The bill proposes that New Jersey join the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact (REPLICA), which is designed to facilitate the mobility of emergency medical services (EMS) personnel across state lines while ensuring public safety and accountability. By joining this compact, New Jersey will allow EMS professionals licensed in their home state to practice in other member states without needing additional licensure. The compact establishes a framework for cooperation among member states regarding licensure, regulation, and the sharing of information about EMS personnel, including adverse actions and significant investigatory information. It also includes provisions to expedite licensure for veterans and military personnel transitioning to civilian roles.

Key provisions of the bill include the establishment of an Interstate Commission for EMS Personnel Practice, which will oversee the compact's implementation and maintain a coordinated database tracking licensure and adverse actions against EMS personnel. The commission will have the authority to promulgate uniform rules, conduct meetings, and manage financial operations, including levying assessments on member states to cover operational costs. Additionally, the bill allows any member state to withdraw from the compact with a six-month notice while ensuring compliance with existing reporting obligations. It also includes a clause permitting the Governor to withdraw New Jersey from the compact if changes in licensure requirements by other member states threaten public health and safety. The act is set to take effect 180 days after its enactment.