CNA Training in Texas
Texas does two things most states don't. It requires 100 hours of training instead of the federal minimum of 75, and it lets you take the 60 classroom hours online for free through a course built by the state's Health and Human Services Commission (HHSC).
That means the only part you pay a school for is the 40-hour clinical. Below you'll find each step to the Texas Nurse Aide Registry, current Prometric exam fees, pay by metro area, and approved programs from Dallas to El Paso.
Training
100 Hours
Median Pay
$18.03/hr
Exam Cost
$125
Want to work in clients' homes? See what it takes to become a home health aide in Texas.
Texas home health aide →The 4 Steps to Certification in Texas
Pick a Program That Will Take You
Texas lets each approved program (called a NATCEP) set its own admission rules, so check before you apply:
- ✓Minimum age varies: some community colleges accept students at 16, many private schools require 18.
- ✓Background check: you cannot be listed as unemployable on the Texas Employee Misconduct Registry.
- ✓Health records: expect a TB test and proof of immunizations before clinicals.
The 100-Hour Rule
Texas requires 25 more hours than the federal minimum. The classroom part can be done online, free.
The online classroom must be finished within 12 months before clinicals. Clinicals run with at least 1 instructor for every 10 students.
Pass the Prometric Exam
Apply in the state's TULIP portal. Once your program uploads your completion, Prometric emails your login to schedule and pay.
| Written + Clinical Skills | $125 |
| Oral + Clinical Skills | $125 |
| Clinical Skills retake | $92 |
| Written or Oral retake | $33 |
Registry & Renewal
Pass both parts and HHSC lists you on the Texas Nurse Aide Registry.
- ●Cost: $0. HHSC charges nothing to list or renew you.
- ●Expires: 24 months after listing or after your last verified paid work as a nurse aide, whichever comes first.
- ●To renew: proof of paid nursing work (Form 5506-NAR), 24 hours of in-service education every 2 years, and the HHSC infection control and PPE course every year.
💰 How to Get CNA Training Free in Texas
Between the state's free online classroom and federal rules on nursing home training costs, many Texas CNAs pay little or nothing. Here is how each option actually works.
HHSC Online Classroom Course
✨ 60 Hours, $0Nursing Home Paid Training
✨ Federal Rule Protects YouWorkforce Solutions (WIOA)
✨ Grants for Eligible Job SeekersJob Corps (Ages 16 to 24)
✨ Free Training & HousingTexas CNA Pay by Metro Area
Texas has about 88,680 nursing assistants. Pay runs highest in Austin and Dallas-Fort Worth and lowest along the border, so where you train can matter as much as where you live.
| Area | Median Hourly | Median Annual | CNAs Employed |
|---|---|---|---|
| Austin-Round Rock-San Marcos | $18.53 | $38,550 | 5,600 |
| Dallas-Fort Worth-Arlington | $18.53 | $38,530 | 23,420 |
| Houston-Pasadena-The Woodlands | $18.26 | $37,970 | 19,230 |
| San Antonio-New Braunfels | $17.69 | $36,800 | 7,080 |
| El Paso | $16.91 | $35,170 | 2,310 |
| Brownsville-Harlingen | $15.44 | $32,110 | 1,070 |
| Texas (statewide) | $18.03 | $37,500 | 88,680 |
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Nursing Assistants (31-1131). Medians exclude overtime and shift differentials.
What It Costs to Get Certified
The fixed costs in Texas are low. The one number that varies is the clinical program's tuition, so compare schools on that.
$0
With HHSC's free online course. Schools that teach the classroom in person charge for it.
Set by the school
Ask each school what's included: scrubs, books, background check, and exam voucher.
$125
Written or oral plus clinical skills, at fees effective September 1, 2026.
$0
HHSC charges no fee to list you on the registry or renew.
Moving to Texas? (Reciprocity)
If you are active on any other state's nurse aide registry, Texas can add you to its registry without retraining or retesting. There is no state fee.
Active CNA in Another State
Submit the Request for Entry Through Reciprocity in TULIP. You must be active on the other state's registry and not listed as unemployable on the Texas Employee Misconduct Registry.
Trained Out of State, Never Certified
Apply in TULIP as a new nurse aide by exam and choose the out-of-state training route. You take the Prometric exam but skip Texas training.
Military Medical Training
At least 100 hours of military training equivalent to civilian nurse aide training can qualify you to test without a Texas program.
Questions? Call
(512) 438-2050
Texas Nurse Aide Registry (HHSC)
CNA Training Programs in Texas
138 nurse aide training programs across Texas, from community colleges to programs run inside nursing homes. Search by school, city, or county, or narrow the list by region.
| Program | City | County | Phone |
|---|---|---|---|
| Alvarado Meadows101 N. Parkway | Alvarado | Johnson | (817) 790-3304 |
| School for Allied Health Professionals Nursing Assistants1615 West Abrams St., Suite 110 | Arlington | Tarrant | (817) 846-7590 |
| Springpack Healthcare Career, LLC #21144 F West Pioneer Pkwy | Arlington | Tarrant | (817) 460-2000 |
| C & M Home Health & Nurse Aide Academy200 Bryan Place | Cedar Hill | Dallas | (972) 293-3515 |
| Alliance Career Institute9304 Forest Ln, Ste 107 | Dallas | Dallas | (214) 575-4774 |
| B & M Career Institute9550 Forest Lane Ste. 515 | Dallas | Dallas | (972) 876-8226 |
| Companion Training Center10925 Estate Lane Ste. 240 | Dallas | Dallas | (972) 310-6070 |
| Dallas Career Institute8499 Greenville Avenue, #200 | Dallas | Dallas | (214) 691-0555 |
| Metromed Nursing Institute11325 Pegasus St. Suite W-165 | Dallas | Dallas | (469) 867-1149 |
| Texas Career Institute3302 N. Buckner Blvd., Suite 116 | Dallas | Dallas | (214) 275-9600 |
| Vinepress Training Center9550 Forest Lane, Suite 114 | Dallas | Dallas | (214) 874-8647 |
| North Texas Nursing and Career Institute512 North Elm Street | Denton | Denton | (940) 387-3301 |
| Alpha Medical Institute6800 Brentwood Stairs #104 | Fort Worth | Tarrant | (817) 395-1211 |
| Roham Medical Careers, LLP6715 Meadowbrook | Fort Worth | Tarrant | (817) 653-7255 |
| Stone Academy6326 Brentwood Stair Road | Fort Worth | Tarrant | (817) 953-2431 |
| Tarrant County College Certified Nurse Aide Training300 Trinity Campus Circle | Fort Worth | Tarrant | (817) 515-1104 |
| Journey Medical Training Center Nurse Aide Program8668 John Hickman Parkway, Ste. 602 | Frisco | Collin | (469) 803-5575 |
| Bah Career Training2433 Goldfinch Ln | Garland | Dallas | (972) 272-5820 |
| C. E. Global Health Education Network Inc.1311 Marketplace Drive, Ste. 180 | Garland | Dallas | (972) 698-7792 |
| Teamwork Career Institute, LLC303 E. Pioneer Pkwy Suite A | Grand Prairie | Dallas | (972) 642-5466 |
| CTK Healthcare and Career Institute3455 N. Beltline Road, Ste. 203 | Irving | Dallas | (214) 441-3556 |
| Bethesda Career Institute873 S. Stemmons Freeway #100 | Lewisville | Denton | (972) 459-9999 |
| Texas School of Nurse Assistants2683 Orchid Dr | Richardson | Collin | (972) 497-9038 |
| Navarro College (Waxahachie)1900 John Arden Drive | Waxahachie | Ellis | (972) 923-6440 |
| PHP The Oaks at Beaumont4195 Milam | Beaumont | Jefferson | (409) 842-4550 |
| FasTrac Job Training Center4116 Avenue N ½, Rm 169 | Galveston | Galveston | (409) 741-3992 |
| Galveston College4015 Avenue Q | Galveston | Galveston | (409) 944-1342 |
| Academy of Exceptional Healthcare Training8200 Wednesbury Lane, Suite 200 | Houston | Harris | (713) 777-4262 |
| Ace Training Institute10101 Harwin, Suite #110 | Houston | Harris | (713) 771-7737 |
| American Medical Institute6902 Cook Road | Houston | Harris | (713) 772-5300 |
| Avalon Medical Career Academy10101 Fondren Ste. 311 | Houston | Harris | (713) 272-6820 |
| E-PIC Training Center, Inc7322 SW Freeway #804 | Houston | Harris | (832) 707-7666 |
| EDivine Health Care Services11000 Fondren Rd #3C | Houston | Harris | (713) 773-1232 |
| Excel's Health Inst & Home Care Inc9898 Bissonnet #380 | Houston | Harris | Call school |
| Faith Health Training Institute10814 S. Kirkwood | Houston | Harris | (281) 498-3200 |
| Gulf Coast Nursing Career Institute Inc8876 Gulf Freeway, Ste 240 | Houston | Harris | (713) 946-3377 |
| MIKAVA INC. Training Center for Career Development12660 Sandpiper Drive | Houston | Harris | (281) 850-5646 |
| Nursing Bridges Institute14425 Cornerstone Village Dr. | Houston | Harris | (281) 856-0405 |
| Smithwood Medical Institute LLC7100 Regency Square, Ste. 210 | Houston | Harris | (713) 975-0971 |
| Springville Academy Inc16903 Red Oak Dr, Ste 278 | Houston | Harris | (281) 919-1624 |
| Starlex Medical Institute and Health Services Inc10101 Fondren Road, #246 | Houston | Harris | (832) 831-4155 |
| Taylor Medical Institute8240 Antoine Dr, Ste 208 | Houston | Harris | (281) 416-4063 |
| Texas Institute of Health Careers8700 Commerce Park Dr, Ste 213 | Houston | Harris | (832) 545-7352 |
| The Vocational Nursing Institute, Inc11201 Steeple Park Dr | Houston | Harris | (832) 237-2525 |
| The Whale Academy of Health Careers525 N. Sam Houston Pkwy E, #418 | Houston | Harris | (832) 880-9398 |
| College of The Mainland150 Parker Court | League City | Galveston | (409) 933-8512 |
| Magnolia Place Health Care, LLP1620 Magnolia St. | Liberty | Liberty | (936) 336-8844 |
| Excel Nursing Assistant Training2427 FM 1092 Rd (Murphy Rd) | Missouri City | Fort Bend | (713) 269-1583 |
| Aides for Home Health Care Services4008 Vista Rd, Ste C-108 | Pasadena | Harris | (713) 910-7575 |
| San Jacinto College (Central Campus)8060 Spencer Hwy | Pasadena | Harris | (281) 542-2059 |
| Program of Health Excellence2700 Gulfway Dr. | Port Arthur | Jefferson | (409) 433-5524 |
| Active Nursing Assistant Training of Clear Lake2511-B Nasa Rd, Ste 102 | Seabrook | Harris | (832) 265-2824 |
| Optimum Nurse Aide Training3000 Spring Cypress Rd, Ste D | Spring | Harris | (832) 877-8917 |
| Consolidated Nurse Aide Training Institute, Inc140 Eldridge Rd, Ste G | Sugar Land | Fort Bend | (832) 766-0929 |
| Genesis Education and Training1506 N. Alabama Rd. Suite F | Wharton | Wharton | (979) 282-2225 |
| Arboretum of Winnie1215 Hwy 124 | Winnie | Chambers | (409) 296-8200 |
| Care Choice of Boerne200 E. Ryan | Boerne | Kendall | (830) 249-2594 |
| Cedar Hills Geriatric Center710 Hwy 55 | Camp Wood | Real | (830) 597-5445 |
| Floresville Residence and Rehabilitation Center1811 6th Street | Floresville | Wilson | (830) 393-2561 |
| Kenedy Health and Rehabilitation7882 HWY 181 S | Kenedy | Karnes | (830) 583-9101 |
| South Texas Veterans Health Care System (Kerrville)3600 Memorial Blvd, BLDG 1 | Kerrville | Kerr | (830) 792-2910 |
| Kirkwood Manor Nursing Center2590 Loop 337 N. | New Braunfels | Comal | (830) 620-0509 |
| Palo Alto College (Central Texas Technology Center)2189 FM 758 | New Braunfels | Comal | (210) 486-3411 |
| Palo Alto College (Westside Education & Training Center)1400 W Villaret | San Antonio | Bexar | (210) 486-3406 |
| South Texas Veterans Health Care System (Audie L. Murphy)7400 Merton Minter Blvd | San Antonio | Bexar | (210) 617-5109 |
| Stone Oak Care Center505 Madison Oak Dr | San Antonio | Bexar | (210) 481-9000 |
| The Healthcare Institute1822 Fredericksburg Rd | San Antonio | Bexar | (210) 692-3262 |
| Southwest Texas Junior College2401 Garner Field RdAlso holds classes in Eagle Pass and Crystal City | Uvalde | Uvalde | (830) 278-4401 |
| Brodie Ranch Nursing & Rehab Center2101 Frate Barker Road | Austin | Travis | (512) 444-5627 |
| Central Texas Nurse Network, Inc313 E. Rundberg Ln, Ste. 208 | Austin | Travis | (512) 836-3442 |
| EZE Learning Center for Healthcare Professionals9411 Parkfield Dr, Ste 310 | Austin | Travis | (512) 719-3007 |
| The Arbour at Westminster Manor Nurse Aide Training4200 Jackson Ave | Austin | Travis | (512) 454-2140 |
| Travis Technical Training7901 Cameron Rd, Bldg #2 | Austin | Travis | (512) 574-4926 |
| Park Place Manor810 E. 13th Avenue | Belton | Bell | (254) 939-1876 |
| Bertram Nursing & Rehab C.N.A. Course540 Hwy 29 East | Bertram | Burnet | (512) 355-2116 |
| Oak Ridge Manor Nurse Aide Training Program2501 Morris Sheppard Dr | Brownwood | Brown | (325) 643-2746 |
| Winnie L Nursing2104 North Karnes Ave | Cameron | Milam | (254) 697-4985 |
| New Hope Manor Inc1623 West New Hope Dr | Cedar Park | Williamson | (512) 259-3999 |
| Goodall Witcher Hospital Authority dba Sunset Home1800 West 9th | Clifton | Bosque | (254) 675-8637 |
| Navarro College (Corsicana)3200 W. 7th Ave. | Corsicana | Navarro | (972) 923-6440 |
| De Leon Nursing & Rehabilitation809 E. Navarro Ave | De Leon | Comanche | (254) 893-2075 |
| Cherokee Rose203 Bo Gibbs Blvd | Glen Rose | Somervell | (254) 897-7361 |
| T. B. Nurse Aide Training815 Fisher St. | Goldthwaite | Mills | (325) 451-0372 |
| Town Hall Estates300 Happy Lane | Hillsboro | Hill | (254) 582-8482 |
| Luling Nursing Operations, LLC dba Magnolia Living1105 N. Magnolia | Luling | Caldwell | (830) 875-5606 |
| Health Training Services, LLC400 Oak Grove Rd | San Marcos | Hays | (512) 665-3151 |
| Schulenburg Regency Nursing Center111 College St. | Schulenburg | Fayette | (979) 743-6537 |
| Deer Creek of Wimberley Nurse Aide Training555 RR 3237 | Wimberley | Hays | (512) 847-5540 |
| Retama Manor Alice606 Coyote Trail | Alice | Jim Wells | (361) 664-5479 |
| Woodridge Nursing and Rehab600 South Hillside Dr. | Beeville | Bee | (361) 358-8880 |
| Carrizo Springs Nursing and Rehabilitation506 S 7th Street | Carrizo Springs | Dimmit | (830) 876-5011 |
| Southbrooke Manor Nurse Aide Training Program1401 W. Main | Edna | Jackson | (361) 894-1964 |
| Hallettsville Rehabilitation and Nursing Center825 W. Fairwinds | Hallettsville | Lavaca | (361) 798-3268 |
| Kingsville Nursing and Rehabilitation Center3130 S. Brahma Blvd | Kingsville | Kleberg | (361) 592-8700 |
| South Texas Training Center (Laredo)1220 Malinche Ave. Suite B | Laredo | Webb | (956) 727-4909 |
| Port Lavaca Nursing and Rehabilitation Center524 Village Rd | Port Lavaca | Calhoun | (361) 552-3741 |
| Shiner Nursing & Rehabilitation Center1213 N Ave B | Shiner | Lavaca | (361) 594-3353 |
| Twin Pines North Nursing and Rehab1301 Mallette Drive | Victoria | Victoria | (361) 576-9263 |
| Victoria College2200 E. Red RiverAlso holds classes in Cuero and Hallettsville | Victoria | Victoria | (361) 572-6446 |
| Stevens Health Care & Rehab Center204 Walter St | Yoakum | DeWitt | (361) 293-3544 |
| Yorktown Nursing and Rehabilitation Center670 W 4th | Yorktown | DeWitt | (361) 564-2275 |
| Claudy Vocational Institute NAT-Brownsville1805 E Ruben Torres Blvd, Ste B-28 | Brownsville | Cameron | (956) 207-9425 |
| Six RNs Institute1018 W. Wisconsin Rd | Edinburg | Hidalgo | (956) 513-1748 |
| New Start School709 N. Main Street | McAllen | Hidalgo | (956) 682-5670 |
| South Texas College1101 East Vermont | McAllen | Hidalgo | (956) 872-3109 |
| Careers Unlimited, LLC1352 E. 1st St. Ste. E | Mission | Hidalgo | (956) 215-1293 |
| South Texas Training Center213 E. Ferguson | Pharr | Hidalgo | (956) 782-7100 |
| Rio Grande Nursing School2791 Pharmacy Rd | Rio Grande City | Starr | (956) 463-9606 |
| South Texas Training Center (San Benito)1901 West HWY 77 | San Benito | Cameron | (956) 399-9698 |
| South Texas College (Mid-Valley Campus)400 N. Border | Weslaco | Hidalgo | (956) 872-3109 |
| Abundant Light of Colita11309 Colita St | Livingston | Polk | (832) 527-3322 |
| Pine Ridge Health Care L.L.P.1620 US 59 North | Livingston | Polk | (936) 327-5415 |
| The Abundant Light of Livingston301 US 59 Loop S | Livingston | Polk | (936) 329-0478 |
| Angelina College3500 S. First Street | Lufkin | Angelina | (936) 633-5377 |
| Northeast Texas Community College2886 FM 1735 Chapel Hill Rd | Mt. Pleasant | Titus | (903) 434-8100 |
| Carriage House Manor C.N.A Training Program210 Pipeline Rd | Sulphur Springs | Hopkins | (903) 885-3589 |
| Tyler Junior College1530 SSW Loop 323 | Tyler | Smith | (903) 510-2941 |
| Grayson County College6101 Grayson Dr | Denison | Grayson | (903) 463-8750 |
| North Central Texas College (Gainesville Campus)1525 West California Street, HSC Bldg | Gainesville | Cooke | (940) 668-4205 |
| Garden Terrace Health Care Center Nurse Aide Training1224 Corvadura | Graham | Young | (940) 549-4646 |
| Vernon College (Wichita Falls)4105 Maplewood Ave | Wichita Falls | Wichita | (940) 696-8752 |
| ACSC CNA Program6641 West Amarillo Blvd | Amarillo | Potter | (806) 352-8800 |
| Amarillo College (Continuing Health Care)6222 W. 9th | Amarillo | Potter | (806) 467-3028 |
| The Arbors Nurse Aide Training Program1910 Medi Park Dr | Amarillo | Potter | (806) 457-4700 |
| Reagan County Care Center Nurse Aide Training Program1300 N. Main Ave | Big Lake | Reagan | (325) 884-5624 |
| Howard College1001 Birdwell Ln | Big Spring | Howard | (432) 264-5067 |
| Frank Phillips College1301 Roosevelt | Borger | Hutchinson | (806) 457-4200 ext 746 |
| Amarillo College Moore County Campus1220 East First Street | Dumas | Moore | (806) 934-7220 |
| McLean Care Center605 W 7th | McLean | Gray | (806) 779-2469 |
| Memphis Convalescent Center1415 N 18th Street | Memphis | Hall | (806) 259-3566 |
| Park View Nursing Care Center Nurse Aide Training1100 West Ave J | Muleshoe | Bailey | (806) 272-7578 |
| Odessa College (Continuing Education)201 W University | Odessa | Ector | (432) 335-6539 |
| Regency House Nurse Aide Training Program3745 Summer Crest Dr | San Angelo | Tom Green | (325) 942-7700 |
| Snyder Health Care Center Nurse Aide Training Program5311 Big Spring Hwy | Snyder | Scurry | (325) 573-6332 |
| Wellington Care Center1506 Childress Street | Wellington | Collingsworth | (806) 447-2513 |
| ACE Nursing Education Services6500 Boeing, Ste L208 | El Paso | El Paso | (915) 244-3955 |
| Cultural Technical Institute, LLC - Nursing Assistant1510 North Zaragoza, Ste B 13 | El Paso | El Paso | (915) 591-4141 |
| El Paso Community College100 W Rio Grande | El Paso | El Paso | (915) 831-4029 |
No programs match. Try a nearby city or pick "All regions."
List reviewed October 2026. Know of a closed program or a wrong number? Report a correction.
Texas CNA Questions, Answered
Can I take CNA classes online in Texas?
Partly. All 60 classroom hours can be done online through HHSC's free course, and every approved program must accept it. The 40 clinical hours have to be done in person with a program.
How long does it take?
It depends on the schedule, but 100 hours goes faster than people expect. For example, North Central Texas College's fall 2026 schedule runs the online classroom and the clinicals back to back in about a month.
What if I fail one part of the exam?
You only retake the part you failed. A clinical skills retake is $92 and a written or oral retake is $33.
Can I take the test in Spanish?
Yes. Prometric offers the Texas written exam in English and Spanish, and an oral version is available if reading is a barrier.
Do I have to pay to renew?
No. Renewal is free, but you need verified paid nursing work, 24 hours of in-service education every two years, and the yearly HHSC infection control and PPE course. If you stop working as a nurse aide, the 24-month clock runs from your last verified job.
How do I check if a CNA is active in Texas?
Use the registry search in the state's TULIP portal. It also shows Medication Aide status.
Sources
- 26 Tex. Admin. Code § 556.3: training requirements
- 26 Tex. Admin. Code § 556.9: registry and renewal
- 26 Tex. Admin. Code § 556.12: reciprocity and waivers
- Prometric: Texas Nurse Aide exam and fees
- U.S. Bureau of Labor Statistics, OEWS May 2025
Last verified: October 2026. See something out of date? Report a correction.
