Iowa House Bill HF547

Iowa 2025-2026 Regular Session

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

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.