EMS personnel seeking to practice under the EMS Compact must be 18 years of age, practice under the supervision of a medical director in their home state, and have an unrestricted license at or above the level of EMT in a member state. The term “license” includes states that still use “certification” for EMS personnel credentials. Members of the military that are separating from active duty, their spouses, and veterans will find an expedited process for licensure in states that have passed the REPLICA legislation. This includes members of the National Guard.
The EMS Compact is not a form of EMS licensure reciprocity. The EMS Compact extends a privilege for EMS personnel from member states to practice on a short-term, intermittent basis under approved circumstances in other member states.
Examples of these circumstances include:
The REPLICA legislation was written to cover all the variations in operational scenarios found in state EMS laws and rules in the United States, this includes:
EMS personnel providing patient care in a remote state will function within the Scope of Practice that is authorized in their home state unless modified by an appropriate authority. The Interstate Commission for EMS Personnel Practice will further address the Scope of Practice discussion and appropriate authority in the rule writing process. All rule writing by the Commission will be during public sessions, with periods open for public comment and testimony. This is the same practice utilized by states and the federal government to create Administrative Rules.
Once the EMS Compact is operational (estimated for 2020), individual EMS Personnel are required to meet the following eligibility requirements: