69th Legislature approves respiratory therapy compact for regulating practitioners

Montana's House Bill 447, introduced on February 19, 2025, aims to enhance the regulation and licensing of respiratory therapists across the state. This legislation is part of a broader initiative to join a national compact that standardizes the practice of respiratory therapy, allowing for greater mobility and consistency in care among licensed professionals.

The bill outlines key provisions that define the roles and responsibilities of respiratory therapists, establish a clear scope of practice, and set forth the requirements for state participation in the compact. Notably, it mandates that member states, including Montana, must enact a compact that aligns closely with a model compact, ensuring that respiratory therapists are licensed and that there is a robust system for addressing complaints and investigating potential violations.

Supporters of House Bill 447 argue that it will improve access to respiratory care, particularly in rural areas where healthcare providers are scarce. By facilitating easier licensure across state lines, the bill is expected to attract more professionals to Montana, ultimately benefiting patients who require respiratory therapy services.

However, the bill has not been without controversy. Some opponents express concerns about the potential for reduced oversight and the implications of a standardized scope of practice that may not account for local healthcare needs. Debates have emerged regarding the adequacy of the proposed complaint investigation mechanisms and whether they sufficiently protect patients.

The economic implications of House Bill 447 could be significant. By streamlining the licensing process and potentially increasing the number of available respiratory therapists, the bill may lead to improved healthcare outcomes and reduced costs associated with respiratory illnesses. Additionally, it could bolster Montana's healthcare workforce, which is crucial for the state's ongoing recovery from the impacts of the COVID-19 pandemic.

As the legislative process unfolds, stakeholders are closely monitoring the bill's progress. If passed, House Bill 447 could set a precedent for how respiratory therapy is practiced and regulated in Montana, paving the way for enhanced healthcare delivery in the state. The next steps will involve further discussions and potential amendments as lawmakers weigh the benefits against the concerns raised by various interest groups.