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HD 2225

An Act establishing an emergency medical services licensure compact

194th Legislature (2025-2026) Introduced by Leigh Davis

Creates interstate EMS compact allowing paramedics and EMTs to hold single reciprocal license across participating states instead of separate state licenses.

Referred to the committee on Public Health
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Bill Summary · HD 2225

Legislative bill overview

HD 2225 establishes an interstate compact allowing emergency medical services (EMS) professionals to obtain reciprocal licensure across participating states. Rather than requiring separate licensing in each state, EMS personnel could operate under a single compact license with portability protections. This streamlines credentialing for paramedics, EMTs, and other emergency responders who work across state lines.

Why is this important

EMS professionals frequently work in border regions or respond to multi-state emergencies, but current licensing systems require individual state applications, creating delays and administrative burden. Streamlining this process improves emergency response capacity during crises and reduces costs for both providers and healthcare systems. It also addresses workforce shortages by making career mobility easier for emergency responders.

Potential points of contention

  • Regulatory standards variation: Different states maintain different training, certification, and scope-of-practice standards; the compact must define which state's rules apply and how to handle conflicts
  • Public safety oversight: Concerns that reciprocal licensing could weaken quality controls if compact states have inconsistent discipline, criminal background check, or competency requirements
  • Implementation costs: States must establish new administrative infrastructure and information-sharing systems to manage the compact, with unclear funding mechanisms

Compiled from official sources — confirm details with the bill’s official record.

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