How the EMS Compact Works
The EMS Compact increases access to patient care, protects the public, reduces administrative burden, and enhances the Emergency Medical Services system in the United States.
The Compact facilitates the movement of licensed EMS personnel across state boundaries in the performance of their official duties by providing EMS professionals a Privilege to Practice in the other Compact States.
The EMS Compact also standardizes state licensure requirements, mandates a FBI fingerprint background check for EMS personnel, establishes a national database of EMS personnel, and creates a new mechanism for states to collaborate on investigations and discipline across state borders.
The legislation authorizing the EMS Compact is titled REPLICA, the “Recognition of EMS Personnel Licensure Interstate CompAct”
Interstate Commission for EMS Personnel Practice
The EMS Compact is Managed by a multi-state commission, established by the REPLICA legislation. Each state appoints one Commissioner.
National EMS Coordinated Database
The National EMS Coordinated Database (NEMSCD), authorized by the REPLICA legislation, tracks EMS license information and Privilege to Practice status for EMS personnel in Compact Member States.