CNA Requirements by State
Every state sets its own rules for becoming a Certified Nursing Assistant. Training hours range from 75 (federal minimum) to 175. Pick your state to see exactly what you need.
Select Your State
Arizona
CNA Requirements
California
CNA Requirements
Delaware
CNA Requirements
Florida
CNA Requirements
Georgia
CNA Requirements
Illinois
CNA Requirements
Louisiana
CNA Requirements
Massachusetts
CNA Requirements
Michigan
CNA Requirements
Mississippi
CNA Requirements
New Jersey
CNA Requirements
New York
CNA Requirements
North Carolina
CNA Requirements
Ohio
CNA Requirements
Pennsylvania
CNA Requirements
Tennessee
CNA Requirements
Texas
CNA Requirements
Virginia
CNA Requirements
Washington
CNA Requirements
More States Coming Soon
We are adding detailed CNA requirements pages for all 50 states. The pages above already cover the largest CNA workforces. Check back regularly as we add more states.
How CNA Requirements Vary by State
Federal law (OBRA '87) sets a floor of 75 hours of training for nurse aides working in Medicare- and Medicaid-certified facilities. Beyond that floor, every state sets its own requirements — and the differences are substantial. California requires 160 hours, Virginia and Illinois require 120, while Texas, Florida, and several others stick with the 75-hour federal minimum.
Other state-specific factors include minimum age (some states allow CNA training at 16, others require 18), education prerequisites (some require a high school diploma, others do not), background check rules, and which company administers the competency exam. Common testing vendors include Credentia (formerly Pearson VUE), Prometric, Headmaster (D&S Diversified Technologies), and PSI.
Some states have unique pathways: Florida allows you to challenge the exam without formal training. Washington has a two-tier system (NA-R for entry-level, NA-C for the full credential). New Jersey distinguishes CNAs (long-term care facilities) from CHHAs (home health). Pick your state above for the exact rules.
General CNA Requirement Questions
What is the federal minimum training requirement for CNAs?
Federal law (OBRA '87) requires a minimum of 75 hours of nurse aide training, including at least 16 hours of supervised clinical training, before a candidate can take the competency exam and work in a Medicare- or Medicaid-certified facility. Many states require more than the federal minimum.
Do I need a high school diploma to become a CNA?
It depends on the state. Some states (like California) explicitly require a high school diploma or GED for CNA certification. Others (like Texas) do not require it, though individual training programs and employers may. Check your state's specific requirements page for the rule.
How long does it take to become a CNA?
In most states, the full process — training, exam, and registry listing — takes 4 to 12 weeks. Accelerated programs can complete the classroom and clinical portions in as little as 3 to 4 weeks. States with higher training-hour requirements (California's 160-hour rule, for example) typically take longer.
How much does CNA training cost?
Costs vary widely by state and program type. Many nursing facilities sponsor training for free in exchange for a work commitment. Community college programs typically range from $400 to $1,500. Private programs may run higher. Add $75 to $200 for the exam and registry fees.