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Oklahoma
WASHINGTON, DC (30 OCTOBER 2026)— The Interstate Commission for EMS Personnel Practice today announced the appointment of David D. Graham, NRP, as Oklahoma’s Delegate and Commissioner to the Interstate Commission, effective November 1, 2026. The appointment was made by Keith Reed, RN, MPH, CPH, Commissioner of Health, Oklahoma State Department of Health. Commissioner Graham serves as Interim EMS Director, Trauma and EMS Services, Oklahoma State Department of Health, and succeeds Commissioner Lewis Robinson, MBA-HC. Commissioner Graham is recognized and seated by the Commission effective November 1, 2026.
Commissioner Graham is an experienced paramedic and emergency systems leader with more than four decades of service in Oklahoma’s health care and public safety sectors. As Interim EMS Director, he provides statewide leadership, regulatory oversight, and collaboration with EMS agencies, public safety partners, and government officials. Since 2013, he has held several Department leadership roles, advancing trauma system initiatives, EMS education, regulatory compliance, and quality improvement. He previously directed the EMS program at Oklahoma State University, Oklahoma City, and worked in cardiovascular care, flight medicine, and field operations, including two decades with EMSA. He holds a bachelor’s degree from the University of Central Oklahoma and is a Nationally Registered Paramedic, Oklahoma State EMS Instructor, and State Training Coordinator.
“We are pleased to welcome Commissioner Graham to the Interstate Commission,” said Kraig Kinney, JD, NRP, Chair of the Interstate Commission for EMS Personnel Practice. “His decades of experience in Oklahoma’s EMS and trauma systems, from field operations and flight medicine to EMS education and regulation, will serve Oklahoma and the Commission well. We look forward to his contributions to advancing interstate EMS practice and protecting the public.”
The Commission thanks Lewis Robinson, MBA-HC, for his service as Oklahoma’s Commissioner since October 2025, and extends its appreciation to Keith Reed, RN, MPH, CPH, Commissioner of Health, for the Oklahoma State Department of Health’s continued support of the Compact and its mission.
Oklahoma and the EMS Compact
The EMS Compact is part of Oklahoma state law as 63 O.S. § 1-2550, the Emergency Medical Services Personnel Licensure Interstate Compact (REPLICA). Oklahoma Governor Kevin Stitt signed House Bill 2422 into law on May 23, 2023, making Oklahoma the 23rd state to enact the EMS Compact.
For more information about the EMS Compact, participating states, or to validate an EMS clinician’s Privilege to Practice, please visit www.emscompact.gov.
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About the Interstate Commission for EMS Personnel Practice
The Interstate Commission for EMS Personnel Practice is the governmental authority in the United States responsible for coordinating, regulating, and overseeing the interstate practice of Emergency Medical Services. Established by the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) legislation, the Commission is composed of appointed Commissioners from each Compact participating state and is vested with the authority to enforce compliance, administer national operations, resolve multistate regulatory and disciplinary issues, operate the National EMS Coordinated Database, and facilitate immediate license recognition and the Privilege to Practice across state lines. The EMS Compact has been enacted as law in 28 states. Of those, 27 states have implemented the Compact with active Privilege to Practice recognition, enabling more than 450,000 EMS clinicians to deliver care wherever and whenever needed—supporting routine operations, surge staffing, disaster response, recruitment and retention, and the demands of a modern, mobile workforce. The remaining state, Connecticut, has enacted the Compact with a delayed effective date. The Commission safeguards public protection, enhances national preparedness, and stands as the definitive model for multistate licensure in healthcare.
The EMS Compact is law in the following states:
Alabama • Alaska • Arizona • Arkansas • Colorado • Connecticut • Delaware • Georgia • Idaho • Indiana • Iowa • Kansas • Louisiana • Mississippi • Missouri • Nebraska • Nevada • North Dakota • Oklahoma • Pennsylvania • South Carolina • South Dakota • Tennessee • Texas • Utah • Virginia • West Virginia • Wyoming
