Texas
Licensure & Recertification Requirements for EMR, EMT, AEMT & Paramedics
Impact EMS Training offers convenient, 100% online continuing education designed to help Texas EMS providers renew their certification.
In Texas, EMS certification is regulated by the Texas Department of State Health Services (DSHS). EMS providers in Texas may renew their certification by maintaining an active National Registry of Emergency Medical Technicians (NREMT) credential or by completing Texas-specific continuing education requirements.
If you hold a current NREMT certification at the time of renewal, Texas will accept your NREMT recertification for state renewal.
Texas certifications typically follow a four-year renewal cycle. Providers should verify renewal details and submission processes through the Texas DSHS and the National Registry to ensure compliance.
Texas EMR (ECA) Recertification
Emergency Medical Responders om Texas are licensed as Emergency Care Attendants (ECA).
ECAs who maintain National Registry certification must follow the NCCP model, while Texas also offers a state-only renewal option for those not renewing through NREMT.
NREMT Requirements
- National Component: 8 Hours
- Local/State Component: 3 Hours
- Individual Component: 5 Hours
State Requirements
Providers who do not renew with NREMT must complete Texas continuing education over a 4-year period. Topic requirements include:
- Preparatory: 3 Hours
- Trauma: 3 Hours
- Medical: 9 Hours
- Pediatric: 3 Hours
- Operations: 1 Hour
- Additional electives to reach total hours
Total CE Hours: 36 hours
Providers must complete required skills competencies in addition to continuing education hours.
Suggested Refresher Course:
- 16-Hour EMR Refresher Course
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Texas EMR Continuing Education Resources
Texas EMT Recertification
All EMTs maintaining National Registry certification must complete the NCCP model. Texas also provides a state-only renewal pathway for those not using NREMT.
NREMT Requirements
- National Component: 20 Hours
- Local/State Component: 10 Hours
- Individual Component: 10 Hours
State Requirements
Providers who do not renew with NREMT must complete continuing education over a 4-year period. Topic requirements include:
- Preparatory: 6 Hours
- Airway: 6 Hours
- Patient Assessment: 4 Hours
- Trauma: 6 Hours
- Medical: 18 Hours
- Special Considerations: 6 Hours
- Operations: 2 Hours
- Pediatric: 6 Hours
- Additional electives to meet total hours
Total CE Hours: 72 hours
Providers must complete required skills competencies in addition to continuing education hours.
Suggested Refresher Course:
- 40 Hour EMT Refresher Course
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Accepted for NREMT recertification used by Texas
- Instant certificate upon completion
NREMT & State of Texas EMT Continuing Education Resources
Texas AEMT Recertification
AEMTs renewing with National Registry must complete the NCCP model. Texas also allows renewal through a state-specific continuing education pathway.
NREMT Requirements
- National Component: 25 Hours
- Local/State Component: 12.5 Hours
- Individual Component: 12.5 Hours
State Requirements
Providers who do not renew with NREMT must complete continuing education over a 4-year period. Topic requirements include:
- Preparatory: 9 hours
- Airway: 9 hours
- Patient Assessment: 6 hours
- Trauma: 9 hours
- Medical: 27 hours
- Special Considerations: 9 hours
- Operations: 3 hours
- Pediatric: 9 hours
- Additional electives to meet total hours
Total CE: 108 hours
Providers must complete required skills competencies in addition to continuing education hours.
Suggested Refresher Course:
- 50-Hour Advanced EMT Refresher Course
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Instant certificate upon completion
NREMT & State of Texas AEMT Continuing Education Resources
Texas Paramedic Recertification
Paramedics who maintain NREMT certification follow the NCCP model, while those not using NREMT must meet Texas-specific continuing education requirements.
NREMT Requirements
- National Component: 30 Hours
- Local/State Component: 15 Hours
- Individual Component: 15 Hours
State Requirements
Providers who do not renew with NREMT must complete continuing education over a 4-year period. Topic requirements include:
- Preparatory: 12 Hours
- Airway: 12 Hours
- Patient Assessment: 8 Hours
- Trauma: 12 Hours
- Medical: 36 Hours
- Special Considerations: 12 Hours
- Operations: 4 Hours
- Pediatric: 12 Hours
- Additional electives to meet total hours
Total CE Hours: 144 Hours
Providers must complete required skills competencies in addition to continuing education hours.
Suggested Refresher Course:
- 60-Hour Paramedic Refresher Course
- Meets National Registry NCCP requirements
- 100% online and self-paced
- Accepted for NREMT recertification used by Texas
- Instant certificate upon completion
NREMT & State of Texas Paramedic Continuing Education Resources
*This information was updated on April 13, 2026*
NREMT
The National Registry is accredited by the National Commission for Certifying Agencies (NCCA), the accreditation body of the Institute for Credentialing Excellence. The National Registry maintains NCCA accreditation for each of our four certification programs: (1) Emergency Medical Responder (2) Emergency Medical Technician (3) Advanced Emergency Medical Technician (4) Paramedic. The National Registry, established in 1970 as a non-profit organization, is the Nation’s Emergency Medical Services Certification organization. The mission of the National Registry of Emergency Medical Technicians has always been centered on protecting the public and advancing the EMS profession.
