The proposed bill would update current statutes by establishing the Emergency Medical Services Personnel Licensure Interstate Compact, which allows EMS personnel to practice across state lines without needing additional licenses. It introduces new provisions that define home state licensure, conditions for practicing in remote states, and the authority of member states to impose adverse actions on licenses. The bill also emphasizes expedited licensure for military personnel and their spouses and creates a Commission to oversee the Compact's implementation, enhancing the framework for interstate cooperation in EMS licensure while leaving existing statutes regarding certification and regulation unchanged.

Additionally, the bill would amend the governance and operational structure of the Commission, requiring each member state to appoint a delegate with voting rights and mandating annual meetings with public access. It introduces a comprehensive rulemaking process, including public notice and comment opportunities, and allows for emergency rule adoption under specific circumstances. The bill also establishes financial accountability measures, such as annual audits and a coordinated database for licensure information, while ensuring qualified immunity for Commission members. Overall, these updates aim to improve the efficiency, transparency, and accountability of the Commission while maintaining member states' regulatory authority.