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H 207

EMERGENCY MEDICAL SERVICES – Repeals and adds to existing law to provide for the recognition of the EMS personnel licensure interstate compact.

68th Legislature, 1st Regular Session (2025)

Idaho codifies the REPLICA EMS licensure compact, enabling immediate cross-state practice via privilege to practice and mutual license recognition starting July 1, 2025.

Reported Signed by Governor on March 18, 2025 Session Law Chapter 95 Effective: 07/01/2025
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Bill Summary · H 207

Summary of Idaho House Bill No. 207 (H 207)

Overview

H 207 is an EMS-focused bill that repeals the current EMS personnel licensure interstate compact provisions and codifies the Recognition of EMS Personnel Licensure Interstate Compact (REPLICA) into Idaho law. The bill adds a new Chapter 9 to Title 46 (EMS). It moves the REPLICA framework into a single, cohesive chapter and repeals existing related sections. It is a trailer bill accompanying RS 32075 and is designed to align Idaho with the REPLICA compact across member states.

  • Bill number: H 207
  • Title: EMERGENCY MEDICAL SERVICES – Repeals and adds to existing law to provide for the recognition of the EMS personnel licensure interstate compact
  • Enactment: Passed and signed; effective 07/01/2025 (Chapter 95)
  • Effective date: July 1, 2025
  • Emergency clause: Included

Purpose and Intent

  • Establish and recognize REPLICA in Idaho to facilitate the movement and practice of EMS personnel across state lines while maintaining public safety.
  • Improve public access to EMS personnel and enhance patient safety by enabling mutual recognition of licenses among member states.
  • Support licensing for military members separating from active duty and their spouses.
  • Promote information sharing about licensure and adverse actions among member states.
  • Ensure compliance with each member state’s laws governing EMS practice and hold EMS personnel accountable through mutual recognition.

Key Provisions and Changes

  • Creation of new Chapter 9, Title 46, Idaho Code: 46-906 establishes the REPLICA framework in Idaho.
  • Repeal of existing compact provisions: Repeals several sections (56-1013B through 56-1013Q) related to the prior EMS licensure compact structure, and replaces them with the new chapter.
  • Definitions (expanded list): The bill provides detailed definitions for terms used in REPLICA, including:
    • Home state, remote state, license, privilege to practice, and scope of practice
    • Adverse action, significant investigatory information, medical director, and commission
    • Rules and the role of the commission (national administrative body)
  • Purpose and objectives (Section I): Outlines seven objectives, such as increasing access to EMS personnel, protecting public health, facilitating licensure of military members and spouses, and coordinating information on licensure and adverse actions.
  • Scope of REPLICA: Enables immediate legal recognition of licenses from member states, with authority to practice across state lines (privilege to practice) in remote states as allowed by the compact.
  • Accountability and information sharing: Provides for exchange of licensure and adverse action information among member states.

Affected Parties

  • EMS personnel (e.g., EMTs, AEMTs, paramedics) seeking cross-state practice
  • State EMS authorities and medical directors
  • Military members separating from service and their spouses
  • EMS licensing boards and the Idaho Commission (as the governing body under REPLICA)
  • Healthcare facilities and emergency medical services providers operating across state lines

Implementation and Timeline

  • Introduced: February 11, 2025
  • Passed Legislature: March 2025 (House and Senate actions detailed in legislative history)
  • Signed by Governor: March 18, 2025
  • Effective: July 1, 2025
  • Legislative note: Fiscal note indicates no net revenue impact or additional expenditures; the bill is described as moving the REPLICA compact within law rather than creating substantive changes.

Fiscal Impact

  • The fiscal note states: No increase or decrease in revenue, and no additional governmental expenditures at the state or local level.
  • Conclusion: No anticipated fiscal impact from enacting the REPLICA framework as codified in H 207.

This summary captures the bill’s core purpose, substantive changes, affected groups, and key timeline details intended to help readers understand H 207’s impact on EMS licensure and cross-state practice in Idaho.

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

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