EMS Compact
This page provides information about EMS Compact .
- EMS Compact
- Applications and Forms
- Open Records Requests
- EMS Careers and Education
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- EMS Education Providers
- Out of Hospital Do Not Resuscitate Program
- Criminal History
- Data Sources for EMS Trauma Systems
- EMS/Trauma Systems Interactive Map
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- Emergency Care Attendant Training Funding
- EMS Allotment-Allocation Eligibility
- Extraordinary Emergency Fund
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- FY 2021 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – June 2023
- FY 2021 Uncompensated Trauma Care Fund Distribution (5111) - June 2023
- FY 2020 Uncompensated Trauma Care Fund Distribution (5111) – August 2022
- FY 2020 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – August 2022
- FY 2022 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – July 2024
- FY 2022 Uncompensated Trauma Care Fund Distribution (5111) – July 2024
- FY 2023 Uncompensated Trauma Care Fund Distribution (Funds 5108 & 5007) – July 2025
- FY 2023 Uncompensated Trauma Care Fund Distribution (5111) – July 2025
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- GETAC- Air Medical and Specialty Care Transport Committee
- GETAC- Cardiac Care Committee
- GETAC- EMS Education Committee
- GETAC- EMS Medical Directors Committee
- GETAC- Disaster Preparedness and Response Committee
- GETAC- Stroke Committee
- GETAC- Trauma Systems Committee
- GETAC- Injury Prevention and Public Education Committee
- GETAC- Pediatrics Committee
- GETAC- Emergency Medical Services Committee
- GETAC Council
- Texas EMS Trauma Awards
- Texas EMS Line of Duty Deaths
- Texas EMS Trauma News
EMS Compact
Practice in 25 States with One Credential
The EMS Compact gives you immediate practice privileges across member states. No extra applications. No additional fees. Just verified credentials and proper local affiliation.
25 Member States
400K+ Active Clinicians
2015- Texas Enacted
What is the EMS Compact?
The Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) is an interstate agreement that allows EMS clinicians to practice across state lines without obtaining multiple licenses. Enacted in Texas through TX Health & Safety Code § 778A.001 (signed into law September 1, 2015), it is state law that requires Texas to immediately recognize your qualified EMS license from another EMS Compact State when you are properly affiliated with a local agency.
How It Works: 3 Simple Steps
Obtain your EMS license in one of the participating EMS Compact states. This becomes your primary Home State EMS license.
Use the official tool on EMSCompact.gov with your 12-digit EMS ID. Your status must display Valid with a green outline.
Status key: Valid indicates active and recognized in all Compact states.
Get rostered with an EMS agency in Texas, or be part of an agency authorized to operate in Texas. Once affiliated, you can legally practice immediately.
If you hold a Texas EMS license with a valid Privilege to Practice, your license is automatically recognized in all 25 EMS Compact member states.
Your Multi-State Access
As a Texas-licensed EMS clinician, you can practice in any of the 25 Compact states by verifying your status online and affiliating with a local EMS agency in that state. No additional applications or fees required.
⇒ Immediate recognition: Start practicing as soon as you are properly affiliated, no waiting period
⇒ No fees: The EMS Compact Privilege to Practice is free and does not require an application
⇒ Full state authority: Texas maintains complete regulatory and disciplinary oversight
⇒ Multi-state mobility: Practice in all 25 member states with one EMS license
⇒ No set time limit: As long as your Home State license is active and your Privilege to Practice is valid. If Texas becomes your new home, consider obtaining a Texas EMS certification.
⇒ Disaster response ready: Deploy quickly for mutual aid and emergency response
⇒ Recruitment and retention: Agencies have access to more than 400,000 qualified clinicians for lateral transfers, relocations, special events and surge operations, temporary staffing, and education
Critical requirement
All clinicians must be properly affiliated with a local EMS agency before providing patient care. This means being on the roster, using approved local protocols, and operating within the local scope of practice.
When practicing in Texas:
- Follow the protocols and procedures of your EMS agency and local medical director
- Operate within the Texas EMS regulations and scope of practice
- Complete any required local orientation or training
- Identify and address any gaps in knowledge or education before patient care
- Maintain a current Home State license and a valid Privilege to Practice
If you are transporting a patient from another Compact State into Texas, your Privilege to Practice is recognized under these conditions:
Transport recognition
Your EMS Agency must have proper state authorization to operate. When transporting patients into Texas, clinicians with a valid Privilege to Practice from their Home State are recognized in Texas during the transport. You continue to use your Home State agency protocols during the transport.
Example: An air ambulance based in Louisiana, transporting a patient to a hospital in Texas, operates under Louisiana protocols, while the clinician's Privilege to Practice is recognized in Texas during the transport.
Before starting practice in Texas, confirm all of these:
→ Verified my Privilege to Practice shows “Valid” on EMSCompact.gov
→ Confirmed my Home State license is current and in good standing
→ Affiliated with a Texas EMS agency, or with an out-of-state EMS agency authorized to transport patients into Texas
→ Reviewed local protocols and scope of practice
→ Completed any required local orientation or training
→ Met with medical director or designee if required
25 Member States Nationwide
Your Privilege to Practice is recognized across all participating states
Access forms, guides, and educational materials.
Each state has a Governor-appointed Commissioner responsible for Compact implementation.