Interstate commission for EMS personnel practice


Press release: EMS Compact Declared Operational Effective March 16, 2020


Reporting form for cross-border privilege for EMS personnel, news about the EMS Compact, commission meeting schedules

The Interstate Commission for EMS Personnel Practice (EMS Compact Commission) declared the compact operational effective March 16, 2020. This decision enables EMS personnel licensed in compact member states (home states) to cross state borders using a privilege to practice and work in other compact states (remote state) without getting an EMS license/certification in the remote state. 

A manual reporting process is in place and must be utilized. The reporting form and the instructional memo are electronically available at www.emscompact.govThe form must be completed and verified through the states EMS office. For Colorado, contact

In 2015 Colorado was among the first states in the nation to pass the Recognition of EMS Personnel Licensure Interstate Compact into law. This compact helps facilitate the legal interstate movement of credentialed EMS providers. Since then a total of twenty states have enacted legislation, these states are: Colorado, Texas, Idaho, Kansas, Tennessee, Utah, Virginia, Wyoming, Mississippi, Georgia, Alabama, Delaware, Nebraska, South Carolina, Missouri, New Hampshire, North Dakota, Iowa, West Virginia and Indiana.

Benefits of the compact include providing a framework, under authorized circumstances, for day-to-day movement across state lines by eliminating the need for dual or multiple certifications, facilitating cross-state responses to large-scale emergencies such as fires and floods, and ensuring consistent screening and standards between member states such as background checks and National Registry competencies.