Fulfill your Texas Paramedic, EMT, or EMR state requirements in one place.

Distance CME, powered by Relias, offers continuing education and relicensure courses for Texas 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.

Texas Department of State Health Services Bureau of Emergency Management EMS Requirements

Texas Emergency Medical Care Personnel certifications expire every four years. 25 TAC §157.34(a)(4)(A). For recertification, an application shall submit one of the following:

  • Examination using the National Registry Assessment Exam
  • Continuing education
  • Documentation of current registration with the National Registry
  • Complete a formal recertification course

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 EMT-P:

144 hours every four years. 25 TAC §157.38(c). Enroll in our Paramedic Recertification Bundle to fulfill these requirements. This course also includes access to our Anytime CEU Program.


Requirements for EMT-I:

108 hours every four years. 25 TAC §157.38(c). Enroll in our Recertification Bundle to fulfill these requirements. This course also includes access to our Anytime CEU Program.


Requirements for EMT-B:

72 hours every four years. 25 TAC §157.38(c). Enroll in our BLS NCCP + Anytime refresher course to fulfill these requirements.


Requirements for ECA:

36 hours every four years. 25 TAC §157.38(c). Enroll in our 18 Hour NREMR Refresher and Anytime course to fulfill these requirements. Distance CME recommends these programs Refresher and Anytime


For more information visit: The Department of State Health Services Bureau of Emergency Management EMS

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