The "Emergency Medical Services Personnel Licensure Interstate Compact" is designed to improve public safety by simplifying the licensure process for emergency medical services (EMS) personnel across state lines. This compact allows states to recognize each other's licenses, enabling emergency medical technicians, advanced emergency medical technicians, and paramedics to provide care in various states. The bill outlines member states' responsibilities, including investigating complaints, notifying the commission of adverse actions, and conducting criminal background checks for initial licensure. It also includes provisions for veterans and active military personnel to expedite their licensure based on existing certifications, while establishing an interstate commission to oversee the compact's implementation and enforce compliance among member states.

Additionally, the bill introduces new governance provisions for the commission, including the creation of a coordinated database for tracking licensure and adverse actions, and outlines the commission's rulemaking authority with requirements for public notice and comment. It specifies procedures for terminating a state's membership in the compact, ensuring that termination can only occur after exhausting compliance measures. The bill also establishes the effective date of the compact upon enactment by the tenth member state, details the withdrawal process, and ensures that existing agreements between member and nonmember states remain valid. Overall, the legislation aims to create a cohesive framework for EMS personnel licensure that prioritizes public health and safety while enhancing accountability and information sharing among states.