Alaska EMS Compact Folded Into Omnibus Bill, Passes Senate 13-7

Senate Bill 256 passed the Alaska Legislature on May 20, 2026. The bill authorizes Alaska to join an interstate compact for emergency medical services personnel. It was amended into omnibus legislation rather than advancing as a standalone measure.

Senator Robb Myers, a North Pole Republican, sponsored the bill. It allows EMTs and paramedics to work across state lines in participating states. Each state maintains its own licensure and oversight. Alaska will join the Recognition of EMS Personnel Licensure Interstate Compact, known as REPLICA.

The Senate amended SB 256 into HB 110, an omnibus package. The Senate passed the measure 13 to 7. It now moves to Governor Mike Dunleavy.

Myers said the bill allows more freedom of movement for EMS personnel. He said more EMTs and paramedics able to practice in Alaska increases capacity for rapid deployments during emergencies and disasters. He said it may entice more providers to call Alaska home.

The compact addresses a licensing barrier. Alaska uses nationally recognized standards and examinations. Providers currently must obtain separate licenses to work in other states.

Incoming fire crews during wildfire season can immediately deploy their medical personnel in the field under the compact. They will not wait for approval from the Department of Health. Alaska emergency personnel can do the same when disasters occur in the Lower 48.

Alaska will retain complete authority over discipline, scope of practice, and licensure. Licenses will be evaluated according to Alaska law.

The Senate Republican Caucus announced the passage in a press release issued May 21, 2026. The omnibus package awaits the governor's consideration.