EMS Compact Commission Invites Public Comment on Proposed Rule Changes, Sets Vote for November 5, 2025

WASHINGTON, D.C. — The United States EMS Compact Commission has released draft administrative rules for public review and comment. These proposed rules will be considered and voted on during the Commission’s Q4 2025 Full Commission Meeting, scheduled for Wednesday, November 5, 2025, at 3:00 p.m. Eastern Time via Microsoft Teams.

The proposed changes are designed to preserve state sovereignty in EMS licensure decisions while ensuring that all EMS clinicians practicing across state lines under the Compact meet uniform standards established by state law.

Purpose of the Proposed Rules

The proposed rules introduce a Provisional Privilege to Practice (PTP) status, which allows Remote States to review and determine PTP eligibility in specific situations promptly. This provisional status would be applied in cases where:

• A license was issued after a state joined the Compact, but it does not meet the full requirements of the Compact.

• An individual did not hold a valid NREMT certification at the time of licensure.

• A biometric criminal records check was not completed.

• A license is subject to administrative restrictions, probation, or other disciplinary conditions.

By establishing this provisional review process, the Commission is reinforcing its commitment to preserving the trust, integrity, and confidence in the EMS Compact while upholding the principle of state sovereignty in licensure decisions.

Public Comment Invited

The Commission strongly encourages public participation in this rulemaking process.

• Comment Deadline: All written comments must be submitted no later than 5:00 p.m. ET on August 31, 2025.

• Submit Online: Submit a Public Comment

• Public Testimony: Individuals wishing to testify directly at the November 5th hearing must request to do so in writing at least five (5) business days before the meeting.

About the United States EMS Compact Commission

The United States EMS Compact Commission is the governmental body responsible for the interstate practice of EMS in the United States. Through the EMS Compact, participating states streamline the process for EMS clinicians to cross state lines and provide care during emergencies, deployments, and day-to-day operations, while upholding public protection and state authority in licensure.