The intent of this policy is to establish an expedient and politically feasible method for a state to adopt the National Registry EMS Certification as the basis for State EMS licensure. States wishing to re-adopt the National Registry as the basis for initial state licensure frequently encounter difficulty transitioning to use of the National Registry because there are many formerly Nationally Certified EMS providers who, although State licensed, have not maintained their certification. In a Mark King Initiative (MKI) state, this policy allows the National Registry to reinstate a lapsed national certification if the individual has maintained unrestricted state licensure at or above the level of the last National Certification held.

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