EMS Compact Commission Invites Public Comment on Proposed Rule Changes, Sets Vote for November 5, 2025
EMS Compact Commission Invites Public Comment on Proposed Rule Changes, Sets Vote for November 5, 2025
WASHINGTON, D.C. — The United States EMS Compact Commission released draft administrative rules for public review and comment. The Commission will vote on these rules during its Q4 2025 Full Commission Meeting on Wednesday, November 5, 2025, at via Microsoft Teams.
Purpose of the Proposed Rules
The proposed rules strengthen state sovereignty in EMS licensure decisions and ensure that all EMS clinicians practicing across state lines meet uniform standards established by state law.
The rules create a Provisional Privilege to Practice (PTP) status, which allows Remote States to promptly review and decide whether to grant or restrict a clinician’s Compact privilege. Remote States would apply this provisional status in cases where:
- A state issued a license after joining the Compact that does not meet full Compact requirements.
- A clinician did not hold a valid NREMT certification at the time of licensure.
- A clinician did not complete a biometric criminal records check.
- A license carried administrative restrictions, probation, or other disciplinary conditions.
By establishing this provisional process, the Commission reinforces its commitment to preserving the trust, integrity, and confidence in the EMS Compact while upholding state authority in licensure decisions.
Public Comment Period
The Commission encourages public participation in this rulemaking process.
- Comment Deadline: 5:00 p.m. ET on August 31, 2025
- Submit Online: Submit a Public Comment
- Public Testimony: To testify at the November 5 hearing, individuals must submit a written request at least five (5) business days before the meeting.
About the United States EMS Compact Commission
The United States EMS Compact Commission serves as the governmental body that oversees the interstate practice of EMS in the United States. Through the EMS Compact, member states enable EMS clinicians to cross state lines and deliver care during emergencies, deployments, and day-to-day operations, while safeguarding public protection and reinforcing state sovereignty in licensure.