Whiteboard Notes
EMSAC Chiefs Session 09/24/2025

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?

A new funding opportunity is available to support the information technology (IT) needs of rural organizations providing health services. The goals of this grant are to harmonize data-sharing capabilities, increase health information sharing, and advance health information exchange. Approved applications will expand HIE and EMR/EHR interoperability and connectivity, support data sharing, analytics, and IT infrastructure improvements, modernize IT systems and enable innovation in patient care amongst Public Health Agencies and EMS, and/or advance affordable care coordination and health outcomes.

Key Details:

EMS Chiefs, Managers and Directors Section