Texas Comptroller Manual of Accounts - Fiscal 2025
Revenue Object 3560 – Medical Examination and Registration – Emergency Medical Services

To record fees set by the executive commissioner to accompany applications for emergency medical services, including:

1. Application for certification of emergency medical technician-paramedic or advanced emergency medical technician, no more than $90.
2. Application for certification of emergency medical technician or emergency care attendant, no more than $60.
3. Recertification of emergency medical technician-paramedic or advanced emergency medical technician, up to $90.
4. Recertification of emergency medical technician or emergency care attendant, up to $60.
5. Emergency service vehicle application fee up to $500 per vehicle; vehicle fee no more than $180; valid 2 years.
6. Certification of program instructors or examiners, no more than $30, certification of course coordinators up to $60; valid for 1 year.
7. Emergency Medical Services Volunteer Providers are exempted from fees.
8. Replace a lost certificate is no more than $10.
9. If someone fails an exam, to retake all or part requires a fee of no more than $30.
10. Application for personal certification and training program approval.
11. Application for recertification whose application received after the expiration date of the certificate must pay a late fee of $25.
12. Each out-of-state certification application, a fee of no more than $120.
13. Each out-of-country certification application, a fee of no more than $150.
14. Basic course/training program no more than $30; advanced course/training program up to $60.
15. Provisional license if provider fails to meet minimum standards but issuance is in public interest, an application fee of no more than$30.
16. For reinspection to determine compliance, a fee of no more than $30.
17. Certification or re-certification of a licensed paramedic of $120.

As determined by the executive commissioner.

Amended by H.B. 1593, 69th Leg., R.S.

(1), (2) amended by S.B. 312, 71st Leg., R.S.; H.B. 241, 73rd Leg., R.S.

(3), (4), (11) added by H.B. 241, 73rd Leg., R.S.

(8), (9) amended by S.B. 312, 71st Leg. R.S.

(10) amended by S.B. 404, 72nd Leg., R.S.

(5), (6), (12), (13) added or amended by H.B. 1604, 74th Leg., R.S.

(14), (15), (16, (17) added by H.B. 1407, 75th Leg., R.S.

Transferred from the Department of Health (501) to Department of State Health Services (537) and all fees amended by H.B. 2292, 78th Leg., R.S.

S.B. 1588, 88th Leg., R.S. removed $30 application filing fee for a variance from rule due to a specific hardship (formerly under 773.052).