Iowa 2025-2026 Regular Session

Iowa House Bill HF547

Introduced
2/20/25  
Engrossed
3/12/25  
Refer
3/13/25  
Enrolled
4/24/25  

Caption

A bill for an act enacting the respiratory care interstate compact. (Formerly HSB 120.) Effective date: 07/01/2025.

Impact

The compact's provisions allow respiratory therapists to operate under their home state licenses across participating states, which can significantly improve patient access to necessary services. This facilitates the mobility of healthcare providers and can help address staffing shortages, especially in remote areas or locations experiencing surges of demand. Furthermore, it recognizes military personnel and their spouses, exempting them from certain fees associated with obtaining compact privileges, thus promoting workforce stability in this group.

Summary

House File 547 enacts the Respiratory Care Interstate Compact, aimed at improving public access to respiratory therapy services by allowing licensed respiratory therapists from member states to practice in other states. This bill seeks to streamline the licensing process across states, enhancing cooperation in regulating the profession while maintaining state regulatory authority to ensure public health and safety. The compact intends to alleviate administrative burdens associated with multi-state licensure, which is particularly beneficial given the workforce shortages in healthcare fields, especially during crises like the COVID-19 pandemic.

Sentiment

The consensus surrounding HF547 has largely been supportive among healthcare practitioners and legislators who favor enhanced access to care and recognize the challenges in the current licensure system. Proponents emphasize the benefits of coordinated care and increased flexibility for therapists, while critics express concerns regarding the potential dilution of state authority over healthcare practices. Nonetheless, significant advances in telehealth and the necessity for collaborative care during health crises bolster the overall positive sentiment toward the bill.

Contention

Debate around the bill highlighted some tensions between preserving local control and ensuring access to care. Opponents argued that rapid interstate compact adoption could overlook nuanced state-specific regulations and protections related to healthcare practices. Concerns also arose about the regulatory framework and enforcement of standards across states, underscoring the need for rigorous compliance mechanisms to ensure that public safety is not compromised as therapists practice across state lines.

Companion Bills

IA HSB120

Related A bill for an act enacting the respiratory care interstate compact.(See HF 547.)

Previously Filed As

IA HSB120

A bill for an act enacting the respiratory care interstate compact.(See HF 547.)

IA HF2498

A bill for an act enacting the interstate podiatric medical licensure compact. (Formerly HF 930, HSB 291.) Effective date: 07/01/2026

IA HF532

A bill for an act enacting the dietitian licensure compact. (Formerly HSB 119.) Effective date: 07/01/2025.

IA SF2139

A bill for an act enacting the athletic trainer compact. (Formerly SSB 3046.) Effective date: 07/01/2026

IA HF300

A bill for an act enacting the physician assistant licensure compact. (Formerly HSB 87.) Effective date: 07/01/2025.

IA S0970

Respiratory Care Interstate Compact

IA H1235

Respiratory Care Interstate Compact

IA HB1148

Adopt the respiratory care interstate compact.

IA HB447

Enact the Respiratory Care Interstate Compact

IA SB149

Enter into the Respiratory Care Interstate Compact

Similar Bills

OH HB253

License advanced practice respiratory therapists

CA SB1304

Respiratory Care Practice Act.

IA HSB711

A bill for an act relating to licensure as a respiratory care practitioner.(See HF 2603.)

IA HF2603

A bill for an act relating to licensure as a respiratory care practitioner.(Formerly HSB 711.)

MI HB5150

Health occupations: respiratory therapists; licensure for respiratory therapists; modify. Amends secs. 16204, 16344, 18701, 18703, 18707 & 18709 of 1978 PA 368 (MCL 333.16204 et seq.) & adds secs. 18710 & 18712.

AL HB299

Board of Respiratory Therapy; composition, powers, authorities revised; requirements for licensure revised; criminal penalties for certain actions provided

DE SB94

An Act To Amend Title 24 Of The Delaware Code Relating To Respiratory Care Practitioners.

CA SB1226

Pupil health: individuals with exceptional needs: respiratory services.