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The United States EMS Compact

Interstate Commission for EMS Personnel Practice

Position Papers

Official position statements of the Interstate Commission for EMS Personnel Practice on issues affecting EMS clinician practice, interstate mobility, and public health.

The [Interstate Commission for EMS Personnel Practice](/the-commission/) develops official position statements on key issues affecting EMS clinician practice, interstate mobility, and public health. These statements provide guidance for the profession, reflect the Commission's stance on significant regulatory topics, and inform policymakers and the public.

A position paper is a formal document that outlines an organization's stance on a specific issue, supported by research and analysis, with the goal of influencing decision-making or advocating for policy changes. It serves to clarify and communicate the organization's viewpoint to stakeholders, policymakers, and the public, while often calling for specific actions or solutions to address the issue. Position papers are essential tools for driving discussions, informing stakeholders, and promoting thoughtful, data-driven decisions.

Current Position Statements

How Position Statements Are Developed

1. Identification and approval. When a critical issue relevant to EMS clinician practice or interstate compact operations is identified, the topic is reviewed and approved by the Commission. Approval signifies that the issue warrants a formal stance to support EMS clinicians and participating states.

2. Discussion, workgroups, and research. The Commission develops a draft statement. This phase frequently includes a workgroup, committee, or panel of experts in EMS practice, policy, and regulation who conduct research, gather data, and develop a comprehensive draft.

3. Public comment period. To ensure transparency, the draft is posted for public review. EMS clinicians, agency leaders, state officials, and the public are encouraged to provide feedback so the final position considers diverse perspectives.

4. Revision and final approval. Feedback is incorporated as necessary, and a final draft is submitted to the Commission for approval. Once approved, it becomes an official Commission position.