How do you renew an EMS certification in Hawaii?
Hawaii EMTs and paramedics are licensed by the Hawaii Medical Board under DCCA, not the Department of Health, and renew by January 31 of every even-numbered year for a $138 fee. Under HAR 16-85-55 an EMT-Basic needs a 24-hour state-approved refresher, annual CPR and 48 hours of additional CE, and a paramedic a 48-hour refresher including ACLS, annual CPR, 24 hours of additional CE and documented skill maintenance. A current NREMT certificate also satisfies recertification. Hawaii's rules define only these two levels; there is no EMR or AEMT.
Open the official Hawaii renewal page
What each level needs
| Level | Requirement |
|---|---|
| EMT-Basic | 24-hour refresher, annual CPR, 48 hours additional CE; or current NREMT |
| Paramedic (EMT-P) | 48-hour refresher including ACLS, annual CPR, 24 hours additional CE, documented skill maintenance |
What else Hawaii requires
- HAR 16-85 defines only EMT-Basic and EMT-Paramedic; EMR and AEMT are not Hawaii levels.
- Renewal fee $138; current period February 1, 2026 to January 31, 2028.
How this relates to NREMT
In Hawaii the National Registry is one way to renew; the state CE route above is the other. See the NREMT requirements by level.
Sources
- Hawaii official renewal page: Hawaii Medical Board - DCCA Hawaii Hawaii Medical Board
- Hawaii Medical Board renewal information
- HAR 16-85-55 recertification requirements
Compiled from these sources, retrieved September 2026. Renewal rules change; confirm with the issuing agency before you rely on any figure here.