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Covers: EMT / Paramedic, Paramedic
Administered by Interstate Commission for EMS Personnel Practice (ICEPP) · Established 2017
Active Members
25
states + DC
Not Members
26
states
Professions
2
covered
Established
2017
year founded
The Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) allows emergency medical services personnel — EMTs, advanced EMTs, and paramedics — to practice in other member states. This is critical for EMS professionals who work near state borders or respond to emergencies across state lines.
25 of 51 jurisdictions are active members. Click any state to view full licensing requirements.
| State | Status | Details |
|---|---|---|
| Alabama | Active Member | Alabama accepts current NREMT certification for reciprocity. As an EMS Compact member state, Alabama recognizes EMS personnel licensed in other compac… |
| Arkansas | Active Member | Arkansas accepts current NREMT certification for reciprocity. As an EMS Compact member state, Arkansas recognizes EMS personnel licensed in other comp… |
| Colorado | Active Member | Colorado has no formal reciprocity process - all out-of-state applicants must hold current NREMT certification. As an EMS Compact member state, Colora… |
| Delaware | Active Member | Delaware accepts current NREMT certification for reciprocity. As an EMS Compact member state, Delaware recognizes EMS personnel licensed in other comp… |
| Georgia | Active Member | Georgia accepts current NREMT certification for reciprocity. Applicants must hold current NREMT certification, complete fingerprint-based background c… |
| Idaho | Active Member | Idaho is an EMS Compact member state (4th state to enact, March 2016). EMS personnel from other compact states can practice in Idaho under the compact… |
| Indiana | Active Member | Indiana is an EMS Compact member state. EMS personnel from other compact states can practice in Indiana under the compact privilege. Non-compact appli… |
| Iowa | Active Member | Iowa accepts out-of-state EMS providers with current NREMT certification or equivalent out-of-state certification through a reciprocity process. |
| Kansas | Active Member | Kansas accepts out-of-state EMS providers. Reciprocity applicants must complete a background check ($50 for reciprocity). Must hold current certificat… |
| Louisiana | Active Member | Louisiana is an EMS Compact member state. EMS personnel from other compact states can practice in Louisiana under the compact privilege. Non-compact a… |
| Mississippi | Active Member | Mississippi is an EMS Compact member state. Out-of-state EMTs from compact states can practice under their home-state license. Non-compact state appli… |
| Missouri | Active Member | Missouri is an EMS Compact member state. Out-of-state EMTs from compact states can practice under their home-state license. Non-compact applicants nee… |
| Nebraska | Active Member | Nebraska is an EMS Compact member state. Out-of-state EMTs from compact states can practice under their home-state license. Non-compact applicants nee… |
| New Hampshire | Active Member | New Hampshire is an EMS Compact member state with universal reciprocity provisions. Out-of-state EMTs from compact states can practice under their hom… |
| North Carolina | Active Member | North Carolina accepts NREMT for reciprocity for out-of-state applicants. However, NC no longer accepts NREMT for reciprocity if the initial course wa… |
| Ohio | Active Member | Ohio accepts current NREMT certification for reciprocity. Reciprocity fee is $75. A 5-year residency rule applies for background checks. Mandatory one… |
| Pennsylvania | Active Member | Pennsylvania is an EMS Compact member state. Compact members may practice under their home state license. Non-compact applicants must hold current NRE… |
| South Carolina | Active Member | South Carolina joined the EMS Compact in May 2018. Compact members may practice under their home state license. Non-compact applicants must hold curre… |
| South Dakota | Active Member | South Dakota is an EMS Compact member state, allowing cross-state practice for EMS personnel from other compact states. Applicants must hold current N… |
| Tennessee | Active Member | Tennessee is an EMS Compact member state. Reciprocity applicants must hold current NREMT certification and submit an application through lars.tn.gov. … |
| Texas | Active Member | Texas accepts reciprocity applications with current NREMT certification. Reciprocity fee is $126. A Jurisprudence CE course with exam is REQUIRED for … |
| Utah | Active Member | Utah accepts reciprocity applications with current NREMT certification. Utah is NOT an EMS Compact member state. Background check with fingerprints re… |
| Virginia | Active Member | Virginia is an EMS Compact member state. Reciprocity is available with current NREMT certification. A Legal Recognition pathway is available for out-o… |
| West Virginia | Active Member | West Virginia accepts reciprocity applications with current NREMT certification. West Virginia is NOT an EMS Compact member state. Continuous NREMT ma… |
| Wyoming | Active Member | Wyoming is an EMS Compact member state, allowing cross-state practice for EMS personnel from other compact states. Applicants must hold current NREMT … |
| Alaska | Not a Member | Alaska accepts out-of-state EMS certifications through a state review process. NREMT certification is accepted but not the sole pathway. Due to Alaska… |
| Arizona | Not a Member | Arizona accepts current NREMT certification for reciprocity. Applicants must hold current NREMT certification at the level being applied for and obtai… |
| California | Not a Member | California accepts out-of-state EMT certifications through the local LEMSA. Applicants must apply to the specific LEMSA where they intend to work. NRE… |
| Connecticut | Not a Member | Connecticut has endorsement agreements with Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, and Vermont. EMS personnel from t… |
| District of Columbia | Not a Member | DC accepts current NREMT certification for reciprocity. Applicants must obtain a sponsoring organization in DC. DC is NOT an EMS Compact member, as th… |
| Florida | Not a Member | Florida does NOT offer reciprocity for out-of-state EMS certifications. Out-of-state EMTs must complete Florida's full certification process including… |
| Hawaii | Not a Member | Hawaii does NOT have reciprocity with any state. Out-of-state EMS providers must meet full Hawaii licensing requirements including NREMT certification… |
| Illinois | Not a Member | Illinois accepts out-of-state EMS providers through a reciprocity process. Applicants must hold current NREMT certification or equivalent out-of-state… |
| Kentucky | Not a Member | Kentucky accepts out-of-state EMS providers through a reciprocity process. The reciprocity fee is $125. Applicants must hold current NREMT certificati… |
| Maine | Not a Member | Maine accepts out-of-state EMS providers through NREMT-based reciprocity. The reciprocity fee is $25. No residency or agency affiliation is required. |
| Maryland | Not a Member | Maryland accepts out-of-state EMTs through reciprocity with a $35 application fee. Applicants must complete a 12-hour MD EMT Skills Refresher and pass… |
| Massachusetts | Not a Member | Massachusetts accepts out-of-state EMTs but requires verification from EVERY state the applicant has ever been certified in. Must hold current NREMT c… |
| Michigan | Not a Member | Michigan accepts out-of-state EMTs through endorsement. Out-of-state/endorsement application fee is $175. Current NREMT or equivalent out-of-state cer… |
| Minnesota | Not a Member | Minnesota accepts out-of-state EMTs through reciprocity. Current NREMT or equivalent out-of-state certification required. Apply through eLicense porta… |
| Montana | Not a Member | Montana accepts out-of-state EMTs with current NREMT certification. Application through DLI Emergency Care Providers Program (post-SB 518 transition).… |
| Nevada | Not a Member | Nevada joined the EMS Compact in October 2023. Out-of-state EMTs from compact states can practice under their home-state license. Non-compact applican… |
| New Jersey | Not a Member | New Jersey accepts out-of-state EMTs with current NREMT certification. Applicants must apply through NJ-OEMS. Not an EMS Compact member state. |
| New Mexico | Not a Member | Reciprocity applicants must hold current NREMT certification, complete a 16-hour NM transition course, and pass the NM reciprocity written exam (up to… |
| New York | Not a Member | New York uses an endorsement process for out-of-state EMS providers. NREMT accepted for reciprocity. A maximum of 50% asynchronous learning is allowed… |
| North Dakota | Not a Member | North Dakota is a member of the EMS Compact (since April 2019), allowing inter-state practice privileges. Also accepts NREMT certification for traditi… |
| Oklahoma | Not a Member | Oklahoma joined the EMS Compact in November 2023. Compact members may practice in Oklahoma under their home state license. Non-compact applicants must… |
| Oregon | Not a Member | Oregon is not an EMS Compact member. Out-of-state applicants must hold current NREMT certification and complete FBI fingerprint-based background check… |
| Rhode Island | Not a Member | Rhode Island is not an EMS Compact member. Out-of-state applicants must hold current NREMT certification at the appropriate level and complete BCI bac… |
| Vermont | Not a Member | Vermont accepts reciprocity applications with current NREMT certification. Vermont is NOT an EMS Compact member state. Agency affiliation is required.… |
| Washington | Not a Member | Washington accepts reciprocity applications with current NREMT certification. Washington is NOT an EMS Compact member state. Agency affiliation and Me… |
| Wisconsin | Not a Member | Wisconsin accepts reciprocity applications with current NREMT certification or equivalent out-of-state certification. Wisconsin is NOT an EMS Compact … |
State membership data verified against official compact website and state licensing board records. Last updated: March 2026.
EMS personnel licensed in a compact member state can operate under a compact privilege in other member states. This means an EMT or paramedic can respond to calls, transfer patients, and provide care in any member state without obtaining a separate license. The compact also covers mutual aid situations and planned events across state lines. Personnel must maintain their home state license and meet the compact's uniform requirements.
For the most current requirements, visit the official REPLICA website.
These 26 jurisdictions are not currently members of the EMS Compact (REPLICA). Professionals must obtain a separate license to practice in these states.
Alaska, Arizona, California, Connecticut, District of Columbia, Florida, Hawaii, Illinois, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nevada, New Jersey, New Mexico, New York, North Dakota, Oklahoma, Oregon, Rhode Island, Vermont, Washington, Wisconsin
The Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) allows emergency medical services personnel — EMTs, advanced EMTs, and paramedics — to practice in other member states. This is critical for EMS professionals who work near state borders or respond to emergencies across state lines.
As of 2026, 25 states are active members of the EMS Compact (REPLICA): Alabama, Arkansas, Colorado, Delaware, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, and 15 more.
EMS personnel licensed in a compact member state can operate under a compact privilege in other member states. This means an EMT or paramedic can respond to calls, transfer patients, and provide care in any member state without obtaining a separate license. The compact also covers mutual aid situati…
No, California is not currently a member of the EMS Compact (REPLICA). Professionals must obtain a separate California license to practice there.
Yes, Texas is an active member of the EMS Compact (REPLICA). Professionals with a compact privilege can practice in Texas.
No, Florida is not currently a member of the EMS Compact (REPLICA). Professionals must obtain a separate Florida license to practice there.
No, New York is not currently a member of the EMS Compact (REPLICA). Professionals must obtain a separate New York license to practice there.