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?
Yes — privilege alone covers a contract here
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Louisiana, and practises under a physician medical director.
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Louisiana, and practises under a physician medical director. Confidence is medium and quote_supports is partial because this is the Commission speaking nationally, not Louisiana speaking about Louisiana. It is reversed for anyone who already holds a Louisiana licence of any status — see compact.privilege.home_state_licenses.
EMS Compact Commission · emscompact.gov · verified 4 Oct 2026 · Partly supported
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 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 Louisiana?
Louisiana Department of Health, Office of Public Health, Bureau of Emergency Medical Services
The Bureau sits under the Office of Public Health within LDH.
The Louisiana Bureau of EMS is responsible for the overall planning, coordination, licensing, and regulation of Louisiana's Emergency Medical Services system.
ldh.la.gov · State EMS office
Where is Louisiana's EMS licensing office online?
Partly supported
Louisiana has moved this content at least once — the older ldh.la.gov/index.cfm/subhome/28 path and a /page/ems-credentialing path both fail now. Expect further movement.
Bureau of Emergency Medical Services (EMS) Menu Offices & Administration Divisions Office of Public Health
ldh.la.gov · State EMS office
Where do I actually submit an application in Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Who do I call or email about Louisiana licensure?
(225) 925-4022
Weakly supported
The Bureau's page names its director but publishes no phone number or inbox on the landing page; the number is from the National Registry's office directory, which carries its own advice to verify directly with the state. This should be replaced with an LDH-sourced contact.
Susan F. Bailey, MSEM, NRP Director, Louisiana Bureau of EMS
ldh.la.gov · State EMS office
Which statute or rule governs EMS licensure in Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Levels, term, and what your National Registry does and does not buy you.
2 of 6 answered from a source · 4 written up as absences
What levels does Louisiana issue, and what does my cert become there?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
How long does a Louisiana licence last before renewal?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Do I need National Registry to get licensed in Louisiana?
Yes
Partly supported
From the National Registry's directory, which publishes per-level detail for Louisiana that the Bureau's own landing page does not: Registry is optional at EMR but required for initial licence and renewal at EMT, AEMT and Paramedic. This is the Registry reporting what Louisiana told it, not Louisiana speaking, hence medium.
EMT: NREMT certification is required for initial license and renewals.
nremt.org · National Registry of EMTs
Do I have to keep National Registry current to keep a Louisiana licence?
Yes
Partly supported
Same source and same caveat. Louisiana is one of the states where the state card and the Registry card must both be kept alive.
Paramedic: NREMT certification is required for initial license and renewals.
nremt.org · National Registry of EMTs
Does Louisiana make me sit its own exam?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What criminal history bars me from licensure in Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
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.
7 of 10 answered from a source · 3 written up as absences
What do I have to satisfy for compact privilege to apply in Louisiana?
Partly supported
These are the Commission's national conditions, not a Louisiana statement. Whether Louisiana imposes anything further has not been established from a Louisiana source — see compact.privilege.state_specific_restrictions.
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 Louisiana?
Not established in the cited source
No Louisiana enumeration of covered circumstances located. The Commission frames privilege as applying at all times rather than by enumerated circumstance, but that is a national statement and has not been confirmed against Louisiana rule.
When do I need full Louisiana licensure instead of privilege?
Not established in the cited source
Not stated by Louisiana or by the Commission for Louisiana specifically. The only universal exclusion the Commission states is that privilege never applies in a state where you already hold a licence — see compact.privilege.home_state_licenses.
Can I work a 13-week contract in Louisiana on my home-state licence?
Yes — privilege alone covers a contract here
Partly supported
The Commission states privilege carries no time limit and is not restricted to declared emergencies, so a 13-week contract is covered provided the medic holds an unrestricted licence in another Member State, is affiliated with an agency authorised in Louisiana, and practises under a physician medical director. Confidence is medium and quote_supports is partial because this is the Commission speaking nationally, not Louisiana speaking about Louisiana. It is reversed for anyone who already holds a Louisiana licence of any status — see compact.privilege.home_state_licenses.
Does it expire? There is no time limit. Your Privilege to Practice remains valid as long as you continue to meet eligibility requirements: an active, unrestricted EMS license in a participating Home State, affiliation with an EMS agency authorized in the remote state, practice under a local EMS Medical Director in compliance with the remote state's laws and rules, and adherence to the Professional Code of Conduct . Does it only apply during emergencies? No. The Compact applies at all times, not only during declared emergencies.
emscompact.gov · EMS Compact Commission
I have an old or inactive Louisiana card — can I still use compact privilege here?
The Commission states that even an inactive license makes that state a Home State, and that a Home State is not a Remote State, so Compact privilege does not apply there. This is the Commission speaking nationally; this source does not establish whether the state offers inactive status or its reactivation pathway, so both remain unknown.
In this scenario, although the EMS practitioner holds an inactive license from Kansas, the state is still considered a Home State, since the individual holds a license there, rather than a Remote State. The EMS Compact uniquely allows an individual to have multiple Home States, which are not defined by residency or workplace affiliations. Consequently, the Privilege to Practice is only authorized in Remote States, provided the EMS Practitioner meets the provisions outlined by the EMS Compact. As Kansas is not a Remote State for this practitioner, the Privilege to Practice does not apply here.
emscompact.gov · EMS Compact Commission
Does Louisiana add anything on top of the compact?
Not yet verified
Whether Louisiana imposes registration, notification, a fee, or a medical-director attestation on privilege holders has not been established. The state's own administrative code has not been read for compact provisions, and silence on the state EMS office's public pages is not evidence of absence.
Where does an employer verify my privilege for Louisiana?
Partly supported
Quick Verify is embedded on the Commission homepage and keyed to the 12-digit National EMS ID, which is neither your state licence number nor your NREMT number.
Quick Verify allows EMS clinicians, agencies, and the public to validate a clinician
emscompact.gov · EMS Compact Commission
Has Louisiana passed the EMS Compact into law?
Nothing recorded
Current EMS Compact Commissioner page identifies Louisiana's enacted Compact law and reports 2020-10-28 as the signing date. The obsolete Commission State Laws table source and its caveat were removed because this state-specific page directly supplies the law citation and enactment fact.
In Louisiana, the REPLICA legislation was signed into law on October 28, 2020.
emscompact.gov · EMS Compact Commission
Is Louisiana's compact law actually in effect yet?
Nothing recorded
Current EMS Compact Commissioner page explicitly states the statutory effective date. The has_delayed_implementation_clause value remains false as previously recorded; this Commissioner page does not independently establish absence of such a clause.
Louisiana formally entered the Compact after the law's effective date of July 1, 2021.
emscompact.gov · EMS Compact Commission
Can my Privilege to Practice actually be verified in Louisiana?
The Commission's state-specific Commissioner page identifies Louisiana as fully integrated with NEMSCD. This establishes current database integration, distinct from enactment and statutory effect. The page does not publish the initial connection date, so connected_date remains null.
✅ Louisiana is fully integrated with NEMSCD
emscompact.gov · EMS Compact Commission
The route in when privilege does not cover you.
0 of 9 answered from a source · 9 written up as absences
Will Louisiana recognise my out-of-state certification at all?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What does Louisiana call its out-of-state pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Where do I start a reciprocity application for Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What does Louisiana require from an out-of-state applicant?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What does it cost to get licensed in Louisiana from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
How long will Louisiana take to process my application?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What background check does Louisiana require, and how do I do it from out of state?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Can I start working in Louisiana before full approval?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Does my National Registry have to be current to apply in Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
The renewal clock and what it costs in hours.
0 of 7 answered from a source · 7 written up as absences
How often do I recert in Louisiana?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
How many CE hours does Louisiana want, and in what?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Can I use NCCP hours to recert in Louisiana, or does it want its own?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What does Louisiana require at renewal that other states do not?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Does Louisiana make me take a refresher course to recert?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
My Louisiana cert expired — can I still get it back?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Where do I find CE that Louisiana will accept?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Where a service record shortens the path.
0 of 4 answered from a source · 4 written up as absences
Does Louisiana have a faster route for military training or veterans?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
What does Louisiana's military pathway actually get me?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Where does Louisiana document its military pathway?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
Does Louisiana extend its military pathway to spouses?
Not yet verified
Not attempted yet. This record was seeded from the three sources that cover all 51 jurisdictions — the Compact Commission's State Laws and NEMSCD tables and the National Registry's office directory — and Louisiana's own EMS office pages have not been read.
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 · 2 of 2 Louisiana 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 Louisiana law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
Partly supported
The statute authorises protocol practice for the practitioner's functions generally, not for controlled substances by name; the drug-specific link is in the ambulance rules, where LAC 48:I.6031.B.2 puts 'responsibility for all controlled dangerous substances utilized by the ambulance service' on the medical director alongside 'participating in the development of the protocols or procedures for providing care.' R.S. 40:1133.14(C) adds a separate life-threatening-situation protocol route.
during the transport of a patient under a protocol that has been approved by the emergency medical services practitioner's medical director
legis.la.gov · State statute
Does Louisiana require its own controlled-substance registration for EMS agencies?
The quoted line is §6005's licensing checklist for ALS providers. The operative rule is §6035.C.1, 'All paramedic ambulance services must have both a Louisiana Controlled Dangerous Substance (CDS) license and a U.S. Drug Enforcement Administration (DEA) controlled substance registration', with an exemption at §6035.C.1.a for services owned by a hospital that holds its own; that sentence could not be used as the quote because the PDF is two-column and pdftotext interleaves the columns, so no contiguous string spans it. The Board of Pharmacy administers CDS licences under La. R.S. 40:973 and does not publish an ambulance-specific fee code — the requirement is stated on the EMS side, in the Department of Health's ambulance rules.
verification that the provider possesses a Louisiana Controlled Substance License and a United States Drug
ldh.la.gov · State administrative code
Questions not yet settled from a primary source.
Louisiana's EMS credentialing content has moved — ldh.la.gov/page/ems-credentialing and the older subhome path both fail. Where do the reciprocity requirements, the Louisiana Verification of EMS License Certification form and the fee schedule live now?
opened 9 Aug 2026 · blocks reciprocity.pathway_exists, reciprocity.requirements, reciprocity.fee, reciprocity.application_url
The Bureau publishes a Policy and Procedure Manual that should contain the licence levels, terms and reciprocity rules. It was not read.
opened 9 Aug 2026 · blocks licensure.levels, licensure.term, recertification.cycle_years, recertification.ce_hours