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Texas EMS Recertification Requirements
Complete 2026 guide to CE requirements in Texas for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the Texas Department of State Health Services (DSHS) EMS/Trauma Systems.
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Continuing Education Hours by Level
| Level | CE Hours | Cycle |
|---|---|---|
| EMR | 36 | 4 years |
| EMT | 72 | 4 years |
| AEMT | 108 | 4 years |
| Paramedic | 144 | 4 years |
Topic Distribution Requirements
Jurisprudence exam (2 hours, every 4 years, all levels, 25 TAC §157.34); content areas by level per §157.38(c) e.g. preparatory, airway, patient assessment (specific hours on DSHS table) [DSHS Renewals]
Accepted CE Providers
DSHS approves CE providers and accrediting agencies (CAPCE approved by DSHS)
Important Notes
Skills proficiency verification (late renewal <1yr expired); CE records 5 years; formal course option; CCMP option w/ MD attestation; Option for NREMT exam or current NREMT cert [25 TAC §157.34, §157.38] Texas DSHS hours are higher than NCCP: EMR 36 (vs 16), EMT 72 (vs 40), AEMT 108 (vs 50), Paramedic 144 (vs 60). 4-year cycle.
Special State Requirements
Skills proficiency verification (late renewal <1yr expired); CE records 5 years; formal course option; CCMP option w/ MD attestation; Option for NREMT exam or current NREMT cert [25 TAC §157.34, §157.38]
Axene Coverage Report
CE coverage analysis for Texas
Renewal Hour Requirements & Axene Coverage
| Level | Required | Axene Hrs | Scope | Status |
|---|---|---|---|---|
| EMR | 36 hrs | 76.5 hrs | BLS | ✓ SURPLUS |
| EMT | 72 hrs | 76.5 hrs | BLS | ✓ SURPLUS |
| AEMT | 108 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
| Paramedic | 144 hrs | 167.5 hrs | ALL | ✓ SURPLUS |
EMR
36 hrs required · BLS
76.5 hrs
✓ SURPLUSEMT
72 hrs required · BLS
76.5 hrs
✓ SURPLUSAEMT
108 hrs required · ALL
167.5 hrs
✓ SURPLUSParamedic
144 hrs required · ALL
167.5 hrs
✓ SURPLUSBLS 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
1
Mandated Topics
1
Covered by Axene
State-Specific Mandated Topics
EMS Jurisprudence Exam
Universal Mandates (All States)
10% Pediatric Content (NCCP)
Varies by level
Requirements last verified: April 7, 2026
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Showing requirements for Texas
State EMS Office
Texas Department of State Health Services (DSHS) EMS/Trauma Systems
Website: Visit Official Site
FAQs
Frequently Asked Questions
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 Texas
All our courses are CAPCE-accredited and meet Texas's CE requirements. Get unlimited access with an annual subscription.