Interstate Compacts

The final version of the Recongnition of EMS Personnel Licensure Interstate Compact (REPLICA) was released this week.  The compact was developed jointly between CSG's National Center for Interstate Compact, The National Association of State EMS Officials, and a drafting team of subject matter experts.  The compact was also reviewed and vetted extensively through a larger advisory committee and received finalcial support from the Department of Homeland Seecutiry.  Under the terms of the new agreement, member states would agree to...

NEMA is very proud to release the first-ever report tracing the history of EMAC and its impact on national mutual aid policy and operations. A state-driven solution, EMAC stands as a tested and proven success story and an example of what determined individuals can accomplish when working together to make a difference for the nation.

The Interstate Medical Licensure Compact, which has been developed by state medical boards, the Federation of State Medical Boards, experts from CSG's National Center for Interstate Compacts, and a number of interested stakeholder groups, is nearing completion.  The goal of the compact is to allow doctors to more efficiently obtain licenses in multiple states, while simultaneously protecting patient safety.  Such an agreement has the potential to to significantly increase access to care in rural and hard-to-serve areas, which in turn has the potential to reduce costs for patients, states and the federal government. The agreement also aims to allow providers to take advantage of improving technologies and offer more telehealth services.  Participation in the compact is voluntary for both states and doctors.

ANCHORAGE, ALASKA—For the past three years, states have been finding new ways to work together in the health care arena to help avoid the ever-dreaded 800-pound gorilla called federal pre-emption....

With one swipe of NY Gov. Andrew Cuomo’s pen the Interstate Compact on Educational Opportunity for Military Children has now been adopted by all 50 states and the District of Columbia.  The Compact, which was developed jointly by CSG’s Compact Center and the Department of Defense, eases education transition issues faced by the children of active duty service members transferring between school districts and states.

The Interstate Compact on Educational Opportunity for Military Children represents the fourth interstate...

Population growth, aging baby boomers and a dramatic rise in the number of insured Americans resulting from the Patient Protection and Affordable Care Act are stressing America’s health care system like never before. Demand for care is increasing dramatically, but access to a variety of health professionals has remained largely static.

NOW, THEREFORE BE IT RESOLVED, that The Council of State Governments supports the establishment of the State Authorization Reciprocity Agreement (SARA) and encourages its member jurisdictions to consider the new interstate agreement as an innovative policy solution that will increase degree attainment and reduce costs for students, states, and institutions; and

BE IT FURTHER RESOLVED, that The Council of State Governments staff will provide ongoing assistance to the National Council for State Authorization Reciprocity Agreements’ national office and the four regional higher education compacts in their efforts to raise awareness about SARA.

Several medical professions have been working with CSG’s National Center on Interstate Compacts to explore the use of compacts to promote license portability to ensure access to high quality health care. These efforts have the potential to help facilitate telemedicine and widen access to a variety of medical services. Licensing compacts also provide a mechanism to ensure state regulatory agencies maintain their licensing and disciplinary authority. This session featured a discussion about the proposed compacts and their potential to enhance access to medical care across the states.

NOW, THEREFORE BE IT RESOLVED, that The Council of State Governments supports the establishment of the Recognition of EMS Personnel Licensure Compact (REPLICA) and encourages its member jurisdictions to consider the new interstate agreement as an innovative policy solution to the challenge of interstate EMS personnel emergency and life-saving operations.

Legislators at the CSG National and CSG West Annual Conference in Anchorage, Alaska, learned about the State Authorization Reciprocity Agreement during a discussion highlighting the compact’s history and potential impact for states.

“Distance education is not the only answer to the challenges facing higher education in this country, but it needs to be part of the solution and until we achieve reciprocity across state lines, we will never be able to fully take advantage of it,” said Marshall Hill, executive director of the National Council for State Authorization Reciprocity Agreements.

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