Emergency Medical Technician Licensing

States Licensed


of 50 states and D.C.


Burden Rank


for average burdens 1st is worst


Combined Rank


for states licensed x average burdens 1st is worst

Change from 2017 to 2022, if any:
Burden increased
Burden decreased
Mixed burden change
New license
Eliminated license
2022 Licensing Burden Rank
Lower Burden Rank
Higher Burden Rank
No state license

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Emergency medical technicians, or EMTs, assess injuries, administer emergency medical care, extricate trapped individuals, and transport injured or sick persons to medical facilities. See Appendix B for details of how we estimated education for this occupation.

2022 Snapshot

  • Days lost range from 26 (Florida, Missouri, New Jersey) to 70 (Kansas)
  • Fees range from $0 (New York) to $253 (Oregon)
  • 51 states require 1+ exam
  • 51 states set minimum age
  • 12 states set minimum grade

Changes Since 2017

  • No licenses created or removed
  • Fees changed most often and usually increased; 23 states increased days lost to education and experience, while 6 states reduced it
  • Burden rank worsened 2 spots, largely because of education and experience increases; combined rank stayed the same because the occupation was already universally licensed

2022 Licensing Burden in Detail

N New License
E Eliminated License

Data Notes: 2022 data collected between February 3, 2020, and March 18, 2022. Fees include charges for application review and license issuance; exams; background checks, credit reports and fingerprinting; recovery fund contributions; third-party certification; and certain fees for training courses. Calendar days lost were estimated based on required education and experience; except for amounts smaller than one day, days lost are rounded to whole days and thus may not reflect very small changes between 2017 and 2022. Appendix A details methods for estimating days lost and calculating burden ranks. Complete data, including revised 2017 data, are available at https://ij.org/report/license-to-work-3/ltw3-data/.

Additional Resources