Wyoming and Missouri Appoint New Commissioners
The Interstate Commission for EMS Personnel Practice today announced the appointments of Susan Neugebauer as Wyoming’s Commissioner and Sam Vance as Missouri’s Commissioner to the United States EMS Compact.
Commissioner Neugebauer was also recently appointed as Wyoming's EMS Unit Manager and State EMS Director, bringing more than 25 years of experience in emergency medical services. Her career spans clinical practice as a paramedic, field training, and leadership of a paramedic education program, with a sustained focus on clinical quality, workforce development, and EMS system improvement.
In addition to her EMS leadership, Commissioner Neugebauer holds a Master of Education degree and brings extensive experience in general and early childhood special education, having supported children from birth through age five. This distinctive combination of clinical and educational expertise positions her to strengthen pediatric emergency care initiatives and EMS education across Wyoming and the Compact.
Missouri’s newly appointed Commissioner, Sam Vance, brings a strong background in EMS system leadership and healthcare administration, with a focus on operational excellence, regulatory integrity, and workforce sustainability. He holds a Master of Healthcare Administration from A.T. Still University, equipping him with advanced expertise in healthcare systems management, policy implementation, and organizational performance. His combined clinical and administrative experience positions him to support Missouri’s continued leadership within the EMS Compact, particularly in advancing interstate practice, system modernization, and resilient workforce development.
“We are pleased to welcome both Commissioner Neugebauer and Commissioner Vance to the United States EMS Compact Commission,” said Kraig Kinney, JD, NRP, Chair of the Interstate Commission for EMS Personnel Practice. “Their combined experience in clinical care, education, system leadership, and regulation strengthens the Compact’s mission to protect the public while enabling a modern, mobile EMS workforce nationwide.”
Both Commissioners emphasized the importance of strong regulatory frameworks that support patient safety while expanding workforce mobility through interstate collaboration.
Wyoming joined the EMS Compact in 2016 through enactment of the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) law, authorizing interstate EMS practice and Privilege to Practice across Compact member states.
In Missouri, the REPLICA legislation was signed into law on July 9, 2018, making Missouri the sixteenth state to enact the EMS Compact and further strengthening national workforce mobility, disaster response coordination, and multistate regulatory collaboration.
For more information about the EMS Compact, member states, or to validate an EMS clinician’s Privilege to Practice, please visit www.emscompact.gov.
Commissioner Neugebauer was also recently appointed as Wyoming's EMS Unit Manager and State EMS Director, bringing more than 25 years of experience in emergency medical services. Her career spans clinical practice as a paramedic, field training, and leadership of a paramedic education program, with a sustained focus on clinical quality, workforce development, and EMS system improvement.
In addition to her EMS leadership, Commissioner Neugebauer holds a Master of Education degree and brings extensive experience in general and early childhood special education, having supported children from birth through age five. This distinctive combination of clinical and educational expertise positions her to strengthen pediatric emergency care initiatives and EMS education across Wyoming and the Compact.
Missouri’s newly appointed Commissioner, Sam Vance, brings a strong background in EMS system leadership and healthcare administration, with a focus on operational excellence, regulatory integrity, and workforce sustainability. He holds a Master of Healthcare Administration from A.T. Still University, equipping him with advanced expertise in healthcare systems management, policy implementation, and organizational performance. His combined clinical and administrative experience positions him to support Missouri’s continued leadership within the EMS Compact, particularly in advancing interstate practice, system modernization, and resilient workforce development.
“We are pleased to welcome both Commissioner Neugebauer and Commissioner Vance to the United States EMS Compact Commission,” said Kraig Kinney, JD, NRP, Chair of the Interstate Commission for EMS Personnel Practice. “Their combined experience in clinical care, education, system leadership, and regulation strengthens the Compact’s mission to protect the public while enabling a modern, mobile EMS workforce nationwide.”
Both Commissioners emphasized the importance of strong regulatory frameworks that support patient safety while expanding workforce mobility through interstate collaboration.
Wyoming joined the EMS Compact in 2016 through enactment of the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) law, authorizing interstate EMS practice and Privilege to Practice across Compact member states.
In Missouri, the REPLICA legislation was signed into law on July 9, 2018, making Missouri the sixteenth state to enact the EMS Compact and further strengthening national workforce mobility, disaster response coordination, and multistate regulatory collaboration.
For more information about the EMS Compact, member states, or to validate an EMS clinician’s Privilege to Practice, please visit www.emscompact.gov.