Public Safety
Ohio patients could get respiratory help across state lines
Ohio patients could get faster respiratory care as the compact lets licensed therapists work across member states, while military families get a fee break. Ohio would keep its own licensing and safety rules.

The compact is meant to widen access to respiratory care without replacing state oversight. It also gives military families a fee break.
- Ohio would join a multistate compact for respiratory therapists.
- Therapists could practice in another member state under a compact privilege.
- Each state would keep its licensing and safety authority.
- Military spouses and active-duty service members get a fee break.
- For Ohio patients, the point is speed and reach
For Ohio patients, the point is speed and reach. The Revised Code would be amended to enter the Respiratory Care Interstate Compact, letting Ohio join a multistate agreement for respiratory therapists, the clinicians who help patients breathe and manage airway care. In practice, that means a therapist licensed in one member state could practice in another member state when the compact allows it, instead of stopping at the border.
The compact says the practice happens in the state where the patient is located during the encounter. That matters in hospitals, clinics and other care settings where staffing can be tight and a license tied to one state can leave a gap in coverage.
State licenses still matter
Ohio would not be giving up its role in licensing. A therapist would still need a home-state license, and member states would keep their authority over regulation and public safety. The compact is designed to widen access, not replace the current system.
It also leaves room for local scope-of-practice rules, so a remote state can limit what a visiting therapist may do. For active-duty service members and their spouses, the compact includes a home-state designation option, and the fee for a compact privilege would not apply.
The practical payoff
This kind of arrangement matters most when a patient needs care and the right clinician is not in the right zip code. The compact is meant to create a faster path for therapists to move between member states while preserving state oversight.
For families connected to the military, the exemption is a small but meaningful detail. It lowers one cost of moving from place to place without forcing a new licensing start each time.