HB 13 New Mexico House · 2026 Regular Session

OCCUPATIONAL THERAPY LICENSURE COMPACT

HB 13 creates the Occupational Therapy Licensure Compact, allowing occupational therapists and assistants licensed in one participating state to practice in other member states without obtaining a new license. It directly affects licensed therapists seeking to work across state lines, patients accessing services in different states, and military spouses relocating with their partners. Key mechanisms include establishing "compact privilege" for interstate practice, requiring states to share disciplinary and investigative information through a national data system, and supporting telehealth delivery of services. The bill aims to improve access to occupational therapy while maintaining each state's authority to protect public health and safety through existing licensure standards.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Jan 2026
Senate Passage
Governor
Introduced Jan 17, 2026 Last action Mar 24, 2026
Maddy AI version diff · 1 comparison

What changed between versions

introduced version JC substitute · 10 edits
MAJOR
The Judiciary Committee substitute for HB 13 (Occupational Therapy Licensure Compact) makes several substantive additions while removing the compact's stated purpose section. Most significantly, it adds a contingent repeal provision that automatically voids the compact if a court finds commission rules conflict with New Mexico law on scope of practice or unprofessional conduct, plus new transparency requirements, an employment condition prohibition, and expanded state authority protections.
SCOPE

The entire Purpose section (former Section 2) was deleted. It had listed the compact's objectives including increasing public access, protecting health and safety, supporting military spouses, enhancing information exchange, enabling remote state accountability, and facilitating telehealth.

New Section 15 (Preservation of State Authority) explicitly states the compact creates only a new pathway and does not change or limit the Occupational Therapy Act, affirms that practice occurs where the patient is located, and confirms state boards retain authority to impose adverse action on compact-issued licenses.

ENFORCEMENT

New Section 22 adds a contingent repeal mechanism: if a New Mexico state or federal court finds that a compact commission rule or decision would change the scope of practice or definition of unprofessional conduct in a manner inconsistent with state law, Sections 1 through 20 are automatically repealed. Affected persons have standing to seek this determination. The board must certify the repeal date, notify other member states of withdrawal, and the attorney general may be asked to review commission actions.

New Section 18 imposes duties on New Mexico's commissioners: for closed meetings they must request legal counsel certification citing applicable provisions, and when voting on minutes they must vote to include all actions taken with reasons, views expressed, and identification of all documents considered.

Section 12 (Oversight, Dispute Resolution and Enforcement) adds 'a federal court of New Mexico' as an additional venue option for both defaulting state appeals and commission-initiated enforcement actions against member states in default, alongside the existing District of Columbia and principal office district options.

REQUIREMENT

New Section 17 prohibits employers from requiring occupational therapists to obtain licensure through the compact as a condition of initial or continued employment. Employers may still require multi-state licensure by any legally authorized means.

New Section 19 requires the board to post on its public website: current commission bylaws and rules, notice of any commission action affecting a New Mexico license within 30 days, and any released minutes or documents. Closed meeting minutes remain under seal subject to majority vote release or court order.

New Section 20 authorizes the board to enter into joint investigations with other state boards pursuant to the compact, provided participation is governed by a written agreement among the participating boards.

New subsection G in Section 10 (Data System) requires all information provided to the commission or distributed by member boards to be confidential, filed under seal, and used only for investigatory or disciplinary matters, with an exception that information submitted to the New Mexico board remains subject to state confidentiality and transparency requirements or court order.

DEFINITION

Section 9 (Qualified Immunity) adds language stating the commission's liability within any member state may not exceed the limits set under that state's constitution and laws for state officials, employees, and agents, and that the commission is considered an instrumentality of the states.

Floor votes · House Jan 28, 2026

How they voted

640
Passed · 2 other
Total votes 66
Jan 28, 2026
D Democratic40
39 Yea 1
97% Yea
R Republican26
25 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
4
Committee
3
Feb 17, 2026
Upper · Passed
DO PASS, as amended, committee report adopted
upper
Jan 29, 2026
Introduced
Sent to Senate Health and Public Affairs Committee & Senate Judiciary Committee
upper
Jan 28, 2026
Lower · Passed
passed House
lower
Jan 27, 2026
Lower · Passed
DO NOT PASS, replaced with committee substitute
lower
Jan 21, 2026
Lower · Passed
DO PASS committee report adopted
lower
Jan 20, 2026
Introduced
Sent to House Health & Human Services Committee & House Judiciary Committee
lower
Jan 17, 2026
Introduced
Sent to House Pre-file
lower
4 primary · 0 co-sponsors

Sponsors