EMS Compact

Compact Governance

Compact Governance

The Interstate Commission for EMS Personnel Practice is the government entity responsible for overseeing the operations of the EMS Compact, enforcing its provisions among member states, and resolving any disputes that may arise between states. This Commission consists of one voting representative, the Commissioner, appointed by the Governor (or Governor's delegate) of each member state. The Commission functions as an instrumentality of the Compact states, actively shaping public policies on behalf of its member states. It is the highest regulatory governmental entity in the United States and has legislative responsibility and authority over the jurisdictional practice of emergency medical services.

Section 10 B.1 of the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) legislation establishes the Interstate Commission for EMS Personnel Practice (ICEMSPP).

Commissioner Appointments

Typically, the Commissioner is the senior executive branch official in charge of EMS affairs within the state, holding titles such as State EMS Director, Branch Chief, or Bureau Chief. In states with more than one executive branch entity responsible for licensing EMS personnel, the governor shall designate one of the executives to represent the state at the Commission. Each member state is entitled to one seat on the Commission, affording them one vote on every matter brought before the body.

Commission Authority

The jurisdiction of the Interstate Commission for EMS Personnel Practice is limited to activities across state borders as authorized by the enactment of the REPLICA legislation. The Commission's core functions encompass the following:

  • Representation: Every member state has one seat and one vote on matters before the body.
  • Rulemaking: Create by-laws and promulgate rules related only to cross-border practice.
  • Policy and Procedures: Establish policies and procedures for cross-border practice.
  • Database Maintenance: Maintain the national coordinated database and information-sharing systems.
  • Sovereign Immunity: Support and preserve the sovereign immunity of each state.
  • Enforcement and Compliance: Enhance the enforcement and compliance mechanisms of member states.
  • Uniform Rules: Support uniform, compact rules, policies, and procedures related to the implementation of REPLICA at the state level.

By governing the EMS Compact, the Interstate Commission for EMS Personnel Practice ensures the seamless operation and integration of EMS personnel across state lines, enhancing the quality and accessibility of emergency medical services nationwide.