CNA Renewal Requirements by State (2026)

Most states renew a CNA / nurse-aide certification on a two-year cycle and keep it active through paid nurse-aide work rather than fees. Some also require in-service training hours. This table ranks the states we've verified by in-service hours required per cycle, highest first; states that gate renewal purely on paid work (no fixed hour count) are listed separately.

CNA renewal requirements by state, ranked

#StateIn-service hours per cycleCycle
1 California CNA renewal 48 hours 24 mo
2 Texas CNA renewal 24 hours 24 mo
3 Florida CNA renewal 24 hours 24 mo
4 Nevada CNA renewal 24 hours 24 mo
5 New Hampshire CNA renewal 24 hours 24 mo
6 Delaware CNA renewal 24 hours 24 mo
7 South Dakota CNA renewal 24 hours 24 mo
8 Alaska CNA renewal 24 hours 24 mo
9 Ohio CNA renewal 12 hours 24 mo
10 Michigan CNA renewal 12 hours 24 mo
11 Wyoming CNA renewal None required 24 mo

States without a single published hour count

These states don't publish a single fixed CE-hour figure — the requirement depends on factors covered on each state's full guide:

Based on 50 states verified against official boards. Figures change — confirm with your board before filing.

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