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Iowa EMS Recertification Requirements

Complete 2026 guide to CE requirements in Iowa for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the Bureau of Emergency Medical and Trauma Services (BEMTS), Iowa Department of Health and Human Services.

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CE Requirements

Continuing Education Hours by Level

LevelCE HoursCycle
EMR82 years
EMT202 years
AEMT252 years
Paramedic302 years

Topic Distribution Requirements

Core topics only (no state-specific mandatories like jurisprudence, human trafficking, etc.)

Accepted CE Providers

Sponsor number required from authorized Iowa EMS Training Program, Iowa HHS, Iowa Board of Nursing, Iowa Board of Medicine, or CAPCE prior to attendance

Important Notes

Online renewal via AMANDA portal; audit report of CE with sponsor #s; nationally recognized programs accepted without sponsor #; 45-day extension option; late renewal within 1 month if CE complete ($30 late fee); no skills verification mentioned Category breakdowns - EMR: Airway 1, Cardiology 2, Trauma 1, Medical 3, Ops 1. EMT: Airway 1, Cardiology 6, Trauma 2, Medical 6, Ops 5. AEMT: Airway 2, Cardiology 7, Trauma 3, Medical 8, Ops 5. Paramedic: Airway 3, Cardiology 9, Trauma 3, Medical 9, Ops 6.

Special State Requirements

Online renewal via AMANDA portal; audit report of CE with sponsor #s; nationally recognized programs accepted without sponsor #; 45-day extension option; late renewal within 1 month if CE complete ($30 late fee); no skills verification mentioned

Axene Coverage Report

CE coverage analysis for Iowa

Renewal Hour Requirements & Axene Coverage

EMR

8 hrs required · BLS

76.5 hrs

✓ SURPLUS

EMT

20 hrs required · BLS

76.5 hrs

✓ SURPLUS

AEMT

25 hrs required · ALL

167.5 hrs

✓ SURPLUS

Paramedic

30 hrs required · ALL

167.5 hrs

✓ SURPLUS

BLS scope: 80 courses / 76.5 hrs. ALL scope: 173 courses / 167.5 hrs.

Axene Course Library

59

Medical

~58 hrs

39

Trauma

~39 hrs

37

Operations

~35 hrs

20

Cardiology

~19 hrs

18

Airway

~18 hrs

Universal Mandates (All States)

Requirements last verified: April 7, 2026

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Showing requirements for Iowa

State EMS Office

Bureau of Emergency Medical and Trauma Services (BEMTS), Iowa Department of Health and Human Services

FAQs

Frequently Asked Questions

Iowa EMS providers renew every 2 years. Required CE hours: EMR: 8 hours EMT: 20 hours AEMT: 25 hours Paramedic: 30 hours
Yes. Iowa accepts CAPCE-accredited courses. Axene CE courses are CAPCE-accredited and count toward your renewal.
No. NREMT is not required in Iowa.
Airway/Respirations/Ventilations, Cardiology, Trauma, Medical, Operations

Axene Continuing Education, LLC offers CEUs for EMS providers in most states. Continuing education requirements vary by state and may change. Users are responsible for verifying requirements with their agency and/or state EMS office, including whether specific courses are required for the local/state NREMT component. Where specific education is not mandated, required hours are considered flexible but must be directly related to EMS patient care. We do our best to keep information current — please check with your state EMS representative for the most up-to-date recertification information.

Axene CE is Accepted in Iowa

All our courses are CAPCE-accredited and meet Iowa's CE requirements. Get unlimited access with an annual subscription.