules that carry the force of law in Florida and every other member state, covering fees, data-sharing, discipline, and compact administration.

“the rules of the commission shall have the force of law in each member state” bill text, line 737 →
§ 4 Lets Florida discipline out-of-state therapists' compact privilege majors. 468.361

AIFlorida's Board of Respiratory Care can take adverse action against the Florida compact privilege of an out-of-state-licensed therapist practicing here, using the same violation standards and penalties that apply to Florida's own licensees.

“The board may take adverse action against the compact privilege of a respiratory therapist under s. 468.371” bill text, line 1104 →
§ 5 Requires Florida to feed licensee data into a shared multistate database moderates. 468.371

AIFlorida must submit identifying information, licensure status, adverse actions, license denials, and significant investigative information about respiratory therapists into a commission-run database shared with every other member state.

“a member state shall submit a uniform data set to the data system as required by the rules of the commission” bill text, line 680 →
§ 6 Extends Florida's tort-liability framework to the compact commission's staff moderates. 768.28

AIFlorida's appointed commissioner and the compact commission's officers and employees are treated as state agents under Florida's sovereign-immunity statute while acting in Florida, and the commission is made responsible for paying resulting claims or judgments.

“when acting within the scope of his or her employment, duties, or responsibilities in this state, is considered an agent of the state” bill text, line 1121 →
§ 7 Lets relocating military members keep their home-state license designation moderates. 468.371

AIAn active-duty military member or spouse who is licensed and moves under service orders may keep their existing home-state license designation for compact purposes instead of switching it with each transfer.

“The individual may retain the home state designation during the period the service member is on active duty” bill text, line 308 →
TIMELINE
3/13/2026
Died in Health & Human Services Committee
2/12/2026
Now in Health & Human Services Committee
2/12/2026
Reported out of Health Care Budget Subcommittee
2/12/2026
Favorable by Health Care Budget Subcommittee
2/10/2026
Added to Health Care Budget Subcommittee agenda
2/4/2026
Now in Health Care Budget Subcommittee
2/4/2026
Reported out of Health Professions & Programs Subcommittee
2/3/2026
Favorable by Health Professions & Programs Subcommittee
1/30/2026
Added to Health Professions & Programs Subcommittee agenda
1/15/2026
Now in Health Professions & Programs Subcommittee
1/15/2026
Referred to Health & Human Services Committee
1/15/2026
Referred to Health Care Budget Subcommittee
1/15/2026
Referred to Health Professions & Programs Subcommittee
1/13/2026
1st Reading (Original Filed Version)
1/8/2026
Filed
9 EARLIER →
STATUTES IT CHANGES
s. 468.371
+8078 / −0
s. 456.076
+16 / −0
s. 468.353
+24 / −0
s. 468.355
+38 / −0
s. 468.361
+42 / −0
s. 768.28
+95 / −0
STAFF ANALYSES