Chapter 448

448.9887(12)(a)2. 2. Member states enacting the compact subsequent to the 7 initial charter member states shall be subject to the process set forth in sub. (8) (c) 21. to determine if their enactments are materially different from the model compact statute and whether they qualify for participation in the compact.

448.9887(12)(a)3. 3. All actions taken for the benefit of the compact commission or in furtherance of the purposes of the administration of the compact prior to the effective date of the compact or the compact commission coming into existence shall be considered to be actions of the compact commission unless specifically repudiated by the compact commission.

448.9887(12)(a)4. 4. Any state that joins the compact subsequent to the compact commission’s initial adoption of the rules and bylaws shall be subject to the rules and bylaws as they exist on the date on which the compact becomes law in that state. Any rule that has been previously adopted by the compact commission shall have the full force and effect of law on the day the compact becomes law in that state.

448.9887(12)(b) (b) Any member state may withdraw from this compact by enacting a statute repealing the same.

448.9887(12)(b)1. 1. A member state’s withdrawal shall not take effect until 180 days after enactment of the repealing statute.

448.9887(12)(b)2. 2. Withdrawal shall not affect the continuing requirement of the withdrawing state’s licensing authority to comply with the investigative and adverse action reporting requirements of this compact prior to the effective date of withdrawal.

448.9887(12)(b)3. 3. Upon the enactment of a statute withdrawing from this compact, a state shall immediately provide notice of such withdrawal to all licensees within that state. Notwithstanding any subsequent statutory enactment to the contrary, such withdrawing state shall continue to recognize all compact privileges granted pursuant to this compact for a minimum of 180 days after the date of such notice of withdrawal.

448.9887(12)(c) (c) Nothing contained in this compact shall be construed to invalidate or prevent any licensure agreement or other cooperative arrangement between a member state and a nonmember state that does not conflict with the provisions of this compact.

448.9887(12)(d) (d) This compact may be amended by the member states. No amendment to this compact shall become effective and binding upon any member state until it is enacted into the laws of all member states.

448.9887(13) (13) Construction and severability.

448.9887(13)(a) (a) This compact and the compact commission’s rule-making authority shall be liberally construed so as to effectuate the purposes and the implementation and administration of the compact. Provisions of the compact expressly authorizing or requiring the promulgation of rules shall not be construed to limit the compact commission’s rule-making authority solely for those purposes.

448.9887(13)(b) (b) The provisions of this compact shall be severable and if any phrase, clause, sentence, or provision of this compact is held by a court of competent jurisdiction to be contrary to the constitution of any member state, a state seeking participation in the compact, or of the United States, or the applicability thereof to any government, agency, person, or circumstance is held to be unconstitutional by a court of competent jurisdiction, the validity of the remainder of this compact and the applicability thereof to any other government, agency, person, or circumstance shall not be affected thereby.

448.9887(13)(c) (c) Notwithstanding par. (b), the compact commission may deny a state’s participation in the compact or, in accordance with the requirements of sub. (11) (b), terminate a member state’s participation in the compact, if it determines that a constitutional requirement of a member state is a material departure from the compact. Otherwise, if this compact shall be held to be contrary to the constitution of any member state, the compact shall remain in full force and effect as to the remaining member states and in full force and effect as to the member state affected as to all severable matters.

448.9887(14) (14) Consistent effect and conflict with other state laws.

448.9887(14)(a) (a) Nothing herein shall prevent or inhibit the enforcement of any other law of a member state that is not inconsistent with the compact.

448.9887(14)(b) (b) Any laws, statutes, regulations, or other legal requirements in a member state in conflict with the compact are superseded to the extent of the conflict.

448.9887(14)(c) (c) All permissible agreements between the compact commission and the member states are binding in accordance with their terms.

448.9887 History History: 2025 a. 20.

448.9888 448.9888 Implementation of the dietitian licensure compact.

448.9888(1) (1) In this section:

448.9888(1)(a) (a) “Compact” means the dietitian licensure compact under s. 448.9887.

448.9888(1)(b) (b) “Compact privilege” means a compact privilege, as defined in s. 448.9887 (2) (i), that is granted under the compact to an individual to practice in this state.

448.9888(2) (2) The department may impose a fee for an individual to receive a compact privilege as provided in s. 448.9887 (3) (c).

448.9888(3) (3) 

448.9888(3)(a) (a) An individual who holds a compact privilege shall comply with s. 440.03 (13) (am).

448.9888(3)(b) (b) Subject to s. 448.9887 and any rules promulgated thereunder, ss. 440.20 to 440.22 and the rules promulgated under s. 440.03 (1) shall apply to an individual who holds a compact privilege in the same manner that they apply to holders of certificates issued under subch. V.

448.9888 History History: 2025 a. 20.

subch. XV of ch. 448 SUBCHAPTER XV

RESPIRATORY CARE
INTERSTATE COMPACT

448.9889 448.9889 Respiratory care interstate compact.

448.9889(1) (1) Title and purpose.

448.9889(1)(a) (a) The purpose of this compact is to facilitate the interstate practice of respiratory therapy with the goal of improving public access to respiratory therapy services by providing respiratory therapists licensed in a member state the ability to practice in other member states. The compact preserves the regulatory authority of states to protect public health and safety through the current system of state licensure.

448.9889(1)(b) (b) This compact is designed to achieve the following objectives:

448.9889(1)(b)1. 1. Increase public access to respiratory therapy services by creating a responsible, streamlined pathway for licensees to practice in member states with the goal of improving outcomes for patients;

448.9889(1)(b)2. 2. Enhance states’ ability to protect the public’s health and safety;

448.9889(1)(b)3. 3. Promote the cooperation of member states in regulating the practice of respiratory therapy within those member states;

448.9889(1)(b)4. 4. Ease administrative burdens on states by encouraging the cooperation of member states in regulating multi-state respiratory therapy practice;

448.9889(1)(b)5. 5. Support relocating active military members and their spouses; and

448.9889(1)(b)6. 6. Promote mobility and address workforce shortages.

448.9889(2) (2) Definitions. As used in this compact, unless the context requires otherwise, the following definitions shall apply:

448.9889(2)(a) (a) “Active military member” means any person with a full-time duty status in the armed forces of the United States, including members of the national guard and reserve.

448.9889(2)(b) (b) “Adverse action” means any administrative, civil, equitable, or criminal action permitted by a state’s laws which is imposed by any state authority with regulatory authority over respiratory therapists, such as license denial, censure, revocation, suspension, probation, monitoring of the licensee, or restriction on the licensee’s practice, not including participation in an alternative program.

448.9889(2)(c) (c) “Alternative program” means a nondisciplinary monitoring or practice remediation process applicable to a respiratory therapist approved by any state authority with regulatory authority over respiratory therapists. This includes, but is not limited to, programs to which licensees with substance abuse or addiction issues are referred in lieu of adverse action.

448.9889(2)(d) (d) “Charter member states” means those member states who were the first 7 states to enact the compact into the laws of their state.

448.9889(2)(e) (e) “Commission” or “respiratory care interstate compact commission” means the government instrumentality and body politic whose membership consists of all member states that have enacted the compact.

448.9889(2)(f) (f) “Commissioner” means the individual appointed by a member state to serve as the member of the commission for that member state.

448.9889(2)(g) (g) “Compact” means the respiratory care interstate compact.

448.9889(2)(h) (h) “Compact privilege” means the authorization granted by a remote state to allow a licensee from another member state to practice as a respiratory therapist in the remote state under the remote state’s laws and rules. The practice of respiratory therapy occurs in the member state where the patient is located at the time of the patient encounter.

448.9889(2)(i) (i) “Criminal background check” means the submission by the member state of fingerprints or other biometric-based information on license applicants at the time of initial licensing for the purpose of obtaining that applicant’s criminal history record information, as defined in 28 CFR 20.3 (d) or successor provision, from the federal bureau of investigation and the state’s criminal history record repository, as defined in 28 CFR 20.3 (f) or successor provision.

448.9889(2)(j) (j) “Data system” means the commission’s repository of information about licensees as further set forth in sub. (8).

448.9889(2)(k) (k) “Domicile” means the jurisdiction which is the licensee’s principal home for legal purposes.

448.9889(2)(L) (L) “Encumbered license” means a license that a state’s respiratory therapy licensing authority has limited in any way.

448.9889(2)(m) (m) “Executive committee” means a group of directors elected or appointed to act on behalf of, and within the powers granted to them by the commission.

448.9889(2)(n) (n) “Home state” except as set forth in sub. (5), means the member state that is the licensee’s primary domicile.

448.9889(2)(o) (o) “Home state license” means an active license to practice respiratory therapy in a home state that is not an encumbered license.

448.9889(2)(p) (p) “Jurisprudence requirement” means an assessment of an individual’s knowledge of the state laws and regulations governing the practice of respiratory therapy in such state.

448.9889(2)(q) (q) “Licensee” means an individual who currently holds an authorization from the state to practice as a respiratory therapist.

448.9889(2)(r) (r) “Member state” means a state that has enacted the compact and been admitted to the commission in accordance with the provisions herein and commission rules.

448.9889(2)(s) (s) “Model compact” means the model for the respiratory care interstate compact on file with the Council of State Governments or other entity as designated by the commission.

448.9889(2)(t) (t) “Remote state” means a member state where a licensee is exercising or seeking to exercise the compact privilege.

448.9889(2)(u) (u) “Respiratory therapist” or “respiratory care practitioner” means an individual who holds a credential issued by the National Board for Respiratory Care (or its successor) and holds a license in a state to practice respiratory therapy. For purposes of this compact, any other title or status adopted by a state to replace the term “respiratory therapist” or “respiratory care practitioner” shall be deemed synonymous with “respiratory therapist” and shall confer the same rights and responsibilities to the licensee under the provisions of this compact at the time of its enactment.

448.9889(2)(v) (v) “Respiratory therapy,” “respiratory therapy practice,” “respiratory care,” “the practice of respiratory care,” and “the practice of respiratory therapy” means the care and services provided by or under the direction and supervision of a respiratory therapist or respiratory care practitioner.

448.9889(2)(w) (w) “Respiratory therapy licensing authority” means the agency, board, or other body of a state that is responsible for licensing and regulation of respiratory therapists.

448.9889(2)(x) (x) “Rule” means a regulation promulgated by an entity that has the force and effect of law.

448.9889(2)(y) (y) “Scope of practice” means the procedures, actions, and processes a respiratory therapist licensed in a state or practicing under a compact privilege in a state is permitted to undertake in that state and the circumstances under which the respiratory therapist is permitted to undertake those procedures, actions, and processes. Such procedures, actions, and processes, and the circumstances under which they may be undertaken may be established through means, including, but not limited to, statute, regulations, case law, and other processes available to the state respiratory therapy licensing authority or other government agency.

448.9889(2)(z) (z) “Significant investigative information” means information, records, and documents received or generated by a state respiratory therapy licensing authority pursuant to an investigation for which a determination has been made that there is probable cause to believe that the licensee has violated a statute or regulation that is considered more than a minor infraction for which the state respiratory therapy licensing authority could pursue adverse action against the licensee.

448.9889(2)(zm) (zm) “State” means any state, commonwealth, district, or territory of the United States.

448.9889(3) (3) State participation in this compact.

448.9889(3)(a) (a) In order to participate in this compact and thereafter continue as a member state, a member state shall:

448.9889(3)(a)1. 1. Enact a compact that is not materially different from the model compact;

448.9889(3)(a)2. 2. License respiratory therapists;

448.9889(3)(a)3. 3. Participate in the commission’s data system;

448.9889(3)(a)4. 4. Have a mechanism in place for receiving and investigating complaints against licensees and compact privilege holders;

448.9889(3)(a)5. 5. Notify the commission, in compliance with the terms of this compact and commission rules, of any adverse action against a licensee, a compact privilege holder, or a license applicant;

448.9889(3)(a)6. 6. Notify the commission, in compliance with the terms of this compact and commission rules, of the existence of significant investigative information;

448.9889(3)(a)7. 7. Comply with the rules of the commission;

448.9889(3)(a)8. 8. Grant the compact privilege to a holder of an active home state license and otherwise meet the applicable requirements of sub. (4) in a member state; and

448.9889(3)(a)9. 9. Complete a criminal background check for each new licensee at the time of initial licensure.

448.9889(3)(a)9.a. a. Where expressly authorized or permitted by federal law, whether such federal law is in effect prior to, at, or after the time of a member state’s enactment of this compact, a member state’s enactment of this compact shall hereby authorize the member state’s respiratory therapy licensing authority to perform criminal background checks as defined herein. The absence of such a federal law as described in this subd. 9. a. shall not prevent or preclude such authorization where it may be derived or granted through means other than the enactment of this compact.

448.9889(3)(b) (b) Nothing in this compact prohibits a member state from charging a fee for granting and renewing the compact privilege.

448.9889(4) (4) Compact privilege.

448.9889(4)(a) (a) To exercise the compact privilege under the terms and provisions of the compact, the licensee shall:

448.9889(4)(a)1. 1. Hold and maintain an active home state license as a respiratory therapist;

448.9889(4)(a)2. 2. Hold and maintain an active credential from the National Board for Respiratory Care (or its successor) that would qualify them for licensure in the remote state in which they are seeking the privilege;

448.9889(4)(a)3. 3. Have not had any adverse action against a license within the previous 2 years;

448.9889(4)(a)4. 4. Notify the commission that the licensee is seeking the compact privilege within a remote state(s);

448.9889(4)(a)5. 5. Pay any applicable fees, including any state and commission fees and renewal fees, for the compact privilege;

448.9889(4)(a)6. 6. Meet any jurisprudence requirements established by the remote state in which the licensee is seeking a compact privilege;

448.9889(4)(a)7. 7. Report to the commission adverse action taken by any nonmember state within 30 days from the date the adverse action is taken;