REPLICA – What it does not do …

In many of my presentations, I speak to what REPLICA does, how it does it and what the benefits are for EMS personnel in cross-border practice. To that end, I think it is equally as important to talk about what REPLICA does not do.  These distinctions are key in order to clarify for EMS personnel, administrators, and policymakers what REPLICA’s authority is as well as what it means to be a member state.

REPLICA does not:

Provide a Multistate License:  The Compact extends a “Privilege to Practice” (PTP) in authorized circumstances (listed in Section 5 of REPLICA).  The PTP is not a license; it cannot be substituted for one.  The PTP allows for intermittent, assignment specific practice to take place, unobstructed by state borders.  This applies to EMS personnel from member states only.

Equal Reciprocity: In order for EMS personnel to become licensed to practice in a state they must adhere to that state’s specific requirements.   Some states recognize the licensing requirements of another state as equal to or higher than their own.  States use the reciprocal mechanism they have set up to issue a license in those cases.  The key word here is license.  If EMS personnel are seeking a license for whatever reason has brought them to that state and/or a position in which licensure is a requirement, then REPLICA does not apply. This is not intermittent, assignment specific practice.

Apply to Agency Licensure: The very last line of the Compact gets right to the point “Nothing in this compact supersedes state law or rules related to licensure of EMS agencies. ” REPLICA applies only to individual EMS personnel licensure.

Supersede State EMS Laws and Rules: REPLICA only applies to cross-border practice; in particular initial licensure requirements of EMS personnel in member states, how states receive complaints and conduct investigations as well as share information about licensure history.  A few examples of where the Compact has no authority includes how member state EMS personnel recertify, how protocols are developed, agency licensure and what equipment is required.

It is necessary to address the stories, myths, and misunderstandings uncovered during the past year of advocacy as to what REPLICA does and does not do.  States and their EMS personnel considering REPLICA need the facts in order to make an informed decision to move forward.