(a) As part of registration renewal, a license holder must complete Continuing Education (CE) as follows:(1) completion of a course in human trafficking prevention approved by the Executive Commissioner of the Texas Health and Human Services Commission; and(2) completion of the annual ABCP certification CE requirements; or(3) complete 30 hours of CE as follows:(A) fifteen hours designated as ABCP approved;(B) completion of 40 cases as the Primary Perfusionist for Cardiopulmonary bypass (instructor or primary), ECMO, VAD, Isolated Limb Perfusion, or VENO-VENO bypass.(b) Documentation of CEs claimed must be maintained and produced upon request by the board.(c) Military service members are subject to the same CE requirements but are allowed extensions in accordance with §55.003 of the Texas Occupations Code, if applicable.(d) Carry forward of CE credit is allowed as follows:(1) excess hours earned in a biennium can only be applied to the immediately following biennial requirements; and(2) no hours can be carried forward past a single renewal period.(e) Exemptions for CE requirements.(1) Requests must be made in writing at least 30 days prior to expiration of the biennial renewal period for the following reasons:(A) catastrophic illness;(B) military service of longer than one year's duration outside the state;(C) licensee's residence of longer than one year's duration outside the United States; or(D) other good cause.(2) Exemptions are subject to the approval of the Executive Director of the board and may not exceed two years.