Enter into the Respiratory Care Interstate Compact
SB 149 would allow Ohio to join the Respiratory Care Interstate Compact, enabling Ohio-licensed respiratory therapists to practice in other participating states without obtaining separate licenses. The bill creates a "Compact Privilege," letting therapists provide care across state lines while still adhering to each state's specific rules and scope of practice. It preserves each state's authority to regulate licensing and protect public safety, requiring therapists to maintain an active Ohio license and comply with the laws of the state where care is delivered. This affects respiratory therapists seeking to work in multiple states, particularly for telehealth or temporary assignments, without changing Ohio's existing licensing requirements.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Mar 2025
Senate Passage
Jun 2026
House Passage
Governor
Introduced Mar 18, 2025
Last action Jun 16, 2026
Maddy AI version diff · 1 comparison
What changed between versions
As Introduced
→
As Passed by the Senate
·
3 edits
·
Jun 10, 2026
MINOR
The bill was amended to expand the Respiratory Care Interstate Compact to include a new section (4761.22) that requires Respiratory Therapists to comply with specific medical board regulations and complete criminal background checks within 60 days of receiving compact privileges. The text was also reformatted to align with the Senate's final version, adding cosponsors and clarifying the bill's purpose to improve public access to respiratory therapy services.
Scope change
The bill now explicitly covers three new sections of the Revised Code (4761.20, 4761.21, and 4761.22) instead of just two, adding specific operational requirements for licensees.
REQUIREMENT
Added Section 4761.22, which mandates that Respiratory Therapists with compact privileges must comply with specific state medical board regulations and complete criminal background checks within 60 days of receiving their privilege.
TECHNICAL
Updated the bill header to reflect it has been passed by the Senate, added a list of cosponsors, and adjusted the section numbering to match the final legislative format.
DEFINITION
Expanded the list of defined terms in Section 2 to include 'Criminal Background Check,' 'Data System,' and 'Significant Investigative Information' to clarify how the compact will operate.
Floor votes · Senate Jun 11, 2026
How they voted
33–0
Passed
Total votes 33
Jun 11, 2026
D
Democratic9
100% Yea
R
Republican24
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
6
Key actions
2
Committee
1
Amendments
1
Jun 16, 2026
Introduced
Introduced
lower
Jun 11, 2026
Senate · Passed
Senate Vote: pass (33-0)
senate
Jun 10, 2026
Introduced
Reported - Amended
upper
Jun 10, 2026
Upper · Passed
Passed
upper
Mar 19, 2025
Committee
Referred to committee
upper
Mar 18, 2025
Introduced
Introduced
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Kristina Roegner
RRepublican
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