EMS / Paramedic · MO
Can a EMT transfer a license to Missouri as a military spouse?
Data as of May 2026|Source: Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA) commission + DOJ Servicemembers Initiative
Published by the Honest MOS Editorial DeskVerified against DoD/.gov sourcesUpdated May 2026Editorial standards
⚠ VAEIA federal backstop
Not through the compact — Missouri is not currently a EMS / Paramedic compact member. A military-spouse EMT relies on VAEIA 2022 / 50 U.S.C. § 4025a, which requires Missouri to recognize a valid out-of-state license upon relocation for military orders.
Your state EMS licensing office in Missouri
Missouri Department of Health and Senior Services, Bureau of Emergency Medical Services
health.mo.gov/safety/ems/licensing.php ↗Missouri military-spouse provision
Under RSMo 324.009, any state agency that issues licenses (including the Bureau of EMS) must waive exam, education, and experience requirements and issue a license within 30 days to a nonresident military spouse licensed in another state.
Official source ↗About the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA)
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.
Official compact site ↗All EMS / Paramedic member states
29 jurisdictions. Tap any to check that destination for this profession.