Published state guides
Start with the worker's actual state credential.
Renewal cycles can be annual or biennial, and states can require paid work, continuing education, training documentation, background checks, or a separate reinstatement process after expiration. We do not apply one generic “renew every two years” rule across the country.
Michigan CNA certificates renew for 24 months. Renewal opens 45 days before expiration, requires qualifying paid nurse-aide work, and for certificates expiring on or after March 23, 2026 includes an annual continuing-education requirement.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-12-15
California CNA certificates generally renew on a two-year cycle. CDPH requires documented training/CEUs and qualifying paid supervised patient-care work during the certification period, with specific rules for online hours and expired certificates.
Updated 2026-09-09 · verified 2026-09-09 · review by 2027-03-01
Texas nurse aides renew through TULIP. Current HHSC materials require employment verification and 24 hours of in-service education for each two-year period, and renewal can begin three months before expiration.
Updated 2026-09-09 · verified 2026-09-09 · review by 2027-02-01
Virginia certified nurse aides renew annually. The current Administrative Code requires a renewal application, fee, and attestation of compensated nursing-related activity within the two years preceding expiration.
Updated 2026-09-09 · verified 2026-09-09 · review by 2027-03-01
Maryland changed its CNA structure in 2026, redesignating credentials as CNA-I and CNA-II. Renewal remains tied to the individual certification record, and current guidance requires qualifying active CNA practice during the prior two years.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-10-15
Washington nursing assistant credentials renew annually on the practitioner's birthday. The state maintains separate nursing assistant certification and registration credentials, each with its own renewal fee and expiration record.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-12-15
North Carolina Nurse Aide I registry listings renew every 24 months. Renewal requires qualifying paid nurse-aide work supervised by an RN, plus separate online forms from the aide and the verifying RN.
Updated 2026-09-09 · verified 2026-09-09 · review by 2027-03-01
New Jersey nurse aide and personal care assistant certificates require recertification every two years. Current state guidance requires a valid certificate, qualifying paid work, and a criminal background check before expiration.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-11-01
Florida CNAs renew on a two-year cycle in two groups. Current Board guidance requires compensated nursing-related services within the prior 24 months, 24 hours of in-service training, and current background-screening requirements.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-12-15
Georgia CNA certification is renewed every two years. Current state materials require at least eight hours of paid CNA work within the prior 24 months under licensed-nurse supervision, with renewal forms available through the state's nurse/medication aide systems.
Updated 2026-09-09 · verified 2026-09-09 · review by 2027-02-01
Tennessee nurse aide certification renews every two years and requires at least eight hours of qualifying work during the prior 24 months. As of June 1, 2026, renewals moved to Credentia, making current workflow verification especially important.
Updated 2026-09-09 · verified 2026-09-09 · review by 2026-11-15