CNA Certification Requirements in Texas

Texas requires 100 hours of state-approved training to become a Certified Nursing Assistant — 60 hours of classroom instruction and 40 hours of supervised clinical practice.

Training Program Requirements

Texas CNA programs must be approved by the Texas Health and Human Services Commission (HHSC). Programs are available at:

• Community colleges and technical schools
• Hospitals and long-term care facilities
• Private training organizations
• Some high schools (as part of Health Science programs)

Certification Exam

The Texas CNA exam is administered by Credentia:

• Written Test: Multiple-choice knowledge assessment
• Skills Test: 3-5 clinical skills performed before a nurse evaluator
• Cost: ~$110 total
• Results: Typically available within 5-10 business days

You have 3 attempts to pass the exam within 2 years of completing training.

Renewal

Texas CNAs must renew every 2 years:

• Must demonstrate employment as a CNA during the renewal period
• No specific continuing education hour requirement
• Background check may be required at renewal

Reciprocity

Texas accepts out-of-state CNA certifications if:

• Your certification is current and active
• You pass a Texas criminal background check
• You were not involved in any abuse, neglect, or misappropriation findings