AN ACT to create and enact chapter 43-40.1 of the North Dakota Century Code, relating to the occupational therapy licensure compact.

SB 2146 creates North Dakota's participation in an interstate occupational therapy licensure compact. It allows licensed occupational therapists from participating states to practice in North Dakota under a "compact privilege" without needing a separate state license, provided the patient is physically located in North Dakota during care. This mutual recognition improves access to therapy services for patients across state lines while preserving each state's authority to regulate practice and protect public safety. The compact also standardizes how states share disciplinary information and handle complaints between member states.