1. A. Expiration.

   1. (1) Unless renewed for an additional two-year term, and except as otherwise provided in §A(2) of this regulation, a certificate expires in accordance with the following schedule:

      1. (a) The certificate of a certificate holder with an odd-numbered birth year expires on the 28th day of the certificate holder’s birth month in an odd-numbered year; and
      2. (b) The certificate of a certificate holder with an even-numbered birth year expires on the 28th day of the certificate holder’s birth month in an even-numbered year.
   2. (2) A certificate shall not expire within 180 calendar days of the date of issuance.

2. B. Renewal Notice.

   1. (1) At least 3 months before a certificate expires, the Board shall send the certificate holder a renewal notice by either:

      1. (a) First-class mail to the last known address of the certificate holder; or
      2. (b) Electronic means to the last known electronic address of the certificate holder.

   2. (2) The renewal notice shall provide:

      1. (a) The date on which the certificate holder’s certificate is scheduled to expire;
      2. (b) The date by which the Board must receive a renewal application in order for a certificate to remain active until the renewal application submitted by the certificate holder is processed by the Board, in accordance with State Government Article, §10-226(b), Annotated Code of Maryland;
      3. (c) The amount of the renewal fee; and

      4. (d) If the certificate holder is required to submit to a CHRC in accordance with §D of this regulation:

         1. (i) Notice that the certificate holder must submit to a CHRC in order to renew the certificate; and
         2. (ii) Written instructions for how to complete a CHRC.

   3. (3) It is the responsibility of the certificate holder to:

      1. (a) Be aware of the expiration date of the certificate; and
      2. (b) Renew the certificate before it expires.
   4. (4) Failure of a certificate holder to receive the renewal notice sent by the Board does not relieve the certificate holder of the responsibility to renew a certificate before it expires.

3. C. Renewal Requirements.

   1. (1) The Board shall renew a certificate if the individual applying for renewal:

      1. (a) Is otherwise entitled to be certified;
      2. (b) Submits a complete application for renewal on the form required by the Board;
      3. (c) Pays the renewal fee;
      4. (d) Provides satisfactory evidence, as required by the Board, of16 hours of active employment, for compensation, as a nursing assistant within the 2-year period immediately preceding the date of expiration or meet the requirements under §C(2) of this regulation; and
      5. (e) If required to submit to a CHRC in accordance with § D of this regulation, complies with the requirements of Regulation .04A of this chapter.

   2. (2) If the individual applying for renewal does not have 16 hours of active employment as a nursing assistant within the 2-year period immediately preceding the date of expiration the individual shall:

      1. (a) If a CNA-I, take and pass a nursing assistant competency evaluation; or
      2. (b) If a CNA-II, complete a nursing assistant training program..

4. D. Schedule for CHRCs. CHRCs for renewal applicants shall be scheduled according to the certificate holder’s birth month as follows:

   1. (1) In 2025 — all applicants with an August or September birth month;
   2. (2) In 2026 — all applicants with a September or October birth month;
   3. (3) In 2027 — all applicants with an October or November birth month;
   4. (4) In 2028 — all applicants with a November or December birth month;
   5. (5) In 2029 — all applicants with a December or January birth month;
   6. (6) In 2030 — all applicants with a January or February birth month;
   7. (7) In 2031 — all applicants with a February or March birth month;
   8. (8) In 2032 — all applicants with a March or April birth month;
   9. (9) In 2033 — all applicants with an April or May birth month;
   10. (10) In 2034 — all applicants with a May or June birth month;
   11. (11) In 2035 — all applicants with a June or July birth month; and
   12. (12) In 2036 — all applicants with a July or August birth month.
5. E. Grace Period. A certificate holder has a 30 calendar day grace period beyond the expiration date of the certificate to renew the certificate.

Authority: Health Occupations Article, §§8-205, 8-206, and 8-6A-01—8-6A-17, Annotated Code of Maryland; Ch. 486, Acts of 2012;
Chs. 818 and 819, Acts of 2024; Ch. 416, Acts of 2025

Effective date: February 5, 2001 (28:2 Md. R. 100)

Regulation .01B amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulations .02A, .06B, .09B amended as an emergency provision effective November 15, 2001 (28:24 Md. R. 2125); amended permanently effective February 18, 2002 (29:3 Md. R. 221)

Regulation .02A amended effective February 2, 2004 (31:2 Md. R. 85); August 27, 2007 (34:17 Md. R. 1509)

Regulation .03 amended effective April 24, 2006 (33:8 Md. R. 734)

Regulation .04 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .04D amended effective January 6, 2014 (40:26 Md. R. 2164)

Regulation .06 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .06 amended effective August 25, 2008 (35:17 Md. R. 1489); April 19, 2010 (37:8 Md. R. 617)

Regulation .06H amended effective January 6, 2014 (40:26 Md. R. 2164)

Regulation .06N amended effective June 13, 2011 (38:12 Md. R. 705)

Regulation .07 amended effective April 19, 2010 (37:8 Md. R. 617)

Regulation .08 repealed and Regulation .09 recodified to be Regulation .08 effective April 24, 2006 (33:8 Md. R. 734)

Regulation .08 amended as an emergency provision effective January 2, 2007 (34:4 Md. R. 397); amended permanently effective May 7, 2007 (34:9 Md. R. 825)

Regulation .08A, B amended effective April 7, 2008 (35:7 Md. R. 748)

Regulation .08D amended effective March 22, 2010 (37:6 Md. R. 478)

Regulation .10 repealed effective April 24, 2006 (33:8 Md. R. 734)

Chapter revised effective February 13, 2017 (44:3 Md. R. 189)

Regulation .01B amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .01B amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .04D adopted as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .05 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .05 amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Regulation .07 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .08 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09 amended effective July 2, 2018 (45:13 Md. R. 667)

Regulation .09A amended as an emergency provision effective September 22, 2022 (49:22 Md. R. 975); emergency status expired effective March 30, 2023

Chapter revised as an emergency provision effective April 3, 2026 (53:9 Md. R. 411); amended permanently effective June 8, 2026 (53:11 Md. R. 484)