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FISCAL NOTE
Senate Bill 181
Committee: Health Sponsor: Senator Keith Kelley
Analyst: Tiffany Weaver Date: 03/19/2025
Senate Bill 181 as reported by the Committee on Health would allow the Alabama State Board
of Respiratory Therapy to join the Respiratory Care Interstate Compact. The provisions of this
bill: (1) would increase the financial obligations of the Board by an undetermined amount
dependent on the amount of the annual assessment fee levied by the Respiratory Care Interstate
Compact Commission on each member state to cover the costs of its operations, activities, staff,
and annual budget as authorized in the compact; (2) could decrease the amount of license fees
currently collected from licensed respiratory therapist with out-of-state residences who decide to
become licensed in their home state and practice in Alabama under the compact privilege by an
estimated $32,600 annually; and (3) would increase receipts to the Board from fees imposed for
the compact privilege by an undetermined amount dependent upon the number of licenses
issued and the fee amounts set by the Board.
Further, this bill would increase the administrative obligations of the Board to submit
information to the commission's licensure database as provided for by the provisions of this bill.