How many states are in the EMS / Paramedic compact?

29 jurisdictions are members of the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) as of the latest data (effective since 2017). New states join frequently — verify on the official commission site.

What if my destination state isn't in the EMS / Paramedic compact?

VAEIA 2022 / 50 U.S.C. § 4025a requires your destination state to recognize your valid out-of-state EMT license when you relocate due to military orders, even with no compact. The DoD reimburses up to $1,000 per PCS for relicensing fees.

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Profession Guide · EMS / Paramedic

EMT license portability for military spouses

For EMTs, AEMTs, and Paramedics. Provides "day privilege" recognition between member states for EMS personnel responding to incidents that cross state lines or transferring patients.

Data as of May 2026|Source: Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) commission|Based on 29 member states

Published by the Honest MOS Editorial DeskVerified against DoD/.gov sourcesUpdated May 2026Editorial standards

States that accept your license (29)

Tap a state to see the full transfer answer for EMTs.

AL · Alabama AK · Alaska CO · Colorado DE · Delaware GA · Georgia ID · Idaho IN · Indiana KS · Kansas KY · Kentucky LA · Louisiana MD · Maryland MS · Mississippi NE · Nebraska NH · New Hampshire NJ · New Jersey NM · New Mexico NC · North Carolina ND · North Dakota OK · Oklahoma PA · Pennsylvania SC · South Carolina SD · South Dakota TN · Tennessee TX · Texas UT · Utah VA · Virginia WV · West Virginia WI · Wisconsin WY · Wyoming

States using the VAEIA backstop (21)

Not in the compact — VAEIA 2022 still requires recognition for spouses.

AZ · Arizona AR · Arkansas CA · California CT · Connecticut FL · Florida HI · Hawaii IL · Illinois IA · Iowa ME · Maine MA · Massachusetts MI · Michigan MN · Minnesota MO · Missouri MT · Montana NV · Nevada NY · New York OH · Ohio OR · Oregon RI · Rhode Island VT · Vermont WA · Washington

Official EMS / Paramedic compact site ↗← Back to the portability checker