All Roll Calls
Yes: 141 • No: 0
IowaHF 54791st General Assembly (2025–2026)HouseWALLET
A bill for an act enacting the respiratory care interstate compact. (Formerly HSB 120.) Effective date: 07/01/2025.
Sponsored By: COMMITTEE ON STATE GOVERNMENT
Signed by Governor
state government
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
Therapists gain mobility with new requirements
Iowa joins the respiratory care compact beginning July 1, 2025; the compact takes effect after seven states enact it. Eligible therapists can get permission to work in other member states without separate licenses. They need an active home-state license, the required professional credential, and no adverse action during the previous two years. Therapists must follow the state’s practice rules where they work. They must report their home address, address changes, and disciplinary actions from nonmember states within 30 days. A home-state license under disciplinary restrictions blocks interstate privileges until those restrictions end and two more years pass. Member states cannot discipline therapists for care that was lawful where and when it occurred.
Iowa shares therapist licensing records
Iowa’s law takes effect July 1, 2025, and requires its licensing authority to report data to the compact database. Reports include license records, disciplinary actions, application-denial reasons, significant investigation details, and nonconfidential monitoring-program information. The authority cannot submit criminal history records. This agency duty supports shared oversight; it does not itself require households to file reports.
Interstate practice fees for respiratory therapists
The compact lets its commission and member states charge therapists fees for interstate practice privileges, including renewals. Member states can also face annual assessments, divided under a formula set by commission rules. The law sets no dollar amounts. Active-duty military members and their spouses do not pay the commission’s privilege fee; states may also reduce or waive their fees. Iowa’s law takes effect July 1, 2025, but compact operations depend on seven states joining.
Sponsors & Cosponsors
Sponsor
COMMITTEE ON STATE GOVERNMENT
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/14/2025
Passed Senate
Yes: 45 • No: 0
House vote • 3/12/2025
Passed House
Yes: 96 • No: 0
Actions Timeline
Signed by Governor.
4/25/2025HouseReported correctly enrolled, signed by Speaker and President, and sent to Governor.
4/24/2025HouseMessage from Senate.
4/15/2025HouseImmediate message.
4/14/2025SenatePassed Senate, yeas 45, nays 0.
4/14/2025SenatePlaced on calendar under unfinished business.
4/10/2025SenatePlaced on calendar.
4/2/2025legislatureCommittee report, recommending passage.
4/2/2025SenateSubcommittee recommends passage.
3/24/2025legislatureSubcommittee Meeting: 03/24/2025 12:30PM Senate Lounge.
3/19/2025SenateSubcommittee: Guth, Blake, and Green.
3/19/2025SenateExplanation of vote.
3/19/2025HouseRead first time, referred to State Government.
3/13/2025SenateMessage from House.
3/13/2025SenateImmediate message.
3/12/2025HousePassed House, yeas 96, nays 0.
3/12/2025HouseIntroduced, placed on calendar.
2/20/2025House
Bill Text
As Introduced
Enrolled
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