State CNA Exam Pathways

CNA requirements, exam providers, and registry processes vary by state. Use this guide for general orientation, then confirm current details with the official registry before enrolling or testing.

Top States — CA, TX, FL & NY

Featured state guides
CA

California

~39M people · Pearson VUE

150hrs

total training

150 total hours (highest in the US)
100 supervised clinical hours
48 in-service hours every 2 years
CDPH ATCS Registry
Highest training requirement in the US. CA's CDPH actively audits clinical training programs.
TX

Texas

~30M people · Pearson VUE

100hrs

total training

100 total hours
50 supervised clinical hours
16 hrs classroom before any clinical contact
TX HHS Registry
TX requires classroom instruction before clinical contact — sequence matters more than in other states.
FL

Florida

~22M people · Pearson VUE

120hrs

total training

120 total hours
40 supervised clinical hours
24 in-service hours every 2 years
FL Board of Nursing Registry
FL's senior population density makes long-term care one of the state's largest employers.
NY

New York

~19M people · Pearson VUE

75hrs

total training

75 total hours
30 supervised clinical hours
12 in-service hours every 2 years
NYSDOH Registry
Separate HHA certification for in-home care
NY is the only state in the Big 4 that requires a separate HHA certification for home-care settings.

Reviewed State Exam Packs

Versioned CNA-Ready preparation paths paired with official state and test-provider sources.

75

Min hours (any state)

83

Reference average

180

Max hours (any state)

State and provider exam pathways

Some states use the National Nurse Aide Assessment Program (NNAAP), while others use different providers or pathways. CNA-Ready materials are for practice; the official state registry and testing vendor control the current format and requirements.

Showing 54 of 54 states & territories

AL

Alabama

75hrs

total training

16 clinical hrs
Headmaster LMS
AK

Alaska

75hrs

total training

16 clinical hrs
Pearson VUE
AZ

Arizona

120hrs

total training

40 clinical hrs
Pearson VUE
AR

Arkansas

75hrs

total training

16 clinical hrs
Headmaster LMS
CA

California

150hrs

total training

100 clinical hrs
Pearson VUE
CO

Colorado

75hrs

total training

16 clinical hrs
Pearson VUE
CT

Connecticut

75hrs

total training

16 clinical hrs
Pearson VUE
DE

Delaware

75hrs

total training

16 clinical hrs
Pearson VUE
FL

Florida

120hrs

total training

40 clinical hrs
Pearson VUE
GA

Georgia

85hrs

total training

24 clinical hrs
Pearson VUE
HI

Hawaii

75hrs

total training

16 clinical hrs
Pearson VUE
ID

Idaho

75hrs

total training

16 clinical hrs
Headmaster LMS
IL

Illinois

75hrs

total training

40 clinical hrs
Pearson VUE
IN

Indiana

75hrs

total training

30 clinical hrs
Pearson VUE
IA

Iowa

75hrs

total training

16 clinical hrs
Pearson VUE
KS

Kansas

90hrs

total training

30 clinical hrs
Pearson VUE
KY

Kentucky

75hrs

total training

16 clinical hrs
Headmaster LMS
LA

Louisiana

75hrs

total training

16 clinical hrs
Pearson VUE
ME

Maine

180hrs

total training

90 clinical hrs
Headmaster LMS
MD

Maryland

100hrs

total training

40 clinical hrs
Pearson VUE
MA

Massachusetts

75hrs

total training

16 clinical hrs
Pearson VUE
MI

Michigan

75hrs

total training

16 clinical hrs
Pearson VUE
MN

Minnesota

75hrs

total training

16 clinical hrs
Pearson VUE
MS

Mississippi

75hrs

total training

16 clinical hrs
Headmaster LMS
MO

Missouri

75hrs

total training

16 clinical hrs
Pearson VUE
MT

Montana

75hrs

total training

16 clinical hrs
Headmaster LMS
NE

Nebraska

75hrs

total training

16 clinical hrs
Headmaster LMS
NV

Nevada

75hrs

total training

16 clinical hrs
Pearson VUE
NH

New Hampshire

100hrs

total training

30 clinical hrs
Pearson VUE
NJ

New Jersey

90hrs

total training

40 clinical hrs
Pearson VUE
NM

New Mexico

75hrs

total training

16 clinical hrs
Pearson VUE
NY

New York

75hrs

total training

30 clinical hrs
Pearson VUE
NC

North Carolina

75hrs

total training

16 clinical hrs
Pearson VUE
ND

North Dakota

75hrs

total training

16 clinical hrs
Headmaster LMS
OH

Ohio

75hrs

total training

16 clinical hrs
Pearson VUE
OK

Oklahoma

75hrs

total training

16 clinical hrs
Headmaster LMS
OR

Oregon

75hrs

total training

16 clinical hrs
Pearson VUE
PA

Pennsylvania

75hrs

total training

16 clinical hrs
Pearson VUE
RI

Rhode Island

100hrs

total training

40 clinical hrs
Pearson VUE
SC

South Carolina

75hrs

total training

16 clinical hrs
Pearson VUE
SD

South Dakota

75hrs

total training

16 clinical hrs
Headmaster LMS
TN

Tennessee

75hrs

total training

16 clinical hrs
Pearson VUE
TX

Texas

100hrs

total training

50 clinical hrs
Pearson VUE
UT

Utah

75hrs

total training

16 clinical hrs
Pearson VUE
VT

Vermont

75hrs

total training

16 clinical hrs
Headmaster LMS
VA

Virginia

75hrs

total training

16 clinical hrs
Pearson VUE
WA

Washington

75hrs

total training

50 clinical hrs
Pearson VUE
WV

West Virginia

75hrs

total training

16 clinical hrs
Headmaster LMS
WI

Wisconsin

120hrs

total training

32 clinical hrs
Pearson VUE
WY

Wyoming

75hrs

total training

16 clinical hrs
Headmaster LMS
DC

Washington D.C.

75hrs

total training

16 clinical hrs
Pearson VUE
PR

Puerto Rico

75hrs

total training

16 clinical hrs
Pearson VUE
GU

Guam

75hrs

total training

16 clinical hrs
Pearson VUE
VI

Virgin Islands

75hrs

total training

16 clinical hrs
Pearson VUE

Disclaimer: CNA training requirements change periodically. Always verify current hour requirements, exam details, and registry information directly with your state's regulatory authority before enrolling in a program. This guide is for general reference only.