Florida Senate - 2026                                     SB 970
       
       
        
       By Senator Wright
       
       
       
       
       
       8-01271-26                                             2026970__
    1                        A bill to be entitled                      
    2         An act relating to the Respiratory Care Interstate
    3         Compact; creating s. 468.371, F.S.; enacting the
    4         Respiratory Care Interstate Compact; providing purpose
    5         and intent; defining terms; requiring member states to
    6         meet certain requirements to join and participate in
    7         the compact; providing that the compact does not
    8         prohibit member states from charging a specified fee;
    9         providing criteria that a respiratory therapist
   10         licensee must satisfy to practice under the compact;
   11         authorizing a certain licensing authority or
   12         government agency to establish the scope of practice
   13         for a licensee providing therapy in a remote state;
   14         providing processes for a licensee whose license is
   15         removed, encumbered, restricted, or limited; providing
   16         requirements for renewal of an equivalent license in a
   17         member state; authorizing an active military member
   18         and his or her spouse to be deemed as having a home
   19         state license under certain circumstances; authorizing
   20         member states to impose adverse actions against
   21         licensees under certain circumstances; authorizing
   22         member states to participate with other member states
   23         in joint investigations of licensees under certain
   24         circumstances; providing construction; establishing
   25         the Respiratory Care Interstate Compact Commission;
   26         providing commission membership, duties, and powers;
   27         providing for powers, duties, and responsibilities of
   28         an executive committee; requiring the committee to
   29         adopt and provide an annual report to member states;
   30         providing for commission and executive committee
   31         meetings; authorizing the commission or executive
   32         committee to convene in closed, nonpublic meetings
   33         under certain circumstances; requiring the commission
   34         to keep meeting minutes in a specified manner;
   35         providing for financing of the commission; requiring
   36         the commission to keep certain financial
   37         documentation; providing for qualified immunity,
   38         defense, and indemnification of the commission;
   39         providing exceptions; providing for the development,
   40         maintenance, and use of a coordinated database and
   41         reporting system; requiring member states to submit
   42         specified information to the data system; providing
   43         requirements for the information in the data system;
   44         providing rulemaking procedures; providing for state
   45         enforcement of the compact; providing for the
   46         termination of compact membership; providing
   47         procedures for the resolution of certain disputes;
   48         providing for an effective date; providing for
   49         withdrawal from the compact; providing compact
   50         amendment procedures; providing construction and
   51         severability and binding effect of the compact;
   52         amending ss. 456.076, 468.353, 468.355, 468.361, and
   53         768.28, F.S.; conforming provisions to changes made by
   54         the act; providing an effective date.
   55          
   56  Be It Enacted by the Legislature of the State of Florida:
   57  
   58         Section 1. Section 468.371, Florida Statutes, is created to
   59  read:
   60         468.371Respiratory Care Interstate Compact.—The
   61  Respiratory Care Interstate Compact is hereby enacted into law
   62  and entered into by this state with all other states legally
   63  joining therein in the form substantially as follows:
   64  
   65                 RESPIRATORY CARE INTERSTATE COMPACT               
   66  
   67                              ARTICLE I                            
   68                         PURPOSE AND INTENT                        
   69  
   70         (1)The purpose of this compact is to facilitate the
   71  interstate practice of respiratory therapy with the goal of
   72  improving public access to respiratory therapy services by
   73  providing respiratory therapists licensed in a member state the
   74  ability to practice in other member states. The compact
   75  preserves the regulatory authority of states to protect public
   76  health and safety through the current system of state licensure.
   77         (2)This compact is designed to achieve all of the
   78  following objectives:
   79         (a)Increase public access to respiratory therapy services
   80  by creating a responsible, streamlined pathway for licensees to
   81  practice in member states with the goal of improving outcomes
   82  for patients.
   83         (b)Enhance states’ ability to protect the public’s health
   84  and safety.
   85         (c)Promote the cooperation of member states in regulating
   86  the practice of respiratory therapy within such member states.
   87         (d)Ease administrative burdens on states by encouraging
   88  the cooperation of member states in regulating multistate
   89  respiratory therapy practice.
   90         (e)Support relocating active military members and their
   91  spouses.
   92         (f)Promote mobility and address workforce shortages.
   93  
   94                             ARTICLE II                            
   95                             DEFINITIONS                           
   96  
   97         As used in this compact, the term:
   98         (1)“Active military member” means any person with a full
   99  time duty status in the Armed Forces of the United States,
  100  including members of the National Guard and the United States
  101  Reserve Forces.
  102         (2)“Adverse action” means any administrative, civil,
  103  equitable, or criminal action permitted by a state’s laws which
  104  is imposed by any state authority with regulatory authority over
  105  respiratory therapists, such as license denial, censure,
  106  revocation, suspension, probation, monitoring of the licensee,
  107  or restriction on the licensee’s practice. The term does not
  108  include participation in an alternative program.
  109         (3)“Alternative program” means a nondisciplinary
  110  monitoring or practice remediation process applicable to a
  111  respiratory therapist approved by any state authority with
  112  regulatory authority over respiratory therapists. This includes,
  113  but is not limited to, programs to which licensees with
  114  substance abuse or addiction issues are referred in lieu of
  115  adverse action.
  116         (4)“Charter member states” means those member states who
  117  were the first seven states to enact the compact into law.
  118         (5)“Commission” or “Respiratory Care Interstate Compact
  119  Commission” means the government instrumentality and body
  120  politic whose membership consists of all member states that have
  121  enacted the compact.
  122         (6)“Commissioner” means the individual appointed by a
  123  member state to serve as the member of the commission for that
  124  member state.
  125         (7)“Compact” means the Respiratory Care Interstate
  126  Compact.
  127         (8)“Compact privilege” means the authorization granted by
  128  a remote state to allow a licensee from another member state to
  129  practice as a respiratory therapist in the remote state under
  130  the remote state’s laws and rules. The practice of respiratory
  131  therapy occurs in the member state where the patient is located
  132  at the time of the patient encounter.
  133         (9)“Criminal background check” means the submission by the
  134  member state of fingerprints or other biometric-based
  135  information on license applicants at the time of initial
  136  licensing for the purpose of obtaining that applicant’s criminal
  137  history record information, as defined in 28 C.F.R. s. 20.3(d)
  138  or successor provision, from the Federal Bureau of Investigation
  139  and the state’s criminal history record repository, as defined
  140  in 28 C.F.R. s. 20.3(f) or successor provision.
  141         (10)“Data system” means the commission’s repository of
  142  information about licensees as further set forth in Article
  143  VIII.
  144         (11)“Domicile” means the jurisdiction which is the
  145  licensee’s principal home for legal purposes.
  146         (12)“Encumbered license” means a license that a state’s
  147  respiratory therapy licensing authority has limited in any way.
  148         (13)“Executive committee” means a group of directors
  149  elected or appointed to act on behalf of, and within the powers
  150  granted to them by, the commission.
  151         (14)“Home state,” except as provided in Article V, means
  152  the member state that is the licensee’s primary domicile.
  153         (15)“Home state license” means an active license to
  154  practice respiratory therapy in a home state which is not an
  155  encumbered license.
  156         (16)“Jurisprudence requirement” means an assessment of an
  157  individual’s knowledge of the state laws and regulations
  158  governing the practice of respiratory therapy in such state.
  159         (17)“Licensee” means an individual who currently holds an
  160  authorization from the state to practice as a respiratory
  161  therapist.
  162         (18)“Member state” means a state that has enacted the
  163  compact and been admitted to the commission in accordance with
  164  this compact and commission rules.
  165         (19)“Model compact” means the model for the Respiratory
  166  Care Interstate Compact on file with the Council of State
  167  Governments or other entity as designated by the commission.
  168         (20)“Remote state” means a member state where a licensee
  169  is exercising or seeking to exercise the compact privilege.
  170         (21)“Respiratory therapist” or “respiratory care
  171  practitioner” means an individual who holds a credential issued
  172  by the National Board for Respiratory Care or its successor and
  173  holds a license in a state to practice respiratory therapy. For
  174  purposes of this compact, any other title or status adopted by a
  175  state to replace the term “respiratory therapist” or
  176  “respiratory care practitioner” is synonymous with “respiratory
  177  therapist” and shall confer the same rights and responsibilities
  178  to the licensee under the provisions of this compact at the time
  179  of its enactment.
  180         (22)“Respiratory therapy,” “respiratory therapy practice,”
  181  “respiratory care,” “the practice of respiratory therapy,” and
  182  “the practice of respiratory care” mean the care and services
  183  provided by or under the direction and supervision of a
  184  respiratory therapist or respiratory care practitioner.
  185         (23)“Respiratory therapy licensing authority” means the
  186  agency, board, or other body of a state that is responsible for
  187  licensing and regulation of respiratory therapists.
  188         (24)“Rule” means a regulation adopted by an entity that
  189  has the force and effect of law.
  190         (25)“Scope of practice” means the procedures, actions, and
  191  processes a respiratory therapist licensed in a state or
  192  practicing under a compact privilege in a state is permitted to
  193  undertake in that state and the circumstances under which the
  194  respiratory therapist is permitted to undertake those
  195  procedures, actions, and processes. Such procedures, actions,
  196  and processes, and the circumstances under which they may be
  197  undertaken, may be established through means including, but not
  198  limited to, statute, regulations, case law, and other processes
  199  available to the state respiratory therapy licensing authority
  200  or other government agency.
  201         (26)“Significant investigative information” means
  202  information, records, and documents received or generated by a
  203  state respiratory therapy licensing authority pursuant to an
  204  investigation for which a determination has been made that there
  205  is probable cause to believe that the licensee has violated a
  206  statute or regulation that is considered more than a minor
  207  infraction for which the state respiratory therapy licensing
  208  authority could pursue adverse action against the licensee.
  209         (27)“State” means any state, commonwealth, district, or
  210  territory of the United States.
  211  
  212                             ARTICLE III                           
  213                 STATE PARTICIPATION IN THIS COMPACT               
  214  
  215         (1)In order to participate in this compact and thereafter
  216  continue as a member state, a member state shall:
  217         (a)Enact a compact that is not materially different from
  218  the model compact.
  219         (b)License respiratory therapists.
  220         (c)Participate in the data system.
  221         (d)Have a mechanism in place for receiving and
  222  investigating complaints against licensees and compact privilege
  223  holders.
  224         (e)Notify the commission, in compliance with the terms of
  225  this compact and commission rules, of any adverse action against
  226  a licensee, a compact privilege holder, or a license applicant.
  227         (f)Notify the commission, in compliance with the terms of
  228  this compact and commission rules, of the existence of
  229  significant investigative information.
  230         (g)Comply with the rules of the commission.
  231         (h)Grant the compact privilege to a holder of an active
  232  home state license and otherwise meet the applicable
  233  requirements of Article IV in a member state.
  234         (i)Complete a criminal background check for each new
  235  licensee at the time of initial licensure. Where expressly
  236  authorized or permitted by federal law, whether such federal law
  237  is in effect before, at, or after the time of a member state’s
  238  enactment of this compact, a member state’s enactment of this
  239  compact authorizes the member state’s respiratory therapy
  240  licensing authority to perform criminal background checks as
  241  defined herein. The absence of such a federal law as described
  242  in this paragraph does not prevent or preclude such
  243  authorization where it may be derived or granted through means
  244  other than the enactment of this compact.
  245         (2)This compact does not prohibit a member state from
  246  charging a fee for granting and renewing the compact privilege.
  247  
  248                             ARTICLE IV                            
  249                          COMPACT PRIVILEGE                        
  250  
  251         (1)To exercise the compact privilege under this compact, a
  252  licensee shall:
  253         (a)Hold and maintain an active home state license as a
  254  respiratory therapist.
  255         (b)Hold and maintain an active credential from the
  256  National Board for Respiratory Care, or its successor, that
  257  would qualify him or her for licensure in the remote state in
  258  which he or she is seeking the compact privilege.
  259         (c)Have not had any adverse action against a license
  260  within the previous 2 years.
  261         (d)Notify the commission that he or she is seeking the
  262  compact privilege within a remote state.
  263         (e)Pay any applicable fees, including any state and
  264  commission fees and renewal fees, for the compact privilege.
  265         (f)Meet any jurisprudence requirements established by the
  266  remote state in which he or she is seeking a compact privilege.
  267         (g)Report to the commission any adverse action taken by
  268  any nonmember state within 30 days after the date the adverse
  269  action is taken.
  270         (h)Report to the commission, when applying for a compact
  271  privilege, the address of his or her domicile and thereafter
  272  promptly report to the commission any change of address within
  273  30 days after the effective date of the change in address.
  274         (i)Consent to accept service of process by mail at his or
  275  her domicile on record with the commission with respect to any
  276  action brought against him or her by the commission or a member
  277  state, and consent to accept service of a subpoena by mail at
  278  the licensee’s domicile on record with the commission with
  279  respect to any action brought or investigation conducted by the
  280  commission or a member state.
  281         (2)The compact privilege is valid until the expiration
  282  date or revocation of the home state license unless terminated
  283  pursuant to adverse action. The licensee must comply with all of
  284  the requirements of subsection (1) to maintain the compact
  285  privilege in a remote state. If those requirements are met, no
  286  adverse actions are taken, and the licensee has paid any
  287  applicable compact privilege renewal fees, then the licensee
  288  will maintain the compact privilege.
  289         (3)A licensee providing respiratory therapy in a remote
  290  state under the compact privilege functions may practice only
  291  within the scope of practice authorized by the remote state for
  292  the type of respiratory therapist license the licensee holds.
  293  Such procedures, actions, processes, and the circumstances under
  294  which they may be undertaken may be established through means
  295  including, but not limited to, statute, regulations, case law,
  296  and other processes available to the state respiratory therapy
  297  licensing authority or other government agency.
  298         (4)If a licensee’s compact privilege in a remote state is
  299  removed by the remote state, the licensee shall lose or be
  300  ineligible for the compact privilege in that remote state until
  301  the compact privilege is no longer limited or restricted by that
  302  state.
  303         (5)If a home state license is encumbered, the licensee
  304  shall lose the compact privilege in all remote states until both
  305  of the following occur:
  306         (a)The home state license is no longer encumbered.
  307         (b)Two years have elapsed from the date on which the
  308  license is no longer encumbered due to the adverse action.
  309         (6)Once a licensee with a restricted or limited license
  310  meets the requirements of subsection (5), the licensee must also
  311  meet the requirements of subsection (1) to obtain a compact
  312  privilege in a remote state.
  313  
  314                              ARTICLE V                            
  315              ACTIVE MILITARY MEMBERS AND THEIR SPOUSES            
  316  
  317         (1)An active military member, or his or her spouse, shall
  318  designate a home state where the individual has a current
  319  license in good standing. The individual may retain the home
  320  state designation during the period the service member is on
  321  active duty.
  322         (2)An active military member and his or her spouse are not
  323  required to pay to the commission any fee for a compact
  324  privilege which may otherwise be charged by the commission. If a
  325  remote state chooses to charge a fee for a compact privilege, it
  326  may choose to charge a reduced fee or no fee to an active
  327  military member and his or her spouse for a compact privilege.
  328  
  329                             ARTICLE VI                            
  330                           ADVERSE ACTIONS                         
  331  
  332         (1)A member state in which a licensee is licensed may
  333  impose adverse action against the license issued by that member
  334  state.
  335         (2)A member state may take adverse action based on
  336  significant investigative information of a remote state or the
  337  home state, so long as the member state follows its own
  338  procedures for imposing adverse action.
  339         (3)This compact does not override a member state’s
  340  decision that participation in an alternative program may be
  341  used in lieu of adverse action and that such participation shall
  342  remain nonpublic if required by the member state’s laws.
  343         (4)A remote state may:
  344         (a)Take adverse actions as provided herein against a
  345  licensee’s compact privilege in that state.
  346         (b)Issue subpoenas for both hearings and investigations
  347  that require the attendance and testimony of witnesses and the
  348  production of evidence.
  349         1.Subpoenas may be issued by a respiratory therapy
  350  licensing authority in a member state for the attendance and
  351  testimony of witnesses and the production of evidence.
  352         2.Subpoenas issued by a respiratory therapy licensing
  353  authority in a member state for the attendance and testimony of
  354  witnesses shall be enforced in the latter state by any court of
  355  competent jurisdiction in the latter state, according to the
  356  practice and procedure of that court applicable to subpoenas
  357  issued in proceedings pending before it.
  358         3.Subpoenas issued by a respiratory therapy licensing
  359  authority in a member state for production of evidence from
  360  another member state shall be enforced in the latter state,
  361  according to the practice and procedure of that court applicable
  362  to subpoenas issued in the proceedings pending before it.
  363         4.The issuing authority shall pay any witness fees, travel
  364  expenses, mileage, and other fees required by the service
  365  statutes of the state where the witnesses or evidence are
  366  located.
  367         (c)Unless otherwise prohibited by general law, recover
  368  from the licensee the costs of investigations and disposition of
  369  cases resulting from any adverse action taken against that
  370  licensee.
  371         (d)Notwithstanding paragraph (b), a member state may not
  372  issue a subpoena to gather evidence of conduct in another member
  373  state which is lawful in such other member state for the purpose
  374  of taking adverse action against a licensee’s compact privilege
  375  or application for a compact privilege in that member state.
  376         (e)This compact does not authorize a member state to
  377  impose discipline against a respiratory therapist’s compact
  378  privilege in that member state for the licensee’s otherwise
  379  lawful practice in another state.
  380         (5)(a)In addition to the authority granted to a member
  381  state by its respective respiratory therapy practice act or
  382  other applicable state law, a member state may participate with
  383  other member states in joint investigations of licensees,
  384  provided, however, that a member state receiving such a request
  385  has no obligation to respond to any subpoena issued regarding an
  386  investigation of conduct or practice that was lawful in a member
  387  state at the time it was undertaken.
  388         (b)Member states shall share any significant investigative
  389  information, litigation, or compliance materials in furtherance
  390  of any joint or individual investigation initiated under the
  391  compact. In sharing such information between member state
  392  respiratory therapy licensing authorities, all information
  393  obtained shall be kept confidential, except as otherwise
  394  mutually agreed upon by the sharing and receiving member states.
  395         (6)This compact does not permit a member state to:
  396         (a)Take any adverse action against a licensee or holder of
  397  a compact privilege for conduct or practice that was legal in
  398  the member state at the time it was undertaken.
  399         (b)Take disciplinary action against a licensee or holder
  400  of a compact privilege for conduct or practice that was legal in
  401  the member state at the time it was undertaken.
  402  
  403                             ARTICLE VII                           
  404                ESTABLISHMENT OF THE RESPIRATORY CARE              
  405                    INTERSTATE COMPACT COMMISSION                  
  406  
  407         (1)ESTABLISHMENT OF THE COMMISSION.—The member states
  408  hereby create and establish a joint government agency whose
  409  membership consists of all member states that have enacted the
  410  compact, to be known as the Respiratory Care Interstate Compact
  411  Commission. The commission is an instrumentality of the compact
  412  member states acting jointly and not an instrumentality of any
  413  one state. The commission shall come into existence on or after
  414  the effective date of the compact, as provided in Article XI.
  415         (2)MEMBERSHIP, VOTING, AND MEETINGS.—
  416         (a)Each member state shall have one commissioner selected
  417  by that member state’s respiratory therapy licensing authority.
  418         (b)The commissioner or his or her designated staff member
  419  shall be an administrator of the member state’s respiratory
  420  therapy licensing authority.
  421         (c)The commission shall by rule or bylaw establish a term
  422  of office for commissioners and may by rule or bylaw establish
  423  term limits.
  424         (d)The commission may recommend to a member state the
  425  removal or suspension any commissioner from office.
  426         (e)A member state’s respiratory therapy licensing
  427  authority shall fill any vacancy occurring on the commission
  428  within 60 days after the vacancy.
  429         (f)Each commissioner shall be entitled to one vote on all
  430  matters before the commission requiring a vote.
  431         (g)A commissioner shall vote in person or by such other
  432  means as provided in the bylaws. The bylaws may provide for
  433  commissioners to meet by telecommunication, videoconference, or
  434  other means of communication.
  435         (h)The commission shall meet at least once during each
  436  calendar year. Additional meetings may be held as provided in
  437  the bylaws.
  438         (3)POWERS OF THE COMMISSION.—The commission may:
  439         (a)Establish and amend the fiscal year of the commission.
  440         (b)Establish and amend bylaws and policies, including, but
  441  not limited to, a code of conduct and conflict of interest.
  442         (c)Establish and amend rules, which shall be binding in
  443  all member states.
  444         (d)Maintain its financial records in accordance with the
  445  bylaws.
  446         (e)Meet and take such actions as are consistent with this
  447  compact, the commission’s rules, and the bylaws.
  448         (f)Initiate and conduct legal proceedings or actions in
  449  the name of the commission, provided that the standing of any
  450  respiratory therapy licensing authority to sue or be sued under
  451  applicable law is not affected.
  452         (g)Maintain and certify records and information provided
  453  to a member state as the authenticated business records of the
  454  commission and designate an agent to do so on the commission’s
  455  behalf.
  456         (h)Purchase and maintain insurance and bonds.
  457         (i)Accept or contract for services of personnel,
  458  including, but not limited to, employees of a member state.
  459         (j)Conduct an annual financial review.
  460         (k)Hire employees, elect or appoint officers, fix
  461  compensation, define duties, grant such individuals appropriate
  462  authority to carry out the purposes of the compact, and
  463  establish the commission’s personnel policies and programs
  464  relating to conflicts of interest, qualifications of personnel,
  465  and other related personnel matters.
  466         (l)Assess and collect fees.
  467         (m)Accept any and all appropriate gifts, donations, grants
  468  of money, other sources of revenue, equipment, supplies,
  469  materials, and services, and receive, use, and dispose of the
  470  same, provided that the commission avoids any appearance of
  471  impropriety or conflict of interest.
  472         (n)Lease, purchase, retain, own, hold, improve, or use any
  473  property, real, personal, or mixed, or any undivided interest
  474  therein.
  475         (o)Sell, convey, mortgage, pledge, lease, exchange,
  476  abandon, or otherwise dispose of any property, real, personal,
  477  or mixed.
  478         (p)Establish a budget and make expenditures.
  479         (q)Borrow money in a fiscally responsible manner.
  480         (r)Appoint committees, including standing committees,
  481  composed of commissioners, state regulators, state legislators
  482  or their representatives, and consumer representatives, and such
  483  other interested persons as may be designated in this compact
  484  and the bylaws.
  485         (s)Provide and receive information from, and cooperate
  486  with, law enforcement agencies.
  487         (t)Establish and elect an executive committee, including a
  488  chair, vice-chair, secretary, treasurer, and such other offices
  489  as the commission shall establish by rule or bylaw.
  490         (u)Enter into contracts or arrangements for the management
  491  of the affairs of the commission.
  492         (v)Determine whether a state’s adopted language is
  493  materially different from the model compact language such that
  494  the state does not qualify for participation in the compact.
  495         (w)Perform such other functions as may be necessary or
  496  appropriate to achieve the purposes of this compact.
  497         (4)THE EXECUTIVE COMMITTEE.—
  498         (a)The executive committee shall have the power to act on
  499  behalf of the commission according to the terms of this compact.
  500  The powers, duties, and responsibilities of the executive
  501  committee include:
  502         1.Overseeing the day-to-day activities of the
  503  administration of the compact, including enforcement of and
  504  compliance with the compact, commission rules and bylaws, and
  505  other such duties as deemed necessary.
  506         2.Recommending to the commission changes to the rules or
  507  bylaws, changes to the compact legislation, fees charged to
  508  compact member states, fees charged to licensees, and other
  509  fees.
  510         3.Ensuring compact administration services are
  511  appropriately provided, including by contract.
  512         4.Preparing and recommending the budget.
  513         5.Maintaining financial records on behalf of the
  514  commission.
  515         6.Monitoring compact compliance of member states and
  516  providing compliance reports to the commission.
  517         7.Establishing additional committees as necessary.
  518         8.Exercising the powers and duties of the commission
  519  during the interim between commission meetings, except for
  520  adopting or amending rules, adopting or amending bylaws, and
  521  exercising any other powers and duties expressly reserved to the
  522  commission by rule or bylaw.
  523         9.Performing other duties as provided in the rules or
  524  bylaws of the commission.
  525         (b)The executive committee shall be composed of up to nine
  526  members, as further provided in the bylaws of the commission:
  527         1.Seven voting members who are elected by the commission
  528  from the current membership of the commission.
  529         2.Two ex-officio, nonvoting members.
  530         (c)The commission may remove any member of the executive
  531  committee as provided in the commission’s bylaws.
  532         (d)The executive committee shall meet at least annually.
  533         1.Executive committee meetings shall be open to the
  534  public, except that the executive committee may meet in a
  535  closed, nonpublic meeting as provided in paragraph (6)(d).
  536         2.The executive committee shall give advance notice of its
  537  meetings, posted on its website and as determined to provide
  538  notice to persons with an interest in the business of the
  539  commission.
  540         3.The executive committee may hold a special meeting in
  541  accordance with paragraph (6)(b).
  542         (5)REPORT.—The commission shall adopt and provide to the
  543  member states an annual report.
  544         (6)MEETINGS OF THE COMMISSION.—
  545         (a)All meetings of the commission which are not closed
  546  pursuant to paragraph (d) shall be open to the public. Notice of
  547  public meetings shall be posted on the commission’s website at
  548  least 30 days before the public meeting.
  549         (b)Notwithstanding paragraph (a), the commission may
  550  convene an emergency public meeting by providing at least 24
  551  hours’ notice on the commission’s website, and by any other
  552  means as provided in the commission’s rules, for any of the
  553  reasons it may dispense with notice of proposed rulemaking under
  554  subsection (7) of Article IX. The commission’s legal counsel
  555  shall certify that one of the reasons justifying an emergency
  556  public meeting has been met.
  557         (c)Notice of all commission meetings must provide the
  558  time, date, and location of the meeting, and if the meeting is
  559  to be held or accessible via telecommunication, video
  560  conference, or other electronic means, the notice shall include
  561  the mechanism for access to the meeting.
  562         (d)The commission or the executive committee may convene
  563  in a closed, nonpublic meeting for the commission or executive
  564  committee to receive or solicit legal advice or to discuss any
  565  of the following:
  566         1.Noncompliance of a member state with its obligations
  567  under the compact;
  568         2.The employment, compensation, discipline, or other
  569  matters, practices, or procedures related to specific employees;
  570         3.Current or threatened discipline of a licensee or
  571  compact privilege holder by the commission or by a member
  572  state’s respiratory therapy licensing authority;
  573         4.Current, threatened, or reasonably anticipated
  574  litigation;
  575         5.Negotiation of contracts for the purchase, lease, or
  576  sale of goods, services, or real estate;
  577         6.Accusing any person of a crime or formally censuring any
  578  person;
  579         7.Trade secrets or commercial or financial information
  580  that is privileged or confidential;
  581         8.Information of a personal nature where disclosure would
  582  constitute a clearly unwarranted invasion of personal privacy;
  583         9.Investigative records compiled for law enforcement
  584  purposes;
  585         10.Information related to any investigative reports
  586  prepared by, on behalf of, or for use by the commission or other
  587  committee charged with responsibility of investigation or
  588  determination of compliance issues pursuant to the compact;
  589         11.Legal advice;
  590         12.Matters specifically exempted from disclosure by
  591  federal or member state law; or
  592         13.Other matters as adopted by the commission by rule.
  593         (e)If a meeting, or portion of a meeting, is closed, the
  594  presiding officer shall state that the meeting will be closed
  595  and reference each relevant exempting provision, and such
  596  reference shall be recorded in the minutes.
  597         (f)The commission shall keep minutes in accordance with
  598  commission rules and bylaws. All documents considered in
  599  connection with an action shall be identified in such minutes.
  600  All minutes and documents of a closed meeting shall remain under
  601  seal, subject to release only by a majority vote of the
  602  commission or order of a court of competent jurisdiction.
  603         (7)FINANCING OF THE COMMISSION.—
  604         (a)The commission shall pay, or provide for the payment
  605  of, the reasonable expenses of its establishment, organization,
  606  and ongoing activities.
  607         (b)The commission may accept any and all appropriate
  608  revenue sources as provided herein.
  609         (c)The commission may levy on and collect an annual
  610  assessment from each member state and impose fees on licensees
  611  of member states that are granted compact privilege to cover the
  612  cost of the operations and activities of the commission and its
  613  staff. The aggregate annual assessment amount for member states,
  614  if any, shall be allocated based upon a formula that the
  615  commission shall adopt by rule.
  616         (d)The commission may not incur obligations of any kind
  617  before securing the funds or a loan adequate to meet the same,
  618  nor pledge the credit of any of the member states, except by and
  619  with the authority of the member state.
  620         (e)The commission shall keep accurate accounts of all
  621  receipts and disbursements. The receipts and disbursements of
  622  the commission are subject to the financial review and
  623  accounting procedures established under its bylaws. However, all
  624  receipts and disbursements of funds handled by the commission
  625  are subject to an annual financial review by a certified or
  626  licensed public accountant, and the report of the financial
  627  review shall be included in and become part of the annual report
  628  of the commission.
  629         (8)QUALIFIED IMMUNITY, DEFENSE, AND INDEMNIFICATION.—
  630         (a)This compact does not limit the liability of any
  631  licensee for professional malpractice or misconduct, which shall
  632  be governed solely by any other applicable state laws.
  633         (b)The member states, commissioners, officers, executive
  634  directors, employees, and agents of the commission are immune
  635  from suit and liability, both personally and in their official
  636  capacity, for any claim for damage to or loss of property,
  637  personal injury, or other civil liability caused by or arising
  638  out of any actual or alleged act, error, or omission that
  639  occurred, or that the person against whom the claim is made had
  640  a reasonable basis for believing occurred, within the scope of
  641  commission employment, duties, or responsibilities. This
  642  paragraph does not protect any such person from suit or
  643  liability for any damage, loss, injury, or liability caused by
  644  the intentional, willful, or wanton misconduct of that person.
  645  The procurement of insurance of any type by the commission does
  646  not in any way compromise or limit the immunity granted
  647  hereunder.
  648         (c)The commission shall defend any commissioner, officer,
  649  executive director, employee, and agent of the commission in any
  650  civil action seeking to impose liability arising out of any
  651  actual or alleged act, error, or omission that occurred within
  652  the scope of commission employment, duties, or responsibilities,
  653  or as determined by the commission that the person against whom
  654  the claim is made had a reasonable basis for believing occurred
  655  within the scope of commission employment, duties, or
  656  responsibilities. This paragraph does not prohibit that person
  657  from retaining counsel at his or her own expense; and provided
  658  further, that the actual or alleged act, error, or omission did
  659  not result from that person’s intentional, willful, or wanton
  660  misconduct.
  661         (d)The commission shall indemnify and hold harmless any
  662  commissioner, member, officer, executive director, employee, and
  663  agent of the commission for the amount of any settlement or
  664  judgment obtained against that person arising out of any actual
  665  or alleged act, error, or omission that occurred within the
  666  scope of commission employment, duties, or responsibilities, or
  667  that such person had a reasonable basis for believing occurred
  668  within the scope of commission employment, duties, or
  669  responsibilities, provided that the actual or alleged act,
  670  error, or omission did not result from the intentional, willful,
  671  or wanton misconduct of that person.
  672         (e)This compact does not waive or otherwise abrogate a
  673  member state’s state action immunity or state action affirmative
  674  defense with respect to antitrust claims under the Sherman Act,
  675  the Clayton Act, or any other state or federal antitrust or
  676  anticompetitive law or regulation.
  677         (f)This compact does not waive sovereign immunity by the
  678  member states or by the commission.
  679  
  680                            ARTICLE VIII                           
  681                             DATA SYSTEM                           
  682  
  683         (1)The commission shall provide for the development,
  684  maintenance, operation, and utilization of a coordinated
  685  database and reporting system containing licensure, adverse
  686  action, and the presence of significant investigative
  687  information.
  688         (2)Notwithstanding any other provision of state law to the
  689  contrary, a member state shall submit a uniform data set to the
  690  data system as required by the rules of the commission,
  691  including, but not limited to, all of the following:
  692         (a)Identifying information.
  693         (b)Licensure data.
  694         (c)Adverse actions against a licensee, license applicant,
  695  or compact privilege holder and information related thereto.
  696         (d)Nonconfidential information related to alternative
  697  program participation, the beginning and ending dates of such
  698  participation, and other information related to such
  699  participation not made confidential under member state law.
  700         (e)Any denial of application for licensure and the reasons
  701  for such denial.
  702         (f)The presence of current significant investigative
  703  information.
  704         (g)Other information that may facilitate the
  705  administration of this compact or the protection of the public,
  706  as determined by commission rules.
  707         (3)A member state may not submit any information that
  708  constitutes criminal history record information, as defined by
  709  applicable federal law, to the data system.
  710         (4)The records and information provided to a member state
  711  pursuant to this compact or through the data system, when
  712  certified by the commission or an agent thereof, constitutes the
  713  authenticated business records of the commission and are
  714  entitled to any associated hearsay exception in any relevant
  715  judicial, quasi-judicial, or administrative proceedings in a
  716  member state.
  717         (5)Significant investigative information pertaining to a
  718  licensee in any member state will only be available to other
  719  member states.
  720         (6)It is the responsibility of the member states to report
  721  any adverse action against a licensee and to monitor the
  722  database to determine whether adverse action has been taken
  723  against a licensee. Adverse action information pertaining to a
  724  licensee in any member state will be available to any other
  725  member state.
  726         (7)Member states contributing information to the data
  727  system may designate information that may not be shared with the
  728  public without the express permission of the contributing state.
  729         (8)Any information submitted to the data system which is
  730  subsequently expunged pursuant to federal law or the laws of the
  731  member state contributing the information shall be removed from
  732  the data system.
  733  
  734                             ARTICLE IX                            
  735                             RULEMAKING                            
  736  
  737         (1)The commission shall adopt reasonable rules in order to
  738  effectively and efficiently implement and administer the
  739  purposes and provisions of this compact. A rule shall be invalid
  740  and have no force or effect only if a court of competent
  741  jurisdiction holds that the rule is invalid because the
  742  commission exercised its rulemaking authority in a manner that
  743  is beyond the scope and purposes of this compact, or the powers
  744  granted hereunder, or based upon another applicable standard of
  745  review.
  746         (2)For purposes of this compact, the rules of the
  747  commission shall have the force of law in each member state.
  748         (3)The commission shall exercise its rulemaking powers
  749  pursuant to the criteria provided in this article and the rules
  750  adopted hereunder. Rules become binding as of the date specified
  751  in each rule.
  752         (4)If a majority of the legislatures of the member states
  753  rejects a rule or portion of a rule, by enactment of a statute
  754  or resolution in the same manner used to adopt the compact
  755  within 4 years after the date of adoption of the rule, then such
  756  rule shall have no further force and effect in any member state.
  757         (5)Rules shall be adopted at a regular or special meeting
  758  of the commission.
  759         (6)Before adoption of a proposed rule, the commission
  760  shall hold a public hearing and allow persons to provide oral
  761  and written comments, data, facts, opinions, and arguments.
  762         (7)Before adoption of a proposed rule by the commission,
  763  and at least 30 days before the meeting at which the commission
  764  will hold a public hearing on the proposed rule, the commission
  765  shall provide a notice of proposed rulemaking in all of the
  766  following manners:
  767         (a)On the website of the commission or other publicly
  768  accessible platform.
  769         (b)To persons who have requested notice of the
  770  commission’s notices of proposed rulemaking.
  771         (c)In such other ways as the commission may by rule
  772  specify.
  773         (8)The notice of proposed rulemaking shall include all of
  774  the following information:
  775         (a)The time, date, and location of the public hearing at
  776  which the commission will hear public comments on the proposed
  777  rule and, if different, the time, date, and location of the
  778  meeting where the commission will consider and vote on the
  779  proposed rule.
  780         (b)If the hearing is held via telecommunication, video
  781  conference, or other electronic means, the commission shall
  782  include the mechanism for access to the hearing in the notice of
  783  proposed rulemaking.
  784         (c)The text of and reason for the proposed rule.
  785         (d)A request for comments on the proposed rule from any
  786  interested person.
  787         (e)The manner in which interested persons may submit
  788  written comments.
  789         (9)All hearings will be recorded. A copy of the recording
  790  and all written comments and documents received by the
  791  commission in response to the proposed rule shall be available
  792  to the public.
  793         (10)This article does not require a separate hearing on
  794  each rule. Rules may be grouped for the convenience of the
  795  commission at hearings required by this article.
  796         (11)The commission shall, by majority vote of all
  797  commissioners, take final action on the proposed rule based on
  798  the rulemaking record and the full text of the rule.
  799         (a)The commission may adopt changes to the proposed rule,
  800  provided the changes are consistent with the original purpose of
  801  the proposed rule.
  802         (b)The commission shall provide an explanation of the
  803  reasons for substantive changes made to the proposed rule as
  804  well as reasons for substantive changes not made which were
  805  recommended by commenters.
  806         (c)The commission shall determine a reasonable effective
  807  date for the rule. Except for an emergency as provided in
  808  subsection (12), the effective date of the rule shall be no
  809  sooner than 30 days after issuing the notice that it adopted or
  810  amended the rule.
  811         (12)Upon determination that an emergency exists, the
  812  commission may consider and adopt an emergency rule with 24
  813  hours’ notice, and with opportunity to comment, provided that
  814  the usual rulemaking procedures provided in the compact and in
  815  this article shall be retroactively applied to the rule as soon
  816  as reasonably possible, in no event later than 90 days after the
  817  effective date of the rule. For the purposes of this subsection,
  818  an emergency rule is one that must be adopted immediately in
  819  order to:
  820         (a)Meet an imminent threat to public health, safety, or
  821  welfare;
  822         (b)Prevent a loss of commission or member state funds;
  823         (c)Meet a deadline for the adoption of a rule that is
  824  established by federal law or rule; or
  825         (d)Protect public health and safety.
  826         (13)The commission or an authorized committee of the
  827  commission may direct revisions to a previously adopted rule for
  828  purposes of correcting typographical errors, errors in format,
  829  errors in consistency, or grammatical errors. Public notice of
  830  any revisions shall be posted on the website of the commission.
  831  The revision shall be subject to challenge by any person for a
  832  period of 30 days after posting. The revision may be challenged
  833  only on grounds that the revision results in a material change
  834  to a rule. A challenge shall be made in writing and delivered to
  835  the commission before the end of the notice period. If no
  836  challenge is made, the revision will take effect without further
  837  action. If the revision is challenged, the revision may not take
  838  effect without the approval of the commission.
  839         (14)A member state’s rulemaking process or procedural
  840  requirements do not apply to the commission. The commission does
  841  not have authority over any member state’s rulemaking process or
  842  procedural requirements that do not pertain to the compact.
  843         (15)This compact, or any rule or regulation of the
  844  commission, does not limit, restrict, or in any way reduce the
  845  ability of a member state to enact and enforce laws,
  846  regulations, or other rules related to the practice of
  847  respiratory therapy in that state, where those laws,
  848  regulations, or other rules are not inconsistent with the
  849  provisions of this compact.
  850  
  851                              ARTICLE X                            
  852           OVERSIGHT, DISPUTE RESOLUTION, AND ENFORCEMENT          
  853  
  854         (1)(a)The executive and judicial branches of state
  855  government in each member state shall enforce this compact and
  856  take all actions necessary and appropriate to implement this
  857  compact.
  858         (b)Venue is proper and judicial proceedings by or against
  859  the commission shall be brought solely and exclusively in a
  860  court of competent jurisdiction where the principal office of
  861  the commission is located. The commission may waive venue and
  862  jurisdictional defenses to the extent it adopts or consents to
  863  participate in alternative dispute resolution proceedings.
  864  Nothing herein affects or limits the selection or propriety of
  865  venue in any action against a licensee for professional
  866  malpractice, misconduct, or any such similar matter.
  867         (c)The commission is entitled to receive service of
  868  process in any proceeding regarding the enforcement or
  869  interpretation of this compact and has standing to intervene in
  870  such a proceeding for all purposes. Failure to provide the
  871  commission service of process shall render a judgment or order
  872  void as to the commission, this compact, or adopted rules.
  873         (2)(a)If the commission determines that a member state has
  874  defaulted in the performance of its obligations or
  875  responsibilities under this compact or the adopted rules, the
  876  commission shall provide written notice to the defaulting state.
  877  The notice of default shall describe the default, the proposed
  878  means of curing the default, and any other action that the
  879  commission may take and shall offer training and specific
  880  technical assistance regarding the default.
  881         (b)The commission shall provide a copy of the notice of
  882  default to the other member states.
  883         (3)If a state in default fails to cure the default, the
  884  defaulting state may be terminated from the compact upon an
  885  affirmative vote of a majority of the commissioners of the
  886  member states, and all rights, privileges, and benefits
  887  conferred on that state by this compact may be terminated on the
  888  effective date of termination. A cure of the default does not
  889  relieve the offending state of obligations or liabilities
  890  incurred during the period of default.
  891         (4)Termination of membership in this compact shall be
  892  imposed only after all other means of securing compliance have
  893  been exhausted. Notice of intent to suspend or terminate shall
  894  be given by the commission to the Governor, the Majority Leaders
  895  and Minority Leaders of the defaulting state’s Legislature, the
  896  defaulting state’s respiratory therapy licensing authority, and
  897  each of the member states’ respiratory therapy licensing
  898  authorities.
  899         (5)A state that has been terminated is responsible for all
  900  assessments, obligations, and liabilities incurred through the
  901  effective date of termination, including obligations that extend
  902  beyond the effective date of termination, if necessary.
  903         (6)Upon the termination of a state’s membership from this
  904  compact, that state shall immediately provide notice to all
  905  licensees and compact privilege holders of which the commission
  906  has a record within that state of the termination. The
  907  terminated state shall continue to recognize all licenses
  908  granted pursuant to the compact for a minimum of 180 days after
  909  the date of the notice of termination.
  910         (7)The commission may not bear any costs related to a
  911  state that is found to be in default or that has been terminated
  912  from the compact, unless agreed upon in writing between the
  913  commission and the defaulting state.
  914         (8)The defaulting state may appeal the action of the
  915  commission by petitioning the United States District Court for
  916  the District of Columbia or the federal district where the
  917  commission has its principal offices. The prevailing party shall
  918  be awarded all costs of such litigation, including reasonable
  919  attorney fees.
  920         (9)(a)Upon request by a member state, the commission shall
  921  attempt to resolve disputes related to the compact which arise
  922  among member states and between member and nonmember states.
  923         (b)The commission shall adopt a rule providing for both
  924  mediation and binding dispute resolution for disputes, as
  925  appropriate.
  926         (10)(a)By majority vote, as may be further provided by
  927  rule, the commission may initiate legal action against a member
  928  state in default in the United States District Court for the
  929  District of Columbia or the federal district where the
  930  commission has its principal offices to enforce compliance with
  931  this compact and its adopted rules. A member state, by enactment
  932  of this compact, consents to venue and jurisdiction in such
  933  court for the purposes provided herein. The relief sought may
  934  include both injunctive relief and damages. In the event
  935  judicial enforcement is necessary, the prevailing party shall be
  936  awarded all costs of such litigation, including reasonable
  937  attorney fees. The remedies herein are not the exclusive
  938  remedies of the commission. The commission may pursue any other
  939  remedies available under federal law or the defaulting member
  940  state’s law.
  941         (b)A member state may initiate legal action against the
  942  commission in the United States District Court for the District
  943  of Columbia or the federal district where the commission has its
  944  principal offices to enforce compliance with this compact and
  945  its adopted rules. The relief sought may include both injunctive
  946  relief and damages. In the event judicial enforcement is
  947  necessary, the prevailing party shall be awarded all costs of
  948  such litigation, including reasonable attorney fees.
  949         (c)Only a member state may enforce this compact against
  950  the commission.
  951  
  952                             ARTICLE XI                            
  953              EFFECTIVE DATE, WITHDRAWAL, AND AMENDMENT            
  954  
  955         (1)This compact shall come into effect on the date on
  956  which the compact statute is enacted into law in the seventh
  957  member state.
  958         (a)On or after the effective date of the compact, the
  959  commission shall convene and review the enactment of each of the
  960  first seven member states to determine if the statute enacted by
  961  each such charter member state is materially different from the
  962  model compact.
  963         1.A charter member state whose enactment is found to be
  964  materially different from the model compact is entitled to the
  965  default process provided in Article X.
  966         2.If any member state is later found to be in default, or
  967  is terminated or withdraws from the compact, the commission
  968  shall remain in existence and the compact shall remain in effect
  969  even if the number of member states is fewer than seven.
  970         (b)Member states enacting the compact subsequent to the
  971  seven initial charter member states shall be subject to the
  972  process provided herein and commission rule to determine if such
  973  state’s enactments are materially different from the model
  974  compact and whether the state qualifies for participation in the
  975  compact.
  976         (c)All actions taken for the benefit of the commission or
  977  in furtherance of the purposes of the administration of the
  978  compact before the effective date of the compact or the
  979  commission coming into existence are considered to be actions of
  980  the commission unless specifically repudiated by the commission.
  981  The commission owns and has all rights to any intellectual
  982  property developed on behalf or in furtherance of the commission
  983  by individuals or entities involved in organizing or
  984  establishing the commission, as may be further provided in
  985  commission rules.
  986         (d)Any state that joins the compact subsequent to the
  987  commission’s initial adoption of the rules and bylaws is subject
  988  to the rules and bylaws as they exist on the date on which the
  989  compact becomes law in that state. Any rule or bylaw that has
  990  been previously adopted by the commission has the full force and
  991  effect of law on the date the compact becomes law in that state.
  992         (2)Any member state may withdraw from this compact by
  993  enacting a statute repealing the same.
  994         (a)A member state’s withdrawal does not take effect until
  995  180 days after enactment of the repealing statute.
  996         (b)Withdrawal does not affect the continuing requirement
  997  of the withdrawing state’s respiratory therapy licensing
  998  authority to comply with the investigative and adverse action
  999  reporting requirements of this compact before the effective date
 1000  of withdrawal.
 1001         (c)Upon the enactment of a statute withdrawing from this
 1002  compact, a state shall immediately provide notice of such
 1003  withdrawal to all licensees and compact privilege holders of
 1004  which the commission has a record within that state.
 1005  Notwithstanding any subsequent statutory enactment to the
 1006  contrary, such withdrawing state shall continue to recognize all
 1007  licenses granted pursuant to this compact for a minimum of 180
 1008  days after the date of such notice of withdrawal.
 1009         (3)This compact does not invalidate or prevent any
 1010  licensure agreement or other cooperative arrangement between a
 1011  member state and a nonmember state that does not conflict with
 1012  the provisions of this compact.
 1013         (4)This compact may be amended by the member states. An
 1014  amendment to this compact does not become effective and binding
 1015  upon any member state until it is enacted into the laws of all
 1016  member states.
 1017  
 1018                             ARTICLE XII                           
 1019                    CONSTRUCTION AND SEVERABILITY                  
 1020  
 1021         (1)This compact and the commission’s rulemaking authority
 1022  shall be liberally construed so as to effectuate the purposes
 1023  and the implementation and administration of the compact.
 1024  Provisions of the compact expressly authorizing or requiring the
 1025  adoption of rules does not limit the commission’s rulemaking
 1026  authority solely for those purposes.
 1027         (2)The provisions of this compact are severable, and if
 1028  any phrase, clause, sentence, or provision of this compact is
 1029  held by a court of competent jurisdiction to be contrary to the
 1030  constitution of any member state, a state seeking participation
 1031  in the compact, or the United States, or the applicability
 1032  thereof to any government, agency, person, or circumstance is
 1033  held to be unconstitutional by a court of competent
 1034  jurisdiction, the validity of the remainder of this compact and
 1035  the applicability thereof to any other government, agency,
 1036  person, or circumstance is not affected.
 1037         (3)Notwithstanding subsection (2), the commission may deny
 1038  a state’s participation in the compact or, in accordance with
 1039  the requirements of Article X, terminate a member state’s
 1040  participation in the compact, if it determines that a
 1041  constitutional requirement of a member state is a material
 1042  departure from the compact. Otherwise, if the compact is held to
 1043  be contrary to the constitution of any member state, the compact
 1044  shall remain in full force and effect as to the remaining member
 1045  states and in full force and effect as to the member state
 1046  affected as to all severable matters.
 1047  
 1048                            ARTICLE XIII                           
 1049        CONSISTENT EFFECT AND CONFLICT WITH OTHER STATE LAWS       
 1050  
 1051         (1)This compact does not prevent or inhibit the
 1052  enforcement of any other law of a member state that is not
 1053  inconsistent with the compact.
 1054         (2)Any laws, statutes, regulations, or other legal
 1055  requirements in a member state in conflict with this compact are
 1056  superseded to the extent of the conflict, including any
 1057  subsequently enacted state laws.
 1058         (3)All permissible agreements between the commission and
 1059  the member states are binding in accordance with their terms.
 1060         (4)Other than as expressly provided herein, this compact
 1061  does not impact initial licensure.
 1062         Section 2. Subsection (5) of section 456.076, Florida
 1063  Statutes, is amended to read:
 1064         456.076 Impaired practitioner programs.—
 1065         (5) A consultant shall enter into a participant contract
 1066  with an impaired practitioner and shall establish the terms of
 1067  monitoring and shall include the terms in a participant
 1068  contract. In establishing the terms of monitoring, the
 1069  consultant may consider the recommendations of one or more
 1070  approved evaluators, treatment programs, or treatment providers.
 1071  A consultant may modify the terms of monitoring if the
 1072  consultant concludes, through the course of monitoring, that
 1073  extended, additional, or amended terms of monitoring are
 1074  required for the protection of the health, safety, and welfare
 1075  of the public. If the impaired practitioner is an audiologist or
 1076  a speech-language pathologist practicing under the Audiology and
 1077  Speech-Language Pathology Interstate Compact pursuant to s.
 1078  468.1335, a respiratory therapist holding compact privilege
 1079  under the Respiratory Care Interstate Compact pursuant to s.
 1080  468.371, a physical therapist or physical therapist assistant
 1081  practicing under the Physical Therapy Licensure Compact pursuant
 1082  to s. 486.112, a psychologist practicing under the Psychology
 1083  Interjurisdictional Compact pursuant to s. 490.0075, or a health
 1084  care practitioner practicing under the Professional Counselors
 1085  Licensure Compact pursuant to s. 491.017, the terms of the
 1086  monitoring contract must include the impaired practitioner’s
 1087  withdrawal from all practice under the compact unless authorized
 1088  by a member state.
 1089         Section 3. Present subsection (3) of section 468.353,
 1090  Florida Statutes, is redesignated as subsection (4), and a new
 1091  subsection (3) is added to that section to read:
 1092         468.353 Board of Respiratory Care; powers and duties.—
 1093         (3)The board shall appoint an individual to serve as the
 1094  state’s commissioner on the Respiratory Care Interstate Compact
 1095  Commission pursuant to s. 468.371.
 1096         Section 4. Section 468.355, Florida Statutes, is amended to
 1097  read:
 1098         468.355 Licensure requirements.—To be eligible for
 1099  licensure by the board, an applicant must be an active
 1100  “certified respiratory therapist” or an active “registered
 1101  respiratory therapist” as designated by the National Board for
 1102  Respiratory Care, or its successor, and submit to background
 1103  screening in accordance with s. 456.0135. A person licensed as a
 1104  respiratory therapist in another state who is practicing under
 1105  the Respiratory Care Interstate Compact under s. 468.371, and
 1106  only within the scope provided therein, is exempt from the
 1107  licensure requirements of this section.
 1108         Section 5. Subsection (5) is added to section 468.361,
 1109  Florida Statutes, to read:
 1110         468.361 Renewal of licensure; continuing education.—
 1111         (5)The board may take adverse action against the compact
 1112  privilege of a respiratory therapist under s. 468.371 and may
 1113  impose any of the penalties in s. 456.072(2) if a respiratory
 1114  therapist commits an act specified in s. 468.365(1) or s.
 1115  456.072(1).
 1116         Section 6. Paragraph (m) is added to subsection (10) of
 1117  section 768.28, Florida Statutes, to read:
 1118         768.28 Waiver of sovereign immunity in tort actions;
 1119  recovery limits; civil liability for damages caused during a
 1120  riot; limitation on attorney fees; statute of limitations;
 1121  exclusions; indemnification; risk management programs.—
 1122         (10)
 1123         (m)For purposes of this section, the individual appointed
 1124  under s. 468.371 as the state’s commissioner on the Respiratory
 1125  Care Interstate Compact Commission, when serving in that
 1126  capacity pursuant to s. 468.371, and any administrator, officer,
 1127  executive director, employee, or representative of the
 1128  Respiratory Care Interstate Compact Commission, when acting
 1129  within the scope of his or her employment, duties, or
 1130  responsibilities in this state, is considered an agent of the
 1131  state. The commission shall pay any claims or judgments pursuant
 1132  to this section and may maintain insurance coverage to pay any
 1133  such claims or judgments.
 1134         Section 7. This act shall take effect July 1, 2026.