Maryland Certified Registered Nurse Anesthetist license renewal and CE requirements
Maryland nurse anesthetists must complete 30 CEUs every two years to renew their license with the Maryland Board of Nursing.
Maryland issues a separate certification as a nurse anesthetist on top of the registered nurse license, governed by its own chapter, COMAR 10.27.06. Certification as a nurse anesthetist expires at the same time as the nurse anesthetist's registered nursing license and is renewed biennially with it. A nurse with an odd-numbered birth year always renews in an odd-numbered year and one with an even-numbered birth year in an even-numbered year, in either case not later than the 28th day of the birth month. The board sends a renewal notice at least three months before expiration and cannot guarantee that an application arriving later than 30 days before expiration will be processed in time. Renewing the CRNA certification requires a completed renewal application, the fees, and documentation of current national certification as a nurse anesthetist from the Council on Certification of Nurse Anesthetists or another national certifying body recognized by the board. If the national certification expires before the renewal date, the nurse anesthetist must make sure the board has a record of the renewed national certification; practicing on an expired national certification is prohibited and subject to discipline.
Summary
Maryland nurse anesthetists must complete 30 CEUs every two years to renew their license with the Maryland Board of Nursing. Maryland issues a separate certification as a nurse anesthetist on top of the registered nurse license, governed by its own chapter, COMAR 10.27.06. Certification as a nurse anesthetist expires at the same time as the nurse anesthetist's registered nursing license and is renewed biennially with it. A nurse with an odd-numbered birth year always renews in an odd-numbered year and one with an even-numbered birth year in an even-numbered year, in either case not later than the 28th day of the birth month. The board sends a renewal notice at least three months before expiration and cannot guarantee that an application arriving later than 30 days before expiration will be processed in time. Renewing the CRNA certification requires a completed renewal application, the fees, and documentation of current national certification as a nurse anesthetist from the Council on Certification of Nurse Anesthetists or another national certifying body recognized by the board. If the national certification expires before the renewal date, the nurse anesthetist must make sure the board has a record of the renewed national certification; practicing on an expired national certification is prohibited and subject to discipline. Maryland also mandates specific subjects. Implicit bias and structural racism training: a one-time requirement (every applicant for renewal of a license or certificate issued by a Maryland health occupations board, which reaches both the registered nurse license and the nurse anesthetist certification). Hours do not carry over between cycles.
Maryland Certified Registered Nurse Anesthetist renewal and continuing education rules
"Not stated" means the board's pages and rules we read do not address it. We do not fill in typical values.
| Renewal cycle | Two-year (24 months) |
|---|---|
| Renewal deadline | Tied to the licensee's birth month |
| Continuing education required | Yes |
| Hours per cycle | 30 CEUs |
| Self-study or online cap | No cap stated |
| Carryover to next cycle | No |
| First renewal exempt | Not stated |
| Other accepted activities | 1,000 hours of active nursing practice within the 5 years immediately preceding the renewal application, in place of the 30 CEUs; Satisfactory completion of all requirements for a diploma or degree from a board approved nursing education program within the 5 years immediately preceding the renewal application; Qualifying college or university coursework related to the applicant's nursing practice with a grade of C or higher, credited at 15 CEUs per semester hour and proved by official transcript; CEUs awarded or approved by professional organizations offering CEUs for the purpose of renewing a national certification for advanced practice registered nursing, which is how nurse anesthesia continuing education earned toward NBCRNA recertification reaches the state requirement |
Maryland sets no continuing education hour count for the nurse anesthetist certification itself. COMAR 10.27.06.04 lists only three renewal conditions: being otherwise entitled to be certified, paying the fees, and submitting a renewal application plus documentation of current national certification as a nurse anesthetist. The hours a Maryland CRNA actually owes come from the underlying registered nurse license, and COMAR 10.27.01.13.G gives three ways to satisfy it: 1,000 hours of active nursing practice within the preceding 5 years, completion of a board approved nursing education program within the preceding 5 years, or 30 continuing education units within the 2 years immediately preceding the renewal application. That is the same structure the Maryland nurse practitioner record has, and the same number, so the figure does not differ by role; what differs is that Maryland governs the nurse anesthetist in a separate chapter and conditions the certification on national certification rather than on state hours. CEUs must be earned within the 2 years before the renewal application and may not be carried forward into the next renewal period. Maryland does not adopt NBCRNA Continued Professional Certification credit totals as its requirement, and the four year NBCRNA cycle does not line up with the state's two year cycle; national certification is a renewal condition for the certification, and separately the organizations that award CEUs for renewing an advanced practice national certification are accepted CEU sources for the RN license.
Required CE topics for Maryland certified registered nurse anesthetists
State-specific subject mandates. Where a mandate applies only to some licensees, the scope is listed.
| Topic | Hours | Frequency | Applies to | Citation |
|---|---|---|---|---|
| Implicit bias and structural racism trainingThe applicant attests in the renewal application to having completed an implicit bias and structural racism training program approved by the Cultural and Linguistic Health Care Professional Competency Program. The attestation requirement applies only to the applicant's first license or certificate renewal after April 1, 2026. The board states that these courses are required only once, that applicants who already completed implicit bias training for a prior renewal do not repeat it, and that all applicants must attest to completing a structural racism training program at their first renewal after April 1, 2026. No hour count is stated in the statute or the board notice, so hours is null. Each health occupations board may adopt regulations allowing continuing education credit for the training. | Not stated | One time | Every applicant for renewal of a license or certificate issued by a Maryland health occupations board, which reaches both the registered nurse license and the nurse anesthetist certification | Health Occupations Article, 1-225; Health-General Article, 20-1306 |
Documentation and audit
| Proof submitted at renewal | No, attestation only |
|---|---|
| Keep records for | 6 years |
| Board audits compliance | Yes |
| Approved providers | CEUs must be approved by one of the entities COMAR 10.27.01.13.H(5) lists: Area Health Education Centers including local, state and national centers; the American Nurses Association; the American Nurses Credentialing Center; professional organizations offering CEUs for the purpose of renewing a national certification for advanced practice registered nursing; a local, state or national professional nursing association that provides educational programs; the Maryland Nurses Association; the National Council of State Boards of Nursing; and the National League for Nursing. Qualifying college coursework is the exception to the approval requirement and is proved by transcript. CEUs used for renewal are subject to random audit by the board or its designee; the applicant is responsible for confirming a course was approved, retaining evidence of completed CEUs for 6 years after the license is renewed, and producing that evidence within 30 days of a request. For the nurse anesthetist certification itself, what is submitted at renewal is documentation of current national certification rather than continuing education certificates. |
Common questions
- How many CE hours does a Maryland CRNA need to renew?
- Maryland nurse anesthetists must complete 30 CEUs every two years to renew their license with the Maryland Board of Nursing. Maryland sets no continuing education hour count for the nurse anesthetist certification itself. COMAR 10.27.06.04 lists only three renewal conditions: being otherwise entitled to be certified, paying the fees, and submitting a renewal application plus documentation of current national certification as a nurse anesthetist. The hours a Maryland CRNA actually owes come from the underlying registered nurse license, and COMAR 10.27.01.13.G gives three ways to satisfy it: 1,000 hours of active nursing practice within the preceding 5 years, completion of a board approved nursing education program within the preceding 5 years, or 30 continuing education units within the 2 years immediately preceding the renewal application. That is the same structure the Maryland nurse practitioner record has, and the same number, so the figure does not differ by role; what differs is that Maryland governs the nurse anesthetist in a separate chapter and conditions the certification on national certification rather than on state hours. CEUs must be earned within the 2 years before the renewal application and may not be carried forward into the next renewal period. Maryland does not adopt NBCRNA Continued Professional Certification credit totals as its requirement, and the four year NBCRNA cycle does not line up with the state's two year cycle; national certification is a renewal condition for the certification, and separately the organizations that award CEUs for renewing an advanced practice national certification are accepted CEU sources for the RN license.
- How often does a Maryland CRNA license need to be renewed?
- Certified Registered Nurse Anesthetist licenses in Maryland renew every two years. Maryland issues a separate certification as a nurse anesthetist on top of the registered nurse license, governed by its own chapter, COMAR 10.27.06. Certification as a nurse anesthetist expires at the same time as the nurse anesthetist's registered nursing license and is renewed biennially with it. A nurse with an odd-numbered birth year always renews in an odd-numbered year and one with an even-numbered birth year in an even-numbered year, in either case not later than the 28th day of the birth month. The board sends a renewal notice at least three months before expiration and cannot guarantee that an application arriving later than 30 days before expiration will be processed in time. Renewing the CRNA certification requires a completed renewal application, the fees, and documentation of current national certification as a nurse anesthetist from the Council on Certification of Nurse Anesthetists or another national certifying body recognized by the board. If the national certification expires before the renewal date, the nurse anesthetist must make sure the board has a record of the renewed national certification; practicing on an expired national certification is prohibited and subject to discipline.
- What specific CE topics are required for Maryland nurse anesthetists?
- Implicit bias and structural racism training: a one-time requirement (every applicant for renewal of a license or certificate issued by a Maryland health occupations board, which reaches both the registered nurse license and the nurse anesthetist certification). Citations: implicit bias and structural racism training (Health Occupations Article, 1-225; Health-General Article, 20-1306).
- Do Maryland nurse anesthetists have to submit CE certificates at renewal?
- Licensees attest to completion at renewal rather than submitting certificates, the board audits a sample of renewals and asks for documentation, and records must be kept for 6 years. CEUs must be approved by one of the entities COMAR 10.27.01.13.H(5) lists: Area Health Education Centers including local, state and national centers; the American Nurses Association; the American Nurses Credentialing Center; professional organizations offering CEUs for the purpose of renewing a national certification for advanced practice registered nursing; a local, state or national professional nursing association that provides educational programs; the Maryland Nurses Association; the National Council of State Boards of Nursing; and the National League for Nursing. Qualifying college coursework is the exception to the approval requirement and is proved by transcript. CEUs used for renewal are subject to random audit by the board or its designee; the applicant is responsible for confirming a course was approved, retaining evidence of completed CEUs for 6 years after the license is renewed, and producing that evidence within 30 days of a request. For the nurse anesthetist certification itself, what is submitted at renewal is documentation of current national certification rather than continuing education certificates.
Sources
Last verified September 8, 2026. Every value above was read from one of these.
- COMAR 10.27.06.01 Definitions, Practice of Nurse AnesthetistStatute or administrative rule, accessed September 8, 2026
- COMAR 10.27.06.04 Renewal of Certification, Practice of Nurse AnesthetistStatute or administrative rule, accessed September 8, 2026
- COMAR 10.27.06.05 Scope of Practice, Practice of Nurse AnesthetistStatute or administrative rule, accessed September 8, 2026
- COMAR 10.27.01.13 Renewal of License (biennial birth month schedule, 30 CEUs or practice hours, approved CEU entities, no carryover, 6 year retention)Statute or administrative rule, accessed September 8, 2026
- Md. Health Occupations Article 1-225, implicit bias and structural racism training attestation at renewalStatute or administrative rule, accessed September 8, 2026
- Implicit Bias and Structural Racism Training Notice, Maryland Board of NursingState board page, accessed September 8, 2026
- Advanced Practice Registered Nursing: Nurse Anesthetists, Maryland Board of NursingState board page, accessed September 8, 2026
- License or Certification Renewal, Maryland Board of NursingState board page, accessed September 8, 2026
- Maryland Board of NursingState board page, accessed September 8, 2026
Maryland does issue a nurse anesthetist specific credential, so this is not the nurse practitioner record retitled even though the hour figure is the same. COMAR 10.27.06 is a standalone chapter, Practice of Nurse Anesthetist, with its own definitions, certification, renewal, scope and standards sections; the nurse practitioner sits in COMAR 10.27.07 instead. 10.27.06.01.B(2) defines advanced practice registered nurse as a registered nurse certified by the board as a CNM, CRNA, CRNP or CNS, so all four are APRNs but each has its own chapter. The important finding is that 10.27.06.04 imposes no state continuing education hours on the CRNA certification at all: renewal turns on fees, the application, and documentation of current national certification from the Council on Certification of Nurse Anesthetists or another board recognized body, with practice on an expired national certification prohibited under Health Occupations Article 8-316. The 30 CEU figure recorded here therefore comes from the registered nurse license the certification sits on, COMAR 10.27.01.13.G, where it is one of three alternatives alongside 1,000 practice hours in 5 years and recent completion of a nursing education program. Scope differences worth noting for a nurse anesthetist: under 10.27.06.05 a CRNA may prescribe, order and administer drugs including controlled dangerous substances, but only in an amount not exceeding a 10 day supply, only for an individual with an established patient record at the time of prescription, and only in connection with the delivery of anesthesia services; and under 10.27.06.06 an anesthesiologist, licensed physician or dentist must be physically available for consultation at all times during the administration of and recovery from anesthesia. Because Maryland's prescribing authority for CRNAs is that narrow and tied to anesthesia delivery, no prescriber scoped continuing education mandate was found to record. The only subject mandate that reaches a Maryland CRNA is the implicit bias and structural racism training attestation, which Health Occupations Article 1-225 writes for every applicant for renewal of a licence or certificate issued by a health occupations board. Every value here was read on an official host: the Division of State Documents COMAR pages, the Maryland General Assembly statute text, and the Board of Nursing's own pages. The unit is recorded as ceu because that is the regulation's own word; no conversion to contact hours is stated, so contact_hour_equivalent is null. No category minimum, self study cap or first renewal exemption is stated.
Provided for general reference. Requirements change through legislative sessions and rulemaking, so confirm with the Maryland Board of Nursing before relying on them for a renewal. Spot something out of date? Tell us and we will fix it.