Interstate Commission for EMS Personnel Practice (EMS Compact)

Role

The Interstate Commission for EMS Personnel Practice is the governmental regulatory body that oversees the United States EMS Compact. The Commission facilitates interstate practice for qualified EMS Clinicians in multiple states by allowing their Home State license to be recognized in all other Compact member states. This supports workforce mobility, emergency response, and consistency in public safety and professional standards across jurisdictions.

Verifies

The EMS Compact requires Member States to share primary source licensure and disciplinary data through the National EMS Coordinated Database (NEMSCD). This enables real-time verification of licensure status, adverse actions, and investigatory findings to enhance public protection.

Reviews

Member States must report any adverse action taken against an EMS Clinician’s license to the NEMSCD. Non-member states are encouraged to voluntarily report such actions to improve nationwide safety and accountability.

Compliance

The EMS Compact ensures compliance with applicable state laws and holds EMS Clinicians accountable through mutual license recognition among member states. The EMS Compact also fosters collaboration between state EMS offices by promoting transparency and consistency in interstate licensure regulation.

Updated – 4.25