The "Emergency Medical Services Personnel Licensure Interstate Compact" bill aims to improve public safety by simplifying the licensure process for emergency medical services (EMS) personnel across state lines. It 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, and establishes an interstate commission to oversee the compact's implementation, which will have the authority to issue subpoenas and cease-and-desist orders.

Additionally, the bill introduces new governance and operational frameworks for the commission, including a coordinated database for tracking licensure and adverse actions across member states. Member states are required to submit a uniform data set to this database, and the commission is tasked with notifying states of any adverse actions or significant investigative information. The bill outlines the commission's rulemaking authority, emphasizing transparency and accountability, and includes provisions for oversight and dispute resolution. It also details the procedures for terminating membership in the compact, requiring compliance measures to be exhausted before termination, and establishes that terminated states remain liable for obligations incurred. The compact will take effect once enacted by the tenth member state, with provisions for amendments and withdrawals, ensuring that it does not override state laws regarding EMS licensure.