OK SB1653

Enacts the Occupational Therapy Licensure Compact allowing Oklahoma to join an interstate agreement for mutual recognition of occupational therapist and occupational therapy assistant licenses among member states

Grants licensed occupational therapists and occupational therapy assistants a "Compact Privilege" to practice in other member states without obtaining additional licenses, provided they hold an unencumbered license in their home state and complete required background checks and jurisprudence requirements

Creates the Occupational Therapy Compact Commission as a joint public agency to administer the compact, with one delegate from each member state's licensing board, and grants it authority to promulgate rules, maintain a data system, and collect annual assessments

Requires member states to share investigative information, adverse actions, and disciplinary records through a coordinated data system, and allows remote states to take adverse action against a licensee's compact privilege for violations

Becomes effective November 1, 2026, with the compact activating when ten states enact the legislation