How Do I Renew My CNA License?

Overview of CNA License Renewal

Renewing a Certified Nursing Assistant (CNA) license is essential to maintain employment eligibility and compliance with healthcare regulations. While specific requirements and processes vary by state, the general renewal requirements typically involve completing continuing education hours, verifying employment, and submitting renewal applications before deadlines. Understanding state-specific regulations and maintaining clear communication with state nursing boards or registries helps CNAs avoid lapses and penalties.

General Requirements for CNA License Renewal

Across the United States, CNA licenses generally require renewal every two years, though some states may have different timelines. The renewal process typically includes proving active employment in a healthcare setting within the renewal period and completing state-mandated continuing education units (CEUs). Federal standards established by the Omnibus Budget Reconciliation Act (OBRA) mandate that CNAs must work at least eight paid hours within a 24-month period to maintain active certification. Individual states often enhance these baseline requirements with additional CEUs and specific training criteria.

State-Specific CNA Renewal Procedures

California

In California, the renewal process overseen by the California Department of Public Health (CDPH) requires CNAs to complete 48 hours of in-service training every two years. Up to 24 of these hours can be completed via approved online courses, while the rest must be conducted in-person. CNAs must verify their employment under the supervision of a licensed nurse during the certification period. CNAs enrolled in Licensed Vocational Nurse (LVN) or Registered Nurse (RN) programs can convert academic credits into CEUs, with one semester unit equivalent to 15 CEU hours.

If a CNA’s license lapse exceeds two years, reactivation requires successfully passing a competency evaluation. CNAs must submit the Renewal Application (CDPH 283C) along with CEU documentation (CDPH 283A) to renew their certification. For inquiries, CNAs may contact the CDPH Aide and Technician Certification Section at (916) 327-2445 or via email at [email protected].

Texas

The Texas Health and Human Services Commission (HHSC) requires CNAs in Texas to complete 24 CEU hours every two years, with at least 12 hours obtained through a state-licensed facility. Employment verification is mandatory through the HHSC Nurse Aide Registry. Renewals must be completed through the Texas Unified Licensure Information Portal (TULIP), with a renewal fee of $50. Late submissions or lapses exceeding 24 months necessitate retaking the competency examination for reactivation.

Military personnel and out-of-state CNAs seeking reciprocity must follow specific HHSC-established guidelines. For further assistance, CNAs may contact the Nurse Aide Registry at (512) 438-2050 or [email protected].

Florida

CNAs certified in Florida must renew their licenses every 24 months through the Florida Nursing Assistant Registry. Unlike many states, Florida does not require continuing education hours if the CNA has remained continuously employed during the certification period. Employment verification alone suffices for renewal. For assistance, CNAs can contact the Florida Department of Health at (850) 245-4125 or [email protected].

New Jersey

Renewal for New Jersey CNAs is managed through the New Jersey Department of Health. CNAs must provide employment verification and complete the renewal application online or by mail. Delinquency fees apply for late submissions. CNAs can reach the department at (866) 561-5914 or [email protected].

Maine

Maine provides an automated renewal notification system, mailing renewal forms approximately 45–60 days before expiration. CNAs are required to confirm employment in a healthcare facility and submit updated contact information. Online submissions are encouraged. For questions, CNAs can contact the Maine Division of Licensing and Certification at (207) 287-9325.

Michigan

Starting March 2026, Michigan CNAs are required to complete 12 hours of continuing education annually, focusing on topics such as abuse prevention and care plans. Employment verification of at least 40 hours within the past two years is also required. Renewals are processed through the MI-NATES portal. Contact the Michigan Nurse Aide Registry at (517) 284-8961 or via email at [email protected].

Continuing Education Guidelines

Continuing education ensures CNAs remain knowledgeable regarding current healthcare practices. States regulate CEU delivery formats, approved providers, and credit conversions. For example, California allows half of the required CEUs to be completed online, while Texas mandates that half must be completed at state-licensed facilities. Academic nursing courses can typically count toward CEU requirements, with specific conversion rates dependent on state guidelines.

Employment Verification and Reactivation Procedures

Federal law requires CNAs to maintain active employment with at least eight paid hours every 24 months to retain certification. Verification of employment is a common renewal requirement across states. Reactivation procedures vary; for instance, California requires re-examination if a license is inactive for more than two years, while Texas mandates retaking the competency exam after a lapse of 24 months.

Consequences of Lapsed CNA Certification

Allowing a CNA license to lapse results in penalties ranging from late fees to mandatory re-examinations. New Jersey charges delinquency fees for late renewals, and states like Texas and Michigan require full recertification after prolonged lapses. Additionally, CNAs cannot legally work without active certification, leading to potential employment gaps and financial challenges.

Regulatory Bodies and CNA Registry Contact Information

Renewing a CNA license is a vital responsibility for healthcare professionals. Understanding state-specific regulations and maintaining organized documentation ensures a smooth renewal process, continuous employment eligibility, and adherence to professional standards. CNAs should proactively manage their certification renewals, leveraging available resources and maintaining open communication with their respective state registries.