An official website of the United States EMS Compact
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Seal of the Interstate Commission for EMS Personnel Practice

The United States EMS Compact

Interstate Commission for EMS Personnel Practice

Commissioners & States

Alaska

EMS Compact participating state. Commissioner: Todd McDowell.

Todd McDowell, EMS Compact Commissioner for Alaska

Commissioner Todd McDowell

EMS System Manager, Section of Rural and Community Health Systems, Division of Public Health, Alaska Department of Health

Alaska Department of Health
Division of Public Health
Section of Rural and Community Health Systems
PO Box 110616
Juneau, AK 99811-0616
Office: (907) 465-8634
Certificate of Appointment, EMS Compact Commissioner Todd McDowell
Certificate of Appointment, EMS Compact Commissioner Todd McDowell

The EMS Compact Is State Law

Alaska Statutes § 18.08.105: Recognition of Emergency Medical Services Personnel Licensure Interstate Compact (REPLICA).
Read the state law.

Alaska enacted the EMS Compact as part of an omnibus healthcare licensing compacts bill. House Bill 110 (34th Legislature) became law on June 22, 2026, as Chapter 28, SLA 2026, making Alaska the 28th state to enact the EMS Compact. The EMS Compact is codified at AS 18.08.105.

The EMS Compact provisions took effect on September 20, 2026, and the EMS Compact is in force in Alaska as of October 9, 2026. Qualified clinicians from other participating states hold a Privilege to Practice in Alaska, and Alaska-licensed clinicians hold a Privilege to Practice in the other participating states.

About Alaska’s EMS System

Emergency Medical Services in Alaska is administered by the Alaska Department of Health, Division of Public Health, Section of Rural and Community Health Systems. The state has a unique EMS landscape that combines urban systems with extensive rural and remote operations supported by aeromedical transport and tribal health partners.

National EMS Coordinated Database Status

  • ✅ Alaska is fully integrated with NEMSCD

Current Commissioner Appointment

Todd McDowell, NRP, was appointed Alaska’s EMS Compact Delegate and Commissioner to the Interstate Commission for EMS Personnel Practice on September 15, 2026, effective September 20, 2026, the date Alaska’s participation in the EMS Compact took effect under Chapter 28, SLA 2026, and was officially recognized and seated by the Commission on September 30, 2026. The appointment was made by the State of Alaska through Heidi Hedberg, Alaska’s State Health Commissioner, who leads the Alaska Department of Health. EMS Compact Commissioner McDowell serves as EMS System Manager in the Section of Rural and Community Health Systems, Division of Public Health, Alaska Department of Health, the state EMS authority. Read the appointment announcement.

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