American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

CME State Requirements

Some state licensing boards or health agencies established specific content requirements for Continuing Medical Education (CME) Credit. In an effort to help individuals meet these requirements, the American College of Surgeons (ACS) offers sessions that include content areas, and are identified and designated as Credit to Address Regulatory Mandates. For example, state requirements might include:

  • Cultural Competence (CC)
  • End-of-Life Care (EoL)
  • Ethics (E)
  • Opioid/Pain Management (OPM)
  • Palliative Care (PA)
  • Patient Safety (PtS)
  • Risk Management (RM)

When claiming CME Credit for these sessions, individuals can elect to include the Credit to Address Regulatory Mandates and this will be documented as part of their CME Certificate. Individuals MUST check with their state or local medical board, hospital, or organization to verify that the content does meet the specific requirements.

This information is updated four times a year. These state requirements are subject to change, so please contact mduckworth@facs.org if you have any questions or concerns about the content of this website.

Alabama

CME Hours/Year: 25/1

State-Mandated Content

Opioid/Pain Management: Two hours of controlled substance prescribing education every two years as part of the licensee's yearly CME requirement. The controlled substance prescribing education shall include instruction on controlled substance prescribing practices, recognizing signs of the abuse or misuse of controlled substances, or controlled substance prescribing for chronic pain management. January 2017 (January 2018)

Alaska

CME Hours/Year: 50/2

State-Mandated Content

Opioid/Pain Management: At least two hours of continuing education in pain management and opioid analgesic use and addiction in the two years preceding application for renewal of a license. (July 2017)

Arizona

CME Hours/Year: 40/2

State-Mandated Content

Opioid/Pain Management: The 7-day opioid limit for an initial prescription Governor’s Emergency declaration in 2017. The prescriber must check before prescribing a Schedule II–IV opioid or benzodiazepine for a new course of treatment. Subsequent check at least quarterly while the substance(s) remains part of the treatment. Minimum of 1 credit hour of the mandatory 40 credit hours shall be in the area of opioid prescribing. (2016)

Arizona-DO

CME Hours/Year: 40/2

State-Mandated Content

Opioid/Pain Management

Arkansas

CME Hours/Year: 20/1

State-Mandated Content

Opioid/Pain Management: Prescribers are required to obtain at least 2 hours of CME on prescribing (emphasis on schedule II and regulations) within the first 2 years of obtaining a license in the state.

California

CME Hours/Year: 50/2

State-Mandated Content

Pain Management: A one-time requirement that physicians complete 12 hours of continuing medical education in pain management and/or the treatment of terminally ill and dying patients.

End-of-Life Care:  12 units may be divided in any way that is relevant to the physician’s specialty and practice setting.

Geriatric Medicine: Physicians who have patient population of which 25 percent are 65 years of age or older

California-DO

CME Hours/Year: 100/2

State-Mandated Content

Minimum of 40 hours of the 100 hours must be American Osteopathic Association (AOA) Category 1A or 1B.

Pain Management: A one-time requirement that physicians complete 12 hours of continuing medical education in pain management and/or the treatment of terminally ill and dying patients.

End-of-Life Care:  12 units may be divided in any way that is relevant to the physician’s specialty and practice setting.

Geriatric Medicine: Physicians who have patient population of which 25 percent are 65 years of age or older

Connecticut

CME Hours/Year: 50/2

State-Mandated Content

Infectious Diseases: One (1) hour every six years after first renewal; including, but not limited to, acquired immune deficiency syndrome and human immunodeficiency virus.

Risk Management: One (1) hour every six years after first renewal, including, but not limited to, prescribing controlled substances and pain management)

One (1) hour for the following:

  • Sexual Assault
  • Domestic Violence
  • Cultural Competency
  • Behavioral Health

Opioid/Pain Management

Colorado

CME Hours/Year: N/A

Delaware

CME Hours/Year: 40/2

State-Mandated Content

Identify and Report Child Abuse: 1 hour

Domestic Violence: 1 hour

District of Columbia

CME Hours/Year: 50/2

State-Mandated Content

Cultural Competency: 2 hours/2 years

HIV/AIDS: 3 hours

Opioid/Pain Management: The DC Center for Rational Prescribing (DCRx) provides information about medications and other therapeutic options to physicians and healthcare professionals.

The DC Department of Health is providing non-commercial, independent continuing education, along with access to other educational resources.

Florida

CME Hours/Year: 40/2

State-Mandated Content

Medical Errors: 2 hours (Course MUST include information regarding the 5 most misdiagnosed conditions, in accordance with Rule 64B8-13.005, F.A.C.)

Domestic Violence: 2 hours required every third biennium included in the 40 general

Ethics and Risk Management: 5 hours for attending one full day or 8 hours, whichever is more.

Opioid/Pain Management

Florida-DO

CME Hours/Year: 40/2

State-Mandated Content

Ethics (professional and medical—must be live): 1 hour

Florida Laws and Rules (must be live): 1 hour

Federal and State Laws Related to the Prescribing of Controlled Substances (must be live): 1 hour

Domestic Violence (required every third renewal period): 2 hours

HIV/AIDS (for first renewal): 1 hour

Medical Errors Prevention (must be live): 2 hours

Prescribing Controlled Substances: 1 hour of physician’s prescribing controlled substances

Georgia

CME Hours/Year: 40/2

State-Mandated Content

Opioid/Pain Management: Effective January 1, 2018, every physician not subject to Rule 360-15-.01(3) who maintains an active DEA certificate and prescribes controlled substances, except those holding a residency training permit, shall complete at least one time three or more hours of AMA/AOA PRA Category 1 CME that is designed specifically to address controlled substance prescribing practices. The controlled substance prescribing CME shall include instruction on controlled substance prescribing guidelines, recognizing signs of the abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management. The certification of such completion must occur at the first renewal following January 1, 2018, or the first renewal following licensure. Completion of this requirement may count as three hours toward the CME requirement for license renewal.

Guam

CME Hours/Year: 100/2

Hawaii

CME Hours/Year: 40/2

State-Mandated Content

40 category 1 or 1A CME hours if you initially received your license in Hawaii prior to 2/1/16; or 20 categories 1 or 1A CME hours if you initially received your license in Hawaii between 2/1/16 and 1/31/17. Only 20 hours are required for the initial renewal. Beginning with the 2020 renewal and thereafter, 40 hours will be required. The hours may be obtained at any time during the years 2016 or 2017. As such, obtaining all CME hours in a single month (for instance, 40 hours in February of 2016) would be acceptable.

Opioid/Pain Management

Hawaii-DO

CME Hours/Year: 40/2

State-Mandated Content

40 category 1 or 1A CME hours if you initially received your license in Hawaii prior to 2/1/16; or 20 categories 1 or 1A CME hours if you initially received your license in Hawaii between 2/1/16 and 1/31/17. Only 20 hours are required for the initial renewal. Beginning with the 2020 renewal and thereafter, 40 hours will be required. The hours may be obtained at any time during the years 2016 or 2017. As such, obtaining all CME hours in a single month (for instance, 40 hours in February of 2016) would be acceptable.

Idaho

CME Hours/Year:  40/2

State-Mandated Content

Opioid/Pain Management

Illinois

CME Hours/Year: 150/3

Iowa

CME Hours/Year: 40/2

State-Mandated Content

Chronic Pain Management:  2 hours

End-of-Life Care: 2 hours/5 years

Child Abuse and Reporting: (A licensee who regularly provides primary health care to children) needs to have been within 5 years

Please note. The board has not established a set of guidelines or objectives for course content. The course content and objectives should meet the needs of the local physician community. There is a general need for a greater understanding amongst most physicians for alternatives to narcotic drug use for pain management, appropriate selection, dosage and duration of therapy when narcotics are selected, and the growing problem with abuse, addiction, and diversion of physician-prescribed narcotics. Additional needs might include understanding relative equivalencies between various narcotics and how to switch from one to another, various kinds of physical pain and their most effective management, working with a team of health care providers in addressing chronic pain (mental health specialists, physical therapists, pain management specialists, neurologists), how to assess patient seeking treatment for chronic pain for potential drug misuse, and finally the use of pain management agreements.

Physicians are also encouraged to check with their medical associations to access additional applicable CMEs on chronic pain management and end-of-life care.

Indiana

CME Hours/Year: N/A

State-Mandated Content

Opioid/Pain Management: Effective July 1, 2017, pursuant to Senate Enrolled Act 226, new laws concerning the prescribing and dispensing of opioids will go into effect. Please be advised, these changes affect any practitioner who maintains an Indiana controlled substance registration and a federal Drug Enforcement Administration registration

Kansas

CME Hours/Year: 50/1

State-Mandated Content

One-year update: 50 hours with a minimum of 20 hours of Category I and a maximum of 30 hours of Category II, Two-year update: 100 hours with minimum of 40 hours Category I and a maximum of 60 hours of Category II, Three-year update: 150 hours with a minimum of 60 hours Category I and a maximum of 90 hours of Category II.

Kentucky

CME Hours/Year: 60/3

State-Mandated Content

HB 1 (passed in 2012) requires a minimum of 4.5 hours required for physicians who are authorized to prescribe or dispense controlled substances in Kentucky. This CME is required every three (3) years CME cycle period.

HB 157 (passed on 2014) requires pediatricians, radiologists, family practitioners, and emergency medicine and urgent care physicians to complete 1 hour of training on this subject that is approved by the Board prior to December 31, 2017. Information can be found on this page under the Approved Pediatric Abusive Head Trauma CME above.

Primary care physicians, who are granted licensure after July 1, 1996, are required to successfully complete a 3-hour domestic violence training course within 3 years of the date of initial licensure. Click here for more information.

As of June 24, 2015, the HIV/AIDS education CME is no longer required.

Be sponsored by an organization accredited for continuing medical education by one of the state medical associations or by the Accreditation Council for Continuing Medical Education (ACCME) or the AOA Council on Continuing Medical Education.

Be designated as AMA or AOA Category 1 education by that organization

Opioid Management

Louisiana

CME Hours/Year: 20/1

State-Mandated Content

One-time board orientation course

Opioid/Pain Management: The new law requires all prescribers of controlled dangerous substances (CDS) in Louisiana to obtain three continuing education credit hours as a prerequisite of license renewal in the first annual renewal cycle after January 1, 2018. CME course completion is a one-time requirement for all CDS permits holders in the state. The course content shall encompass drug diversion training, best practices for the prescribing of controlled substances, and appropriate treatment for addiction.

Maine

CME Hours/Year:  100/2

State-Mandated Content

Opioid/Pain Management: Currently, by law, only clinicians who prescribe opioids (this includes buprenorphine) need to do 3 hours of CME on opioid prescribing every 2 years.

Three hours of any Category 1 AMA approved program on the prescribing of opioids will suffice

Maryland

CME Hours/Year: 50/2

Massachusetts

CME Hours/Year: 100/2

State-Mandated Content

Effective February 1, 2012, physicians applying to renew their license or obtain a new license must complete at least three (3) credits of education and training in pain management and opioid education.

MA Board of Registration in Medicine's Regulations: 2 hours

Pain Management: 3 hours (opioid education)

End-of-Life Care: 2 hours

Risk Management: 10 hours

Electronic Health Records (for renewals after 1/1/15): 3 hours

Recognize and Report Child Abuse or Neglect: One-time requirement (not CME/CPD requirement) 

Opioid/Pain Management

Offered through Massachusetts Medical Society

Michigan

CME Hours/Year: 150/3

State-Mandated Content

Medical Ethics: 1 hour

Pain Management: Effective December 6, 2017, a minimum of 3 hours of continuing education must be earned in the area of pain and symptom management.

One-time for Training Standards for Identifying Victims of Human Trafficking with the tile of the state mandate to include a hyperlink directing the user to the state's rules.

Minnesota

CME Hours/Year: 75/3

Missouri

CME Hours/Year: 50/2

Mississippi

CME Hours/Year:  40/2

Montana

CME Hours/Year: N/A

North Carolina

CME Hours/Year:  60/3

State-Mandated Content

Opioid/Pain Management: 3 hours/3 years

Licensees, who prescribe, order, supply, administer, or otherwise provide controlled substances to patients under their care must complete the mandated CME.

Licensees may select any course that is ACCME Category 1 or similar that covers “controlled substances prescribing practices, recognizing signs of the abuse or misuse of controlled substances, and controlled substance prescribing for chronic pain management,”

North Dakota

CME Hours/Year: 60/3

Nebraska

CME Hours/Year: 50/2

New Hampshire

CME Hours/Year: 100/2

State-Mandated Content

Opioid/Pain Management: 3 hours/2 years

3 hours of NH Board of Medicine approved CME are required every two years (beginning with the 2016-2017CME reporting cycle) relating to opioid prescribing, including medicated assisted treatment (MAT).

New Jersey

CME Hours/Year: 100/2

State-Mandated Content

Cultural Competency: 6 hours

End-of-Life Care: 2 hours

Opioid/Pain Management: One credit of educational programs or topics concerning prescription opioid drugs, including responsible prescribing practices, alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction, and diversion.

New Mexico

CME Hours/Year: 75/3

State-Mandated Content

Review of NM Medical Practice Act: 1 hour

Prescribing Controlled Substances: 5 hours

Pain Management: 5 hours—The 5 hours of CME in pain management continuing education set forth in Subsections A and B of 16.10.14.11 NMAC may apply toward the 75 hours required in Subsection A of this section and may be included as part of the required CME hours in pain management in either the triennial cycle in which these hours are completed, or the triennial cycle immediately thereafter. Each subsequent triennial renewal cycle shall include five hours of CME hours in pain management.

Nevada

CME Hours/Year: 40/2

State-Mandated Content

Ethics, Pain Management, or Addiction Care: 2 hours must complete biennially

Misuse and Abuse of Controlled Substances, Prescribing of Opioids, or Addiction: 2 hours

Within Scope of Practice or Specialty: 20 hours

Nevada-DO

CME Hours/Year: 35/1

State-Mandated Content

Ethics, Pain Management, or Addiction Care: 2 hours

Opioid/Pain Management: Misuse and abuse of controlled substances, the prescribing of opioids or addiction-2hours 

Evidence-Based Suicide Prevention and Awareness: 1/year and 4 years thereafter

2 hours of continuing education credits in the detection of suicidal thoughts and ideations, and the intervention and prevention of suicide for the purposes of satisfying an equivalent requirement for continuing education in ethics.

New York

CME Hours/Year: N/A

State-Mandated Content

Identify and Report Child Abuse: 2 hours

Infection Control: 4 hours

All prescribers who hold a DEA license must take a 3-hour course on pain management, palliative care, and addiction.

MSSNY OFFERS 3 Hour CME Program on Pain Management, Palliative Care, and Addiction; NYS Requires Every Prescriber to Take 3 Hour Course By July 1, 2017

Ohio

CME Hours/Year: 100/2

Oklahoma

CME Hours/Year:  60/3

State-Mandated Content

Additional information on continuing professional development

Oklahoma-DO

CME Hours/Year: 16/1

State-Mandated Content

1 hour every other year on prescribing, dispensing, and administering of controlled substances

Oregon

CME Hours/Year: 60/2

State-Mandated Content

Pain Management: One-time requirement

End-of-Life Care: One-time requirement

A one-hour course provided by the Oregon Pain Management Commission is required plus at least six more hours in the subjects of pain management or the treatment of terminally ill and dying patients.

Pennsylvania

CME Hours/Year: 100/2

State-Mandated Content

Patient Safety or Risk Management: 12 hours

Identify and Report Child Abuse: 2 hours

Opioid/Pain Management: There is a CME requirement that went into effect January 1, 2017, for both initial licenses and renewal licenses. For initial applicants, no later than 12 months after obtaining an initial license or certification, at least two hours of education in pain management or identification of addiction and at least two hours of education in the practices of prescribing of opioids. For physicians seeking relicensure, at least two hours of continuing education in pain management, identification of addiction or the practices of prescribing of opioids, with some exceptions.

Puerto Rico

CME Hours/Year: 60/3

Rhode Island

CME Hours/Year:  40/2

State-Mandated Content

At least 4 hours of continuing medical education shall be earned on topics of current concern as determined by the director of the Rhode Island Department of Health:

The Department of Health and the Warren Alpert Medical School, can help you meet your continuing education requirements.

South Carolina

CME Hours/Year:  40/2

State-Mandated Content

Two (2) hours of which may be related to approved procedures of prescribing and monitoring controlled substances. Must be received from a statewide organization recognized by the Accreditation Council for Continuing Medical Education.

South Dakota

CME Hours/Year:  N/A

Tennessee

CME Hours/Year: 40/2

State-Mandated Content

Opioid/Pain Management: At least two (2) of the forty (40) required hours must relate to controlled substance prescribing, which must include instruction in the Department’s treatment guidelines on opioids, benzodiazepines, barbiturates and carisoprodol and may include instruction on topics such as medicine addiction, risk management tools and other topics approved by the Board.

Tennessee-DO

CME Hours/Year: 40/2

State-Mandated Content

Opioid/Pain Management: At least two (2) of the forty (40) required hours must relate to controlled substance prescribing, which must include instruction in the Department’s treatment guidelines on opioids, benzodiazepines, barbiturates and carisoprodol and may include instruction on topics such as medicine addiction, risk management tools and other topics approved by the Board.

Texas

CME Hours/Year: 48/2

State-Mandated Content

Ethics/Professional Responsibility: 2 hours

Pain Management (for those that practice in a pain clinic): 10 hours

Opioid/Pain Management: Per Board rule 195.4(e), the medical director of a pain management clinic must, on an annual basis, ensure that all personnel (including the medical director) are properly licensed, and if applicable, trained to include 10 hours of continuing medical education (CME) related to pain management.

Utah

CME Hours/Year: 40/2

Vermont

CME Hours/Year: 30/2

State-Mandated Content

Licensees must certify that at least 1 hour of qualifying CME credit was on hospice, palliative care, or pain management services.

Opioid/Pain Management: If licensee prescribes controlled substances, at least 1 of the required hours must be on the subject of safe and effective prescribing of controlled substances. If you have a DEA number, or have a pending application, you are presumed to prescribe controlled substances and must meet this requirement.

Vermont-DO

CME Hours/Year: 30/2

State-Mandated Content

For physicians licensed in Vermont for the first time during the most recent two-year licensing period, if licensed in Vermont for less than one year, there is no requirement for CME at the time of the first renewal. If licensed for one year or more during that initial period of Vermont licensure, the licensee shall complete at least 15 hours of approved CME activity and those 15 hours shall include any subject-specific CME required by these rules.

Virginia

CME Hours/Year: 60/2

State-Mandated Content

Opioid/Pain Management: 2 hours in the 24 months prior to next biennial renew

Pain management, proper prescribing of controlled substance, diagnosis and management of addiction—2 hours in the 24 months prior to next biennial renewal

Virgin Islands

CME Hours/Year: 25/1

Washington

CME Hours/Year: 200/4

State-Mandated Content

Suicide Assessment: The training must be taken by the end of the first full CME reporting period after January 1, 2016 or during the first full CME reporting period after initial licensure, whichever is later.

HIV/AIDS: 4 hours

Opioid/Pain Management

Washington-DO

CME Hours/Year: 150/3

State-Mandated Content

Suicide Assessment: The training must be taken by the end of the first full CME reporting period after January 1, 2016 or during the first full CME reporting period after initial licensure, whichever is later.

Wisconsin

CME Hours/Year: 30/2

State-Mandated Content

Opioid/Pain Management: Opioid prescribing 2 hours

West Virginia

CME Hours/Year: 50/2

State-Mandated Content

30 hours of the hours must be related to the physician’s area or areas of specialty.

West Virginia-DO

CME Hours/Year: 32/1

State-Mandated Content

16 hours must be AOA Category 1A or 1B Osteopathic credit

Wyoming

CME Hours/Year: 60/3