Every state runs its own EMS licensing. Some require current National Registry certification to renew, some offer state continuing-education or exam routes, and cycle lengths differ. Med-Cert Pro tracks the state license as its own credential, with its own jurisdiction, number and expiration date.
Two examples from our reviewed states
| State | What renewal looks like |
|---|---|
| Louisiana | National Registry certification is required for EMT, AEMT and Paramedic initial licensure and renewal; it is optional for EMR |
| Texas | Four-year certification period with several renewal options, including continuing education, National Registry, examination and a formal course; a jurisprudence exam is required |
Read the full Louisiana and Texas guides, or find your state's official EMS office on the renewal guides page.
How Med-Cert Pro handles states
- Rules follow the credential's jurisdiction, not where you happen to be standing.
- A state license and a National Registry certification can be tracked side by side, each with its own reminders.
- Hours remaining are calculated only for renewal routes that have been reviewed against an official source. Other states stay in our research queue rather than being guessed.
How Med-Cert Pro helps
- Store the card or certificate once, with the expiration date read from the document by on-device scanning.
- See the credential move from Active to Expiring Soon, Critical and Expired, so nothing surprises you on shift.
- Get a reminder before the window closes, and mark a renewal In Progress while you finish it.
- Share a time-limited link or QR packet with an employer instead of emailing photos of your card.
- Your whole professional wallet is $24.99 per year, and agency-sponsored seats cost you nothing.


