The EMS Compact, is an interstate compact that recognizes the day-to-day movement of EMS personnel across state lines. The interstate compact is managed by a joint-public agency - the Interstate Commission for EMS Personnel Practice - and the compact was formed by member states passing legislation. The title of the legislation is the Recognition of EMS Personnel Licensure Interstate CompAct, shorted as "REPLICA". The EMS Compact extends to individuals a privilege to practice in other member states under authorized circumstances for EMS personnel based on their home state EMS license. The EMS Compact also allows for the rapid exchange of licensure history between Compact member states and provides a mechanism for an expedited pathway for state EMS licensure for veterans and their spouses.
A compact is an agreement between two or more states that act jointly to solve issues presented by state lines/boundaries. States maintain their sovereignty, act in a unified manner , and as a result avoid unnecessary federal intervention. There are over 200 interstate compacts active today, including the Driver License Compact, Emergency Management Assistance Compact (EMAC), and Nurse Licensure Compact (NLC). An update map of compact memberships is available from the National Center for Interstate Compacts (NCIC)
As the EMS profession has evolved, so too have the capabilities of EMS personnel. This includes the need to respond across state lines in both day-to-day duties as well as in large-scale events that do not rise to the level of a Governors declaration of a disaster. (staffing concerts and races or federal agencies dispatching contracted provider to support details). This has generated a renewed discussion on the importance of establishing a universal mechanism to assure a legal, practical, and consistent pathway for EMS providers to have privileges to practice extended across state lines. REPLICA also provides a mechanism for states to access and rapidly share EMS personnel licensure information, and thus achieves a new level of accountability within the EMS profession.
The EMS Compact only applies to individual EMS personnel, 18 years of age, with an unrestricted license in a member state. The EMS Compact DOES NOT apply to EMS Agencies or Employers.
The EMS personnel must be licensed as an EMT, Paramedic, or a level between EMT and Paramedic (like Advanced-EMT) in at least one Compact member state. The EMS personnel must practice under the supervision of a medical director.
No. EMS personnel must obtain and maintain a license in their home state of practice. The EMS Compact extends a privilege to practice under authorized circumstances to EMS personnel based on their home license. To remain active under the EMS Compact, EMS personnel must follow their home state rules for licensure, license renewals (recertification), and maintain a relationship with an authorized physician medical director.