Missouri 2026 Regular Session

Missouri House Bill HB2644

Introduced
1/7/26  

Caption

Establishes the "Respiratory Care Interstate Compact"

Impact

This legislation has significant implications for the way respiratory therapists operate. It streamlines the licensing process, which could reduce delays in accessing care and expand the pool of qualified practitioners available to serve patients across state borders. Furthermore, it could strengthen collaborative health initiatives between states and improve consistency in regulatory practices with regards to respiratory therapy.

Summary

House Bill 2644 establishes the 'Respiratory Care Interstate Compact' aimed at facilitating the practice of respiratory therapy across state lines. The bill allows respiratory therapists licensed in one member state to practice in other member states without needing to obtain additional licenses, thereby improving public access to respiratory therapy services. The compact also retains the ability of states to regulate the practice to ensure public health and safety while providing a framework for joint investigations of licensees across member states.

Contention

While the overall intent of HB 2644 is to enhance healthcare delivery, there are potential concerns about oversight and quality control. Critics may argue that such compacts could lead to variability in quality of care depending on the regulatory environments of individual states. Additionally, the provisions surrounding 'adverse action'—which allows member states to act against providers under certain conditions—may raise discussions regarding patient safety and liability.

Additional_points

Furthermore, the bill includes special provisions exempting active military members from certain fees involved in licensing and compact privileges, ensuring that military personnel and their spouses are readily supported in their professional endeavors. This recognition of the unique circumstances faced by military families is a notable aspect of the bill.

Companion Bills

No companion bills found.

Previously Filed As

MO SB109

Establishes the Interstate Dental and Dental Hygienist Licensure Compact

MO SB327

Establishes the Dental and Dental Hygienist Compact

MO SB412

Establishes provisions relating to dietitians, including reciprocity, nonrenewable temporary licenses, and the Dietitian Licensure Compact

MO SCR9

Establishes a "Commission on Interstate 70 Safety and Beautification"

MO SB628

Establishes the "Compassionate Assistance for Rape Emergencies (CARE) Act"

MO HB1290

Establishes a licensure compact for dentists and dental hygienists

MO HB1388

Establishes the "Physician Assistant Licensure Compact"

MO HB1183

Establishes the "Interstate 49 Expansion Trust Fund"

MO SB630

Modifies provisions relating to incentives for interstate business relocation

MO HB128

Establishes the "Uniform Interstate Depositions and Discovery Act"

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.

DE SB94

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

AL HB299

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

NH HB85

Relative to temporary licensure for student respiratory therapists.