The Pennsylvania Department of Health, Bureau of EMS, has issued EMSIB 2025-10 to clarify requirements for AEMT and Paramedic students enrolled in educational programs located outside the Commonwealth. The bulletin outlines the process by which out-of-state programs may request approval for Pennsylvania-based clinical or field rotations, ensuring full compliance with the Pennsylvania EMS Act, associated regulations, and national accreditation standards. It details responsibilities for the educational institution, the program’s medical director, and the participating Pennsylvania EMS agencies and clinical sites. The guidance reinforces Pennsylvania’s commitment to maintaining high standards of EMS education, patient safety, and regulatory integrity.