Medical Assistant License and Certification Requirements by State (2025)

Medical Assistant License and Certification Requirements by State (2025)

Do you need to be licensed to work as a medical assistant? It depends on the state in which you live. Some states have different regulations, so you should research the requirements for your state before pursuing a career as a medical assistant.

Here is a comprehensive guide to which states require licensing or certification to work as a medical assistant.

What Does Licensing and Certification Mean?

Licensing is a process controlled by state laws and regulations that gives people official permission to work as a medical assistant. Most states do not require medical assistants to be licensed, but regulations restrict medical assistants from doing specific clinical tasks unless they receive the appropriate medical training or in some states, if they are certified to perform those tasks.

Certification is a specific credential awarded by a professional medical organization that acknowledges the skills of an applicant, usually after taking an accredited training program, getting hands-on training via an externship, and passing an exam. Some popular certificates are the Registered Medical Assistant (RMA), Nationally Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA), and Certified Medical Assistant (CMA).

Although most states do not require certification, employers may favor candidates with certification because it shows they have undergone training and can demonstrate competency. Many employers may require certification as a prerequisite to employment.

Which States Require Medical Assistants to Be Certified?

Washington is the only state that requires medical assistants to be licensed in order to work.

In New Jersey, Washington, you must have a medical assistant certification in order to give patients injections. South Dakota used to have the certification restriction for injections but removed it in 2021.

Do You Need to Be Certified to Work as a Medical Assistant in California?

No, there is no requirement for formal certification to work as a medical assistant in California. However, the supervising physician’s malpractice insurance carrier may require the medical assistant be certified by a Board-approved certifying organization.

Medical Assistant Certification Requirements by State

Here is a reference for each state and whether they require certification to work as a medical assistant. Additional regulations for each state are listed here also.

State Certification Requirements
Alabama No medical assistant license or certification requirements.
Alaska No medical assistant license or certification requirements.
Arizona No medical assistant license or certification requirements.
Arkansas No medical assistant license or certification requirements.
California No medical assistant license or certification requirements. Medical assistants in California can give injections after completing a training program where requirements are met.
Colorado No medical assistant license or certification requirements.
Connecticut No medical assistant license or certification requirements. Medical assistants can administer vaccine injections if they have completed at least 24 hours of classroom training and 8 hours of injection training in a clinical setting.
Delaware No medical assistant license or certification requirements.
Florida No medical assistant license or certification requirements. Medical assistants in Florida can give injections if they have completed an accredited training program, with 24 hours of classroom training and 8 hours of hands-on training in a clinic.
Georgia No medical assistant license or certification requirements.
Hawaii No medical assistant license or certification requirements.
Idaho No medical assistant license or certification requirements.
Illinois No medical assistant license or certification requirements.
Indiana No medical assistant license or certification requirements.
Iowa No medical assistant license or certification requirements.
Kansas No medical assistant license or certification requirements.
Kentucky No medical assistant license or certification requirements.
Louisiana No medical assistant license or certification requirements.
Maine No medical assistant license or certification requirements.
Maryland No medical assistant license or certification requirements.
Massachusetts No medical assistant license or certification requirements. Medical assistants can give immunization shots after graduating from an accredited program, under physician or someone licensed to practice medicine.
Michigan No medical assistant license or certification requirements.
Minnesota No medical assistant license or certification requirements.
Mississippi No medical assistant license or certification requirements.
Missouri No medical assistant license or certification requirements.
Montana No medical assistant license or certification requirements.
Nebraska No medical assistant license or certification requirements. Medical assistants must register as medication aides and pass competency exam to administer medication in clinics.
Nevada No medical assistant license or certification requirements.
New Hampshire No medical assistant license or certification requirements.
New Jersey No medical assistant license or certification requirements. Medical assistants in New Jersey must have a certification to give injections and can only do so under a physicians instructions.
New Mexico No medical assistant license or certification requirements.
New York No medical assistant license or certification requirements.
North Carolina No medical assistant license or certification requirements.
North Dakota No medical assistant license or certification requirements. Medical assistants must meet education, certification, registration with Board of Nursing to be able to administer medication.
Ohio No medical assistant license or certification requirements.
Oklahoma No medical assistant license or certification requirements.
Oregon No medical assistant license or certification requirements.
Pennsylvania No medical assistant license or certification requirements.
Rhode Island No medical assistant license or certification requirements. Medical assistants must be certified or registered to give vaccinations.
South Carolina No medical assistant license or certification requirements. Certified medical assistants in South Carolina may do some clinical nursing duties, but not IV tasks, if a supervising physician or person licensed to practice medicine is on-site and in close proximity.
South Dakota No medical assistant license or certification requirements. As of July 1, 2021, medical assistants no longer need to register with the South Dakota Board of Medical and Osteopathic Examiners.
Tennessee No medical assistant license or certification requirements. Certified medical assistants may administer vaccines in an ambulatory outpatient clinic, and any other medications under the direct orders of a physician or nurse practitioner.
Texas No medical assistant license or certification requirements.
Utah No medical assistant license or certification requirements.
Vermont No medical assistant license or certification requirements.
Virginia No medical assistant license or certification requirements.
Washington Certification required to work as medical assistant. You must also apply for a license with Washington Department of Health.
West Virginia No medical assistant license or certification requirements.
Wisconsin No medical assistant license or certification requirements.
Wyoming No medical assistant license or certification requirements.

Keep in mind even though each state may not require medical assistants to be licensed, certified, or registered, those may be required by the supervising doctor’s malpractice insurance.

Become a Certified Medical Assistant in About 36 Weeks

If you are looking to become a certified medical assistant, Campus Sacramento, formerly MTI College, has a Medical Assistant training program that will give you the skills you need to start your medical career. If you want to get your CPT I certificate at the same time, we also have a 48 week Medical Assisting with Phlebotomy program. If you need more information on financial aid, curriculum, or start dates, contact our Admissions team or call 888-675-2460.