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Recognition of EMS Personnel Licensure Interstate Project

Mar 27, 2015

In one of the most labor intensive projects of national significance in its history, the National Association of State EMS Officials brought industry partners and experts in the field of interstate compacts together over the last two years to develop model legislation for states’ consideration and enactment. The “Recognition of EMS Personnel Licensure Interstate CompAct” (“REPLICA”) final model legislation is attached and was distributed to State EMS Directors and State EMS Medical Directors earlier this week. EMS is at the leading edge of a growing wave of medical disciplines’ national bodies of state regulatory agencies that have discovered that interstate compacts are a novel yet time tested way to solve the pervasive dilemma of providing appropriately credentialed individuals from other states the legal ability to practice under specified conditions, introduce unprecedented accountability related to those personnel, and create means of information sharing among states that have never existed before.

In order to become a member of the compact, a state must introduce the attached as a piece of legislation, enact it without any substantial changes, and the Governor must sign it into law. The Federation of State Medical Boards (FSMB), the members of which include your state medical board(s’) Executive Director(s), has also just completed a model interstate compact to streamline physician licensure across state lines. Information about the FSMB initiative and a link to download their model compact can be found here. These initiatives would dovetail nicely as companion bills and solve interstate practice issues for both EMS personnel and their medical directors concurrently.

At its annual meeting last month, the Council of State Governments (CSG) Board of Directors passed a resolution supporting the establishment of REPLICA and encouraging its member jurisdictions to consider adoption as an “innovative policy solution”. You can view and download the resolution here.

The record set for adoption of a new compact in recent years was by 11 states in the first legislative cycle following model compact distribution, and just within the last few months, the number of compacts in use by all 50 states grew to four, and most have DC and territories as members as well. Your legislators or legislative services staff may be more comfortable communicating with CSG, in which case their contact person is Crady deGolian, Director of the CSG National Center for Interstate Compacts via cdegolian@csg.org or by telephone at 859-244-8068. CSG houses comprehensive information about interstate compacts here.

NASEMSO is grateful to the US Department of Homeland Security for the resources that made this possible, and all of the national organizations who contributed time and expertise during this process. Most specifically, we are indebted to the states of Colorado, Idaho and Maryland, and the Commonwealths of Kentucky and Virginia for generously making state EMS office staff with notable expertise in legislation drafting and personnel licensure available to be heavy lifters in the project.

View the final model legislation.

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