The "Emergency Medical Services Personnel Licensure Interstate Compact" is designed to enhance public safety by streamlining the licensure process for emergency medical services (EMS) personnel across state lines. The bill establishes a framework for member states to recognize each other's licenses, facilitating the movement of emergency medical technicians, advanced emergency medical technicians, and paramedics. It includes provisions for the expedited licensure of veterans and military personnel transitioning to civilian roles, ensuring they meet necessary training and examination requirements. Key provisions also define various roles within EMS, outline conditions for practice in remote states, and grant state emergency medical services authorities the power to impose adverse actions against licenses.

Additionally, the bill introduces new governance provisions for the commission overseeing EMS personnel licensure, including the establishment of a coordinated database for tracking licensure and adverse actions across member states. It mandates uniform data submission and outlines the commission's rulemaking process, emphasizing public notice and opportunities for comment. The bill also details the procedures for terminating membership in the compact, requiring that all compliance measures be exhausted before termination can occur. Member states that withdraw must comply with reporting requirements until the withdrawal is effective, and existing agreements between member and nonmember states remain valid. The compact is designed to ensure transparency, accountability, and effective coordination in the administration of emergency medical services across jurisdictions.