During the February 21, 2024 National Registry Assessment Committee meeting, the committee approved 24-Resolution-01 Resolution on ALS Certification Re-Entry Requirements. The resolution has been reviewed by the full National Registry Board of Directors and has been approved for a 60-day public comment period. The comment period will close on May 26, 2024. 

Transparency, collaboration, and stakeholder input are essential to the National Registry. As such, the National Registry provides a 60-day stakeholder comment period to comment on the resolutions. Please see the full summary and an explanation of 24-Resolution-01 below (updated April 11, 2024 for further explanation).  

View 24-Resolution-01

Comment on 24-Resolution-01  (through May 26, 2024)

Summary of 24-Resolution-01: As part of discontinuing the ALS (AEMT and Paramedic) Psychomotor Examination, the National Registry must update its State-Licensed Entry and Re-Entry processes for the AEMT and Paramedic Certifications to remove the requirement for the ALS Psychomotor Examination.  

For the state-licensed entry pathway under 24-Resolution-01, a current and active, unrestricted state license now demonstrates minimum skill competency, as required by a state licensing body. The candidate will not be required to provide additional skills verification.  

Upon meeting all application and eligibility criteria, the Candidate must then complete the National Registry’s certification examination at the appropriate level for National EMS Certification. 

For the Re-Entry candidates, in addition to the eligibility criteria, the psychomotor and cognitive examination had to be complete prior to issuance of national certification. With 24-Resolution-01, the skills verification can now be completed through one of the following mechanisms after passing the certification examination and before the first recertification. Those mechanisms include providing a current, valid, and unrestricted state license, or skills verification by a state EMS office, accredited or state approved EMS program, or agency training officer or medical director.  

For the State Licensed Pathway, this means the candidate needs the skills verification approved by an agency training officer, medical director or state EMS official; or documentation of skills from a CAAHEP-accredited or state-approved EMS program. 

For the Re-Entry Pathway, this means the candidate must now submit a current and/or valid state EMS license; skills verification approved by an agency training officer, medical director or state EMS official; or documentation of skills from a CAAHEP-accredited or state-approved EMS program. In addition, the candidate must also complete the National Registry’s certification examination at the appropriate level within the next recertification cycle to maintain National EMS Certification.  

Summary updated April 11, 2024