Competitive Events Guidelines

The 2018-2019 Guidelines have been posted. For a summary of the major changes to the guidelines this year, visit the first two links on the CE Useful Tools page.

February 10, 2019: The Biomedical Debate guidelines were updated and reposted online. They now include updated SAMHSA sites used for the test plan. These urls were changed by SAMHSA since first publication of the guidelines.

January 31, 2019: 

Middle School Members in Health Education & Speaking Skills.  Health Education and Speaking Skills in the Middle School Division currently requires a STEM Premier upload (portfolio and eligibility form). STEM Premier complies with the Children’s Online Privacy Protection Act (COPPA); therefore, middle school HOSA members under the age of 13 would be required to obtain parental consent to utilize the STEM Premier platform. Due to this reason, HOSA will not be requiring Middle School members in these events to upload materials to STEM Premier. 

Health Education -- The Health Education upload requirement to STEM Premier in the Middle School division only has been removed. Middle School teams are NOT required to upload their portfolio to STEM Premier and points will NOT be deducted for not uploading to STEM Premier. 

Speaking Skills – The eligibility form in Speaking Skills for the Middle School division only will NOT be required to be uploaded to STEM Premier. If you are a Middle School competitor in Speaking Skills, you have the choice to either upload the eligibility form to STEM Premier (if you are 13+) or you may email the eligibility form to your State HOSA Advisor. Either option will be acceptable. If you are not sure who your State HOSA Advisor is, please talk to your local chapter advisor, go to and locate your state or email to inquire. 


January 9, 2019 - GRR #32 A, regarding competitor photo identification, was inadvertently omitted from the General Rules and Regulations when published August 2018, but will be in effect for the 2019 ILC. 

January 4, 2019:  A new link has been provided to the Healthcare Issues Exam for NIH Medline Plus Magazine.

Dental Science- a typo was corrected on page 14 of the guidelines that the total points is 45, not 30. 

Pharmacy Science has been updated with clarifications made to Skill III:  Withdrawing Liquid from a Vial.  The changes are in red.  

November 6, 2018: Healthcare Issues Exam, guideline item #4 update - NIH Medline Plus Magazine has informed HOSA that they were not able to meet the October deadline to publish the Fall edition of the magazine, as they are moving to a new website and it is taking longer than expected; therefore, the Fall edition will be posted sometime between November 15-30.  Since the state level test contains questions from July 1 – November 1, this means that the state level HCIE will only contain questions from the Summer (July) edition of NIH Medline Plus Magazine. The ILC HCIE will contain questions from the Fall edition (posted the end of November/first of December timeframe) and Winter (February) editions of NIH Medline Plus Magazine.  

October 19, 2018: Knowledge Test Transcultural Healthcare: The resource “Transcultural Healthcare: A Culturally Competent Approach” by Larry Purnell is being discontinued. It is only available on Amazon via electronic Kindle format. The regional and state tests in 2018-2019 will still have questions from both resources. The 2019 ILC test will ONLY contain questions from “Cultural Diversity in Health and Illness” by Rachel Spector.

September 23, 2018: The Community Awareness and Health Education guidelines have been re-posted with an updated rating sheet reflecting the addition of materials uploaded to STEM Premier.

HOSA Handbook Section B: The General Rules and Regulations for each of the events is located in this part of the Handbook.  Be sure to read this in its entirety before you compete in any HOSA competitive events. 

Health Science Events

Health Professions Events

Emergency Preparedness Events

Leadership Events

Teamwork Events

Recognition Events

* Must be classified under the provision of The Individuals with Disabilities Education Act Amendments of 1997 Public Law 105-17.

** Event Includes Middle School Division