Your Texas EMT certification runs four years and ends on its expiration date; DSHS sends no renewal notice.
Your own expiration date is on your certification card and in the state's online license lookup.
| State EMS office | Texas Department of State Health Services (DSHS), EMS certification |
|---|---|
| Cycle | every four years |
| Continuing education | 72 CE hours over four years in the state's content areas, or current NREMT, or the NREMT exam (70%), or a 48-hour recertification course; plus the Texas EMS jurisprudence exam |
| National Registry | One way to renew |
| Fee | $64 |
If it lapses: Up to 90 days late: $94. 91 days to 1 year: $124 plus a skills verification form. Expired one year or more: you cannot renew and must certify again.
From DSHS renewals, DSHS EMS fees, DSHS CE hours by level, DSHS EMS certification (no notices, opens 6 months early), checked November 10, 2026. The state: "Applicants whose certification has been expired for one year or more may not renew the certificate."
The NREMT EMT exam, EMR and the other EMS levels, with every answer explained. Made by an RN and former New York State EMT. Free to start, no sign-up.
Your Texas EMT certification runs four years and ends on its expiration date; DSHS sends no renewal notice.
72 CE hours over four years in the state's content areas, or current NREMT, or the NREMT exam (70%), or a 48-hour recertification course; plus the Texas EMS jurisprudence exam.
No, but a current National Registry certification is one way to meet Texas's renewal requirement.
$64.
A study aid, not legal advice: your state EMS office has the final word, and its rules and fees change. Headed In LLC is not affiliated with the National Registry of EMTs or any state EMS office.