The EMS Compact 

The EMS Compact, enacted by legislation in 21 states, protects the public and enhances the Emergency Medical Services system in the United States. The EMS Compact facilitates the day to day movement of EMS personnel across state boundaries in the performance of their EMS duties as assigned by an appropriate authority. The EMS Compact authorizes state EMS offices to afford immediate legal recognition to EMS personnel licensed in any other member state.

Member States

The EMS Compact is governed by Commissioners appointed to the Interstate Commission for EMS Personnel Practice by member states. Learn more

Commission Meeting Schedule

Commission meetings are announced by public notice and are open to the public.  View the Meeting Schedule Learn more

Compact News

View the EMS Compact Press Releases, Status Updates, and Public Statements. EMS Compact News Learn more

Public Protection

Compact states require EMS personnel to complete an FBI biometric criminal background check when applying for a new EMS License.Learn more

Multi-State Privilege 

Qualified EMS Personnel in Compact states will be extended a Privilege-to-Practice in other compact states, on a short-term, intermittent basis.Learn more


The EMS Compact requires State EMS  Licensure Agencies to share licensure data – including license discipline actions- with other Compact states.Learn more