Pathway lookup
EMT in Missouri
These pages summarize rules to help you plan. They are not legal advice. Before you place students at a work site or change a program, check with your state agency, your district's counsel and your insurance carrier.
In short
Missouri students can take EMT through a DHSS-certified training entity and test with NREMT; no license age is set in rule, so provider policies decide.
State program: CIP 51.0904; no DESE course code found ()
What a high school can deliver
The course and NREMT testing where the provider admits minors; Missouri sets no licensure age in rule, but providers often set 17 or 18.
Credentials students can earn
NREMT EMT-Basic (IRC under both lists; stackable in Cluster 13 from 2028-29: Changing); Missouri EMT license (NREMT plus fingerprint check)
Age and hour requirements
No license age in rule or statute (19 CSR 30-40.342; RSMo 190.142); providers set 17 or 18. Course of 110 hours plus at least 5 clinical patient contacts (19 CSR 30-40.331, older curriculum).
Other agencies involved
DHSS Bureau of EMS: certifies the training entity (19 CSR 30-40.331), inspected at least every 5 years; requires a medical director and written clinical affiliations. No high school track, so many schools partner.
Who can teach it
CTAC (bachelor's + 4,000 hrs, associate + 5,000, or 6,000 in 10 years) plus primary instructor who is a paramedic, RN or physician with 2 years clinical experience, an EMS instructor course and 20 hours CE every 5 years; an EMT license alone is not enough.
Child labor rules for work placements
State child labor law reaches only under 16: no permit or hour limits at 16-17. Federal HO 2 limits on-the-job driving. Providers and sites set clinical ages (Rolla example: 17 before rotations).
College credit after high school
No statewide agreement; OTC career center EMT for juniors and seniors (credit not confirmed); A+ Scholarship ($240/credit hour cap 2026-27) and Dual Credit/Dual Enrollment Scholarship ().
Where to go next
EMT in other states
Other pathways in Missouri
- Nurse Aide / Patient Care
- Electrical
- Welding
- Construction and Carpentry
- HVAC/R
- Cybersecurity / Networking
- Programming / Computer Science
- Automotive
- Medical and Dental Assisting
- Cosmetology
- Agriculture
- Early Childhood Education
- Culinary and Hospitality
- Machining and Mechatronics
- Engineering and Drafting
- Firefighting
- Law, Public Safety and Corrections
- Business Management and Marketing
- Entrepreneurship
Changes to this page
No changes since this page was published.
See something out of date? Tell us.