adopt the respiratory care interstate compact.
HB 1148 adopts the Respiratory Care Interstate Compact, allowing respiratory therapists licensed in South Dakota to practice in other participating states without obtaining separate licenses. The bill also requires respiratory care practitioners to undergo a criminal background check and submit fingerprints as part of their South Dakota licensure application. This compact aims to increase access to respiratory therapy services, support military families by easing relocation for therapists, and address workforce shortages through streamlined interstate practice. It preserves each state’s authority to regulate licensure and protect public health while creating a standardized process for therapists moving across state lines.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House Passage
Feb 2026
Senate Passage
Mar 2026
Signed into Law
Mar 2026
Introduced Feb 18, 2026
Signed Mar 30, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Enrolled
·
3 edits
·
Mar 10, 2026
MINOR
This bill transforms HB 1148 from a placeholder document into an enrolled act that establishes the Respiratory Care Interstate Compact in South Dakota, creating a formal legal framework for respiratory therapists to practice across state lines while maintaining state regulatory authority.
Scope change
The bill's scope expanded from a non-functional draft to a fully enacted interstate compact that applies to respiratory care practitioners seeking licensure in South Dakota and enables practice in other member states.
REQUIREMENT
Added mandatory criminal background check requirements for respiratory care practitioner licensure, including fingerprint submission and review by state and federal authorities.
ADDED
Established the Respiratory Care Interstate Compact with defined purposes, objectives, and definitions for terms like Active Military Member, Adverse Action, and Charter Member States.
SCOPE
Created a new chapter in Title 36 to facilitate interstate practice of respiratory therapy while preserving state regulatory authority over public health and safety.
Floor votes · Senate Mar 9, 2026 · House Feb 17, 2026
How they voted
30–4
Passed · 1 other
Total votes 35
Mar 9, 2026
D
Democratic3
66% Yea
R
Republican32
87% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
16
Key actions
9
Committee
3
Mar 30, 2026
Signed into law
Signed by the Governor on 2026-03-30 H.J. 579
executive
Mar 11, 2026
Upper · Passed
Signed by the President S.J. 526
upper
Mar 10, 2026
Upper · Passed
Signed by the Speaker H.J. 553
upper
Mar 9, 2026
Upper · Passed
Senate Do Pass , Passed, YEAS 30, NAYS 4 S.J. 495
upper
Mar 4, 2026
Upper · Passed
Certified uncontested, placed on consent , Passed, S.J. 27
upper
Mar 4, 2026
Upper · Passed
Health and Human Services Do Pass , Passed, YEAS 7, NAYS 0 S.J. 27
upper
Feb 18, 2026
Introduced
First read in Senate and referred to Senate Health and Human Services S.J. 296
upper
Feb 17, 2026
Lower · Passed
House of Representatives Do Pass , Passed, YEAS 63, NAYS 3 H.J. 335
lower
Feb 12, 2026
Lower · Passed
House of Representatives Deferred to another day , Passed, H.J. 315
lower
Feb 10, 2026
Lower · Passed
Health and Human Services Do Pass , Passed, YEAS 12, NAYS 1
lower
Jan 28, 2026
Committee
Referred to House Health and Human Services H.J. 165
lower
10 primary · 0 co-sponsors
Sponsors
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