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HRS §457A-7

How to become and stay a certified nurse aide

This section explains what you must do to become a certified nurse aide for Medicare or Medicaid. You need approved training and to pass an exam. It also covers renewing your certification every two years and says you cannot be charged for keeping your name on the registry.

employees

The statute, as written — Medicare or medicaid nurse aide certification

(a) To be certified as a medicare or medicaid nurse aide, an applicant shall successfully complete: (1) Training in a training program approved by the director of human services under section 346-46; and (2) A nurse aide examination approved by the director. (b) No person shall be permitted to take the examination who has not complied with the training requirements established by the director of human services in accordance with 42 United States Code sections 1395i-3 and 1396r. (c) Reciprocity shall be granted to nurse aides who have completed a state-approved program that meets both federal and state requirements. (d) Nurse aides employed in medicare or medicaid certified nursing facilities shall meet both federal and state requirements. (e) Maintenance requirements for the recertification process shall be on a biennial basis, and shall include an annual performance review and in-service training and employment in a medicare or medicaid facility as required by federal and state law. (f) No charge shall be imposed on medicare or medicaid certified nurse aides for the maintenance of the nurse aide registry.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

Sections this one refers to

§346-46 State rules for nurse aide training and recertification

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.