All Roll Calls
Yes: 421 • No: 3
PennsylvaniaHB 4822025-2026 Regular SessionHouse
An Act authorizing the Commonwealth of Pennsylvania to join the Interstate Compact; providing for the form of the compact; and imposing additional powers and duties on the Governor, the Secretary of t . . .he Commonwealth and the Compact.
Sponsored By: Brandon J. Markosek (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 1 benefits, 0 costs, 5 mixed.
Therapists gain interstate practice with fees
Pennsylvania authorizes eligible occupational therapists and assistants to practice across Compact states, including through telehealth, without separate full licenses. Applicants need an unrestricted home-state license, background checks, and knowledge of the other state's practice laws. They pay applicable fees and background-check costs; the law sets no fee amounts. Practitioners must follow the other state's laws, and assistants need required supervision. Permissions generally end when the home-state license expires. The act takes effect immediately; the Compact operates once 10 states enact it, and Pennsylvania's Secretary must publish the operative date. Pennsylvania's board must issue temporary rules and begin accepting applications and issuing permissions within 180 days of the implementation paragraph's effective date.
Military therapists can keep licensing home
Active-duty occupational therapy professionals and their spouses can choose a Compact home state where they hold a current, good-standing license. They can keep that home-state designation while the service member remains on active duty. This preserves their licensing home despite military-related moves.
Moving therapists face new licensing steps
Occupational therapists and assistants moving between Compact states must apply for a new home-state license. They must notify both states, pay applicable fees, and complete required background and state-law checks. Once the new license starts, the former home-state license becomes permission to practice there under the Compact. Practitioners can have only one home state at a time. Those who do not qualify for the Compact must meet the new state's single-state licensing requirements.
States face therapy Compact exit rules
Member states must enforce the Compact; at a state's request, the Commission must help resolve disputes through mediation or binding decisions. A state in default receives notice, training, and help to fix violations. After other compliance measures fail, a majority of member states can end its membership and Compact rights. A state can also leave by passing a repeal law, but withdrawal takes effect six months later. Investigative and disciplinary reporting continues until withdrawal, and departing states remain responsible for prior unpaid assessments and obligations.
Therapist oversight and discipline cross borders
Member states must use recognized national exams, require continuing learning for renewal, investigate complaints, and share licensing and disciplinary records. Only member states can access investigative information; contributing states can limit public sharing, and legally expunged records must be removed. The home state controls its license; other states can restrict local Compact practice rights using their due-process rules. Home-state license restrictions deactivate practice rights elsewhere until restrictions end and required waiting periods pass. Certain disciplinary actions or treatment programs trigger a two-year wait after completion; practitioners must report nonmember-state discipline within 30 days. States can investigate jointly, share evidence, enforce each other's board subpoenas, and recover investigation costs where state law allows.
Therapy commission sets rules and charges
The law creates a joint state Commission to run the Compact and issue binding rules. A rule loses force if a majority of state legislatures reject it within four years. The Commission can collect annual state assessments and fees from other parties for approved costs not covered by other revenue. State assessments follow a Commission formula; the law sets no charge amounts. Meetings are generally public, limited closed sessions are allowed, and annual audits are required. Commission personnel receive liability protection, legal defense, and coverage of qualifying claims for work within their duties, excluding intentional, willful, or wanton misconduct. The Compact does not waive member states' sovereign immunity.
Sponsors & Cosponsors
Sponsor
Brandon J. Markosek
Democratic • House
Cosponsors
Abigail Salisbury
Democratic • House
Arvind Venkat
Democratic • House
Benjamin V. Sanchez
Democratic • House
Brian Munroe
Democratic • House
Carol Hill-Evans
Democratic • House
Christina D. Sappey
Democratic • House
Daniel J. Deasy
Democratic • House
Danilo Burgos
Democratic • House
G. Roni Green
Democratic • House
Heather Boyd
Democratic • House
Jill N. Cooper
Republican • House
Joe Webster
Democratic • House
Johanny Cepeda-Freytiz
Democratic • House
Jose Giral
Democratic • House
Joseph C. Hohenstein
Democratic • House
Kyle Donahue
Democratic • House
Liz Hanbidge
Democratic • House
Mary Jo Daley
Democratic • House
Maureen E. Madden
Democratic • House
Melissa L. Shusterman
Democratic • House
Nancy Guenst
Democratic • House
Patrick J. Harkins
Democratic • House
Robert Freeman
Democratic • House
Tarik Khan
Democratic • House
Roll Call Votes
Senate vote • 7/11/2026
House Bill 482 PN2867, Final Passage
Yes: 50 • No: 0
committee vote • 7/10/2026
22 0
Yes: 22 • No: 0
committee vote • 2/4/2026
14 0
Yes: 14 • No: 0
committee vote • 2/4/2026
14 0
Yes: 14 • No: 0
committee vote • 7/1/2025
37 0
Yes: 37 • No: 0
House vote • 7/1/2025
House Bill 482 PN1942, FINAL PASSAGE
Yes: 199 • No: 3
committee vote • 6/30/2025
33 0
Yes: 33 • No: 0
committee vote • 6/17/2025
26 0
Yes: 26 • No: 0
committee vote • 6/17/2025
26 0
Yes: 26 • No: 0
Actions Timeline
Act No. 28 of 2026
7/20/2026GovernorApproved by the Governor
7/20/2026GovernorPresented to the Governor
7/12/2026HouseSigned in Senate
7/12/2026HouseSigned in House
7/12/2026HouseHouse concurred in Senate amendments (201-0)
7/12/2026HouseRe-reported on concurrence, as committed
7/12/2026HouseReferred to Rules
7/12/2026HouseThird consideration and final passage (50-0)
7/11/2026SenateRe-reported as committed
7/10/2026SenateRe-referred to Appropriations
3/16/2026SenateSecond consideration
3/16/2026SenateFirst consideration
2/4/2026SenateReported as amended
2/4/2026SenateReferred to Consumer Protection & Professional Licensure
7/14/2025SenateThird consideration and final passage (199-3)
7/1/2025HouseRe-reported as committed
7/1/2025HouseRe-committed to Appropriations
6/30/2025HouseSecond consideration
6/30/2025HouseRe-reported as committed
6/30/2025HouseRe-committed to Rules
6/17/2025HouseFirst consideration
6/17/2025HouseReported as amended
6/17/2025HouseReferred to Professional Licensure
2/4/2025House
Bill Text
PN 2867
2/4/2026
PN 1942
6/17/2025
PN 465
2/4/2025
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