Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA)

The Nation's first EMS Compact announces date for first official meeting where the interstate commission with be seated. Please read the press release for more information.

REPLICA has been signed into legislation in 11 states and the first official meeting of the commission will be held October 7-8, 2017 in Oklahoma City, OK.

The notice of public hearing for the proposed rule has been released. The purpose of the proposed rule is to establish a rulemaking process of the Interstate Commission for EMS Personnel Practice that substantially conforms to the principles of the model state administrative procedure act of 2010 and subsequent amendments thereto.

REPLICA Interim Bylaws

The interim bylaws for the REPLICA commission will be reviewed and approved at the inaugural commission meeting in October.

Statement on Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) Status as of  August 14, 2017

As of May 8, 2017, the nation has its first EMS Compact. The 10th state enactment of REPLICA moved this process into the Compact administration and operations phase. It is important at this juncture to note the limitations of the Compact, specifically, Section 14 A. as provided below: 


  1. The compact shall come into effect on the date on which the compact statute is enacted into law in the tenth member state. The provisions, which become effective at that time, shall be limited to the powers granted to the Commission relating to assembly and the promulgation of rules. Thereafter, the Commission shall meet and exercise rulemaking powers necessary to the implementation and administration of the compact. 

Key points to share:

  1. Yes!  There is a compact! 

  2. At this point, REPLICA is NOT active for licensed EMS personnel to cross state lines under the authority of the Compact to provide medical care. The Commission must adopt rules related to the authority and functions of the Compact in order for the Compact to become fully operational. In the interim, EMS personnel are required to comply with the individual state’s licensing requirements.

  3. The next steps for this newly formed joint public entity are described in Section 14 A. of the Compact. These include the convening of the first full meeting (October 7th and 8th, 2017) to officially seat the members of the Commission, to adopt bylaws, and to promulgate procedures for the adoption of rules.

  4. Notices for these meeting are available through REPLICA states as well as at

For more information, contact Sue Prentiss at (603) 381-9195 or

Page last updated: September 7, 2017