Hawaii EMS providers have two paths to renew their state license: maintain National Registry (NREMT) certification, or follow Hawaii state CE requirements. The NREMT path is the simpler of the two and follows standard NCCP hour structure. The state-only path requires a State-approved refresher course alongside specific CE hours, plus annual CPR certification.
Here’s the full breakdown of Hawaii EMS recertification requirements.
Choose Your Path
Click each path below to see the specific Hawaii EMS continuing education requirements.
Which Path Should You Choose?
Most Hawaii EMS providers benefit from maintaining NREMT certification. The NREMT path is simpler, hour-based, and 100% completable through online CE. The state-only path requires multiple in-person components (the refresher course and annual CPR), which means more coordination with local training providers.
The state-only path still makes sense for providers who already have established relationships with local refresher programs, or who prefer Hawaii-specific training content.
About Hawaii’s State-Approved Refresher Requirement
The Hawaii state path requires a State-approved EMT or paramedic refresher course. This is a specific course type that must be approved by the Hawaii Department of Health. Refresher courses typically include hands-on skills components that cannot be completed online.
You’ll need to coordinate with a local Hawaii-approved training provider for the refresher portion of your state recertification. CE Solutions can cover your additional CE hour requirements once your refresher is complete.
For the complete list of approved CE subject areas for both EMTs and Paramedics, review the official Hawaii Department of Health approved courses of training.
Hawaii EMS Continuing Education Through CE Solutions
CE Solutions is a CAPCE-accredited EMS continuing education provider serving Hawaii EMTs and Paramedics since 1997. Our courses cover the hour-based portions of both Hawaii recertification paths.
- NREMT recertification packages structured for EMT and Paramedic levels
- Full EMS continuing education library covering Hawaii’s approved subject areas
- CAPCE-accredited courses accepted for both NREMT and Hawaii state recertification
- 100% online delivery, accessible from any of the Hawaiian Islands
- Direct email support with responses within 24 hours
- Automatic CE certificate generation for Hawaii Department of Health submission
Browse our Hawaii EMS continuing education courses or view NREMT recertification packages to get started.
Hawaii EMS Recertification FAQs
What EMS continuing education does Hawaii accept?
Hawaii accepts CAPCE-accredited EMS continuing education from approved providers. State path courses must align with the approved subject areas published by the Hawaii Department of Health. NREMT path courses follow the National Continued Competency Program (NCCP) structure.
Does Hawaii require NREMT certification?
No. Hawaii offers both an NREMT path and a state-only recertification path. NREMT is simpler and hour-based. The state-only path requires a State-approved refresher course plus annual CPR plus additional CE hours.
How many CE hours do I need for Hawaii recertification?
NREMT path: 40 hours for EMT, 60 hours for Paramedic. State path: 48 additional CE hours for EMT (plus 24-hour refresher and annual CPR), or 24 additional CE hours for Paramedic (plus 48-hour refresher with ACLS and annual CPR).
Where do I take the Hawaii State-approved refresher course?
State-approved refresher courses are offered by Hawaii Department of Health-approved training providers. Contact your local training program or the Hawaii EMS office for current refresher course offerings.
Can CE Solutions provide the Hawaii refresher course?
No. Refresher courses include in-person skills components that cannot be completed online. CE Solutions covers the additional CE hour requirements through our CAPCE-accredited online course library, but the refresher and CPR portions must be completed through approved local training providers.
Where do I submit my Hawaii EMS renewal?
Hawaii EMS renewals are processed through the Hawaii Department of Health State EMS Branch. Contact them directly for application instructions, status questions, or licensure inquiries.

