HARRISBURG – Pennsylvanians will have better access to critical, life-saving care in PA after Senate Bill 861 was signed into law. Now Act 45 of 2022 facilitates the day-to-day movement of emergency medical services personnel across state lines in the performance of their duties. Because of Act 45, PA is the 22nd state to join the EMS Compact, which is a legal agreement between states that allows EMS providers to practice in multiple states without having to carry multiple licenses. Under the Compact, EMS personnel need to be licensed in good standing in a home state as an emergency medical technician or EMT, advanced EMT, a paramedic or a level between EMT and paramedic; be at least 18 years of age; and practice under the supervision of a physician. Qualified EMS personnel in Compact states have a “Privilege-to-Practice” in other Compact states on a short-term, intermittent basis.