HB 5015 West Virginia House of Delegates · 2026 Regular Session

Relating to the Respiratory Care Interstate Compact

HB 5015 creates the "Respiratory Care Interstate Compact," allowing respiratory therapists licensed in one participating state to practice in other member states more easily. It requires criminal history checks for new licenses and for therapists seeking to practice across state lines under the compact, with results kept confidential except under specific circumstances. The bill directly affects respiratory therapists seeking multi-state practice and the West Virginia Board of Respiratory Care Practitioners, which must implement these checks. Key provisions include establishing a Commission to oversee the compact, preserving each state's regulatory authority over licensure, and aiming to improve access to respiratory therapy services while addressing workforce shortages.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Mar 2026
House of Delegates Passage
Mar 2026
Senate Passage
Mar 2026
Signed into Law
Jun 2026
Introduced Feb 2, 2026 Signed Jun 29, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

hb5015 s hhr am _ 3-10 adopted.htm Enrolled Committee Substitute · 6 edits · Apr 1, 2026
MODERATE
The bill was converted from a draft amendment to a final enrolled version, adding the complete text of the Respiratory Care Interstate Compact. This establishes a new legal framework allowing respiratory therapists to practice across state lines while maintaining state oversight, including new requirements for criminal background checks and a centralized data system.
Scope change
The bill's scope expanded from a single amendment regarding criminal checks to a comprehensive interstate compact creating a new Article 34A in the West Virginia Code, establishing a multi-state commission and data sharing system.
SCOPE

Added the full text of the Respiratory Care Interstate Compact, creating a new legal framework for multi-state practice.

REQUIREMENT

Mandated criminal history record checks and fingerprinting for all new respiratory therapy licensees.

DEFINITION

Defined key terms including 'compact privilege,' 'home state,' 'remote state,' and 'significant investigative information'.

ENFORCEMENT

Established a Respiratory Care Interstate Compact Commission with powers to enforce rules, share data, and manage disputes between states.

ELIGIBILITY

Created exemptions for active military members and their spouses from certain fees and home state designation requirements.

TIMELINE

Set the effective date as 90 days after passage (June 12, 2026) and established a 7-state threshold for the compact to become active.

Floor votes · Senate Mar 12, 2026 · House of Delegates Feb 25, 2026

How they voted

330
Passed
Total votes 33
Mar 12, 2026
D Democratic2
2 Yea
100% Yea
R Republican31
31 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
38
Key actions
9
Committee
8
Apr 1, 2026
Signed into law
Approved by Governor 4/1/2026
lower
Mar 14, 2026
Signed into law
Approved by Governor 4/1/2026 - House Journal
lower
Mar 14, 2026
Signed into law
Approved by Governor 4/1/2026 - Senate Journal
upper
Mar 14, 2026
Lower · Passed
House concurred in Senate amendment and passed bill (Roll No. 643)
lower
Mar 12, 2026
Upper · Passed
Passed Senate (Roll No. 499)
upper
Mar 11, 2026
Upper · Passed
Committee amendment adopted (Voice vote)
upper
Mar 10, 2026
Upper · Passed
Reported do pass, with amendment
upper
Feb 26, 2026
Committee
To Health and Human Resources
upper
Feb 26, 2026
Introduced
Introduced in Senate
upper
Feb 25, 2026
Lower · Passed
Passed House (Roll No. 185)
lower
Feb 20, 2026
Lower · Passed
By substitute, do pass
lower
Feb 11, 2026
Committee
To House Government Organization
lower
Feb 6, 2026
Committee
To House Government Adminstration
lower
Feb 2, 2026
Committee
To House Government Organization
lower
Feb 2, 2026
Introduced
Introduced in House
lower
Feb 2, 2026
Committee
To Government Organization
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Dean Jeffries
Dean Jeffries
RRepublican
WV
61