🚑 EMT / Paramedic License Requirements by State

Compare emt / paramedic license requirements across all 50 states and DC — experience, exams, fees, and salary data.

Last updated 2026-05-08

By the numbers: 51 of 51 jurisdictions require a state-level emt / paramedic license. Apprenticeship and Experience requirements range varies hours. Exam Application Fees range $110–$110. Most state Boards require Continuing Education at every Renewal cycle.

State	License Required	Experience	Exam Fee	Median Salary
ALAlabama	Required	—	$110	$35,574
AKAlaska	Required	—	$110	$50,703
AZArizona	Required	—	$110	$39,663
ARArkansas	Required	—	$110	$34,347
CACalifornia	Required	—	$110	$56,428
COColorado	Required	—	$110	$44,161
CTConnecticut	Required	—	$110	$47,023
DEDelaware	Required	—	$110	$40,890
DCDistrict of Columbia	Required	—	$110	$52,339
FLFlorida	Required	—	$110	$39,254
GAGeorgia	Required	—	$110	$38,027
HIHawaii	Required	—	$110	$55,201
IDIdaho	Required	—	$110	$38,436
ILIllinois	Required	—	$110	$42,934
INIndiana	Required	—	$110	$37,209
IAIowa	Required	—	$110	$36,392
KSKansas	Required	—	$110	$36,392
KYKentucky	Required	—	$110	$36,392
LALouisiana	Required	—	$110	$36,801
MEMaine	Required	—	$110	$39,663
MDMaryland	Required	—	$110	$44,570
MAMassachusetts	Required	—	$110	$49,885
MIMichigan	Required	—	$110	$38,436
MNMinnesota	Required	—	$110	$42,525
MSMississippi	Required	—	$110	$33,938
MOMissouri	Required	—	$110	$36,801
MTMontana	Required	—	$110	$39,254
NENebraska	Required	—	$110	$36,801
NVNevada	Required	—	$110	$41,707
NHNew Hampshire	Required	—	$110	$42,525
NJNew Jersey	Required	—	$110	$48,250
NMNew Mexico	Required	—	$110	$37,209
NYNew York	Required	—	$110	$53,157
NCNorth Carolina	Required	—	$110	$37,618
NDNorth Dakota	Required	—	$110	$38,845
OHOhio	Required	—	$110	$37,618
OKOklahoma	Required	—	$110	$35,574
OROregon	Required	—	$110	$44,979
PAPennsylvania	Required	—	$110	$40,072
RIRhode Island	Required	—	$110	$42,116
SCSouth Carolina	Required	—	$110	$37,209
SDSouth Dakota	Required	—	$110	$35,983
TNTennessee	Required	—	$110	$36,801
TXTexas	Required	—	$110	$38,436
UTUtah	Required	—	$110	$39,663
VTVermont	Required	—	$110	$41,298
VAVirginia	Required	—	$110	$41,707
WAWashington	Required	—	$110	$48,250
WVWest Virginia	Required	—	$110	$35,165
WIWisconsin	Required	—	$110	$38,436
WYWyoming	Required	—	$110	$38,845

Common questions about emt / paramedic licensing

Do all states require a emt / paramedic license?

No — 51 of 51 jurisdictions require a state-level emt / paramedic license. The remainder license at the local or county level, or not at all. See the table above for the per-state breakdown.

How much does it cost to get a emt / paramedic license?

Application fees across the states range $110–$110. Renewal fees and continuing education hours vary by jurisdiction — check the state-specific page for the exact numbers.

How many apprenticeship hours does a emt / paramedic license typically require?

Required apprenticeship/work experience hours range varies across states, with most states requiring 2–4 years of supervised on-the-job training plus passing a board-administered exam.

Data last verified 2026. Salary data from BLS OEWS. Always verify with your state licensing board.