State requirements
Paramedic requirements by state.
Certification rules, renewal cycles, psychomotor exam policy, and reciprocity for Paramedics in all 50 states. Pick your state for the full breakdown.
| State | NREMT required? | Renewal | Compact |
|---|---|---|---|
| Alabama | Yes | 2 years | Yes |
| Alaska | Yes for NREMT; state may accept equivalent | 2 years | No |
| Arizona | Yes | 2 years | Yes |
| Arkansas | Yes | 2 years | Yes |
| California | Yes for NREMT; state EMT certification through EMS Authority | 2 years | Yes |
| Colorado | Yes | 2 years | Yes |
| Connecticut | Yes | 2 years | Yes |
| Delaware | Yes | 2 years | Yes |
| Florida | Yes | 2 years | Yes |
| Georgia | Yes | 2 years | Yes |
| Hawaii | Yes | 2 years | No |
| Idaho | Yes | 2 years | Yes |
| Illinois | Yes | 2 years | Yes |
| Indiana | Yes | 2 years | Yes |
| Iowa | Yes | 2 years | Yes |
| Kansas | Yes | 2 years | Yes |
| Kentucky | Yes | 2 years | Yes |
| Louisiana | Yes | 2 years | Yes |
| Maine | Yes | 2 years | Yes |
| Maryland | Yes for most pathways | 2 years | Yes |
| Massachusetts | Yes | 2 years | No |
| Michigan | Yes | 2 years | No |
| Minnesota | Yes | 2 years | Yes |
| Mississippi | Yes | 2 years | Yes |
| Missouri | Yes | 2 years | Yes |
| Montana | Yes | 2 years | Yes |
| Nebraska | Yes | 2 years | Yes |
| Nevada | Yes | 2 years | Yes |
| New Hampshire | Yes | 2 years | Yes |
| New Jersey | Yes | 2 years | No |
| New Mexico | Yes | 2 years | Yes |
| New York | Yes | 2 years | No |
| North Carolina | Yes | 2 years | Yes |
| North Dakota | Yes | 2 years | Yes |
| Ohio | Yes | 2 years | Yes |
| Oklahoma | Yes | 2 years | Yes |
| Oregon | Yes | 2 years | No |
| Pennsylvania | Yes | 2 years | Yes |
| Rhode Island | Yes | 2 years | No |
| South Carolina | Yes | 2 years | Yes |
| South Dakota | Yes | 2 years | Yes |
| Tennessee | Yes | 2 years | Yes |
| Texas | Yes | 2 years | Yes |
| Utah | Yes | 2 years | Yes |
| Vermont | Yes | 2 years | Yes |
| Virginia | Yes | 2 years | Yes |
| Washington | Yes | 2 years | Yes |
| West Virginia | Yes | 2 years | Yes |
| Wisconsin | Yes | 2 years | Yes |
| Wyoming | Yes | 2 years | Yes |
| District of Columbia | Yes | 2 years | Yes |
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NREMT® is a registered trademark of the National Registry of Emergency Medical Technicians. Pass the EMT is independent and not affiliated with NREMT. Verify all details with your state EMS office.