EMS reciprocity; compact
HB 2437 establishes Arizona’s participation in the Emergency Medical Services (EMS) Licensure Interstate Compact. It allows Arizona-licensed EMTs, AEMTs, and paramedics to practice temporarily in other participating states without obtaining new licenses, while ensuring public safety through standardized requirements. To maintain reciprocity, Arizona must require national registry exams (NREMT), have complaint investigation systems, conduct background checks for new licenses, and share adverse action information with the compact’s commission. This directly affects EMS personnel who work across state lines, including military members and their spouses transitioning to civilian roles. The bill creates a framework for mutual recognition but does not change Arizona’s existing licensure rules for in-state practice.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Jan 20, 2026
Last action Mar 17, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Introduced Version
→
House Engrossed Version (03/10/2026)
·
5 edits
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Mar 10, 2026
MODERATE
The bill was reorganized from a standalone compact into a multi-section act that amends existing Arizona statutes on EMS certification, records, and investigations. The most significant change is the addition of a mandatory fingerprint clearance card requirement for EMS personnel applying for initial licensure under the new interstate compact, aligning it with state background check laws. The compact text itself was expanded to include new definitions, a coordinated database for sharing adverse actions, and specific provisions for military members and veterans.
Scope change
The bill's scope expanded from a single compact article to include amendments to existing state laws governing EMS certification, record confidentiality, and investigation procedures, thereby integrating the compact more deeply into the state's regulatory framework.
REQUIREMENT
Added a mandatory requirement for EMS personnel applying for initial licensure under the interstate compact to possess a valid fingerprint clearance card.
DEFINITION
Expanded the definition of 'Rule' in the compact to include organizational, procedural, or practice requirements that have the force of statutory law.
ENFORCEMENT
Established a coordinated database and reporting system for sharing licensure data, adverse actions, and significant investigatory information between member states.
ELIGIBILITY
Added specific provisions to expedite licensure for veterans and military members separating from active duty, as well as their spouses.
TECHNICAL
Reformatted the bill from a standalone compact text into a structured act amending multiple existing Arizona Revised Statutes sections.
Floor votes · House Mar 10, 2026
How they voted
44–11
Passed · 5 other
Total votes 60
Mar 10, 2026
D
Democratic27
81% Yea
R
Republican33
66% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
9
Key actions
3
Committee
1
Amendments
1
Mar 10, 2026
Lower · Passed
PASSED
lower
Mar 5, 2026
Lower · Passed
DPA
lower
Feb 16, 2026
Lower · Passed
DP
lower
1 primary · 1 co-sponsor
Sponsors
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