SD HB1148

Adopts the Respiratory Care Interstate Compact, allowing respiratory therapists licensed in South Dakota to practice in other member states through a "Compact Privilege" without obtaining additional licenses

Requires all applicants for respiratory care practitioner licensure in South Dakota to undergo state and federal criminal background checks, including FBI fingerprint-based checks

Establishes the Respiratory Care Interstate Compact Commission as a joint government agency to administer the compact, with each member state appointing one commissioner

The compact becomes effective when seven states enact it; member states must participate in a shared data system tracking licensure, adverse actions, and significant investigative information

Licensees must hold an active credential from the National Board for Respiratory Care, have no adverse actions within the previous two years, and meet any jurisprudence requirements of the remote state to practice across state lines