The nation’s first EMS Interstate Compact has been enacted and is steadily moving forward.  As planning for the first Commission meeting is in full swing, so are the planning activities of state legislatures, state agencies and stakeholder groups preparing their bills for rigor of introduction as well as the overall process*.  It is not to early in the upcoming legislative season for members of the EMS community to start discussions about becoming a REPLICA state.  First, consider the  “Facts and Benefits“ of REPLICA, including:

Benefits for EMS Personnel

  • Obtain and maintain your home state EMS license, receive the privilege to practice in REPLICA states.
  • Creates an expedited pathway to licensure for military personnel and spouses separating from active duty with an unrestricted NREMT card.
  •  Work under the scope of practice from your home state.
  • Reduced time, paperwork and costs associated with maintaining multiple licenses just to do your job.

Participating in an Interstate Compact

  • Compacts are tested, flexible, and defensible ways in which to resolve conflicts and barriers presented by state borders.
  • Compact states share in the responsibilities of managing cross border activities instead of each state individually addressing the same issue in a different manner.
  • Commissions manage compacts, member states designate one public official responsible for EMS to participate, each state has one seat, one vote.
  • REPLICA is joining the ranks of other well-known compacts including nursing, physician, driver’s licenses as well as emergency management.

EMS Personnel Eligibility

  • Must be 18 years of age and have passed an exam for initial licensure at the EMT, AEMT or Paramedic level.
  • Be practicing in good standing in their home state with an unrestricted license and under the supervision of an EMS Medical Director.

State EMS Office – EMS System Eligibility

  • Utilize the NREMT exam at the EMT and Paramedic levels for initial licensure
  • Utilize FBI compliant background check with biometric data (e.g. fingerprints) within 5 years of Compact activation. (effective May 8, 2017)
  • Have a process to receive, investigate, and resolve complaints; and share information with other Compact states via a Coordinated National Database.
  • Enact the model REPLICA legislation.

Resources are available through the REPLICA website to support your state and local planning efforts.  The model REPICA legislation is available in the “Getting Started” section.  An advocacy “Tool Kit” has been developed which includes instruments such as a sample “Dear Legislator” letter, informational handouts for the various REPLICA audiences (EMS personnel, policymakers and the public) as well as the most recent news.

As the Advocate for REPLICA I am available to assist in your planning effort for the remainder of the 2017 legislative calendar as well as looking Straight Ahead into 2018.   For more information, please contact me at 802-316-2126, or

*state by state legislative calendars vary, session range from one to 3 years.  Policies regarding what types of bills and who can file them are different in some states as well.  For more information on each state’s legislature please visit REPLICA Tool Kit