EMS Compact

The United States Emergency Medical Services Compact

Advancing EMS Mobility and Public Safety through Collaborative State Law

  • Established as state law in 28 Participating States (Active in 25)
  • Overseen by the Interstate Commission for EMS Personnel Practice, a governmental body
  • Standardizes EMS licensure requirements across states
  • Enhances public protection and professionalism
  • Reduces bureaucratic barriers
  • Expands mobility for EMS Clinicians
  • Expedites lateral moves and cross-border deployments

Through the United States EMS Compact, EMS Clinicians with a valid, unrestricted license in any Participating State are granted an immediate Privilege to Practice, recognized across all participating states. This enables seamless workforce mobility and rapid response. Learn more about conditions and requirements here.

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The EMS Compact · REPLICA · NEMSCD · ICEMSPP

EMS Compact Member States

EMS Practitioners with a valid Privilege to Practice are authorized to work for an EMS Agency in any of the following EMS Compact States.
 
Alabama Louisiana South Carolina
Arkansas Mississippi South Dakota
Colorado Missouri Tennessee
Delaware Nebraska Texas
Georgia Nevada Utah
Idaho North Dakota Virginia
Indiana Oklahoma West Virginia
Iowa Pennsylvania Wyoming
Kansas    

How the EMS Compact Works

The EMS Compact addresses the need for a more mobile and agile EMS workforce across the United States by standardizing licensure requirements and providing a clear legal framework for interstate practice. The EMS Compact, enacted as state law under the provisions of the U.S. Constitution, allows EMS clinicians to cross state lines to provide care, expanding public access to emergency medical services.

Key Benefits:

  • Immediate License Recognition: A clinician’s home state license is recognized in all other Compact Member States.
  • Enhanced Public Safety: The Compact includes FBI-compliant criminal hisory checks, a national EMS licensure database, and standardized investigative protocols.
  • Workforce Flexibility: Enables swift mobilization of qualified EMS personnel for day to day operations, special event, and during emergencies without delays tied to state-specific licensing.

REPLICA Legislation

The Compact is authorized under REPLICA (Recognition of EMS Personnel Licensure Interstate CompAct), a legislative framework adopted as law by each Member State. The Interstate Commission for EMS Personnel Practice, established under REPLICA, is the official governmental body responsible for Compact operations, ensuring regulatory compliance and public safety.

National EMS Coordinated Database (NEMSCD)

The NEMSCD provides real-time tracking of EMS licensure and Privilege to Practice status across Member States. This central resource allows state EMS offices to verify credentials and maintain high standards of accountability for EMS clinicians nationwide.

Confirm a Privilege to Practice

To confirm the Privilege to Practice for an EMS Practitioner enter the 12-digit (####-####-####) National EMS ID Number in the form above.  (Learn how to find your National EMS ID Number here.) Should there be any discrepancies or if the status isn't displayed, please contact the State EMS Office that issued the EMS license. 

The Privilege to Practice is only valid and displayed if:

  • The state has passed the EMS Compact legislation.  If your state is not yet a member of the EMS Compact, learn how you can help change that here. 
  • Member States have submitted EMS licensure data to the National EMS Coordinated Database. 
  • For assistance with a missing Privilege to Practice, contact the State EMS Office that issued your EMS License.