The citation spine · checked October 22, 2026
Every checker verdict, state page and pair table on this site is generated from this single dataset — so the site can never contradict itself. Each row carries its check date; each state page lists its primary sources.
| State | Credential | Training hrs | Keep-active work rule | Renewal fee | Exam | Transfer-in fee | Checked |
|---|---|---|---|---|---|---|---|
| Alabama | Certified Nursing Assistant (CNA) | 75 | Stay active by performing at least 8 hours of paid nursing or nursing-related services, under a licensed nurse, in a qualifying facility (nursing home, hospital, home health, hospice or mental health facility) in every 24-month period. There is no calendar renewal application or renewal fee - status is kept by documented work, reported through the employer/registry. | $0 | Credentia and Prometric (your training program chooses its test provider) · $135 | $0 | 2026-10-22 |
| Alaska | Certified Nurse Aide (CNA) | 140 | All certificates expire March 31 of even-numbered years, no grace period - it is illegal to work lapsed. To renew you must document 160 hours of paid CNA employment in the renewal period (U.S. or Canada) plus continuing education: 24 contact hours if certified 2+ years, 12 hours if certified more than 1 but less than 2 years, none if certified less than 1 year. Renewal fee $100 ($50 prorated if first issued on or after April 1, 2025). State application fees for initial certification total $275 ($100 application + $100 certification + $75 fingerprint) - that $275 is a state fee, separate from the Credentia exam fee, which was not confirmed on a primary page in this pass and is left null. | $100 | Credentia · Not published — confirm with the registry | $275 | 2026-10-22 |
| Arizona | Certified Nursing Assistant (CNA) | 120 | CNA registration renews every 2 years on the last day of your birth month (A.R.S. 32-1642(E)). You must file a renewal application with a verified statement that you performed nursing or nursing-related services for at least 8 hours in the previous 24 consecutive months and that your registry listing has no documented findings. CNA renewal fee is $0 (AZBN fee schedule). Late renewal costs $10 per year since last renewed. Do not confuse CNA with LNA: a Licensed Nursing Assistant renews for $50 and must document 160 hours of work. | $0 | Headmaster · $130 | $50 | 2026-10-22 |
| Arkansas | Certified Nursing Assistant (CNA) | 91 | Initial certification is valid 24 months. Renewal requires documenting at least one day - 8 hours - of paid employment providing nursing or nursing-related services in the prior 2 years, in any setting. Employing facilities and/or the individual submit the update information to the registry. If you are currently employed at renewal you are renewed for 24 months; if not currently employed, renewal runs 24 months from your last day employed as a nursing assistant (OLTC rules). | $0 | Headmaster · $125 | $25 | 2026-10-22 |
| California | Certified Nursing Assistant (CNA) | 160 | Certificate expires every 2 years on your birthday. To renew (CDPH 283C) you must self-report paid nursing or nursing-related services in a facility, for pay, under the supervision of a licensed health professional during the certification period (at least 8 hours documented on the renewal), maintain criminal record clearance, and complete 48 hours of CDPH-approved in-service training / CE - at least 12 hours in each year, up to 24 of the 48 may be online. No CDPH renewal fee. | $0 | Headmaster · $140 | $0 | 2026-10-22 |
| Colorado | Certified Nursing Assistant (CNA) | 75 | All nurse aide certificates expire January 31 of odd-numbered years, regardless of when first issued, so a first period can be shorter than 2 years. To renew you self-attest on the DORA renewal application to at least 8 hours of paid nursing care activities in the past 24 months (work in any U.S. state or territory counts) and pay the Board renewal fee. The Board charges a renewal fee but does not publish the amount outside the application - it is shown when you file, so renewal_fee is left null rather than guessed. A 60-day grace period after expiry may carry a late/delinquency fee. | Not published — confirm with the registry | Credentia · Not published — confirm with the registry | $50 | 2026-10-22 |
| Connecticut | Certified Nursing Assistant (CNA) | 100 | To renew, you must have worked at least one 8-hour shift of paid employment as a nurse aide, or in a position providing nursing-related / direct personal care services, before your certificate expires. Your EMPLOYER must complete and submit the Employment Verification Form to the registry (fax, email or mail) - you cannot self-report. There is no renewal fee. Renewals are effective 2 years from the last date of reported/verified employment (CT DPH). | $0 | Prometric · $118 | $55 | 2026-10-22 |
| Delaware | Certified Nursing Assistant (CNA) | 91 | Highest work threshold in this batch: you must work at least 64 hours for pay under the supervision of a nurse or physician during your 24-month certification period, AND complete 24 hours of approved continuing education. You self-report the 64 hours on the online 64-hour worked renewal form (class z64 in the RELIAS packet) with employer name, supervisor name and hire date, and pay a $25 renewal fee through RELIAS. Delaware Code allows renewal up to 30 days past expiration with a $25 penalty fee plus proof of CE. | $25 | Prometric · $115 | $30 | 2026-10-22 |
| District of Columbia | Certified Nursing Assistant (CNA) | 125 | Renewal every 2 years requires BOTH kinds of proof: at least 8 hours (one documented day) of paid nursing-related services under RN or LPN supervision in the prior 24 months, AND 24 hours of continuing education or in-service training in the same period - including 2 hours of LGBTQ cultural competency / specialized clinical training and 10% (about 2.4 hours) in DC public health priority subjects - plus a new criminal background check clearance. Renewal is filed through your Credentia account. | Not published — confirm with the registry | Credentia · Not published — confirm with the registry | Not published — confirm with the registry | 2026-10-22 |
| Florida | Certified Nursing Assistant (CNA) | 120 | Certification may be renewed only until you allow 24 consecutive months to pass with NO nursing-related services for monetary compensation (F.S. 464.203(5)). Florida does not set a minimum hour count - any paid nursing-related work in the window keeps you renewable, which is why work_hours_per_window is null. You must also complete 24 hours of in-service training each biennium (F.S. 464.203(7)). Renewal fees: $55 on time, $105 if expired, $160 if notified delinquent (fees include the $5 unlicensed-activity fee). | $55 | Prometric · $155 | $0 | 2026-10-22 |
| Georgia | Certified Nursing Assistant (CNA) | 85 | You must be compensated as a CNA and work a minimum of 8 hours every 24 consecutive months under the supervision of a Registered Nurse. You report your own work through the Nurse Aide Program Portal with a pay stub or W-2, your employer's name/address/phone, and your employer signing Section A of the renewal form (private-duty work needs a notarized statement naming the supervising RN/LPN and license number instead). No renewal fee and no grace period. | $0 | Credentia · $130 | $0 | 2026-10-22 |
| Hawaii | Certified Nursing Assistant (CNA) | 100 | Certification is valid up to 24 months. To recertify you must have performed at least 8 hours of paid nurse aide work, providing nursing-related direct care, in the previous 24 months, and mail the Prometric Renewal/Recertification Form at least 2 weeks before expiration (allow 10 business days for processing). Hawaii runs two groups: Group 1 aides (who worked in a Medicare/Medicaid-certified facility) recertify on the work rule alone, with no renewal fee; Group 2 aides (whose work was in state-licensed or state-certified settings) must also show 24 hours of continuing education/competency in the cycle and pay a $27 recertification fee (Hawaii Administrative Rules 17-1445; Prometric Recertification Form). A separate one-time $25 application processing fee applies to initial exam applications — it is not a renewal fee. | $27 | Prometric · $216 | $27 | 2026-10-22 |
| Idaho | Certified Nursing Assistant (CNA) | 120 | You must work at least 8 paid hours as a CNA or in nursing-related services in every 24 consecutive months. You submit the renewal form during your expiration month; your employer signs it verifying your work dates, or you attach a W-2 or pay stubs if the employer cannot sign. | $0 | Prometric (written/oral knowledge test); manual skills test arranged through approved training/testing sites · Not published — confirm with the registry | $0 | 2026-10-22 |
| Illinois | Certified Nursing Assistant (CNA) | 120 | There is no expiry date, no renewal form and no renewal fee. Your certification stays Active only while you provide at least 8 paid hours of nursing or nursing-related services in every 24 consecutive months, and your employer reports your employment to the Health Care Worker Registry. | $0 | Southern Illinois University Carbondale (SIUC) — Illinois Nurse Aide Testing · $85 | $25 | 2026-10-22 |
| Indiana | Certified Nursing Assistant (CNA) | 75 | Your initial certification is valid for 2 years and must be renewed through the Online Licensing System (MyLicense One) to stay active. You must have worked at least 8 hours in nursing or nursing-related activities during each 2-year renewal cycle. Private care hours are NOT accepted in Indiana. Renewal is free. | $0 | Ivy Tech Community College · Not published — confirm with the registry | Not published — confirm with the registry | 2026-10-22 |
| Iowa | Certified Nursing Assistant (CNA) — listed on the Direct Care Worker Registry | 75 | The certification itself does not expire. To stay Active on the DCW Registry you must perform at least 8 hours of qualifying paid nursing employment in a 2-year period, and your employer must report it — you cannot report your own hours. Your standing lapses if you stop working as a CNA for 24 months. | $0 | Headmaster / TestMaster Universe (TMU) for registration and records; knowledge exam also available remotely via Credentia; skills exam through community colleges / approved private testers · $165 | $0 | 2026-10-22 |
| Kansas | Certified Nursing Assistant (CNA) | 90 | You must work at least 8 paid hours as a nurse aide in every 24 months and file the Employment Verification Form, signed by your employer, with KDADS Health Occupations Credentialing. Work in a doctor's office or clinic does NOT count toward the 8 hours. | Not published — confirm with the registry | Kansas state test (KDADS Health Occupations Credentialing — the department or its designated agent, K.A.R. 26-50-24) · Not published — confirm with the registry | Not published — confirm with the registry | 2026-10-22 |
| Kentucky | State Registered Nurse Aide (SRNA) | 75 | Your SRNA active status is valid for 2 years from the date you passed the competency exam and must be renewed in the Kentucky Board of Nursing Nurse Portal (the renewal appears no sooner than 60 days before expiry). You must upload proof of at least 8 hours of paid employment performing nursing or nursing-related functions in each 24-month period — a pay stub, a W-2, or a signed facility letter on letterhead. Private-duty aides use the notarised SRNA Private Duty Form completed by the person cared for or their family. | $0 | Kentucky Community and Technical College System (KCTCS), administered via Headmaster TestMaster Universe (TMU) · $115 | $0 | 2026-10-22 |
| Louisiana | Certified Nursing Assistant (CNA) | 80 | You are certified for 2 years from your certification date. You must work at least 8 hours in every 24-month period performing nursing or nursing-related duties in an approved licensed setting (nursing home, hospital, home health, hospice, assisted living, ICF/DD and similar). CNAs cannot report their own work history — it must be submitted by the employer/provider; private-duty sitting does not count unless done through a licensed provider, and staffing-agency work counts only in a nursing home. | $0 | Prometric and the Louisiana Community and Technical College System (LCTCS) · $125 | $35 | 2026-10-22 |
| Maine | Certified Nursing Assistant (CNA) | 130 | Your CNA certificate must be renewed every 2 years. The Registry mails a renewal form about 45-60 days before expiry (you can also renew online), and you must submit documented proof of at least 8 hours of paid employment as a CNA within the last 24 consecutive months, under the supervision of a registered professional nurse in a health care setting, using the Registry's current Employment Verification Form, which your employer — not you — must complete. By rule (10-144 CMR ch. 128), DHHS may not charge any fee for application or biennial renewal. | $0 | — · Not published — confirm with the registry | $0 | 2026-10-22 |
| Maryland | Certified Nursing Assistant (CNA) | 100 | Certification is issued for 2 years and renewed through the Maryland Board of Nursing for a $40 biennial fee. Maryland requires MORE work than the federal floor: you must provide satisfactory evidence of 16 hours of active employment, for compensation, as a nursing assistant within the 2 years before your expiration/renewal date (COMAR 10.39.01). A criminal history records check (CHRC) is required when the Board requires one for renewal, and current secondary guidance also requires attesting to an approved implicit bias / structural racism course (from April 1, 2026). | $40 | Credentia (NNAAP) or D&SDT-Headmaster — MBON approved a second vendor in October 2024; your program assigns one · Not published — confirm with the registry | $20 | 2026-10-22 |
| Massachusetts | Certified Nursing Assistant (CNA) | 75 | Certification must be renewed every 2 years online through the Department of Public Health Health Professions Licensing System (paper renewal ended December 4, 2023). To renew you must have worked for pay as a nurse aide, under the supervision of a nurse for a health care employer, for at least 8 hours performing nursing-related duties within the past 2 years. No renewal fee is listed in official DPH guidance. | $0 | D&S Diversified Technologies / Headmaster (D&SDT-Headmaster) · $100 | $0 | 2026-10-22 |
| Michigan | Certified Nursing Assistant (CNA) | 75 | Registration is valid for 24 months and is renewed in MI-NATES (via a MILogin account) for a $40 fee. Michigan requires far more work than the federal floor: you must attest to at least 40 hours of paid nursing or nursing-related services in the last 24 months, and, effective March 23, 2026, attest to at least 12 hours of continuing education in each year of the renewal period. Passing the exam does not add you to the Registry — you must separately apply in MI-NATES and pay the $40 registration fee. | $40 | Headmaster (D&S Diversified Technologies) via TestMaster Universe (TMU) · $175 | $40 | 2026-10-22 |
| Minnesota | Nursing Assistant (Nursing Assistant Registry) | 75 | Work at least 8 hours as a paid nursing assistant every 24 months. A 24-month lapse of paid employment results in expired registry status. You must mail MDH the Nursing Assistant Registry Update form with a copy of a recent pay stub at least once every 24 months; if you do not work at a nursing home, certified home health agency, hospice or assisted living facility, attach a copy of your job description. | $0 | Headmaster (D&SDT-Headmaster) · $270 | $0 | 2026-10-22 |
| Mississippi | Certified Nurse Aide (CNA) | 75 | Work at least 8 consecutive hours of paid nursing or nursing-related services in the 24 months before your record lapses, and report it yourself in TMU. Qualifying work is paid nurse aide work in a nursing home, hospital, hospice, home health agency or intermediate care facility; private-duty, doctor's office, laboratory and personal care home aide work does not count. Out-of-state work can count through the Non-Employer Renewal form with a pay stub or W-2. | Not published — confirm with the registry | Headmaster (D&SDT-Headmaster) · $135 | $25 | 2026-10-22 |
| Missouri | Certified Nurse Assistant (CNA) | 175 | Document at least 8 hours (one day) of paid nursing or nursing-related work in each 24-month period and submit proof yourself through TMU (pay stub, W-2, or employer letter on letterhead). Your employer is then emailed to verify the work before the renewal completes. There is no fee-only renewal without the work. | $20 | Headmaster (D&SDT-Headmaster) · $135 | $0 | 2026-10-22 |
| Montana | Certified Nurse Aide (CNA) | 75 | Document at least 8 hours of paid CNA employment in the past 24 months and renew online through the BOUNDS portal. Renewals open 90 days before expiration, are processed automatically, and are no longer accepted by email or paper. | $0 | Headmaster (D&SDT-Headmaster) · $97 | $0 | 2026-10-22 |
| Nebraska | Nurse Aide | 76 | Stay active by working as a nurse aide in a paid position within 24 months of your last date of previous employment (secondary guides quantify this as at least 8 hours of paid nurse aide work in a Nebraska-licensed healthcare setting every 24 months). No renewal application or fee is required; employment keeps/reports your active status. | $0 | State-approved testing providers (Nebraska Health Care Learning Center) · $100 | $0 | 2026-10-22 |
| Nevada | Certified Nursing Assistant (CNA) | 75 | To renew you must, in the 24 months before renewal, have worked at least 40 hours of paid nursing assistant work under the direct supervision of an RN or LPN AND completed 24 hours of continuing training. You attest to both in the Nevada Nurse Portal renewal; if audited, your employer confirms the 40 hours on Board letterhead form/letter. Your certificate expires on your birthday every two years (the first period runs only to your second birthday after issue, so it can be shorter than 24 months). | $50 | Headmaster (D&SDT-Headmaster) · $165 | $50 | 2026-10-22 |
| New Hampshire | Licensed Nursing Assistant (LNA) | 100 | New Hampshire licenses LNAs (a license, not just a registry listing), renewed every two years by your birthday. Competence at renewal or reinstatement can be shown three ways under Nur 401.05: at least 200 hours using nursing-assistant knowledge and skills in the prior 2 years (the hours may be paid or unpaid, including qualifying family care under a nursing plan of care), OR at least 24 contact hours of continuing education in the prior 2 years, OR completion of a Board-approved nursing assistant program within the past 2 years. The 200-hour route is the standard path; the CE and program routes are real alternatives older guides miss. | $66 | Excel Testing · $200 | $66 | 2026-10-22 |
| New Jersey | Certified Nurse Aide | 90 | Work at least 7 hours for pay performing nursing or nursing-related services under the supervision of a licensed nurse in a licensed healthcare facility or agency within the 24 months before your certificate expires. PSI mails the renewal form 45-60 days before expiration; your employer verifies the work on the form. Renewal also requires a new criminal background check with fingerprinting every two years. | $36 | PSI (written/oral exam and registry) with D&SDT-Headmaster (skills evaluation, registered in TMU) · Not published — confirm with the registry | $36 | 2026-10-22 |
| New Mexico | Certified Nurse Aide (CNA) | 75 | Work for pay as a nurse aide performing nurse aide duties under the supervision of a licensed or registered nurse for at least 8 hours during the previous 24-month certification period. Submit the renewal request in TMU starting 30 days before expiration (up to 30 days after); once your employer verifies the employment, certification reinstates for another two years. If your employer will not complete the verification, you can submit a W-2 or pay stub instead. | $25 | Headmaster (Headmaster LLP) · $140 | $0 | 2026-10-22 |
| New York | Certified Nurse Aide (CNA) | 100 | Your employer recertifies you. To be recertified you must have worked at least 7 hours for pay as a nurse aide in a New York nursing home or other NYSDOH-approved nurse aide employer within the previous 24-month period, under the supervision of a licensed nurse. The employer submits the recertification and pays the $40 fee. | $40 | Prometric · $115 | $50 | 2026-10-22 |
| North Carolina | Nurse Aide I | 75 | Work at least 8 hours for pay performing Nurse Aide I duties delegated and supervised by a Registered Nurse during your 24-month listing period. You file the online renewal form before your listing expires, and the RN who supervised you (or an RN with access to the employer's records) must then file the matching online Employment Verification Form within 7 calendar days; the RN signature verifies the work dates, not your competency. Private duty and sitter work do not count, but home care for a licensed facility/agency and Medicaid CAP waiver work are not treated as private duty. | $0 | Credentia · $140 | $0 | 2026-10-22 |
| North Dakota | Certified Nurse Aide (CNA) | 75 | You must have performed at least 8 hours of paid nursing or nursing-related services under RN or LPN supervision during the 24-month certification period to renew. | $0 | Headmaster · Not published — confirm with the registry | $0 | 2026-10-22 |
| Ohio | State Tested Nurse Aide (STNA) | 75 | To stay on the registry you must provide at least 7.5 consecutive hours, or 8 hours within a 48-hour period, of nursing and nursing-related services for pay during the 24 months following registry placement or your most recent date of verified work (OAC 3701-17-07.3). A single short shift split across days does not count unless it fits the 8-in-48 alternative. | $0 | Headmaster · $104 | $0 | 2026-10-22 |
| Oklahoma | Certified Nurse Aide (Long Term Care Aide) | 75 | You must have performed at least 8 hours of nursing or health-related services for compensation during the preceding 24 months. Private duty work does not count. Proof can be an administrator/HR signature, a pay stub, or a W-2. | $0 | Headmaster · Not published — confirm with the registry | $0 | 2026-10-22 |
| Oregon | Certified Nursing Assistant (CNA) | 155 | Oregon rebuilt this system on January 1, 2026 (HB 3044). Practice hours are NO LONGER required for renewal: a certificate is valid for two years from the date it is issued, and renewal requires the application, the Division 2 fees, a state records background check, and 2 hours of cultural competency education within the past 48 months (OSBN Competency Requirements page; Division 62 text as filed in OSBN's 2026 rulemaking). Older pages describing a 400-hour work rule and a birthdate expiry describe the pre-2026 system. | Not published — confirm with the registry | Headmaster · Not published — confirm with the registry | Not published — confirm with the registry | 2026-10-22 |
| Pennsylvania | Nurse Aide | 80 | To stay enrolled you must work for pay as a nurse aide in a nursing environment such as a nursing home, hospital, or home health setting for at least 8 hours (one documented day) during the previous 24 months of enrollment. Self-employed and private duty work do not count. The Department of Health mails a continued-enrollment notice about 90 days before expiration. | $0 | Credentia · $135 | $0 | 2026-10-22 |
| Rhode Island | Nursing Assistant | 120 | You must have been employed as a nursing assistant for at least 8 hours within the prior 24 months in a Rhode Island-licensed health care facility, assisted living residence, or adult day services program, or for a licensed nursing service agency — and have completed 12 hours of in-service training per year at the facility where employed. Private duty employment does not count, and out-of-state work does not count for ordinary renewal. You attest to the work on the online renewal form; renewals are audited, so keep in-service proof for three years (216-RICR-40-05-22.5). | $35 | Credentia · $165 | $35 | 2026-10-22 |
| South Carolina | Certified Nurse Aide | 100 | To stay enrolled you must work as a nurse aide for at least one documented day (8 consecutive hours) for pay in an approved facility, under RN or LPN supervision, during the previous 24 months. You file the renewal yourself through the Credentia Platform; acceptable proof includes a pay stub, payroll printout, or notarized employer attestation. | Not published — confirm with the registry | Credentia · Not published — confirm with the registry | Not published — confirm with the registry | 2026-10-22 |
| South Dakota | Certified Nurse Aide (CNA) | 75 | To renew you must show at least 12 hours of nursing or nursing-related services for monetary compensation during the preceding two years, plus at least 12 hours of in-service education each year. Renewal is by your birth date; the Board sends a renewal notice at least 90 days before expiration and online renewal opens 90 days before it (ARSD 20:48:16:14). | $0 | Headmaster · $159 | $0 | 2026-10-22 |
| Tennessee | Certified Nurse Aide | 75 | You must provide verification of at least 8 hours of paid work in a licensed or certified health care facility during the past 24 months. Private duty, sitter and companion services, and private physicians' offices do not count. Proof is a pay stub or payroll printout naming the facility, you, a date, and the hours worked, or a notarized facility attestation form. Credentia emails a renewal reminder about 120 days before expiration (secondary). | $0 | Credentia · $122 | Not published — confirm with the registry | 2026-10-22 |
| Texas | Certified Nurse Aide | 100 | Your certificate and active listing expire 24 months after issuance/listing or 24 months after your last date of verified employment, whichever is earlier (26 TAC 556.9). To renew, paid nursing or nursing-related services must be documented on HHSC Form 5506-NAR through TULIP — filed by the nursing facility, or by you if the facility does not file — and you must complete 24 hours of in-service education every two years plus an HHSC infection-control and PPE course every year. The Texas rule does not set a minimum number of paid work hours; secondary summaries that claim an 8-hour Texas minimum were not supported by the TAC text retrieved. | $0 | Prometric · $125 | $0 | 2026-10-22 |
| Utah | Certified Nursing Assistant (CNA) | 100 | UNAR processes your renewal only if you performed at least 200 hours of paid nursing or nursing-related services under the direction of a licensed nurse during the 24 months following training completion or your last renewal (Utah Admin. Code R432-45-6(3)). A licensed nurse signs Section 1 of the renewal form to confirm the hours and you sign Section 2; use one signed form per employer if no single employer covers all 200 hours. Volunteer work, nursing-school clinical hours, and out-of-country missionary work do not count; qualifying work in another state can count if you hold active certification in good standing there. | $0 | UNAR · $110 | $50 | 2026-10-22 |
| Vermont | Licensed Nursing Assistant (LNA) | 75 | To renew you must have worked at least 50 days (400 hours) of paid LNA practice, or other paid work that reinforces LNA skills, under licensed nurse supervision in the 2 years before renewal. Vermont's 400-hour bar is far higher than the federal 8-hour minimum used in most states. | $65 | Excel Testing · $200 | $25 | 2026-10-22 |
| Virginia | Certified Nurse Aide (CNA) | 140 | You renew every year and must attest that you performed paid nursing-related activities at some point within the 2 years immediately before your expiration date. Virginia's regulation (18VAC90-25-80) does not set a minimum number of hours - but if you performed no paid nursing-related work at all in those 2 years, you must repeat and pass the nurse aide state examination before you can renew. | $30 | Credentia · $140 | $0 | 2026-10-22 |
| Washington | Nursing Assistant Certified (NAC) | 138 | The NAC credential itself renews on fees alone: pay $95 on or before your birthday every year, with no work or CE requirement for the credential. Separately, to stay eligible to work in a nursing facility under the federal OBRA registry you must have performed at least 8 hours of paid nursing or nursing-related services in the prior 24 months, reported by your employer (form DSHS 16-193). | $95 | Credentia · $155 | $85 | 2026-10-22 |
| West Virginia | Nurse Aide | 120 | Re-registration is required every 2 years and is your own responsibility, not your employer's. You must have at least 8 hours of paid employment as a nurse aide, under RN supervision in a direct care setting, within the previous 2 years. Independent private duty work does not count. OHFLAC mails a notice or application at least 60 days before your expiration date and your completed application must arrive before that date. There is no renewal fee. | $0 | Professional Healthcare Development (PHD) · $125 | $0 | 2026-10-22 |
| Wisconsin | Nurse Aide | 120 | Your 24-month federal work eligibility period starts the date you pass the competency test. To renew it you must have worked at least 8 hours in that 24 months, providing hands-on care for pay under RN or LPN supervision, in an approved setting (federally certified nursing home, hospice, home health agency, ICF/IID, state-licensed hospital, developmental disabilities facility, or qualifying rural medical center). You file the renewal yourself in TMU starting about 60 days before the period ends, listing your work; Headmaster emails your employer a link and the employer must verify the work before your eligibility extends another 24 months. No registry renewal fee is charged. | $0 | Headmaster · $144 | $25 | 2026-10-22 |
| Wyoming | Certified Nursing Assistant (CNA) | 75 | All CNA certificates expire on December 31 of even-numbered years, no matter when issued, and renewal runs October 1 to December 31 of that year in the Nurse Portal. Competency for renewal is a menu, not a single work rule (Board Rule § 2-13 and the Headmaster candidate handbook agree): in the past 2 years, work 400 hours as a CNA, OR work 200 hours and complete 15 hours of continuing education, OR complete 30 hours of continuing education, OR pass the NATCEP competency exam. There is no grace period. One conflict to know about: WSBN's live renewal page currently prints a different menu (400 hours, OR 40 hours of CE, OR pass the exam) — the Board's rule and its own renewal page disagree, so confirm which menu applies to you with WSBN at (307) 777-7601 before your renewal window opens. | $50 | Headmaster · $127 | $60 | 2026-10-22 |
Rules were taken from state registry, health-department, board and statute pages, and from the exam vendors' own published fee tables — in that order. Forty-two states' core lapse, recovery and endorsement rules were confirmed on primary pages (30 in the original pass, 12 more in the October 22, 2026 verification sweep); nine are marked "partial" on their state pages where a detail (often a fee the state does not publish) could only be confirmed in part. Where a state does not publish a figure, the cell says "Not published" — a dataset that fills gaps with guesses is worse than no dataset.
Maintenance: exam vendors and fees reprice roughly annually per state and occasionally switch (California moved testing to Headmaster effective March 1, 2026; Washington's program moved from the Department of Health to the Board of Nursing on July 1, 2026). This dataset gets a quarterly vendor-and-fee sweep and an annual rule re-verification; any cell we cannot keep current comes down rather than going stale quietly.
Citing this dataset: CNAStatusCheck 50-state CNA dataset, checked October 22, 2026, cnastatuscheck.com/dataset.html. Verify against the primary source before relying on any single cell for a deadline.
