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Verified by HI Board of Healthcare

EMT/Paramedic Licensing in Hawaii

Review current requirements, exam details, renewal cycle, and salary outlook for emt/paramedic in Hawaii, including See agency and board contact links.

Last verified: Feb 18, 2026

Current

Application Fee

See agency

Exam Requirement

Third-party exam required

Renewal Cycle

See board renewal rules

Licensing Blueprint for EMT/Paramedic in Hawaii

Estimated timeline: Varies by board

Core Requirements

  1. 1

    Education: Specific course required.

  2. 2

    Experience: Work experience required.

  3. 3

    Background/Criminal Review: No criminal record prohibitions.

  4. 4

    Certification: Certification required.

  5. 5

    License Type: Stand-alone license.

  6. 6

    Education requirements: Complete an EMT training program in level for which you are applying (Paramedic or Advanced).

  7. 7

    National Registry of Emergency Medical Technicians (NREMT) exam for applicants who do not hold the National Registry of Emergency Medical Technicians (NREMT) certification.

  8. 8

    Between February 1, 2021 and January 31, 2022, pay $102 (application $20, certificate $32, compliance resolution fund $50).

  9. 9

    Between February 1, 2022 and January 31, 2023, pay $171 (application $20, certificate $32, ½ renewal $19, compliance resolution fund $100).

Exam and processing details

  • National Registry of Emergency Medical Technicians (NREMT) exam for applicants who do not hold the National Registry of Emergency Medical Technicians (NREMT) certification

Continuing education and program notes

  • certification for the level for which you are applying (Paramedic or Advanced)

Application Snapshot

  1. Licensing Authority

    Hawaii State Dept. of Commerce & Consumer Affairs • Professional and Vocational Licensing Division • Board of Medical Examiners

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $58,410 median (0% above national)

  5. State Salary Rank

    #24 of 50 states

Step-by-Step Process (7)

  1. 1. Meet Hawaii eligibility requirements for EMT/Paramedic licensure.
  2. 2. Complete required education or training: Specific course required.
  3. 3. Document required supervised experience: Work experience required.
  4. 4. Pass required examination steps: Third-party exam required National Registry of Emergency Medical Technicians (NREMT) exam for applicants who do not hold the National Registry of Emergency Medical Technicians (NREMT) certification.
  5. 5. Prepare supporting documentation (background check: No criminal record prohibitions; Background/Criminal Review: No criminal record prohibitions.; Between February 1, 2021 and January 31, 2022, pay $102 (application $20, certificate $32, compliance resolution fund $50).).
  6. 6. Submit the application to Hawaii State Dept. of Commerce & Consumer Affairs~Professional and Vocational Licensing Division~Board of Medical Examiners and monitor board communications.
  7. 7. Maintain post-licensure compliance (continuing education: Continuing education required to maintain license).

Salary Insights in Hawaii

With a median salary of $58,410, EMT/Paramedics in Hawaii earn 0% above the national median of $58,410. Hawaii ranks #24 among 50 states. The typical licensing timeline is Varies by board.

State Hiring Climate (QCEW)

Steady

QoQ Employment Change

-0.1%

Average Weekly Wage

$1,316

Median annual salary

$58,410

Hourly estimate

$28.08
0% above national median

Difference: +$0

Percentile Distribution

Annual compensation
  • P1010th percentileN/A
  • P2525th percentileN/A
  • P50Median$58,410
  • P7575th percentileN/A
  • P9090th percentileN/A

State vs National Median

State: $58,410
National: $58,410

Total employment: N/A | Annual openings: N/A

EMT/Paramedic Salary Ranking

#24 of 50 statesfor EMT/Paramedic median salary
RankStateMedian Salary
#1Washington$100,780
#2New Jersey$80,100
#3Connecticut$75,400
#4Oregon$73,380
#5California$72,180

Nearby States Comparison

EMT/Paramedic licensing across the region
StateMedian SalaryEducationExamTimeline
Hawaii$58,410Specific course requiredThird-party exam requiredVaries by board
California$72,180Varies by state boardState-approved exam2-18 years
Oregon$73,380Varies by state boardState-approved examVaries by board
Washington$100,780Specific course requiredThird-party exam requiredVaries by board
Alaska$68,330Varies by state boardState-approved examVaries by board

License by Endorsement

Transfer requirements are state-specific. Use this quick matrix as a planning signal, then verify final endorsement rules with each board.

StateReciprocity ScoreTierNotes
Hawaii50LowState-specific exam conditions may apply. Documented experience may be required.
California78HighBoard-specific review required.
Oregon78HighBoard-specific review required.
Washington50LowState-specific exam conditions may apply. Documented experience may be required.
Alaska78HighBoard-specific review required.
  • License status indicator: Active.
  • Continuing education indicator: Continuing education required to maintain license.
  • Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Official Licensing Agency

Official website verified

Hawaii State Dept. of Commerce & Consumer Affairs • Professional and Vocational Licensing Division • Board of Medical Examiners

P. O. Box 3469, [335 Merchant St., Rm. 301, Honolulu, HI 96813], Honolulu, HI, 96801

Phone: 8085863000

Related Careers in Hawaii

ProfessionMedian SalaryEducationTimeline
Acupuncturist$78,140Degree required1-4 months
AnesthesiologistN/ADegree required3 years
Athletic Trainer$70,930Degree required18 years
Audiologist$92,120Degree requiredVaries by board

FAQ

How long does it take to become a EMT/Paramedic in Hawaii?

Most applicants finish the licensing path in about Varies by board, but timing can change based on education track, exam scheduling, and board processing.

What exams are required for EMT/Paramedics in Hawaii?

Hawaii lists Third-party exam required as part of the licensure process for EMT/Paramedics.

What education do you need to become a EMT/Paramedic in Hawaii?

The board typically expects Specific course required for EMT/Paramedic licensure in Hawaii.

What is the typical EMT/Paramedic salary in Hawaii?

The median annual salary for EMT/Paramedics in Hawaii is $58,410.

How does the EMT/Paramedic salary in Hawaii compare to the national average?

EMT/Paramedics in Hawaii earn 0% above the national median of $58,410, with a state median of $58,410.

Can I transfer my EMT/Paramedic license to Hawaii from another state?

Transfer requirements vary by board. License status indicator: Active. Continuing education indicator: Continuing education required to maintain license. Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Who is the licensing agency for EMT/Paramedics in Hawaii?

The licensing agency is Hawaii State Dept. of Commerce & Consumer Affairs / Professional and Vocational Licensing Division / Board of Medical Examiners. Review agency details at http://cca.hawaii.gov/pvl/boards/medical/.

How often do you renew a EMT/Paramedic license in Hawaii?

Current guidance indicates a renewal cycle of See board renewal rules.