Understanding the EMS Agency Affiliation Requirement Under the United States EMS Compact

When the United States EMS Compact was first enacted, it represented one of the most significant advancements in the history of our profession: a way to legally extend an EMS clinician’s ability to practice across state lines. Yet, even as the Compact continues to expand—Colorado was the first state to join the EMS Compact, and today there are twenty-five member states—one question remains among the most frequently asked by clinicians, administrators, and regulators alike: What does “EMS Agency Affiliation” really mean?

EMS Chiefs, Managers and Directors Section