The bill impacts various areas, including the ratification of the Interstate Compact for School Psychologists and modifications to the Interstate Massage Compact for massage therapists. It mandates continuing education for massage therapists, review of a success sequence curriculum for grades six to twelve, a single, statewide hybrid assessment system, and the Student Athlete Mobility (SAM) Act. It addresses student petitions for extracurricular activities, outlines procedures for participation in extracurricular activities for students enrolled in specific schools, and the establishment and operation of the Interstate Massage Compact Commission.

The bill establishes a commission overseeing the practice of school psychology across member states, emphasizing cooperation, efficient administration of licenses, and specifying powers and responsibilities of the Commission. It outlines requirements and procedures for obtaining and maintaining an equivalent license and specifies continuing education, disciplinary actions, oversight, and conditions for withdrawal from the compact.

The bill necessitates states to enact rules consistent with the model compact, participate in information sharing, and involve active military members or their spouses. It provides for disciplines, adverse actions, financing, immunity for members, and provisions for withdrawal from the compact.

The bill establishes guidelines for the Interstate Compact for School Psychologists, outlining the Commission's duty to defend and indemnify its members, license information exchange, rulemaking process, dispute resolutions, and a specific provision for the state of Ohio related to continuing education for licensees.