EMS Compact

Compact Governance

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The EMS Compact is governed by an Interstate Commission to oversee the operations of the Compact nationally, enforce its provisions on the member states, and resolve any disputes that may arise between the states. The Commission is comprised of one voting representative (Commissioner) for each member state. The Commission is a body politic and an instrumentality of the Compact states that is engaged in public policy making on behalf of the member states. 

The Interstate Commission for EMS Personnel Practice (ICEMSPP) is established by Section 10 B.1 of the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) legislation.

Commissioner Appointments

Generally, the Commissioner is the responsible senior state EMS official from the state EMS office or state EMS personnel licensure authority. In many states, this position is titled State EMS Director, Branch Chief, or Bureau Chief. Occasionally, the governor may designate a different member of the executive branch to be the delegate to the Commission. Each member state has one seat on the Commission and one vote on each matter brought before the body. 

Commission Authority

The Interstate Commission for EMS Personnel Practice has authority over only the cross-border activities enabled by enacting the REPLICA legislation. The Commission’s general functions are the following:

  • Give every member state one seat, one vote on matters before the body;
  • Create by-laws and promulgate rules related only to cross-border practice;
  • Establish policy and procedures for cross-border practice;
  • Maintain the national coordinated database and information-sharing systems;
  • To support and preserve the sovereign immunity of each state;
  • Enhance the enforcement and compliance mechanisms of member states; and support uniform compact rules, policies, and procedures at the state level related to the implementation of REPLICA.