NC H675

Beginning January 1, 2026, all EMS personnel seeking credentialing or renewal in North Carolina must pass the National Registry of Emergency Medical Technicians (NREMT) examination for their certification level; no other examinations will be recognized.

EMS personnel holding state credentials not from NREMT prior to January 1, 2026, must obtain NREMT certification by January 1, 2030.

Out-of-state credential holders may receive temporary credentialing for up to one year but must obtain NREMT certification within that year to continue practicing in North Carolina.

Specialty certifications (flight paramedic, critical care paramedic, community paramedic, tactical paramedic, wilderness paramedic, designated infection control officer, medical transportation safety professional) require passing the International Board of Specialty Certification examination.

Credentialed personnel must carry an up-to-date certification card, and the Medical Care Commission must adopt temporary rules to implement these changes.