SB 931 - This act authorizes Missouri to become a member state of the Recognition of EMS Personnel Licensure Interstate Compact and to adopt the provisions of authorization as specified in the act. The purpose of the Compact is to facilitate the exchange of information between member states regarding EMS personnel licensure, adverse actions, and significant investigatory information. Applicants for initial licensure as an emergency medical technician submitted after the recognition of the Compact shall submit to a background check as provided in the act. A home state's license authorizes an individual to practice in a remote state under the privilege to practice if the home state meets certain requirements, as set forth in the act. In order to exercise the privilege to practice under the terms and provisions of the Compact, an individual shall: 1) be at least 18 years of age; 2) possess a current unrestricted license in a member state as an emergency medical technician (EMT), advanced emergency medical technician (AEMT), paramedic, or state-recognized and licensed level with a scope of practice and authority between EMT and paramedic; and 3) practice under the supervision of a medical director. If an individual's license in any home state is restricted, suspended, or revoked, the individual shall not be eligible to practice in a remote state until the individual's home state license is restored. Additionally, if an individual's privilege to practice in any remote state is restricted, suspended, or revoked, the individual shall not be eligible to practice in any remote state until the individual's privilege to practice is restored. The circumstances under which an individual may practice in a remote state in the performance of emergency medical services are set forth in the act, in conjunction with any rules created by the Interstate Commission for EMS Personnel Practice. If a member state's governor declares a state of emergency or disaster that activates the Emergency Management Assistance Compact (EMAC), the terms of EMAC shall prevail over the terms or provisions of the Compact with respect to any individual practicing in a remote state in response to such declaration. A home state shall have exclusive power to impose adverse action against an individual's license issued by the home state. A remote state may take adverse action on an individual's privilege to practice within the remote state. The Interstate Commission for EMS Personnel Practice has powers as set forth in the act, including the collection of an annual assessment from member states. The Commission shall meet at least one during each calendar year. The Commission may hold closed meetings to discuss matters as specified in the act. The Commission shall prescribe bylaws and rules to carry out the purposes and exercise the powers of the Compact. The powers and duties of the Commission are set forth in the act. Any member state may withdraw from the Compact by enacting a statute repealing the same. A member state's withdrawal does not take effect until 6 months after enactment of the repealing statute. This act is substantially similar to HB 1662 (2018), provisions contained in the truly agreed CCS/HCS/SS/SB 870 (2018), provisions contained in the truly agreed SS/SCS/HB 1355 (2018), and similar to HCS/HB 100 (2017) and HB 1616 (2016). JAMIE ANDREWS