Are students required to obtain a state-specific certification or licensure in addition to the NREMT?

Updated May 04, 2026

Requirements vary by state. You should visit your state's Emergency Medical Services (EMS) or Health Department to learn about EMS licensing requirements in that state. The specific department name can vary by state, but it often falls under:

  1. State EMS Office
  2. Department of Health
  3. Division of Emergency Medical Services

These departments regulate EMS certifications and licensure, including reciprocity, renewal, and new licensing for healthcare professionals. It’s essential to check the specific agency for the state to get the most accurate information.



In the state of Texas, Texas state licensure is needed after passing the NREMT exam.