HB 2618 Missouri House · 2026 Regular Session

Establishes the "Respiratory Care Interstate Compact"

HB 2618 establishes the "Respiratory Care Interstate Compact" to allow licensed respiratory therapists from one participating state to practice in other participating states without obtaining a new license. It creates a "Compact Privilege" enabling therapists to work across state lines while preserving each state's authority to regulate licensure and protect public safety. The bill directly affects respiratory therapists, patients seeking care across state lines, and active military members or spouses who may need to relocate. Key mechanisms include requiring states to join a Commission data system for license verification, standardizing criminal background checks, and ensuring states maintain oversight of disciplinary actions. This aims to address workforce shortages and improve access to respiratory therapy services without altering existing state licensing standards.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 30, 2025 Last action Mar 25, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
7
Key actions
0
Committee
1
Mar 5, 2026
Committee
Referred: Professional Registration and Licensing(H)
lower
Dec 30, 2025
Introduced
Prefiled (H)
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jamie Ray Gragg
Jamie Ray Gragg
RRepublican
MO
140