New York 2025-2026 Regular Session

New York Assembly Bill A04522

Introduced
2/4/25  
Refer
2/4/25  

Caption

Adopts the Physical Therapy Licensure Compact (Part A); adopts the Interstate Occupational Therapy Compact (Part B); adopts the Audiology and Speech-Language Pathology Interstate Compact (Part C).

Summary

This bill would add three interstate licensure compacts to the Education Law: the Physical Therapy Licensure Compact, the Interstate Occupational Therapy Compact, and the Audiology and Speech-Language Pathology Interstate Compact. In general, each compact allows a practitioner who holds a valid home-state license to obtain a “compact privilege” to practice in other member states, subject to the remote state’s laws, jurisprudence requirements, and disciplinary authority. The bill is designed to improve access to care, support telehealth and multistate practice, and make it easier for licensed professionals to work across state lines, including for military families that relocate. Each compact creates a multistate commission with rulemaking authority, a shared data system, and procedures for member-state participation, background checks, reporting adverse actions, and joint investigations. The compacts also establish standards for when a licensee may practice in another state, how encumbered licenses affect privileges, how discipline is handled, and how member states may withdraw or amend the compact. The bill would supersede conflicting state law to the extent necessary to implement the compacts, while preserving each state’s authority over licensure, discipline, and public safety within its borders.

Impact

The bill would amend the Education Law by adding new compact provisions for physical therapy, occupational therapy, and audiology/speech-language pathology. If enacted and later activated by the required number of member states, New York would join interstate regulatory systems that recognize out-of-state licenses for qualified practitioners and require state boards to share licensure, investigative, and disciplinary information through compact data systems. The bill would also authorize background checks, compact fees, commission rulemaking, and enforcement mechanisms that would become binding on member states, and it would preempt conflicting state law only to the extent needed to carry out the compacts.

Sentiment

There is no recorded committee transcript or vote history in the provided materials, so there is no direct evidence of support or opposition from debate or roll call. Based on the bill text, the overall policy approach appears pro-access and pro-licensure portability, emphasizing workforce mobility, telehealth, and public access to services while retaining state oversight and discipline. The structure of the bill suggests it is intended as a standard compact-adoption measure rather than a controversial substantive overhaul of professional practice rules.

Contention

The main points of potential contention are the balance between interstate mobility and state regulatory control, the scope of commission rulemaking authority, and the sharing of investigative and disciplinary information across states. Some stakeholders may also focus on the background-check requirements, fees, and the extent to which compact rules would bind New York and potentially supersede conflicting state provisions. Another likely issue is whether the compacts sufficiently protect public safety while making it easier for out-of-state practitioners to work in New York, especially through telehealth and remote-state practice privileges.

Companion Bills

NY S03598

Same As Adopts the Physical Therapy Licensure Compact (Part A); adopts the Interstate Occupational Therapy Compact (Part B); adopts the Audiology and Speech-Language Pathology Interstate Compact (Part C).

Previously Filed As

NY S03598

Adopts the Physical Therapy Licensure Compact (Part A); adopts the Interstate Occupational Therapy Compact (Part B); adopts the Audiology and Speech-Language Pathology Interstate Compact (Part C).

NY S01228

Adopts the Physical Therapy Licensure Compact model language (Part A); adopts the Occupational Therapy Licensure Compact model language (Part B); adopts the Audiology and Speech-Language Pathology Interstate Compact (Part C).

NY AB230

Enacts the Audiology and Speech-Language Pathology Interstate Compact. (BDR 54-568)

NY S788

Enters New Jersey into Audiology and Speech-Language Pathology Interstate Compact.

NY A2606

Enters New Jersey into Audiology and Speech-Language Pathology Interstate Compact.

NY S256

Relative to the occupational therapist interstate licensure compact

NY H427

Relative to the occupational therapist interstate licensure compact

NY S2672

Relative to the occupational therapist interstate licensure compact

NY SB1843

Relating to the audiology and speech-language pathology interstate compact; authorizing fees.

NY HB4409

Relating to the audiology and speech-language pathology interstate compact; authorizing fees.

Similar Bills

No similar bills found.