
Becoming a Certified Medication Aide (CMA) in Pennsylvania has fundamentally changed. As of April 14, 2025, a new state law establishes an official, statewide Certified Medication Aide (CMA) certification for those working in long-term care nursing facilities. This creates a clear, state-recognized career path, replacing the previous system of employer-based training in these settings.
To become a CMA, you must first be a Certified Nursing Assistant (CNA). The U.S. Bureau of Labor Statistics, which groups this role with Nursing Assistants, reported a mean hourly wage of $20.05 for Pennsylvania Nursing Assistants in May 2024.
Becoming a state-certified CMA is an excellent step toward advancing your healthcare career. The hands-on experience with medication administration provides a strong foundation for pursuing further education to become a Licensed Practical Nurse (LPN) or Registered Nurse (RN).
To maintain certification, the new law requires CMAs to undergo an annual comprehensive clinical skills competency review conducted by their employer. This ensures that your skills remain sharp and up-to-date with best practices.
Yes, a registry is being created. The new law directs the Department of Health to establish and maintain a certification and registry system for CMAs. However, this system is still in development and is not yet publicly accessible.
Under the new law governing CMAs in long-term care nursing facilities, a CMA is prohibited from administering medications via injection. Since insulin is an injection, this task falls outside their scope of practice. Staff in other settings, like Personal Care Homes, may be permitted to administer insulin if they complete a separate, specialized training module required by the Department of Human Services.
The average pay for a Medication Aide in Pennsylvania is typically between $20.05 per hour. Wages can vary based on the facility, location, and your level of experience.
While Pennsylvania is in a transitional period, the creation of a state-certified CMA role marks a significant advancement for healthcare workers. For CNAs seeking more responsibility and a formalized career step, this new pathway offers a clear and valuable opportunity. As the Department of Health finalizes the program, the best way to prepare is by earning your CNA certification and staying informed about upcoming training opportunities.

Athena is Co-founder and CEO of Dreambound.
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A Certified Medication Aide in Pennsylvania is a CNA who has completed additional state-approved training and passed a certification exam, legally authorizing them to administer medications in long-term care nursing facilities.
The new law strictly defines their scope of practice. CMAs can administer oral, topical, inhaled, ophthalmic (eye), and otic (ear) medications. They are prohibited from administering controlled substances, injections, or medications through tubes (like gastrostomy or jejunostomy tubes). All medication administration must be done under the supervision of an on-site nurse.
This new CMA role is distinct from the "Medication Technician" title often used in Personal Care Homes (PCH) and Assisted Living Residences (ALR). Those roles are governed by separate Department of Human Services (DHS) regulations and training programs.
The path to becoming a CMA in a Pennsylvania nursing facility now follows a single, state-mandated process.
This is the mandatory first step. You must complete a state-approved CNA training program and pass the competency exam to be listed in good standing on the Pennsylvania Nurse Aide Registry. This foundational certification proves you have the essential patient care skills.
Dreambound can help you find and enroll in affordable, high-quality CNA programs near you to start your journey.
Once you are a CNA, you must enroll in and complete the new Certified Medication Aide training program approved by the Pennsylvania Department of Health (DOH). The law requires this program to include at least 80 hours of classroom instruction.
After completing the training, you must pass the state's official CMA certification exam. The law specifies that a passing score is 80% or higher. This exam will test your knowledge of medication administration, safety protocols, and scope of practice.
With your CNA and new CMA certifications, you can apply for jobs in long-term care nursing facilities. Search for job titles like "Certified Medication Aide," "CMA," and "Medication Technician." You can use resources like MyNextMove.org to explore the skills and knowledge employers are looking for.
The Pennsylvania Department of Health (DOH) is responsible for developing and overseeing the entire CMA certification process. This includes creating the curriculum, approving training providers, and administering the state exam.
As of December 2025, the DOH has not yet released an official timeline for when the first training programs will be available or when exams will be offered. Details about application procedures, fees, and approved testing vendors have also not been published.
The U.S. Bureau of Labor Statistics (BLS), does not track "Medication Aide" as a separate occupation. It groups these workers with Nursing Assistants. The May 2024 BLS data shows the mean hourly wage for Nursing Assistants in Pennsylvania was $20.05, with a mean annual salary of $41,700. The formalization of the CMA role may positively impact future wage potential and job opportunities across the state.
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