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 a structured rulemaking process that allows for public input. It specifies the procedures for terminating a state's membership in the compact, ensuring that termination can only occur after all compliance measures have been exhausted. The bill also allows for appeals to the United States district court regarding membership termination and establishes that the prevailing party in such cases will be awarded litigation costs. Furthermore, it clarifies that the compact will take effect upon enactment by the tenth member state and can be amended by member states, emphasizing that it should be interpreted broadly to fulfill its purposes without overriding state laws on EMS licensure.