Newest license renewal guides
Last verified:
These are the walkthroughs we published or rebuilt most recently — Georgia paramedic, NREMT EMT, Texas, Florida, California, and NREMT paramedic first, then state RN licenses, LPN/LVN licenses, and the national BLS card. Each one is written from the issuing board or certifying body's own published rules: renewal window, continuing education including mandatory topics, current fees, the exact portal to file in, and what changes if the credential has already lapsed. Every page cites the regulator so you can verify it yourself.
EMS / State EMS credentials
State paramedic licenses, National Registry recertification, and EMS Compact Privilege to Practice are a different board, portal, and clock from the RN license. Georgia paramedic, the Compact hub, NREMT EMT, Texas, Florida, California, and NREMT paramedic lead this list.
Georgia paramedic license renewal
Georgia DPH Office of EMS and Trauma: regular window for March 31, 2027 expirations is October 1, 2026–March 31, 2027. Biennial fee $75; late $150. 40-hour CE through licenses expiring on or before March 31, 2028; CT/Paramedic 60 hours from expirations on or after March 31, 2029. Georgia is an EMS Compact member. Last verified October 5, 2026.
EMS Compact Privilege to Practice
Interstate Commission for EMS Personnel Practice: Privilege to Practice recognized in 26 states as of October 1, 2026, including Arizona since September 12. No Compact application or fee. Alaska’s Commission in-force date is October 9, 2026 — not live on this check. Connecticut is enacted and not yet operational. Not the Nurse Licensure Compact. Florida is not a member; Texas is.
NREMT EMT Recertification
National Registry EMT (not Paramedic): 2-year cycle ending March 31, 40 NCCP hours (20 National / 10 Local / 10 Individual), CE window October 1–March 31 (open now). Recert-by-CE fee $29 for applications submitted October 1, 2026 or later (was $25 through September 30, 2026). NCCP does not require a separate BLS CPR card for Registry recert.
Texas paramedic license renewal
Texas DSHS EMS and Trauma Systems: 4-year cycle, five paths, jurisprudence every cycle, online renewal opens 6 months before expiration. EMT-P $96 / Licensed Paramedic $126 on the DSHS table — older TAC $90/$120 figures are flagged. Last verified October 1, 2026.
Florida paramedic license renewal
Florida Department of Health, EMS certification (MQA): statewide expire midnight ET December 1, 2026. 30-hour refresher with ≥2 pediatric hours plus ACLS, or the department exam plus ACLS. Active renewal $45; involuntary return $70. Florida is not an EMS Compact member. Last verified October 1, 2026.
California paramedic license renewal
California EMS Authority (EMSA): 2-year cycle, 48 CE hours (≥24 instructor-based), $250 on time / $300 if the complete application is received within 30 days of expiration. NREMT is not required for routine state renewal.
NREMT Paramedic Recertification
National Registry: 2-year cycle ending March 31, 60 NCCP hours (30 National / 15 Local / 15 Individual), CE window October 1–March 31 (open). Recert-by-CE fee $37 for applications submitted October 1, 2026 or later (was $32 through September 30, 2026).
State RN licenses
Board-specific RN renewal walkthroughs — renewal window, CE hours including any mandatory topics, fees, and the exact portal your board uses.
Mississippi RN license renewal
Mississippi Board of Nursing: every RN license expires December 31 of even years. The 2026 window is open July 1–December 31. Renewal is $100 in the Nurse Gateway; no routine CE unless you have been out of practice 5+ years. Late fees start January 1.
Arkansas RN license renewal
Arkansas State Board of Nursing: biennial, expires the last day of your birth month, no grace period. One of three options — 15 contact hours, a national certification, or an academic course. $100 in the Arkansas Nurse Portal; $200 once expired.
Oklahoma RN license renewal
Oklahoma Board of Nursing: even-year birth month, last day of the month. One continuing-qualification option (520 hours, 24 CE, specialty certification, refresher, or 6 semester hours — cannot combine). $75 single-state or $125 multistate in the Nurse Portal.
South Carolina RN license renewal
South Carolina Board of Nursing / LLR: all nursing licenses expire April 30 of even years. The 2026 window is closed. Next open cohort is February 1–April 30, 2028. Renewal is $75; continued competency is one of four options, commonly 30 CE hours.
Louisiana RN license renewal
Louisiana went biennial in 2020: the statewide window runs October 1 to December 31 for licenses expiring January 31, and 900 practice hours replace continuing education entirely. Includes the $100 fee, the January late window, the first-renewal CE exemption, and the LSBN audit process.
Arizona RN license renewal
Arizona State Board of Nursing renews RNs every four years with no general CE hour mandate but a practice-hours requirement — what counts, what to keep, and how to renew through AZBN Nurse Portal.
Alabama RN license renewal
Alabama Board of Nursing runs a biennial cycle ending December 31 of even years, with 24 contact hours including board-approved Alabama-specific content. Includes fee table and late/reinstatement path.
Tennessee RN license renewal
Tennessee renews on your birth month in even or odd years depending on birth year. Covers the CE and practice-hours options, the Apply Online portal, and what changes if you hold a multistate license.
Connecticut RN license renewal
Connecticut DPH renews RNs annually by license month through eLicense, with mandatory topic hours. Includes the fee, the grace period, and how CT works now that it has joined the compact.
Indiana RN license renewal
Indiana PLA renews RNs biennially in even years by October 31, with practice or refresher requirements rather than blanket CE. Includes portal steps and lapsed-license reinstatement.
Kentucky RN license renewal
Kentucky Board of Nursing renews RNs annually by October 31, with continuing competency options rather than CE hours alone. Includes the fee, the mandatory HIV/AIDS and pediatric abusive head trauma requirements, and the KBN portal steps.
LPN and LVN licenses
Practical and vocational nurse renewals follow different rules than the RN license in the same state — separate cycles, separate CE counts, sometimes a separate portal.
California LVN license renewal
BVNPT renews LVNs every two years with 30 contact hours. Covers what BVNPT accepts, the fee, fingerprint rules, and how the LVN cycle differs from the California RN cycle.
Texas LVN license renewal
Texas BON renews LVNs biennially by birth month with 20 contact hours plus nursing jurisprudence and ethics. Includes the Texas Nurse Portal walkthrough and audit expectations.
New York LPN license renewal
NYSED registers LPNs on a three-year cycle with infection control and child abuse coursework. Covers registration vs licensure, fees, and the Office of the Professions portal.
Florida LPN license renewal
Florida BON renews LPNs biennially with 24 hours reported through CE Broker, including mandatory Florida laws and rules and human trafficking. Includes fees and late renewal.
Pennsylvania LPN license renewal
Pennsylvania renews practical nurses biennially with 30 hours including child abuse recognition. Covers PALS (PA Licensing System) steps, fees, and what to do after a lapse.
National life-support cards
Cards that travel with you rather than with a state — the renewal clock is the card's issue date, not your license cycle.
Trust is not a licensing board and does not award CE credit. Confirm requirements on the official portal before you pay.
Frequently asked questions
What are the newest Trust renewal guides?
This list is the walkthroughs we published or rebuilt most recently — Georgia paramedic, EMS Compact Privilege to Practice, Mississippi and Arkansas RN, Oklahoma and South Carolina RN, then NREMT EMT, Texas, Florida, California, and NREMT paramedic, then other state RN licenses, LPN/LVN licenses, and the national BLS card. Each page is written from the issuing board or certifying body's own published rules.
Do these guides replace my licensing board?
No. Trust is a study and reminder aid. Your board or certifying body is still the source of truth for fees, windows, and what they will accept. Every guide cites the regulator so you can verify the rule yourself before you file.
How often is this newest-guides list updated?
Whenever we ship or rebuild a walkthrough we move it to the top of its group. The date under the title is the last editorial pass on this hub. Individual guide pages carry their own last-verified stamps and board citations.
Where do I find every renewal guide, not just the newest?
Open the full renewal hub at /renew to search by state, license type, or board. This page is only the newest additions so you can see what just landed; the hub is the complete catalog.