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# Summary The Racehorse Health and Safety Act of 2023 would repeal the existing Horseracing Integrity and Safety Act of 2020 and establish a new interstate compact that allows states to jointly develop and enforce uniform medication control and racetrack safety rules for thoroughbred, standardbred, and quarter horse racing. The bill creates a Racehorse Health and Safety Organization governed by a 9-member board of directors appointed by state racing commissions, with authority to set medication standards, racetrack safety protocols, and disciplinary procedures that apply to all covered horses and racing participants in member states. States joining the compact would fund the organization through breed-specific assessments collected from racing participants and facilities, with initial costs determined by the board and ongoing annual fees calculated based on each state's projected racing activity. The bill establishes separate committees for each horse breed to develop science-based medication rules and a unified racetrack safety committee to create safety standards, with both committees holding open meetings for public input before rules take effect. The legislation takes effect two years after enactment or when two or more states join the compact, whichever comes later, and includes provisions for investigating violations, imposing sanctions ranging from fines to lifetime bans, and prohibiting interstate off-track wagering involving non-member states.

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