EMS Compact (REPLICA)
Information regarding REPLICA can be found below
For more information regarding Utah’s status, contact Mark Herrera.
Practice in 25 States with One Credential
The EMS Compact gives you immediate practice privileges across member states. No extra applications. No additional fees. Just verified credentials and proper local affiliation.
What is the EMS Compact?
The Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) is an interstate agreement that allows EMS clinicians to practice across state lines without obtaining multiple licenses. Enacted in Utah through Utah Code § 53-2e-101 (signed into law March 21, 2016), it is state law that requires Utah to immediately recognize your qualified EMS license from another EMS Compact State when you are properly affiliated with a local agency.
How It Works: 3 Simple Steps
Get Your Home State License
Obtain your EMS license in one of the participating EMS Compact states. This becomes your primary Home State EMS license.
Verify Your Privilege to Practice
Use the official tool on EMSCompact.gov with your 12-digit EMS ID. Your status must display Valid with a green outline.
Status key: Valid indicates active and recognized in all Compact states.
Affiliate with a Local Agency
Get rostered with an EMS agency in Utah, or be part of an agency authorized to operate in Utah. Once affiliated, you can legally practice immediately.
I am a Utah EMS Clinician
If you hold a Utah EMS license with a valid Privilege to Practice, your license is automatically recognized in all 25 EMS Compact member states.
As a Utah-licensed EMS clinician, you can practice in any of the 25 Compact states by verifying your status online and affiliating with a local EMS agency in that state. No additional applications or fees required.
Key Benefits in Utah
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Immediate recognition: Start practicing as soon as you are properly affiliated, no waiting period
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No fees: The EMS Compact Privilege to Practice is free and does not require an application
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Full state authority: Utah maintains complete regulatory and disciplinary oversight
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Multi-state mobility: Practice in all 25 member states with one EMS license
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No set time limit: As long as your Home State license is active and your Privilege to Practice is valid. If Utah becomes your new home, consider obtaining a Utah EMS certification.
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Disaster response ready: Deploy quickly for mutual aid and emergency response
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Recruitment and retention: Agencies have access to more than 400,000 qualified clinicians for lateral transfers, relocations, special events and surge operations, temporary staffing, and education
Required: Local Affiliation and Compliance
All clinicians must be properly affiliated with a local EMS agency before providing patient care. This means being on the roster, using approved local protocols, and operating within the local scope of practice.
When practicing in Utah:
- Follow the protocols and procedures of your EMS agency and local medical director
- Operate within the Utah EMS regulations and scope of practice
- Complete any required local orientation or training
- Identify and address any gaps in knowledge or education before patient care
- Maintain a current Home State license and a valid Privilege to Practice
Interstate Patient Transports into Utah
If you are transporting a patient from another Compact State into Utah, your Privilege to Practice is recognized under these conditions:
Your EMS Agency must have proper state authorization to operate. When transporting patients into Utah, clinicians with a valid Privilege to Practice from their Home State are recognized in Utah during the transport. You continue to use your Home State agency protocols during the transport.
Example: An air ambulance based in Colorado transporting a patient to a hopsital in Utah operates under Colorado protocols while the clinician’s Privilege to Practice is recognized in Utah during the transport.
Pre-Practice Checklist
Before starting practice in Utah, confirm all of these:
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Verified my Privilege to Practice shows “Valid” on EMSCompact.gov
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Confirmed my Home State license is current and in good standing
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Affiliated with a Utah EMS agency, or with an out-of-state EMS agency authorized to transport patients into Utah
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Reviewed local protocols and scope of practice
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Completed any required local orientation or training
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Met with medical director or designee if required
Where Can I Practice?
25 Member States Nationwide
Your Privilege to Practice is recognized across all participating states
View All Member StatesContact
Each state has a Governor-appointed Commissioner responsible for Compact implementation.
Contact Utah Commissioner