AL HB222

Establishes the Occupational Therapy Licensure Compact, allowing occupational therapists and assistants to practice across member states under a "compact privilege" system while maintaining state regulatory authority.

Requires member states to license occupational therapists and assistants, participate in a coordinated data system, conduct criminal background checks, and use recognized national examinations for licensure.

Creates the Occupational Therapy Compact Commission composed of one delegate per member state, with powers to adopt rules, maintain a licensure database, investigate complaints, and enforce compact provisions.

Permits occupational therapists and assistants to practice via telehealth across compact states and provides special accommodations for active duty military personnel and their spouses to maintain home state designation.

Establishes procedures for adverse actions, joint investigations between states, dispute resolution, and enforcement mechanisms, with the compact becoming effective when 10 states enact it.