Open a jurisdiction to review its dated requirements and official sources. Use the compact tables to compare which states participate.
All 51 jurisdictions · Compact status table · Plan the crossing: offshore · 911 ground · IFT
Can I work a 13-week contract here on my home-state licence?
Not established in the cited sources
Cannot promise or deny privilege on October 3, 2026: the passage asserts qualified clinicians hold privilege but dates legal force to October 9, 2026, six days after this verification, while also labeling Alaska participating and fully integrated.
Cannot promise or deny privilege on October 3, 2026: the passage asserts qualified clinicians hold privilege but dates legal force to October 9, 2026, six days after this verification, while also labeling Alaska participating and fully integrated. Quote is partial because no passage resolves whether privilege is legally exercisable on October 3. Re-verify on or after October 9, 2026.
EMS Compact Commission · emscompact.gov · verified 3 Oct 2026
Requirements include source links and review dates. Expand each source quotation for the supporting text. Unverified and incomplete information is labelled alongside the relevant requirement.
The items most likely to cost you a start date.
Adds a requirement
Alaska maintains state-specific intermediate tiers (EMT-II for IV/airway and EMT-III for cardiac medications) that require local physician sponsor authorization.
EMS Compact Commission · emscompact.gov · verified 7 Aug 2026
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
The office that issues the card, and the law it issues it under.
3 of 5 answered from a source · 2 written up as absences
Who actually issues an EMS licence in Alaska?
Alaska Department of Health, Division of Public Health, Office of Emergency Medical Services
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Where is Alaska's EMS licensing office online?
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Where do I actually submit an application in Alaska?
Not yet verified
Alaska EMS license portal URL to be verified.
Who do I call or email about Alaska licensure?
Not established in the cited source
Primary page does not print direct email.
Which statute or rule governs EMS licensure in Alaska?
Alaska Statutes Title 18, Chapter 8; 7 AAC 26
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Levels, term, and what your National Registry does and does not buy you.
5 of 6 answered from a source · 1 written up as absences
What levels does Alaska issue, and what does my cert become there?
Emergency Medical Responder (EMR / ETT)
Emergency Medical Technician I (EMT-I)
Emergency Medical Technician II (EMT-II)
Emergency Medical Technician III (EMT-III)
Paramedic
Alaska has state-specific intermediate tiers (EMT-II and EMT-III) alongside NREMT levels.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
How long does a Alaska licence last before renewal?
Partly supported
Alaska EMS certifications expire biennially on December 31.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Do I need National Registry to get licensed in Alaska?
Yes
Initial certification requires NREMT or Alaska state-approved exam.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Do I have to keep National Registry current to keep a Alaska licence?
No
Alaska recertification relies on state-approved CE or refresher course.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Does Alaska make me sit its own exam?
No
NREMT exam accepted for initial certification.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What criminal history bars me from licensure in Alaska?
Not established in the cited source
Disqualifying offenses enumerated in 7 AAC 26.
The EMS Compact — formally REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact. Enacted, in force, and verifiable status are separate dated facts, plus what privilege covers.
5 of 10 answered from a source · 5 written up as absences
Has Alaska passed the EMS Compact into law?
Nothing recorded
Corrects the June 1, 2026 date recorded 2026-08-07. The enrolled HB 110 text read (akleg.gov PDF) is pre-chaptering with a blank chapter number and no approval or signature block in the retrieved text, so the June 22 became-law date rests on the Commissioner page.
House Bill 110 (34th Legislature) became law on June 22, 2026, as Chapter 28, SLA 2026, making Alaska the 28th state to enact the EMS Compact. The EMS Compact is codified at AS 18.08.105.
emscompact.gov · EMS Compact Commission
Is Alaska's compact law actually in effect yet?
Conflicting or incomplete source information
The Commissioner page gives two dates that do not resolve present activation: EMS Compact provisions took effect September 20, 2026, but the Compact is in force in Alaska as of October 9, 2026 — six days after this October 3 verification — while the same page labels Alaska a participating, fully integrated state where qualified clinicians hold privilege. The enrolled HB 110 text read carries no approval date, signature block, or EMS-section effective date (its Sec. 34 defers only unrelated sections to January 1, 2027), so independent law does not resolve whether privilege is exercisable on October 3. No current legal privilege is inferred from integration status.
Defect in this source The Commissioner page simultaneously labels Alaska a participating, fully integrated state where qualified clinicians hold a Privilege to Practice, and dates legal force to October 9, 2026 — after this verification — with provisions effective September 20, 2026. The participating label and NEMSCD integration cannot by themselves establish that privilege is legally exercisable on October 3, 2026.
Can my Privilege to Practice actually be verified in Alaska?
Reported integration status only. The Commission publishes no connection date, and integration does not establish legal activation — see compact.statutorily_effective.
What do I have to satisfy for compact privilege to apply in Alaska?
National eligibility checklist recorded provisionally: it describes what a clinician must meet IF privilege attaches, and is not an assertion that privilege is currently active in Alaska — see compact.statutorily_effective, whose in-force date (October 9, 2026) falls after this verification date.
To exercise it, you must meet four requirements. 1 Be at least 18 years of age. Section 4.B.1 2 Hold a current, unrestricted license in at least one EMS Compact participating state, as an EMT, AEMT, Paramedic, or a state-recognized level between EMT and Paramedic. Section 4.B.2 3 Affiliate with an EMS agency in the remote state that provides EMS medical direction. Section 4.B.3 4 Adhere to the Commission's Professional Code of Conduct . Rules 4.0(E) and 4.6 Then, as you practice: follow the local scope of practice, protocols, and laws of the state you are working in, under Rule 4.4 of the Commission's administrative rules.
emscompact.gov · EMS Compact Commission
Which situations does compact privilege cover in Alaska?
Conflicting or incomplete source information
The Commission's national rule is all-times coverage, but recording it as an Alaska value would assert active privilege while legal activation is unresolved (see compact.statutorily_effective). Cannot be stated for Alaska on October 3, 2026.
When do I need full Alaska licensure instead of privilege?
Conflicting or incomplete source information
If the Compact is not yet in force in Alaska, full Alaska certification is required for all EMS practice; if in force, only Home-State practice requires the state license. Activation is unresolved as of October 3, 2026, so neither value can be recorded. The old blanket pending-integration assertion is removed.
Can I work a 13-week contract in Alaska on my home-state licence?
Not established in the cited sources
Cannot promise or deny privilege on October 3, 2026: the passage asserts qualified clinicians hold privilege but dates legal force to October 9, 2026, six days after this verification, while also labeling Alaska participating and fully integrated. Quote is partial because no passage resolves whether privilege is legally exercisable on October 3. Re-verify on or after October 9, 2026.
The EMS Compact provisions took effect on September 20, 2026, and the EMS Compact is in force in Alaska as of October 9, 2026. Qualified clinicians from other participating states hold a Privilege to Practice in Alaska, and Alaska-licensed clinicians hold a Privilege to Practice in the other participating states.
emscompact.gov · EMS Compact Commission
I have an old or inactive Alaska card — can I still use compact privilege here?
Conflicting or incomplete source information
The national FAQ establishes that a participating state where a clinician currently holds a license is a Home State; privilege applies only in Remote States. Position Paper 2024-01 establishes that a still-held voluntarily inactive Kansas license remains a Home State license and voluntary inactivity alone does not bar privilege elsewhere. It does not establish a universal rule for expired, surrendered, or revoked licenses. Alaska's inactive-status availability and reactivation pathway remain unknown, so this compound claim is explicitly unresolved. Alaska activation is also unresolved as of October 3.
Defect in this source This supports the currently-held-license Home State rule, not every historical license status or a state-specific reactivation pathway.
Does Alaska add anything on top of the compact?
Not yet verified
No Alaska-specific privilege guidance (registration, notification, fee, onboarding) has been established from an Alaska source. National eligibility is described provisionally under compact.privilege.conditions_required.
Where does an employer verify my privilege for Alaska?
Partly supported
National lookup keyed to the 12-digit National EMS ID (not the state license or NREMT number). Results show privilege status, Home State licensure status, level, and expiration as reported by the issuing Home State: issuing-state database records versus destination eligibility are distinct, and an absent display is not an automatic disqualification — contact the state EMS office and the agency. An Alaska lookup may not show active privilege until the October 9 activation question resolves; confirm with the Alaska EMS office.
Enter the clinician's National EMS ID, a 12-digit number that is different from a state license or National Registry (NREMT) number.
emscompact.gov · EMS Compact Commission
The route in when privilege does not cover you.
8 of 9 answered from a source · 1 written up as absences
Will Alaska recognise my out-of-state certification at all?
Yes
Alaska offers reciprocity certification for out-of-state applicants.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What does Alaska call its out-of-state pathway?
Alaska EMS Reciprocity Certification
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Where do I start a reciprocity application for Alaska?
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What does Alaska require from an out-of-state applicant?
Current NREMT or state certification
Sponsor / Physician Medical Director Signature
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What does it cost to get licensed in Alaska from out of state?
Alaska Office of EMS charges $0 state application fee for EMS certification.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
How long will Alaska take to process my application?
Not established in the cited source
Alaska publishes no statutory processing timeframe.
What background check does Alaska require, and how do I do it from out of state?
Partly supported
Background clearance required upon application.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Can I start working in Alaska before full approval?
No
Alaska does not issue temporary permits for reciprocity applicants.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Does my National Registry have to be current to apply in Alaska?
Yes
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
The renewal clock and what it costs in hours.
4 of 7 answered from a source · 3 written up as absences
How often do I recert in Alaska?
2
Alaska certification cycle is 2 years.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
How many CE hours does Alaska want, and in what?
EMT-I
Paramedic
Completed via approved CE or refresher.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Can I use NCCP hours to recert in Alaska, or does it want its own?
NCCP hours are accepted
Alaska accepts NCCP model.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What does Alaska require at renewal that other states do not?
Not established in the cited source
CE distribution specified in 7 AAC 26.
Does Alaska make me take a refresher course to recert?
No
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
My Alaska cert expired — can I still get it back?
Not established in the cited source
Reinstatement rules governed by 7 AAC 26.
Where do I find CE that Alaska will accept?
Not yet verified
CE providers listed on Alaska DPH site.
Where a service record shortens the path.
3 of 4 answered from a source · 1 written up as absences
Does Alaska have a faster route for military training or veterans?
Yes
Alaska provides military pathway for EMS certification.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
What does Alaska's military pathway actually get me?
Military members trained in EMS may apply for reciprocity certification.
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Where does Alaska document its military pathway?
passed the Recognition of Emergency Medical Services Personnel Licensure Interstate Compact legislation
emscompact.gov · EMS Compact Commission
Does Alaska extend its military pathway to spouses?
Not yet verified
Military spouse provisions governed by AS 08.01.063.
DEA rewrote the narcotics rules for EMS in February 2026. Registration moved from the medical director to the agency itself, and the rule spells out storage, restocking and standing-order administration. These rules are federal and read the same in every state.
10 federal facts, quoted from the Federal Register · 1 of 2 Alaska facts answered from state law
What changed, and when did it take effect?
The DEA final rule implementing the Protecting Patient Access to Emergency Medications Act of 2017 (PPAEMA). It amends 21 CFR parts 1300, 1301, 1304 and following to create the EMS agency registration and the storage, delivery and recordkeeping rules below.
Who holds the DEA registration an ambulance operates under?
Before this rule most services ran narcotics under their medical director's practitioner registration. The registration now belongs to the agency, as its own DEA business-activity category.
the Act directs the Attorney General (and thus the Administrator) to allow a registered EMS agency to obtain a single registration for each State in which the EMS agency administers controlled substances, rather than requiring the agency to obtain a separate registration for each location at which it operates within that State.
Does one DEA registration cover operating in another state?
The fact that matters most to a traveler: compact privilege can carry your licence across a border, but it does not carry your agency's DEA registration. An agency running trucks in two states registers twice.
EMS agencies that wish to operate in multiple States must register with DEA in each State in which they operate.
Can a medic administer controlled substances without the medical director present?
Federal law now says yes, but only where state law agrees: EMS professionals are only allowed to make such administrations if authorized by State law. Whether your state's law does is the per-state question at the end of this section.
the Act allows emergency medical services professionals to administer controlled substances outside the physical presence of a medical director or authorizing medical professional pursuant to a valid standing or verbal order.
How do narcotics have to be stored in the vehicle?
EMS vehicles storing controlled substances must be locked when parked outside of an enclosed registered or designated location, with the controlled substances stored in a securely locked, substantially constructed cabinet or safe that cannot be readily removed.
Does a hospital-based agency need its own registration?
Hospital-based means owned or operated by a hospital. If you work for a hospital service, the drug box stays on the hospital's paper.
The CSA, as amended by the Act, expressly allows hospital-based EMS agencies to operate under the hospital's registration rather than obtaining their own separate registration.
Can the truck restock controlled substances from a hospital?
the Act allows non-hospital-based EMS agencies to receive controlled substances from a hospital for the purpose of restocking an EMS vehicle following an emergency response.
What does the DEA registration cost an agency?
this rule reflects the current fee of $888 so that, as intended, the fee for EMS registrants is the same as that for other dispensers of controlled substances.
Do municipal and fire-based services pay the fee?
Even if the EMS agency is not operated by a government fire department, if the EMS agency itself is operated by the local government, it would also be exempt from application fees.
When does an existing service have to move to the new registration?
DEA recommends agencies contact their local field office to complete the transition.
The three options for EMS agencies to transition are: (1) transition immediately on the effective date established by DEA; (2) transition at the expiration of their current registration; or (3) transition three to six months prior to their renewal date.
Does Alaska law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
Partly supported
The regulation authorises standing orders for medications generally and says nothing about controlled substances specifically — the phrase does not appear anywhere in 7 AAC 26, which was read in full. Alaska's drug list is not in the regulation either: 7 AAC 26.040 adopts by reference the department's Emergency Medical Services Scope of Practice, May 2019, which is served through the department's licence management portal rather than as a public document this checker can retrieve. The source URL is the akleg.gov print endpoint, which is what the Administrative Code viewer at akleg.gov/basis/aac.asp#7.26.640 loads; the viewer itself is script-only and cannot be quoted.
A medical director's approval of standing orders for a state-certified or licensed EMT-I, EMT-II, EMT-III, AEMT, paramedic, or emergency medical dispatcher, for the activities described in 7 AAC 26.040 , must be in writing.
akleg.gov · State administrative code
Does Alaska require its own controlled-substance registration for EMS agencies?
Not established in the cited source
No Alaska authority publishes an answer. The full EMS chapter (7 AAC 26.010 through 7 AAC 26.999) was fetched and contains no occurrence of 'controlled substance' at all — it neither imposes nor disclaims a state registration. The Board of Pharmacy's consolidated statutes and regulations (AS 08.80 and 12 AAC 52, commerce.alaska.gov/web/portals/5/pub/pharmacystatutes.pdf) register pharmacies and require prescribers to enrol in the prescription drug monitoring program under 12 AAC 52.855, but establish no state controlled-substance registration for practitioners or for facilities. Absence of a programme in the text is not the same as a published statement that none is required, so this stays null rather than false.
Questions not yet settled from a primary source.
Is Compact privilege legally exercisable in Alaska before October 9, 2026? The Commissioner page dates provisions effect to September 20 but in-force status to October 9, while labeling Alaska participating and fully integrated. Re-verify on or after October 9.
opened 3 Oct 2026 · blocks compact.statutorily_effective, compact.privilege.traveler_contract_assessment, compact.privilege.requires_full_licensure_for, compact.privilege.covered_circumstances