Resolution in Support of the Recognition of EMS Personnel Licensure Compact (REPLICA)

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WHEREAS, states have had the authority to license emergency medical service (EMS) personnel since the 1970s; and 

WHEREAS, based on this authority, states have traditionally issued licenses according to their own individual regulations and assessments of an individual’s fitness to practice; and

WHEREAS, these requirements vary considerably from state to state and no formal long-term inter-jurisdictional EMS licensing regime currently exists; and

WHEREAS, it is becoming increasingly common for EMS personnel to cross state borders to deliver emergency and life-saving services on a day-to-day basis; and

WHEREAS, this increased interstate movement places a new emphasis on how EMS personnel are licensed to ensure they are not practicing in a state in which they are not licensed to practice; and

WHEREAS, the growth of telehealth, a desire to increase access to health care professionals, the Affordable Care Act,  and personal mobility are factors currently compelling several other medical  professions to consider and adopt interstate  licensing compacts; and

WHEREAS, the use of the interstate compact mechanism to address interstate emergencies and declared disasters is well established with interstate agreements such as the 50-state Emergency Management Assistance Compact and the regional Forest Fire Protection Compacts; and

WHEREAS, The Council of State Governments (CSG), through its National Center for Interstate Compacts, and in partnership with the National Associations of State EMS Officials (NASEMSO), with the support of the U.S. Department of Homeland Security has facilitated the development of the Recognition of EMS Personnel Licensure Compact (REPLICA) as a 50-state solution to this challenging policy issue; and  

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.


Adopted this 13th Day of August, 2014 at the CSG National Conference in Anchorage, Alaska.