Human Trafficking CE for Nurses by State (2026)

Texas, Florida and Michigan require nurses to complete human trafficking training, and Delaware requires an hour on recognizing abuse that includes trafficking. Texas nurses in direct patient care need an HHSC-approved course every licensing period. Florida requires two hours every renewal. Michigan requires a one-time training that meets its rule standards.

Last verified 2026-10-17 against the official sources linked in each row · Spot an error?

Key facts

Texas HHSC-approved course every licensing period (direct patient care)
Florida 2 hours every renewal
Michigan one-time training meeting R 338.10105
Delaware at least 1 hour on recognizing abuse, exploitation, trafficking or domestic violence

Which states require human trafficking training for nurses?

Texas, Florida and Michigan have nurse-specific human trafficking training requirements, and Delaware folds trafficking into a required hour on recognizing abuse of vulnerable persons. Frequency differs: Texas and Florida require it every renewal period, while Michigan's training is one-time. Check each license you hold, because a course for one state may not meet another's standard.

State	Requirement (board's name)	Who	Hours	How often	Counts toward total?	Rule + source
Delaware	Recognizing and responding to abuse, exploitation, trafficking or domestic violence of vulnerable persons	RNs and LPNs	At least 1 hour	Each renewal period	Yes, part of the renewal hours	Board Rules 9.2.1.1.1 · official source
Florida	Human trafficking (meets s. 464.013, F.S.; needn't be board-approved)	RNs and LPNs	2 hours	Every renewal (licensees expiring after Jan. 1, 2019)	Not stated on the board page	s. 464.013, F.S. · official source
Michigan	Training in identifying victims of human trafficking	All nursing licensees	One-time training that meets R 338.10105	Once	Not stated on the board page	Mich. Admin. Code R 338.10105 · official source
Texas	HHSC-approved human trafficking prevention course	Nurses who provide direct patient care	One HHSC-approved course	Every licensing period (renewals on or after Sept. 1, 2020)	Not stated on the board page	Board Rule 216.3 · official source

Do Texas nurses need human trafficking CE every renewal?

Yes, if you provide direct patient care. Texas Board Rule 216.3 requires an HHSC-approved human trafficking prevention course before the end of every licensing period. A national certification can't replace it. HHSC revised its course standards in March 2025 and is re-reviewing approved courses, so check the current list first.

See the Texas page and how to enter CE in the Texas CE Module.

How many human trafficking hours do Florida nurses need?

Florida nurses need two hours of human trafficking education every renewal. Unlike Florida's other mandatory courses, it doesn't have to come from a Florida Board of Nursing-approved provider, but it must meet the statute's content criteria. The certification-based CE exemption doesn't cover this course, so certified nurses still need it.

See the Florida page.

Is Michigan's human trafficking training one-time?

Yes. Michigan requires a one-time training in identifying victims of human trafficking that meets Administrative Rule 338.10105. The rule sets what the training must cover and which formats count, such as training from a government agency or a recognized health organization, or reading a qualifying peer-reviewed journal article on the topic.

Rule text: Mich. Admin. Code R 338.10105 (PDF). See the Michigan page.

Will one human trafficking course count for several states?

Sometimes, but don't assume it. Texas accepts only courses on HHSC's approved list, Florida's course must meet Florida's statutory criteria, and Michigan's must cover the content its rule lists. If you hold licenses in more than one of these states, pick a course on the Texas list and check it against the other states' standards.

More: travel nurse license and CE checklist · using the same CE for several licenses.

States without a requirement

Most other states we track list no requirement on this topic for RN renewal. Check your state page or the printable CE chart for every state's mandatory topics.

Where can I take it for free?

The Texas BON notes that state law (HB 2059) required HHSC to approve at least one free human trafficking course. Our free CE for mandatory nursing topics post covers the free option, Texas HHSC's HEART training, and what it meets. Florida and Michigan set their own course standards, so check any free course against each state you're licensed in.

How to pick a course that counts

Match the course to the strictest rule you're under: for Texas, it must be on HHSC's current approved list; for Florida, it must meet s. 464.013, F.S.; for Michigan, it must meet R 338.10105. Keep the certificate with your other CE records.

FAQ

Which states require human trafficking CE for nurses?

Texas, Florida and Michigan require human trafficking training for nurses, and Delaware requires an hour on recognizing abuse of vulnerable persons that includes trafficking.

How often do Texas nurses need human trafficking training?

Every licensing period, for nurses who provide direct patient care. The course must be approved by Texas HHSC, and certification cannot replace it.

Is Michigan human trafficking training a one-time requirement?

Yes. Michigan requires a one-time training in identifying victims of human trafficking that meets Administrative Rule 338.10105.

Does Florida's human trafficking course need to be board-approved?

No. Florida's 2-hour human trafficking course does not have to come from a Florida Board of Nursing approved provider, but it must meet the criteria in Florida law. It is required every renewal.

Sources & last verified

Rules last verified 2026-10-17 against the Texas BON (Rule 216.3), Florida Board of Nursing, Michigan LARA and Delaware Division of Professional Regulation pages linked in each row.

Human trafficking CE for nurses: which states require it (2026)