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SB181 Alabama 2025 Session

Updated Feb 23, 2026
Notable

Summary

Session
2025 Regular Session
Title
Interstate compact, respiratory therapists
Summary

This bill adopts the Respiratory Care Interstate Compact to allow Alabama-licensed respiratory therapists to practice in other member states under a unified framework while preserving Alabama's licensure authority.

What This Bill Does

It adds the Respiratory Care Interstate Compact as Article 2 of Chapter 27B, authorizing license portability across member states. It establishes the Compact Privilege that requires an active home-state license, an NBRC credential, no adverse actions in the prior two years, and compliance with the remote state’s jurisprudence, along with reporting and fee requirements. It creates the Respiratory Care Interstate Compact Commission to govern participation, enforce rules, manage a data system, and oversee investigations and disciplinary actions across member states, with provisions for active military members and for enforcement and funding. The act becomes effective October 1, 2025 and includes mechanisms to resolve conflicts with Alabama law and to withdraw or terminate participation if needed.

Who It Affects
  • Licensed respiratory therapists in Alabama who want to practice in other member states would be able to use the compact privilege, provided they maintain an active home-state license and NBRC credential, meet jurisprudence requirements, and comply with reporting and fee obligations.
  • The Alabama respiratory therapy licensing authority and the state government would participate in the compact's governance and enforcement, including data sharing, handling adverse actions, joint investigations, and applying or coordinating with Alabama law where conflicts arise.
Key Provisions
  • Adopts the Respiratory Care Interstate Compact as Article 2 of Chapter 27B, creating license portability for Alabama-licensed respiratory therapists across member states while preserving Alabama’s regulatory authority.
  • Creates the Respiratory Care Interstate Compact Commission with authority to govern the compact, including rulemaking, enforcement, data system management, funding, joint investigations, and governance structures (including an executive committee) and special provisions for active military members; the compact’s effective date is October 1, 2025.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Occupational Licensing Boards

Bill Actions

S

Enacted

S

Enacted

S

Delivered to Governor

H

Signature Requested

S

Enrolled

S

Ready to Enroll

S

Kelley motion to Concur in and Adopt - Roll Call 562

H

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 644

H

Motion to Adopt - Adopted Roll Call 643 W1WHFEE-1

H

Health Engrossed Substitute Offered W1WHFEE-1

H

Third Reading in Second House

H

Read for the Second Time and placed on the Calendar

H

Reported Out of Committee Second House from House Health W1WHFEE-1

H

Health 1st Amendment NRN7B8J-1

H

Pending House Health

H

Read for the first time and referred to the House Committee on Health

S

Engrossed

S

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 304

S

Kelley motion to Adopt - Adopted Roll Call 303 SLLLR78-1

S

Veterans, Military Affairs and Public Safety 1st Amendment Offered SLLLR78-1

S

Third Reading in House of Origin

S

Read for the Second Time and placed on the Calendar

S

Reported Out of Committee House of Origin

S

Veterans, Military Affairs and Public Safety 1st Amendment SLLLR78-1

S

Pending Senate Veterans, Military Affairs and Public Safety

S

Read for the first time and referred to the Senate Committee on Veterans and Military Affairs

Calendar

Hearing

House Health Hearing

Room 206 at 10:30:00

Hearing

Senate Veterans, Military Affairs and Public Safety Hearing

Finance and Taxation at 09:00:00

Bill Text

Votes

Motion to Read a Third Time and Pass as Amended - Roll Call 304

March 6, 2025 Senate Passed
Yes 28
Absent 6

Motion to Read a Third Time and Pass as Amended - Roll Call 644

April 8, 2025 House Passed
Yes 103
Absent 1

Kelley motion to Concur in and Adopt - Roll Call 562

April 9, 2025 Senate Passed
Yes 25
Absent 9

Documents

Source: Alabama Legislature