Fulfill your California Paramedic, AEMT, and EMT state requirements in one place.

Distance CME, powered by Relias, offers continuing education and relicensure courses for California Paramedics, EMTs, AEMTs, and EMRs that are CAPCE accredited and NREMT approved. Distance CME courses are accepted by the National Registry as an F-5 VILT course hour for hour. Take all your recertification hours 100% online and they count just like they would if you were sitting in a classroom in front of an instructor. Eliminate time traveling to classes and being away from work. Plus, Distance CME now accepts payments by PayPal Credit. Get approved today and pay for courses over time, interest-free for the first 6 months.

Although we strive to keep everything updated, please check with your state EMS Representative for the most current re-certification information.

California Emergency Medical Services Authority Requirements

Paramedic (EMT-P) licenses expire the last day of the month two years from the date of initial licensure. California Health and Safety Code, Division 2.5., Chapter 2, Article 5, 1797.194(c).

Advanced EMT certificates expire the final day of the month two years from the date of initial certification. CCR, Title 22, Division 9, Chapter 3, Article 4 § 100123(l). EMT certificates expire the last day of the month two years from the date of the initial certification. CCR, Title 22, Division 9, Chapter 2, Article 4 § 100079(e). The State of California does not certify, renew or reinstate EMT certifications. This is done by the local EMS agency and other authorized certifying entities.

Covid – 19 Updates

In this unprecedented time, states and the NREMT are trying to update policies to keep us safe while retaining the levels of education and certification. Please check with your state to ensure you have the most up-to-date requirements.

Requirements for Paramedics:

48 hours every two years. CCR, Title 22, Division 9, Chapter 4, Article 6 § 100167(2). Enroll in our 48 Hour Live Paramedic Refresher refresher course to fulfill these requirements.


Requirements for Advanced EMTs:

36 hours every two years. CCR, Title 22, Division 9, Chapter 3, Article 4 § 100124(b). Enroll in our 48 Hour Live Paramedic Refresher refresher course to fulfill these requirements.


Requirements for EMTs:

24 hours every two years. EMTs may either complete a 24-hour refresher course from an approved EMT training program or obtain at least 24 hours of continuing education. CCR, Title 22, Division 9, Chapter 2, Article 5 § 100080 (2)(A)(B). Enroll in our 24 Hour EMT Refresher Program refresher course to fulfill these requirements.


For more information visit: California Emergency Medical Services Authority

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