Emergency Medical Technician (EMT) License Reciprocity by State
- States researched
- 51
- Offer endorsement
- 47
- Interstate compacts
- 2
Already hold a Emergency Medical Technician (EMT) license and moving your license to another state? Most states offer an endorsement (sometimes called "reciprocity") route that lets you transfer an active out-of-state license without repeating training from scratch, though you may still need to pass a state-specific exam, submit fingerprints, or pay a transfer fee. A handful of occupations also participate in interstate compacts, which let a single license cover practice in every member state. The table below covers every state we've researched for Emergency Medical Technician (EMT).
| State | Endorsement available | Compacts | Notes |
|---|---|---|---|
| Alabama | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Alabama is a confirmed current member state on the EMS Compact Commission's own commissioners page. Out-of-state applicants must hold current NREMT certification and complete an Alabama-specific EMS protocols course before being issued an Alabama EMSP license; Alabama does not issue initial Intermediate EMT licenses to out-of-state applicants (that level is closed to new entrants statewide). |
| Alaska | Yes | — | 7 AAC 26.150 allows an out-of-state applicant to qualify with either a valid equivalent EMT-I/AEMT certification from another state or territory, OR a valid National Registry (NREMT) certification, plus a current CPR credential and proof of Alaska-specific scope-of-practice training; a $25 nonrefundable application fee applies. Regarding the EMS Compact (REPLICA): as of the accessed date, Alaska had reportedly enacted EMS Compact legislation (per news coverage) but was NOT listed among the seated Member State commissioners on the compact commission's own commissioners page (emscompact.gov/the-commission/commissioners), so compacts is left empty per the rule to only list compacts confirmed on the commission's own current member roster -- this should be rechecked as Alaska's participation may activate later in 2026. |
| Arizona | Yes | — | Arizona has no separate 'reciprocity' or 'endorsement' article distinct from ordinary initial certification: an out-of-state EMT applies through the same R9-25-403 initial-certification process, and satisfies the training/exam prong simply by submitting documentation of current NREMT registration at the EMT level or higher (R9-25-403(B)(6)(b)) -- no separate Arizona exam or course is required for an NREMT-registered applicant. Regarding the EMS Compact (REPLICA): as of the accessed date, Arizona had reportedly enacted EMS Compact legislation (per news coverage) but was NOT listed among the seated Member State commissioners on the compact commission's own commissioners page (emscompact.gov/the-commission/commissioners), so compacts is left empty per the rule to only list compacts confirmed on the commission's own current member roster -- recheck as Arizona's participation may activate later in 2026. |
| Arkansas | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Arkansas is a confirmed current member state on the EMS Compact Commission's own commissioners page. Out-of-state applicants apply through the ADH Section of EMS's standard EMSP licensure application process; the ADH EMS rules (007.03.22 Ark. Code R. 001) separately address licensure for uniformed service members/veterans who hold NREMT certification, but a distinct general 'endorsement' article beyond standard licensure and the EMS Compact was not located in the sources accessed. |
| California | Yes | — | 22 CCR Section 100079(a) gives an out-of-state EMT several eligibility pathways for California certification without repeating the full CA course: (2) an out-of-state initial EMT training course meeting CA requirements plus passing the cognitive/psychomotor exams within 2 years, (3) a current valid out-of-state EMT certificate plus passing the cognitive/psychomotor exams within 2 years, or (4) simply possessing a current and valid National Registry (NREMT) EMT, Advanced EMT, or Paramedic registration -- which alone satisfies the training/exam prong. All routes still require the CA-specific application, background check, and county LEMSA certification (Section 100079(b)). California was NOT listed among the seated Member State commissioners on the EMS Compact Commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| Colorado | No | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | CDPHE's own EMS provider reciprocity page states plainly: 'Colorado does not have a reciprocity process for EMS providers. All first-time applicants must be registered with the NREMT at their intended level of practice. Another state's EMS provider license or certification does not allow you to practice in Colorado.' In practice, since NREMT certification is nationally portable, an out-of-state NREMT-registered EMT qualifies through the same standard initial-certification pathway as any first-time applicant (fingerprints, CPR card, NREMT verification) rather than through a distinct endorsement track -- so endorsementAvailable is set to false to reflect Colorado's own characterization. Separately, Colorado IS a confirmed current member state on the EMS Compact Commission's own commissioners page, which provides a distinct multistate practice-privilege mechanism for compact-member-state personnel that does not require full Colorado certification. |
| Connecticut | Yes | — | DPH's OEMS Licensure/Certification/Exams page confirms Connecticut offers an endorsement pathway for EMTs holding out-of-state certifications, with no additional state fee. Connecticut was NOT listed among the seated Member State commissioners on the EMS Compact Commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, though news coverage reported Connecticut had recently enacted EMS Compact legislation; recheck as participation may activate later in 2026. |
| Delaware | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Delaware is a confirmed current member state on the EMS Compact Commission's own commissioners page. Separately, Delaware runs its own Reciprocity Certification pathway for out-of-state EMTs (per the Commission's own Reciprocity Information Sheet): the applicant must be a Nationally Registered EMT, complete the Delaware State Fire School Reciprocity Class (Delaware Protocols, a protocols quiz, a practical skills evaluation, and a final exam), pass a Delaware State/Federal background check, and submit a Reciprocity Application ($10.00 fee) with a current out-of-state EMT card, current CPR card, and National Registry card. |
| District of Columbia | Yes | — | 29 DCMR Section 521.3: an EMS provider currently certified in another state may apply to the Director for District of Columbia certification by submitting all required items for the certification level requested, plus verification of status from the state where the applicant is currently certified. The District of Columbia was NOT listed among the seated Member State commissioners on the EMS Compact Commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| Florida | Yes | — | The Department's own licensing page describes an endorsement pathway for out-of-state-trained applicants, who must submit proof of current NREMT certification; Florida also participates in the MOBILE (Mobile Opportunity by Interstate Licensure Endorsement) application process for qualifying applicants. Florida was NOT listed among the seated Member State commissioners on the EMS Compact Commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| Georgia | No | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Georgia's own EMS Personnel Licensure page states explicitly: 'Georgia does not have a reciprocity process. However, to apply for a Georgia license you are required to have a current NREMT registration.' In practice, an out-of-state EMT who holds current NREMT certification applies through the same standard initial-licensure process as any other applicant (GAPS fingerprint background check, $75 LMS application, notarized residency verification) rather than a distinct endorsement track, so endorsementAvailable is set to false per Georgia's own characterization. Separately, Georgia IS a confirmed current member state on the EMS Compact Commission's own commissioners page, which offers a distinct multistate practice-privilege mechanism for personnel from other compact member states. |
| Hawaii | No | — | Hawaii is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA), per the compact commission's own commissioner roster. Hawaii has no separate abbreviated 'licensure by endorsement' license type: an applicant previously certified/licensed elsewhere must still hold a current NREMT EMT certificate and file the standard EMP-01 application, additionally sending a Verification of License/Certificate (AT-05) directly to any state(s) where they are or were licensed, and a Verification of National Registry Certificate (AT-06) directly to NREMT. |
| Idaho | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Idaho is a current member of the EMS Personnel Licensure Interstate Compact, per the compact commission's own commissioner roster. Separately, IDAPA 16.01.07.140 (Recognition of Registration, Certification, or Licensure from Other Jurisdictions) allows individuals certified/licensed in a compact-member state to practice under the compact, provides for time-limited 'limited recognition to practice' for out-of-state personnel on a specific incident, and allows candidates holding current NREMT registration/certification at or above the sought level to qualify for an Idaho license if other requirements (e.g. agency affiliation) are met. IDAPA text sourced via Cornell Law's Legal Information Institute mirror because adminrules.idaho.gov was unreachable to automated fetch during this session; verify directly before publishing a verified page. |
| Illinois | Yes | — | IDPH's own EMS License Renewals brochure states: 'IDPH may grant reciprocity for qualified applicants based on the applicant holding a current out of state license or National Registry Certificate. Reciprocity is based on equivalent education, testing, and scope of practice with the applicable Illinois license.' Applications may be submitted any time but must be filed at least 60 days before the applicant's out-of-state credential expires; the reciprocity fee is $50. Illinois is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA), per the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12). |
| Indiana | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | IDHS's own EMT Certification Process document and Individual Certifications page describe a reciprocity application pathway for out-of-state EMTs (Verification of EMS Status for Reciprocity). Indiana is a current member of the EMS Personnel Licensure Interstate Compact, per the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12); IDHS's own page references compliance obligations tied to the compact and a separate 'EMS Provider Using Compact Privilege to Practice (PTP)' application. |
| Iowa | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Iowa Administrative Code 641-131.1 explicitly defines 'Compact' as 'the emergency medical services personnel licensure interstate compact according to Iowa Code chapter 147D,' confirming Iowa has enacted the compact; this is corroborated by the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12), which lists Iowa as a current member. Separately, Iowa's initial-certification process (641-131.2) is built around holding a current NREMT certification, which functions as the state's de facto pathway for EMTs certified via training/testing in another state; Chapter 131 does not describe a distinct 'license verification from another state' endorsement process separate from this standard NREMT-based application. |
| Kansas | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | KBEMS runs a 'Recognition of Non-Kansas Credentials' application for EMS providers certified in another state or upgrading their scope elsewhere, accepting a copy of the applicant's current out-of-state EMS certification/license and/or NREMT certification card; applicants not currently or previously certified in Kansas must still complete the criminal history records check waiver/fee. Kansas is a current member of the EMS Personnel Licensure Interstate Compact, per the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12). |
| Kentucky | Yes | — | 202 KAR 7:301, Section 5, provides a reciprocity pathway: applicants must hold current unrestricted NREMT-EMT certification or a current EMT certification from another state (with an additional streamlined route for applicants certified in a state contiguous to Kentucky), or have completed a board-approved U.S. Armed Forces medical training course that included NREMT-EMT certification. The reciprocity certification/license fee is $100 per 202 KAR 7:030. Kentucky is not a current member of the EMS Personnel Licensure Interstate Compact, per the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12), and the regulation text reviewed made no reference to the compact. |
| Louisiana | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Louisiana is a current member of the EMS Personnel Licensure Interstate Compact, per the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12). Secondary sources also describe LDH's own reciprocity license application, available to applicants with no disqualifying conditions (felony convictions, state-issued EMS discipline). LDH's own reciprocity form (ldh.la.gov/assets/oph/ems/forms/210701ReciprocityForm.pdf) returned HTTP 403 to automated fetch throughout this session; verify directly before publishing a verified page. |
| Maine | Yes | — | Maine EMS runs its own reciprocity process for out-of-state EMS clinicians: create an e-licensing account, submit the EMS Clinician & New Vehicle Operator Application, send a State EMS Verification Form to every state where the applicant holds or has held a license/certification, and provide background checks from every state lived in over the past 3 years (except Maine). Reciprocity fees are $46 (EMR/EMT) or $71 (AEMT/Paramedic). The reciprocity page reviewed made no mention of the EMS Personnel Licensure Interstate Compact, and Maine is not listed as a current member on the compact commission's own commissioner roster (emscompact.gov/the-commission/commissioners, accessed 2026-07-12). |
| Maryland | Yes | — | Maryland is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). Maryland instead runs its own Reciprocity process (COMAR 30.02.02.04): an applicant holding an out-of-state EMS certification/license or NREMT certification submits a reciprocity application with copies of current certificates/licenses, must be affiliated with a Maryland EMS operational program at the level sought, and for EMT must complete a minimum 12-hour Maryland EMT Skills Refresher Course. |
| Massachusetts | Yes | — | Massachusetts is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). Massachusetts instead runs an Out of State EMS Certification / verification process: an applicant who currently or previously held EMS certification/licensure in another state or jurisdiction must complete a 'State verification of EMS licensure and/or certification' form as part of their Massachusetts application. |
| Michigan | Yes | — | Michigan is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). Michigan instead runs its own reciprocity process: a currently-licensed out-of-state provider must have passed both National Registry exams (cognitive and psychomotor) at least once at the level applied for (current NREMT status is not required), submit an Out of State Verification form, and file a Michigan Initial Licensure Application; the reciprocity fee is $175.00 for all levels. |
| Minnesota | Yes | — | Minnesota is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). In practice, Minnesota's standard EMT certification pathway already functions as its reciprocity route: because OEMS certification is built on holding a current NREMT card rather than on where training occurred, an out-of-state EMT with active NREMT certification submits the same Initial EMT Certification application through the Minnesota eLicense Portal as an in-state graduate. |
| Mississippi | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Mississippi's own certification and training page states: 'Mississippi is a member state of the EMS Compact, an interstate agreement that permits EMS clinicians to practice across many states with their Mississippi license,' granting a 'Privilege to Practice' to clinicians licensed in other member states. For non-compact reciprocity, an out-of-state EMT submits an Out of State Reciprocity Verification Form along with a reciprocity agreement from their home state; MSDH charges a $25 reciprocity fee when it completes verification paperwork for certification in another state. |
| Missouri | No | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Missouri is a confirmed current member state on the EMS Compact Commission's own commissioners page. Outside of the Compact's Privilege to Practice mechanism, BEMS's licensing page states plainly that 'EMS licenses from other states cannot be transferred to Missouri' -- an out-of-state EMT without a Compact-eligible home-state license must follow the standard initial licensure process (current NREMT certification plus a Missouri background check), not a separate reciprocity/endorsement pathway. The Bureau of EMS retired its licensing.php page and the EMT-B relicensure guidelines PDF; the citation above is the Bureau's current EMS section. The recorded figures were not restated on the replacement page and should be re-verified against the Bureau's current relicensure guidance. |
| Montana | Yes | — | Montana is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). Montana instead accepts 'a current unrestricted license or certification at or above the level of licensure sought, in another state in which the applicant was originally tested and which has a complaint process' as an alternative to NREMT certification for licensure; its own Request for Verification form explicitly lists 'RECIPROCITY WITH ANOTHER STATE (No NREMT or ABPC certification and no examination in this state)' as a recognized basis of licensure. |
| Nebraska | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Nebraska is a confirmed current member state on the EMS Compact Commission's own commissioners page. Outside of the Compact, an applicant licensed/certified in another jurisdiction must submit Attachment A (certification of all credentials held in each state) with their Nebraska application, and Nebraska will accept certification of that out-of-state credential directly from the issuing agency. Nebraska also offers a Military Spouse Temporary Credential (Neb. Rev. Stat. Section 38-129.01) for spouses of active-duty service members stationed in Nebraska who hold an active credential in another state, valid up to 1 year pending permanent licensure. |
| Nevada | Yes | EMS Personnel Licensure Interstate Compact (REPLICA / EMS Compact) | Nevada is a confirmed current member state on the EMS Compact Commission's own commissioners page. Outside the Compact, DPBH's EMS FAQ describes two non-Nevada-trained pathways: National Registry reciprocity for candidates with active NREMT certification, and out-of-state certification reciprocity for candidates without active NREMT status, which requires passing the NREMT written (cognitive) exam. DPBH publishes dedicated Reciprocity Instructions for out-of-state applicants. |
| New Hampshire | Yes | — | New Hampshire is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). New Hampshire's licensing page states the Division does not handle state-to-state license transfers directly, but because New Hampshire licensure for EMT is based entirely on holding current NREMT certification (not on where training occurred), an out-of-state EMT with active NREMT certification follows the same New/Lapsed License application process as an in-state applicant, including the New Hampshire-specific background check. |
| New Jersey | Yes | — | New Jersey is not a current member of the EMS Personnel Licensure Interstate Compact (REPLICA) per the compact commission's own commissioners list (as of access date). New Jersey instead runs its own Reciprocity process through NJEMS.US: the applicant submits a Verification of Certification/License form to every state/NREMT agency that has ever certified them as an EMT, along with a current CPR card and copy of their out-of-state/NREMT card. Reciprocity applicants certified under the 2009 National Education Standards from any state/territory or NREMT are exempt from the NJ refresher course and written exam; those certified under the older 1994 DOT curriculum must complete a NJ-approved refresher program and pass the (now NREMT) certification exam. |
| New Mexico | Yes | — | 7.27.2.10 NMAC allows an out-of-state EMT-B to apply with a current out-of-state certification/licensure card and current CPR certification, but requires completion of a bureau-approved transition course for out-of-state applicants and passage of New Mexico's own reciprocity written examination (within three attempts, within nine months of application), plus payment of the reciprocity fee -- this is a more involved pathway than simple endorsement. New Mexico was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| New York | Yes | — | New York grants reciprocity to holders of a current certification from another state, D.C., the military, or NREMT, provided the applicant demonstrates a need (education/employment/other), completed a course meeting or exceeding current National EMS Education Standards, and either completed an equivalent out-of-state or National Registry recertification process or completes a practical skills evaluation and/or written exam as determined by the department; no more than half the didactic portion of the applicant's original course may have been asynchronous. Reciprocity is not granted based on certification from other countries or U.S. territories without a National Registry certification. New York was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| North Carolina | Yes | — | North Carolina uses a 'legal recognition' process for out-of-state EMS professionals rather than requiring entry-level re-examination: applicants holding a current, non-expired, non-provisional EMS credential from another state or a current NREMT certification may be issued an NC EMS credential if they are an NC resident or affiliated with (employed by, or hold a conditional offer from) an NC EMS agency. North Carolina was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| North Dakota | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | North Dakota's EMS Personnel Certification and Licensure page links directly to the North Dakota Century Code chapter enacting the EMS Personnel Licensure Interstate Compact, and North Dakota is confirmed as a current commissioner/member state on the compact commission's own state page (emscompact.gov/the-commission/commissioners/north-dakota) as of the accessed date. Because North Dakota licensure is built on NREMT national certification, out-of-state applicants holding current NREMT certification are generally eligible for ND licensure without re-examination; full endorsement procedure details were not fully retrievable from this session's fetch of hhs.nd.gov due to page truncation. |
| Ohio | Yes | — | Ohio Admin. Code 4765-8-15 allows certification by reciprocity for applicants holding a valid, current NREMT certificate at the level sought (or above), or a valid, current EMS certificate/license from another state or U.S. military branch in good standing, provided they completed a course of instruction substantially similar to the Ohio curriculum; a $75 application fee applies (waived for military/veterans), and non-recent Ohio residents must submit a criminal records check. Ohio was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| Oklahoma | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Oklahoma offers both a standard 'Non-Compact' individual EMS personnel license application and licensure recognizing the EMS Personnel Licensure Interstate Compact. Oklahoma joined the compact on May 23, 2023 (the 23rd member state, under HB 2422, codified at 63 OK Stat Section 1-2550) and is confirmed as a current member state on the compact commission's own state page (emscompact.gov/the-commission/commissioners/oklahoma) as of the accessed date. |
| Oregon | Yes | — | OAR 333-265-0050: a person registered with the National Registry as an EMT (or EMR/AEMT/Paramedic) may apply for licensure by reciprocity by submitting a completed application with the applicable nonrefundable fee ($140 for EMT), proof that their training meets Oregon requirements, consent to a criminal records check, and -- if licensed elsewhere -- proof of good standing with that state's licensing agency and with the National Registry. Oregon reciprocity is built on NREMT registration rather than simple acceptance of another state's license alone. Oregon was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, and OAR 333-265-0050 makes no mention of the compact, so compacts is left empty. |
| Pennsylvania | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Pennsylvania offers a 'Certification by Endorsement' pathway through the EMS Registry for applicants holding a current NREMT credential or an active EMT certification from another state: applicants must submit an Out of State EMS Provider Verification Form for every state in which they have or had an EMS certification, and submit a background check no more than 90 days old at the time of a complete application. Pennsylvania adopted the EMS Personnel Licensure Interstate Compact (REPLICA) via 2022 Act 45 (signed July 7, 2022, the 22nd member state) and is confirmed as a current member state on the compact commission's own state page (emscompact.gov/the-commission/commissioners/pennsylvania) as of the accessed date; compact member-state EMTs may work in PA under a Privilege to Practice without full state certification. |
| Rhode Island | Yes | — | Rhode Island licensure is built directly on current NREMT certification (216-RICR-20-10-2 Section 2.5(B)), so an out-of-state EMT who holds and maintains current NREMT certification and meets the same application requirements (background check, application fee) is generally eligible for Rhode Island licensure, functioning as a de facto reciprocity pathway rather than a separately codified 'endorsement' process; this session's fetch of the regulation text did not surface a distinct reciprocity section. Rhode Island was not listed among current member states on the EMS Personnel Licensure Interstate Compact (REPLICA) commission's own commissioners page (emscompact.gov/the-commission/commissioners) as of the accessed date, so compacts is left empty. |
| South Carolina | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | S.C. Code Regs. 60-7 Section 109: candidates holding a current NREMT credential may apply for direct reciprocity at the matching level; candidates holding a current out-of-state certification but no current NREMT credential may apply for a one-year, non-renewable provisional certification instead. All reciprocity candidates must complete the same state/national criminal background check as initial applicants. South Carolina is listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| South Dakota | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | ARSD 20:61:01:05 allows licensure by reciprocity for an applicant who submits an active and unrestricted EMS personnel license or certificate of endorsement from another state, along with the standard application documentation. Per ARSD 20:61:01:11, the reciprocity application fee for EMT is zero dollars. SDBMOE's own EMS page confirms South Dakota participates in the EMS Compact, allowing providers from other member states to practice under a Privilege to Practice if they hold an active, unrestricted EMT/AEMT/Paramedic license and meet supervision/affiliation requirements; South Dakota is also listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| Tennessee | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Tenn. Comp. R. & Regs. 1200-12-01-.04(5) allows reciprocity for applicants who hold current out-of-state/federal EMS certification or licensure, or a current NREMT credential at the requested level, or who completed training based on the National EMS Education Standards -- reciprocity applicants must still pass Tennessee's Board-approved written and practical exams, submit the application and fee (including a separate $100 reciprocity fee per the PH-2397 fee form), and complete the same criminal background check as initial applicants. The Tennessee EMS Board's own website lists an 'EMS Compact' resource page, and Tennessee is listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| Texas | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | DSHS allows reciprocity certification for out-of-state EMT applicants (not available for ECA/First Responder/EMR) who are at least 18 with a high school diploma or GED and hold a current out-of-state certification or current NREMT certification. Applicants who are not already NREMT-certified must take the Texas Assessment Exam through National Registry; NREMT-certified applicants have this waived. Reciprocity applicants must complete the State of Texas Jurisprudence CE course/exam, submit Verification Form A to all states of prior/current certification, and undergo an FBI fingerprint-based background check through IdentoGo; the reciprocity fee is a flat $126. Texas is also listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| Utah | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Utah's EMS licensure rule allows the Bureau to license an individual as an EMT (or other level) who is licensed/certified by another state or certifying body if the applicant provides documentation that their out-of-state training and experience requirements are equivalent to or greater than Utah's. Reciprocity applicants complete the same application, fees ($45 Initial and Reciprocity QA Review Fee), fingerprint background check, and NREMT certification verification (or must pass the NREMT exam if not currently certified) as initial applicants. Utah is also listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| Vermont | Yes | — | To be eligible for Vermont EMS licensure by reciprocity, an applicant must hold a current National Registry of EMTs (NREMT) certification for the level at which they are applying and be affiliated with a Vermont-licensed EMS agency (or a medical facility requiring the license); the Department's own EMS Reciprocity Application form requires no fee and the same criminal-history/VCIC disclosures as initial licensure. Vermont was not listed among current member states on the EMS Compact Commission's own member-state page (emscompact.gov) as of the accessed date, so compacts is left empty. |
| Virginia | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | OEMS's provider-pathway page describes a Legal Recognition pathway for individuals already state-certified elsewhere, alongside EMS Compact-based reciprocity options and National Registry recertification guidance for candidates moving to Virginia. Reciprocity candidates undergo fingerprint-based criminal background checks. Virginia is also listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
| Washington | Yes | — | Washington allows certification by reciprocity (governed by Chapter 18.73 RCW and Chapter 246-976 WAC) for applicants who submit an Initial EMS certification application packet marked for reciprocity, list all states where they have held credentials, and have those states submit out-of-state credential verification forms directly to the Department; the same MPD recommendation and agency-affiliation requirements as initial certification apply, at no fee. Washington was not listed among current member states on the EMS Compact Commission's own member-state page (emscompact.gov) as of the accessed date, so compacts is left empty. |
| West Virginia | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | WVOEMS maintains a dedicated Credential Recognition policy for out-of-state EMS personnel seeking West Virginia certification, requiring disclosure of any limitation or exclusion by an EMS agency, medical director, or other health-care licensing authority in any state, territory, or U.S. military service. West Virginia is also listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). 64CSR48 §6.8.3 prices certification by 'legal recognition' — the route for an applicant holding an out-of-state credential — at $100. |
| Wisconsin | Yes | — | Wis. Admin. Code § DHS 110.06 allows individuals who hold a current license from another state, or who obtained initial training in another state, to apply for a Wisconsin EMS license by reciprocity. Reciprocity applicants pay a $50 fee, submit a Verification of License (VoL) and Verification of Out-of-State Education (VoE) through E-Licensing, and must either hold a current NREMT certification at the level requested or pass the equivalent NREMT cognitive and psychomotor assessment exam, plus hold current Health Care Provider CPR certification. Wisconsin was not listed among current member states on the EMS Compact Commission's own member-state page (emscompact.gov) as of the accessed date, so compacts is left empty. |
| Wyoming | Yes | EMS Personnel Licensure Interstate Compact (REPLICA) | Wyoming OEMS maintains a dedicated Licensing and Reciprocity pathway (Reciprocity or Conditional Reciprocity License Application, submitted through the state's Online Wyoming Licensing System, OWLS) for applicants who completed training or hold licensure through an out-of-state program. Wyoming OEMS also publishes a dedicated EMS Compact personnel information exchange form, and Wyoming is listed as a current member state on the EMS Compact Commission's own member-state page (emscompact.gov). |
"Endorsement available" reflects whether the destination state has a published route to transfer an active out-of-state license. Always confirm current rules with the issuing board before relying on endorsement to practice in a new state.