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, known as the Commissioner, that is appointed by the Governor (or Governor's delegate) of each member state. The Commission functions as an instrumentality of the Compact states, actively engaged in shaping public policies on behalf of its member states.

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

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 designated 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:

  • Give every member state one seat, one vote on matters before the body;
  • Create by-laws and promulgate rules related only to cross-border practice;
  • Establish policy and procedures for cross-border practice;
  • Maintain the national coordinated database and information-sharing systems;
  • To support and preserve the sovereign immunity of each state;
  • Enhance the enforcement and compliance mechanisms of member states; and support uniform compact rules, policies, and procedures at the state level related to the implementation of REPLICA.