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Sort and compare emt / paramedic licensing requirements side-by-side across all 50 states.
| State | NREMT Required? | EMT Hours | Paramedic Hours | EMT Cost | EMT CE Hours | Reciprocity | Verified |
|---|---|---|---|---|---|---|---|
| Alabama(AL) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $10 (state app) + background check | 40 | Yes | March 2026 |
| Alaska(AK) | No | 140-160 | 1,200 | $1,200-$3,000 (program) + $104 (NREMT, if chosen) + $25 (app) + $100 (license) | 40 | Yes | March 2026 |
| Arizona(AZ) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $0 (state cert) + ~$75-$90 (Fingerprint Clearance Card) | 40 | Yes | March 2026 |
| Arkansas(AR) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $20 (state app) + $22-$38.50 (background check) | 40 | Yes | March 2026 |
| California(CA) | No | 170 (146 didactic + 24 clinical) | 1200-1800 | $1,000-$3,500 (program) + $104 (NREMT) + $37 (EMSA) + ~$80 (Live Scan) + LEMSA fees | 24 | Yes | March 2026 |
| Colorado(CO) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $50 (state cert) + $2.55 (Peer Assistance) + $57.50 (background check) | 36 | Yes | March 2026 |
| Connecticut(CT) | Yes | 120-160 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $130 (state practical) + $15 (state cert) | 40 | Yes | March 2026 |
| Delaware(DE) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $25 (state app) | 40 | Yes | March 2026 |
| District of Columbia(DC) | Yes | 120-150 | 1,200 | $1,200-$3,000 (program) + $104 (NREMT) + $45 (DC cert) | 40 | Yes | March 2026 |
| Florida(FL) | Yes | 120-150 | 1,200 | $1,000-$2,500 (program) + $104 (NREMT) + $35 (state app) + background check fees | 40 | Yes | March 2026 |
| Georgia(GA) | Yes | 120-150 | 1,200 | $75 (application) + $104 (NREMT exam) + fingerprint/background check fee | 40 | Yes | March 2026 |
| Hawaii(HI) | No | 180 minimum (didactic + clinical) | 1,200 | $102-$171 (license) + $104 (NREMT exam) + course tuition | 72 | Yes | March 2026 |
| Idaho(ID) | Yes | 120-150 | 1,200 | $0 (license) + $104 (NREMT exam) + background check fee + course tuition | 40 | Yes | March 2026 |
| Illinois(IL) | No | 120-150 | 1,200 | $45 (application) + $104 (NREMT exam) + course tuition | 60 | Yes | March 2026 |
| Indiana(IN) | No | 144.5 | 1,200 | $104 (NREMT exam) + course tuition | 56 | Yes | March 2026 |
| Iowa(IA) | Yes | 120-150 | 1,200 | $30 (initial cert) + $104 (NREMT exam) + course tuition | 40 | Yes | March 2026 |
| Kansas(KS) | Yes | 120-150 | 1,200 | $60 (background check) + $104 (NREMT exam, if chosen) + course tuition | 28 | Yes | March 2026 |
| Kentucky(KY) | Yes | 120-150 | 1,200 | $10 (application) + $30 (initial cert) + $104 (NREMT exam) + ViewPoint background check fee + course tuition | 24 | Yes | March 2026 |
| Louisiana(LA) | Yes | 120-150 | 1,200 | $50 (in-state license) + $104 (NREMT exam) + course tuition | 40 | Yes | March 2026 |
| Maine(ME) | No | 120-150 | 1,200 | $21 (initial license/background check) + $104 (NREMT EMT exam) + course tuition | 52 | Yes | March 2026 |
| Maryland(MD) | Yes | 131 | 1,200 | $800 (program) + $104 (NREMT exam) | 24 | Yes | March 2026 |
| Massachusetts(MA) | Yes | 120-150 | 1,200 | $1,000 (program) + $104 (NREMT exam) + $150 (state certification) | 40 | Yes | March 2026 |
| Michigan(MI) | No | 120-150 | 1,200 | $1,000 (program) + $104 (NREMT exam) + $40 (state application) | 30 | Yes | March 2026 |
| Minnesota(MN) | Yes | 120-150 | 1,200 | $800 (program) + $104 (NREMT exam) + $15 (state certification) | 40 | Yes | March 2026 |
| Mississippi(MS) | Yes | 120-150 | 1,200 | $800 (program) + $104 (NREMT exam) + $35 (state cert) + $50 (SAFER background) | 40 | Yes | March 2026 |
| Missouri(MO) | Yes | 120-150 | 1,200 | $800 (program) + $104 (NREMT exam) + fingerprint fee | 100 | Yes | March 2026 |
| Montana(MT) | Yes | 120-150 | 1,200 | $800 (program) + $104 (NREMT exam) + $50 (state application) | 40 | Yes | March 2026 |
| Nebraska(NE) | Yes | 120-150 | 1,200 | $800 (program) + $104 (NREMT exam) + $55 (FBI background) | 40 | Yes | March 2026 |
| Nevada(NV) | Yes | 120-150 | 1,200 | $1,000 (program) + $104 (NREMT exam) + $37 (certificate) + $61 (attendant license) | 24 | Yes | March 2026 |
| New Hampshire(NH) | Yes | 120-150 | 1,200 | $900 (program) + $104 (NREMT exam) + $48.25 (licensure) + $47 (LiveScan background) | 40 | Yes | March 2026 |
| New Jersey(NJ) | No | 120-150 | 1,200 | $1,000 (program) + $104 (NREMT exam) | 48 | Yes | March 2026 |
| New Mexico(NM) | Yes | 120-150 | 1,200 | $65 (state application) + $104 (NREMT exam) + background check fee | 40 | Yes | March 2026 |
| New York(NY) | No | 120-150 | 1,200 | ~$25 (state exam) or $104 (NREMT alternative) + course tuition | 50 | Yes | March 2026 |
| North Carolina(NC) | Yes | 120-150 | 1,200 | $68 (state exam) + $38 (background check) + course tuition | 40 | Yes | March 2026 |
| North Dakota(ND) | Yes | 110 minimum | 1,200 | ~$100-$115 (state licensure) + $104 (NREMT exam) + course tuition | 40 | Yes | March 2026 |
| Ohio(OH) | No | 120-150 | 1,200 | $104 (NREMT exam) + course tuition + background check | 40 | Yes | March 2026 |
| Oklahoma(OK) | Yes | 120-150 | 1,050 | $189 | 40 | Yes | March 2026 |
| Oregon(OR) | Yes | 120-150 | 1,200 | $214 | 36 | Yes | March 2026 |
| Pennsylvania(PA) | Yes | 120-150 | 1,400 | $104 (NREMT EMT exam fee only; no state application fee) | 24 | Yes | March 2026 |
| Rhode Island(RI) | Yes | 120-150 | 1,300 | $224 | 40 | Yes | March 2026 |
| South Carolina(SC) | Yes | 120-150 | 1,200 | — | 40 | Yes | March 2026 |
| South Dakota(SD) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + ~$25 (state app) + $30 (background check) | 20 | Yes | March 2026 |
| Tennessee(TN) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + $20 (app) + $25 (license) + background check | 20 | Yes | March 2026 |
| Texas(TX) | Yes | 150-170 | 1,200 | Course + $104 (NREMT) + $64 (state cert) + background check | 72 | Yes | March 2026 |
| Utah(UT) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + $10 (document verification) + $74 (background check) | 40 | Yes | March 2026 |
| Vermont(VT) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + state fees (not publicly posted) | 40 | Yes | March 2026 |
| Virginia(VA) | Yes | 120-150 | 1,200 | Course + $104 (NREMT EMT exam) + state fees + background check | 40 | Yes | March 2026 |
| Washington(WA) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + $0 (state fees) + possible background check | 40 | Yes | March 2026 |
| West Virginia(WV) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + $75 (state cert) + background check | 40 | Yes | March 2026 |
| Wisconsin(WI) | No | 120-150 | 1,200 | Course + $104 (NREMT) + $0 (state fees) + background check | 40 | Yes | March 2026 |
| Wyoming(WY) | Yes | 120-150 | 1,200 | Course + $104 (NREMT) + $20 (state) + $44 (background check) | 40 | Yes | March 2026 |