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A CME tracker that knows
every state’s rules.
Licensed in more than one state? Each board wants different hours, different topics and a different cycle. The Interstate Medicine Ledger counts each certificate toward every state requirement it meets and shows what is still owed, state by state.
$5 a month, billed yearly at $60, or $8 a month, billed monthly. 30 days free with a card on file. Every state included.
Four things a spreadsheet
gets wrong
One credit, every state
One opioid course can count toward the opioid mandate in several states and toward each state’s general total. You see every requirement it will count toward before you save, and untick any you don’t want.
Topic mandates, per state
Opioid and controlled-substance prescribing, ethics, implicit bias, human trafficking, medical errors. Each is tracked against its own state’s hours and timing, including one-time and every-third-renewal rules.
Cycles and renewal dates
Each license carries its board’s cycle, total hours and mandated topics, with the date those rules were last checked. Gaps show per state, so you take only what is still owed.
Alerts with lead time
Renewal alerts by email at 120, 60, 30 and 7 days by default, and a note when a board changes a rule in a state you hold. Export your dates to your calendar.
Hours, cycles and topic mandates in ten large states
These are the physician (MD/DO) rules, taken from our state pages. Each was checked against the board’s rules on the date shown and cites the board and rule. Topic hours count toward the total unless the state page says otherwise.
| State and source | Total hours per cycle | Cycle | Topic mandates | Checked |
|---|---|---|---|---|
| Texas Texas Medical Board; Tex. Occ. Code ch. 156; TMB rule 161.35 | 48 (24 Category 1) | 2 years | Ethics and professional responsibility 2; opioid and pain management 2 (first two renewals, then every 8 years, direct patient care); human trafficking 1 (direct patient care); nutrition and metabolic health 1 (licenses expiring on or after May 30, 2027); plus setting-specific topics (pain clinics, obstetric care, ER and urgent care, EMS direction) | Oct 13, 2026 |
| Florida Florida Board of Medicine; Fla. Admin. Code R. 64B8-13.005; Fla. Stat. 458.319, 456.013(7), 456.0301 | 40 | 2 years | Medical error prevention 2 each renewal; controlled-substance prescribing 2 each renewal (DEA prescribers; board-approved course only); domestic violence 2 every third renewal; HIV/AIDS 1, one-time; human trafficking 1, one-time | Oct 13, 2026 |
| California Medical Board of California; Cal. Bus. & Prof. Code §§2190.5, 2190.6 | 50 Category 1 (MD). DOs: see the state page | 2 years | Pain management and care of the terminally ill 12, one-time (not pathology or radiology); geriatric medicine 20% of hours for some internists and family physicians; implicit bias and cultural competency built into course content, no added hours | Oct 13, 2026 |
| New York New York State Department of Health; PHL §3309-A(3); 8 NYCRR 59.13 | None (no general CME hours) | 2 years | Pain management, palliative care and addiction 3 every 3 years (DEA prescribers, attested via NEAT); infection control every 4 years; child abuse identification 2, one-time before licensure | Oct 13, 2026 |
| Pennsylvania Pennsylvania State Board of Medicine; 49 Pa. Code §16.19 / §25.271 | 100 (20 Category 1) | 2 years | Patient safety and risk management 12; child abuse recognition 2 each renewal; opioids, pain and addiction 2 (prescribers and dispensers); organ and tissue donation 2, one-time (MDs, from May 1, 2026) | Oct 13, 2026 |
| Illinois Illinois Department of Financial & Professional Regulation; 68 Ill. Admin. Code 1285 | 150 (60 Category 1) | 3 years | Safe opioid prescribing 3 per controlled-substance registration renewal; sexual harassment prevention 1; implicit bias 1; dementia 1 (treat adults), cultural competency 1 and mandated reporter 1, every 6 years | Oct 13, 2026 |
| Ohio State Medical Board of Ohio; Ohio Admin. Code 4731-29-01 | 50 (all Category 1) | 2 years | Duty to report misconduct 1 (board-approved course); no general opioid mandate; pain medicine 20 for pain-clinic owners and providers only | Oct 13, 2026 |
| Georgia Georgia Composite Medical Board; Ga. Comp. R. & Regs. 360-15-.01 | 40 | 2 years | Safe opioid prescribing 3, one-time (DEA prescribers); sexual misconduct and professional boundaries 2, one-time; pain management 20 for some pain-heavy practices: see the state page | Oct 13, 2026 |
| North Carolina North Carolina Medical Board; 21 NCAC 32R .0101(b) | 60 (Category 1) | 3 years | Controlled-substance prescribing, including chronic pain, 3 each cycle (prescribers; DEA MATE Act training also satisfies it) | Oct 13, 2026 |
| Michigan Michigan Board of Medicine; Michigan LARA Licensing Guide | 150 (75 Category 1) | 3 years | Pain and symptom management 3 (including 1 on controlled substances); medical ethics 1; implicit bias 1 a year (3 per cycle); human trafficking training, one-time; controlled-substance awareness training, one-time (prescribers) | Oct 13, 2026 |
Hours in each cell are the board’s figures as our state page states them. Who a topic applies to, and exceptions, are on each state page. Nurse practitioners, PAs, CRNAs and CAAs follow different boards: each state page covers them separately. See all 51 jurisdictions. This is planning information and not legal advice, so confirm with your board before relying on it.
From certificate to counted
Add your licenses
Each one picks up its board’s hours, topics and cycle.
Drop it in or forward it
Send the certificate email to your private address, or drop in the PDF or a photo. AI reads it.
Confirm where it counts
You see every state requirement it meets, and confirm before it is recorded.
Renew with time to spare
Gaps per state, alerts before each date, and your documents ready for the hospital packet.
About tracking CME across states
Does one CME credit count in more than one state?
Where do the state requirements come from?
Does the Ledger report my CME to the board?
Is it only for physicians?
Related: CME requirements for all 51 jurisdictions · CME for multiple state licenses · License and CME trackers compared · The Ledger
See what you owe, in every state.
Add your licenses and your certificates. The Ledger does the cross-state math.
$5 a month, billed yearly at $60, or $8 a month, billed monthly. 30 days free with a card on file. We email you before any charge.