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
4 provisions identified: 1 benefits, 1 costs, 2 mixed.
Easier multistate practice for respiratory therapists
Beginning July 1, 2025, Iowa joins the Respiratory Care Interstate Compact. The compact takes effect across states once seven states enact it. If you hold an active home‑state respiratory care license and an active NBRC credential, you can get a compact privilege to practice in other member states under their laws. Member states must keep licensure systems, run criminal background checks for new licensees, share data, investigate complaints, and grant privileges to qualified therapists. A state may withdraw, but the withdrawal takes effect 180 days after repeal, and the state must keep recognizing compact licenses for at least 180 days after notice.
Commission rules, enforcement, and disputes
The compact commission can make rules that carry the force of law in each member state. It must give public notice and hold a hearing before adopting most rules, and state legislatures can reject a rule within four years. The commission can declare a state in default, offer help, and, if not cured, vote to end that state's membership after notice. The commission also sets mediation and binding dispute steps and may sue or be sued in specified federal courts.
Shared license data with privacy limits
The commission runs a shared database with license details, adverse actions, denials, and notices of major investigations. States must report this information in a standard format. Important investigative information is shared only among member states and is not public, but disciplinary actions are shared with all member states. States cannot enter federal criminal history record information into the database. Commission‑certified records count as official business records in member‑state hearings.
Fees to get a compact privilege
Member states may charge a fee to grant or renew a compact privilege. The law does not set the amount. Expect to pay this fee when you seek or renew a compact privilege.
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.
4/25/2025GovernorReported correctly enrolled, signed by Speaker and President, and sent to Governor.
4/24/2025SenateMessage from Senate.
4/15/2025SenateImmediate message.
4/14/2025legislaturePassed Senate, yeas 45, nays 0.
4/14/2025SenatePlaced on calendar under unfinished business.
4/10/2025legislaturePlaced on calendar.
4/2/2025legislatureCommittee report, recommending passage.
4/2/2025legislatureSubcommittee recommends passage.
3/24/2025legislatureSubcommittee Meeting: 03/24/2025 12:30PM Senate Lounge.
3/19/2025SenateSubcommittee: Guth, Blake, and Green.
3/19/2025legislatureExplanation of vote.
3/19/2025legislatureRead first time, referred to State Government.
3/13/2025legislatureMessage from House.
3/13/2025HouseImmediate message.
3/12/2025legislaturePassed House, yeas 96, nays 0.
3/12/2025HouseIntroduced, placed on calendar.
2/20/2025legislature
Bill Text
As Introduced
Enrolled
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