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SB736,19,1816 2. Possess a current unrestricted license in a member state as an EMT, AEMT,
17paramedic, or state recognized and licensed level with a scope of practice and
18authority between EMT and paramedic.
SB736,19,1919 3. Practice under the supervision of a medical director.
SB736,19,2320 (c) An individual providing patient care in a remote state under the privilege
21to practice shall function within the scope of practice authorized by the home state
22unless and until modified by an appropriate authority in the remote state as may be
23defined in the rules of the commission.
SB736,20,424 (d) Except as provided in par. (c), an individual practicing in a remote state will
25be subject to the remote state's authority and laws. A remote state may, in

1accordance with due process and that state's laws, restrict, suspend, or revoke an
2individual's privilege to practice in the remote state and may take any other
3necessary actions to protect the health and safety of its citizens. If a remote state
4takes action, it shall promptly notify the home state and the commission.
SB736,20,75 (e) If an individual's license in any home state is restricted or suspended, the
6individual shall not be eligible to practice in a remote state under the privilege to
7practice until the individual's home state license is restored.
SB736,20,108 (f) If an individual's privilege to practice in any remote state is restricted,
9suspended, or revoked, the individual shall not be eligible to practice in any remote
10state until the individual's privilege to practice is restored.
SB736,20,15 11(5) Conditions of practice in a remote state. An individual may practice in
12a remote state under a privilege to practice only in the performance of the
13individual's emergency medical services duties as assigned by an appropriate
14authority, as defined in the rules of the commission, and under all of the following
15circumstances:
SB736,20,1716 (a) The individual originates in the home state and transports the patient to
17a remote state.
SB736,20,1918 (b) The individual originates in the home state and enters a remote state to pick
19up a patient and provide care and transport of the patient to the home state.
SB736,20,2120 (c) The individual enters a remote state to provide patient care or transport
21within that remote state.
SB736,20,2322 (d) The individual enters a remote state to pick up a patient and provide care
23and transport to a 3rd member state.
SB736,20,2424 (e) Other conditions as determined by rules promulgated by the commission.
SB736,21,8
1(6) Relationship to emergency management assistance compact. Upon a
2member state's governor's declaration of a state of emergency or disaster that
3activates the Emergency Management Assistance Compact, all relevant terms and
4provisions of the Emergency Management Assistance Compact shall apply and to the
5extent any terms or provisions of this compact conflicts with the Emergency
6Management Assistance Compact, the terms of the Emergency Management
7Assistance Compact shall prevail with respect to any individual practicing in the
8remote state in response to such declaration.
SB736,21,15 9(7) Veterans, service members separating from active duty military, and their
10spouses.
(a) Member states shall consider a veteran, active military service member,
11and member of the National Guard and Reserves separating from an active duty
12tour, and a spouse thereof, who holds a current valid and unrestricted certification
13by the National Registry of Emergency Medical Technicians at or above the level of
14the state license being sought as satisfying the minimum training and examination
15requirements for such licensure.
SB736,21,1816 (b) Member states shall expedite the processing of licensure applications
17submitted by veterans, active military service members, and members of the
18National Guard and Reserves separating from an active duty tour, and their spouses.
SB736,21,2019 (c) All individuals functioning with a privilege to practice under this subsection
20remain subject to the adverse actions provisions in sub. (8).
SB736,21,22 21(8) Adverse actions. (a) A home state shall have exclusive power to impose
22adverse action against an individual's license issued by the home state.
SB736,21,2523 (b) 1. If an individual's license in any home state is restricted or suspended, the
24individual shall not be eligible to practice in a remote state under the privilege to
25practice until the individual's home state license is restored.
SB736,22,4
12. All home state adverse action orders shall include a statement that the
2individual's compact privileges are inactive. The order may allow the individual to
3practice in remote states with prior authorization from the state EMS authority of
4both the home state and the remote state.
SB736,22,75 3. An individual currently subject to adverse action in the home state shall not
6practice in any remote state without prior written authorization from the state EMS
7authority of both the home state and the remote state.
SB736,22,108 (c) A member state shall report adverse actions and any occurrences that the
9individual's compact privileges are restricted, suspended, or revoked to the
10commission in accordance with the rules of the commission.
SB736,22,1211 (d) A remote state may take adverse action on an individual's privilege to
12practice within that state.
SB736,22,1513 (e) Any member state may take adverse action against an individual's privilege
14to practice in that state based on the factual findings of another member state, so long
15as each state follows its own procedures for imposing such adverse action.
SB736,22,1916 (f) The state EMS authority of a home state shall investigate and take
17appropriate action with respect to reported conduct in a remote state as it would if
18such conduct had occurred within the home state. In such cases, the home state's law
19shall control in determining the appropriate adverse action.
SB736,22,2520 (g) Nothing in this compact shall override a member state's decision that
21participation in an alternative program may be used in lieu of adverse action and
22that such participation shall remain nonpublic if required by the member state's
23laws. Member states must require individuals who enter any alternative programs
24to agree not to practice in any other member state during the term of the alternative
25program without prior authorization from such other member state.
SB736,23,3
1(9) Additional powers invested in a state EMS authority of a member state.
2The state EMS authority of a member state, in addition to any other powers granted
3under state law, is authorized under this compact to do any of the following:
SB736,23,124 (a) Issue subpoenas for both hearings and investigations that require the
5attendance and testimony of witnesses and the production of evidence. Subpoenas
6issued by the state EMS authority of a member state for the attendance and
7testimony of witnesses, or the production of evidence from another member state,
8shall be enforced in the remote state by any court of competent jurisdiction, according
9to that court's practice and procedure in considering subpoenas issued in its own
10proceedings. The issuing state EMS authority shall pay any witness fees, travel
11expenses, mileage, and other fees required by the service statutes of the state where
12the witnesses or evidence are located.
SB736,23,1413 (b) Issue cease and desist orders to restrict, suspend, or revoke an individual's
14privilege to practice in the state.
SB736,23,19 15(10) Establishment of the Interstate Commission for Emergency Medical
16Services Personnel Practice.
(a) Interstate Commission for Emergency Medical
17Services Personnel Practice.
The compact states hereby create and establish a joint
18public agency known as the Interstate Commission for Emergency Medical Services
19Personnel Practice.
SB736,23,2120 1. The commission is a body politic and an instrumentality of the compact
21states.
SB736,23,2422 2. Venue is proper and judicial proceedings by or against the commission shall
23be brought solely and exclusively in a court of competent jurisdiction where the
24principal office of the commission is located.
SB736,24,2
13. Nothing in this compact shall be construed to be a waiver of sovereign
2immunity.
SB736,24,123 (b) Membership, voting, and meetings. 1. Each member state shall have and
4be limited to one delegate. The responsible official of the state EMS authority or his
5or her designee shall be the delegate to this compact for each member state. Any
6delegate may be removed or suspended from office as provided by the law of the state
7from which the delegate is appointed. Any vacancy occurring in the commission shall
8be filled in accordance with the laws of the member state in which the vacancy exists.
9In the event that more than one board, office, or other agency with the legislative
10mandate to license emergency medical services personnel at and above the level of
11EMT exists, the governor of the state will determine which entity will be responsible
12for assigning the delegate.
SB736,24,1713 2. Each delegate shall be entitled to one vote with regard to the promulgation
14of rules and creation of bylaws and shall otherwise have an opportunity to participate
15in the business and affairs of the commission. A delegate shall vote in person or by
16such other means as provided in the bylaws. The bylaws may provide for delegates'
17participation in meetings by telephone or other means of communication.
SB736,24,1918 3. The commission shall meet at least once during each calendar year.
19Additional meetings shall be held as set forth in the bylaws.
SB736,24,2220 4. All meetings shall be open to the public, and public notice of meetings shall
21be given in the same manner as required under the rule-making provisions in sub.
22(12).
SB736,24,2423 5. The commission may convene in a closed, nonpublic meeting if the
24commission must discuss any of the following:
SB736,24,2525 a. Noncompliance of a member state with its obligations under the compact.
SB736,25,3
1b. The employment, compensation, discipline, or other personnel matters,
2practices, or procedures related to specific employees, or other matters related to the
3commission's internal personnel practices and procedures.
SB736,25,44 c. Current, threatened, or reasonably anticipated litigation.
SB736,25,65 d. Negotiation of contracts for the purchase or sale of goods, services, or real
6estate.
SB736,25,77 e. Accusing any person of a crime or formally censuring any person.
SB736,25,98 f. Disclosure of trade secrets or commercial or financial information that is
9privileged or confidential.
SB736,25,1110 g. Disclosure of information of a personal nature where disclosure would
11constitute a clearly unwarranted invasion of personal privacy.
SB736,25,1212 h. Disclosure of investigatory records compiled for law enforcement purposes.
SB736,25,1613 i. Disclosure of information related to any investigatory reports prepared by or
14on behalf of or for use of the commission or other committee charged with
15responsibility of investigation or determination of compliance issues pursuant to the
16compact.
SB736,25,1817 j. Matters specifically exempted from disclosure by federal or member state
18statute.
SB736,26,219 6. If a meeting, or portion of a meeting, is closed pursuant to this provision, the
20commission's legal counsel or designee shall certify that the meeting may be closed
21and shall reference each relevant exempting provision. The commission shall keep
22minutes that fully and clearly describe all matters discussed in a meeting and shall
23provide a full and accurate summary of actions taken, and the reasons therefore,
24including a description of the views expressed. All documents considered in
25connection with an action shall be identified in such minutes. All minutes and

1documents of a closed meeting shall remain under seal, subject to release by a
2majority vote of the commission or order of a court of competent jurisdiction.
SB736,26,63 (c) Rules and bylaws. The commission shall, by a majority vote of the delegates,
4prescribe bylaws and rules to govern its conduct as may be necessary or appropriate
5to carry out the purposes and exercise the powers of the compact, including all of the
6following:
SB736,26,77 1. Establishing the fiscal year of the commission.
SB736,26,88 2. Providing reasonable standards and procedures for all of the following:
SB736,26,99 a. The establishment and meetings of other committees.
SB736,26,1110 b. Governing any general or specific delegation of any authority or function of
11the commission.
SB736,26,2012 3. Providing reasonable procedures for calling and conducting meetings of the
13commission, ensuring reasonable advance notice of all meetings, and providing an
14opportunity for attendance of such meetings by interested parties, with enumerated
15exceptions designed to protect the public's interest, the privacy of individuals, and
16proprietary information, including trade secrets. The commission may meet in
17closed session only after a majority of the membership votes to close a meeting in
18whole or in part. As soon as practicable, the commission must make public a copy
19of the vote to close the meeting revealing the vote of each member with no proxy votes
20allowed.
SB736,26,2221 4. Establishing the titles, duties, and authority, and reasonable procedures for
22the election of the officers of the commission.
SB736,27,223 5. Providing reasonable standards and procedures for the establishment of the
24personnel policies and programs of the commission. Notwithstanding any civil

1service or other similar laws of any member state, the bylaws shall exclusively
2govern the personnel policies and programs of the commission.
SB736,27,43 6. Promulgating a code of ethics to address permissible and prohibited
4activities of commission members and employees.
SB736,27,75 7. Providing a mechanism for winding up the operations of the commission and
6the equitable disposition of any surplus funds that may exist after the termination
7of the compact after the payment or reserving of all of its debts and obligations.
SB736,27,108 8. The commission shall publish its bylaws and file a copy thereof, and a copy
9of any amendment thereto, with the appropriate agency or officer in each of the
10member states, if any.
SB736,27,1211 9. The commission shall maintain its financial records in accordance with the
12bylaws.
SB736,27,1413 10. The commission shall meet and take such actions as are consistent with the
14provisions of this compact and the bylaws.
SB736,27,1515 (d) Powers of the commission. The commission shall have the following powers:
SB736,27,1816 1. The authority to promulgate uniform rules to facilitate and coordinate
17implementation and administration of this compact. The rules shall have the force
18and effect of law and shall be binding in all member states.
SB736,27,2219 2. To bring and prosecute legal proceedings or actions in the name of the
20commission, provided that the standing of any state EMS authority or other
21regulatory body responsible for emergency medical services personnel licensure to
22sue or be sued under applicable law shall not be affected.
SB736,27,2323 3. To purchase and maintain insurance and bonds.
SB736,27,2524 4. To borrow, accept, or contract for services of personnel, including employees
25of a member state.
SB736,28,5
15. To hire employees, elect or appoint officers, fix compensation, define duties,
2grant such individuals appropriate authority to carry out the purposes of the
3compact, and establish the commission's personnel policies and programs relating
4to conflicts of interest, qualifications of personnel, and other related personnel
5matters.
SB736,28,96 6. To accept any and all appropriate donations and grants of money, equipment,
7supplies, materials, and services, and to receive, utilize, and dispose of the same;
8provided that at all times the commission shall strive to avoid any appearance of
9impropriety or conflict of interest.
SB736,28,1210 7. To lease, purchase, accept appropriate gifts or donations of, or otherwise to
11own, hold, improve, or use, any property whether real, personal, or mixed; provided
12that at all times the commission shall strive to avoid any appearance of impropriety.
SB736,28,1413 8. To sell, convey, mortgage, pledge, lease, exchange, abandon, or otherwise
14dispose of any property whether real, personal, or mixed.
SB736,28,1515 9. To establish a budget and make expenditures.
SB736,28,1616 10. To borrow money.
SB736,28,2017 11. To appoint committees, including advisory committees comprised of
18members, state regulators, state legislators or their representatives, and consumer
19representatives, and such other interested persons as may be designated in this
20compact and the bylaws.
SB736,28,2221 12. To provide and receive information from, and to cooperate with, law
22enforcement agencies.
SB736,28,2323 13. To adopt and use an official seal.
SB736,29,3
114. To perform such other functions as may be necessary or appropriate to
2achieve the purposes of this compact consistent with the state regulation of
3emergency medical services personnel licensure and practice.
SB736,29,64 (e) Financing of the commission. 1. The commission shall pay, or provide for
5the payment of, the reasonable expenses of its establishment, organization, and
6ongoing activities.
SB736,29,87 2. The commission may accept any and all appropriate revenue sources,
8donations, and grants of money, equipment, supplies, materials, and services.
SB736,29,159 3. The commission may levy on and collect an annual assessment from each
10member state or impose fees on other parties to cover the cost of the operations and
11activities of the commission and its staff, which must be in a total amount sufficient
12to cover its annual budget as approved each year for which revenue is not provided
13by other sources. The aggregate annual assessment amount shall be allocated based
14upon a formula to be determined by the commission, which shall promulgate a rule
15binding upon all member states.
SB736,29,1816 4. The commission shall not incur obligations of any kind prior to securing the
17funds adequate to meet the same, nor shall the commission pledge the credit of any
18of the member states, except by and with the authority of the member state.
SB736,29,2319 5. The commission shall keep accurate accounts of all receipts and
20disbursements. The receipts and disbursements of the commission shall be subject
21to the audit and accounting procedures established under its bylaws. However, all
22receipts and disbursements of funds handled by the commission shall be included in
23and become part of the annual report of the commission.
SB736,30,824 (f) Qualified immunity, defense, and indemnification. 1. The members,
25officers, executive director, employees, and representatives of the commission shall

1be immune from suit and liability, either personally or in their official capacity, for
2any claim for damage to or loss of property or personal injury or other civil liability
3caused by or arising out of any actual or alleged act, error, or omission that occurred,
4or that the person against whom the claim is made had a reasonable basis for
5believing occurred within the scope of commission employment, duties, or
6responsibilities; provided that nothing in this subdivision shall be construed to
7protect any such person from suit or liability for any damage, loss, injury, or liability
8caused by the intentional, willful, or wanton misconduct of that person.
SB736,30,179 2. The commission shall defend any member, officer, executive director,
10employee, or representative of the commission in any civil action seeking to impose
11liability arising out of any actual or alleged act, error, or omission that occurred
12within the scope of commission employment, duties, or responsibilities, or that the
13person against whom the claim is made had a reasonable basis for believing occurred
14within the scope of commission employment, duties, or responsibilities; provided
15that nothing herein shall be construed to prohibit that person from retaining his or
16her own counsel; and provided further that the actual or alleged act, error, or
17omission did not result from that person's intentional, willful, or wanton misconduct.
SB736,30,2518 3. The commission shall indemnify and hold harmless any member, officer,
19executive director, employee, or representative of the commission for the amount of
20any settlement or judgment obtained against the person arising out of any actual or
21alleged act, error, or omission that occurred within the scope of commission
22employment, duties, or responsibilities, or that such person had a reasonable basis
23for believing occurred within the scope of commission employment, duties, or
24responsibilities, provided that the actual or alleged act, error, or omission did not
25result from the intentional, willful, or wanton misconduct of that person.
SB736,31,4
1(11) Coordinated database. (a) The commission shall provide for the
2development and maintenance of a coordinated database and reporting system
3containing licensure, adverse action, and significant investigatory information on all
4licensed individuals in member states.
SB736,31,85 (b) Notwithstanding any other provision of state law to the contrary, a member
6state shall submit a uniform data set to the coordinated database on all individuals
7to whom this compact is applicable as required by the rules of the commission,
8including all of the following:
SB736,31,99 1. Identifying information.
SB736,31,1010 2. Licensure data.
SB736,31,1111 3. Significant investigatory information.
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