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?
No — you need full state licensure
The Commission's current state-specific page explicitly says New York has not yet joined the EMS Compact.
The Commission's current state-specific page explicitly says New York has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
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.
0 of 5 answered from a source · 5 written up as absences
Who actually issues an EMS licence in New York?
Source unavailable
health.ny.gov returns 403 to automated clients; primary source website is unreachable.
Where is New York's EMS licensing office online?
Source unavailable
health.ny.gov returns 403 to automated clients.
Where do I actually submit an application in New York?
Source unavailable
NY DOH Health Commerce System (HCS) EMS portal page unreachable due to 403.
Who do I call or email about New York licensure?
Source unavailable
Bureau of EMS contact page unreachable due to 403.
Which statute or rule governs EMS licensure in New York?
Source unavailable
New York Public Health Law Article 30 and 10 NYCRR Part 800 pages unreachable due to 403.
Levels, term, and what your National Registry does and does not buy you.
0 of 6 answered from a source · 6 written up as absences
What levels does New York issue, and what does my cert become there?
Source unavailable
Official certification levels page on health.ny.gov unreachable due to 403.
How long does a New York licence last before renewal?
Source unavailable
Certification term details page unreachable due to 403.
Do I need National Registry to get licensed in New York?
Source unavailable
Initial examination requirement page unreachable due to 403.
Do I have to keep National Registry current to keep a New York licence?
Source unavailable
Recertification requirements page unreachable due to 403.
Does New York make me sit its own exam?
Source unavailable
State examination policy page unreachable due to 403.
What criminal history bars me from licensure in New York?
Source unavailable
Criminal conviction review policy page unreachable due to 403.
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.
4 of 10 answered from a source · 6 written up as absences
Has New York passed the EMS Compact into law?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
New York is not a member state of the EMS Compact.
Is New York's compact law actually in effect yet?
Unverified
quoted text not found on the live page (NaN Oct 2026). The displayed value has not been confirmed as current.
New York has not enacted EMS Compact legislation.
Can my Privilege to Practice actually be verified in New York?
Partly supported
The Commission's current state page says New York has not yet joined the EMS Compact. The Commission describes NEMSCD data as covering participating states, so this supports nonparticipation rather than an independent integration check. This does not establish legal activation or practitioner eligibility in other states.
New York has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
What do I have to satisfy for compact privilege to apply in New York?
Does not arise in New York
New York is not an EMS Compact member state.
Which situations does compact privilege cover in New York?
Does not arise in New York
Privilege to practice is not recognized in New York.
When do I need full New York licensure instead of privilege?
Source unavailable
Primary state EMS licensing page unreachable due to 403.
Can I work a 13-week contract in New York on my home-state licence?
No — you need full state licensure
Partly supported
The Commission's current state-specific page explicitly says New York has not yet joined the EMS Compact. That supports the absence of a Compact privilege in this destination; the full-license-required assessment is the resulting licensing implication and remains partial rather than a direct quotation of the state's licensing rules.
New York has not yet joined the EMS Compact.
emscompact.gov · EMS Compact Commission
I have an old or inactive New York card — can I still use compact privilege here?
Source unavailable
Primary state EMS regulations page unreachable due to 403.
Does New York add anything on top of the compact?
Does not arise in New York
Compact privilege restrictions do not apply in non-member New York.
Where does an employer verify my privilege for New York?
Does not arise in New York
No compact privilege verification URL exists for non-member New York.
The route in when privilege does not cover you.
0 of 9 answered from a source · 9 written up as absences
Will New York recognise my out-of-state certification at all?
Source unavailable
NY DOH Reciprocity application page DOH-3312 unreachable due to 403.
What does New York call its out-of-state pathway?
Source unavailable
Reciprocity page unreachable due to 403.
Where do I start a reciprocity application for New York?
Source unavailable
Reciprocity application page unreachable due to 403.
What does New York require from an out-of-state applicant?
Source unavailable
Reciprocity policy page unreachable due to 403.
What does it cost to get licensed in New York from out of state?
Source unavailable
Fee schedule page unreachable due to 403.
How long will New York take to process my application?
Source unavailable
Processing time page unreachable due to 403.
What background check does New York require, and how do I do it from out of state?
Source unavailable
Background screening policy page unreachable due to 403.
Can I start working in New York before full approval?
Source unavailable
Provisional certification policy page unreachable due to 403.
Does my National Registry have to be current to apply in New York?
Source unavailable
NREMT policy page unreachable due to 403.
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 New York?
Source unavailable
Recertification policy page unreachable due to 403.
How many CE hours does New York want, and in what?
Source unavailable
CE hour requirement page unreachable due to 403.
Can I use NCCP hours to recert in New York, or does it want its own?
Source unavailable
NCCP policy page unreachable due to 403.
What does New York require at renewal that other states do not?
Source unavailable
State specific CE page unreachable due to 403.
Does New York make me take a refresher course to recert?
Source unavailable
Refresher policy page unreachable due to 403.
My New York cert expired — can I still get it back?
Source unavailable
Reinstatement policy page unreachable due to 403.
Where do I find CE that New York will accept?
Source unavailable
CE provider portal page unreachable due to 403.
Where a service record shortens the path.
0 of 4 answered from a source · 4 written up as absences
Does New York have a faster route for military training or veterans?
Source unavailable
Military pathway page unreachable due to 403.
What does New York's military pathway actually get me?
Source unavailable
Military pathway page unreachable due to 403.
Where does New York document its military pathway?
Source unavailable
Military pathway page unreachable due to 403.
Does New York extend its military pathway to spouses?
Source unavailable
Military spouse page unreachable due to 403.
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 New York 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 New York law let a medic push scheduled drugs on standing orders, the way the DEA rule assumes?
New York's standing-order route carries a second gate most states do not impose: the medical director's authorization is not enough on its own, the Department must approve the protocol, a copy must be on file with it, and any later change must be approved before it is implemented. The same subdivision requires the crew to notify a medical control location during or immediately after the run so a physician makes a record of the administration — the protocol removes the need for a prior order, not the after-the-fact physician record.
Controlled substances may only be administered pursuant to a physician's order or a protocol authorized by the medical director and approved by the Department pursuant to Article 30 of the Public Health Law and section 800.15 of this Title.
regs.health.ny.gov · State administrative code
Does New York require its own controlled-substance registration for EMS agencies?
This is a genuine state layer on top of DEA registration, and it is not the only one: 80.136(c)(2) additionally requires an Article 30 certificate, and 80.136(e) requires the agency to register a named individual — an EMT-critical care or paramedic, approved in writing by the medical director — as its 'agent' with the Bureau of Narcotic Enforcement, a two-year registration valid only for that agency at the specified locations. The agency's controlled substances come from a contracting hospital licensed as an Institutional Dispenser Class 3 rather than from a wholesaler.
possess a class 3(c) institutional dispenser limited license from the Department, except that an ALS agency, owned and operated by a hospital, is exempt from obtaining a class 3(c) institutional dispenser limited license
regs.health.ny.gov · State administrative code
Questions not yet settled from a primary source.
Fetch primary claims from health.ny.gov using human browser session to bypass automated 403 block.
opened 7 Aug 2026 · blocks regulator.name, licensure.levels, reciprocity.fee