A bill for an act relating to licensure as a respiratory care practitioner.

HF 2603 updates Iowa's licensure rules for respiratory care practitioners. Starting January 1, 2027, new applicants must hold a "registered respiratory therapist" credential from the National Board for Respiratory Care (or its successor) in addition to passing an exam and meeting other board requirements. Out-of-state license holders must also obtain this credential or pass a board-approved exam. Current licensees (held before 2027) are exempt unless their license lapsed over three months prior to renewal. The bill also requires the licensing board to work with educational institutions to create pathways for certified therapists to earn the new credential and develop continuing education programs.