Iowa EMT, AEMT & Paramedic Certification Renewal Requirements
Iowa EMS certifications are managed by the Iowa Health & Human Services (HHS), Bureau of Emergency and Trauma Services (BETS). Iowa offers two renewal pathways: current NREMT certification or completion of state core topic CE hours.
At a Glance
| Detail | Information |
|---|---|
| Regulatory Body | Iowa HHS, Bureau of Emergency and Trauma Services |
| Renewal Cycle | Every 2 years |
| NREMT Alternative | Current NREMT certification satisfies all state CE requirements |
| Online Renewal | Yes — Iowa EMS portal |
Two Renewal Pathways
Option 1: Current NREMT Certification (Simplest)
A valid NREMT certification that exceeds your Iowa certification expiration date may be used to renew your Iowa EMS certification. No additional state CE documentation needed.
Option 2: State Core Topic CE Hours
Complete the required core topic hours for your level:
| Level | Airway | Cardiology | Trauma | Medical | Operations | Total Core Hours |
|---|---|---|---|---|---|---|
| EMR/FR | 1 | 2 | 1 | 3 | 1 | 8 |
| EMT/EMT-D | 1 | 6 | 2 | 6 | 5 | 20 |
| AEMT | 2 | 7 | 3 | 8 | 5 | 25 |
| Paramedic | 3 | 9 | 3 | 9 | 6 | 30 |
Iowa-Specific Notes
- Nationally recognized programs accepted. ACLS, PALS, PHTLS, ITLS, and similar nationally recognized programs completed during the certification period can be applied toward CE hours without needing a separate sponsoring number, as long as the program was completed in its entirety during the current cycle.
- CAPCE-accredited courses accepted.
- CE must be from an Iowa-approved sponsor or a nationally recognized program. Check the Iowa Bureau of EMS for approved sponsor information.
- Reciprocity: Iowa accepts NREMT-certified EMS providers from other states. Reciprocity fee is approximately $50.
- Critical Care Paramedic endorsement available for paramedics with additional training.
How to Renew
- Choose your pathway (NREMT or state core topic CE)
- If state CE: Complete required core topic hours before certification expiration
- Log in to the Iowa EMS certification portal
- Submit renewal application with supporting documentation
- Pay the renewal fee
Contact Information
Iowa HHS — Bureau of Emergency and Trauma Services
- Website: hhs.iowa.gov/bets/ems
- Phone: (515) 281-0620 or (800) 728-3367
- Address: Lucas State Office Building, Des Moines, IA 50319
This page is for informational purposes only. Requirements may change — always verify current requirements with the Iowa Bureau of Emergency and Trauma Services before renewing. Last reviewed March 2026.
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