Legislation, Regulations and Advocacy

Legislation, Regulations and Advocacy
States That Regulate by Modality

The following are radiologic technology disciplines and the states that have established requirements for the performance of medical imaging and radiation therapy procedures.

Updated 1/10/22

Radiography (42 States)

Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Minnesota
Mississippi
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Radiation Therapy (38 States)

Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Mississippi
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin

Nuclear Medicine Technology (38 States)

Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Mississippi  
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wyoming

Magnetic Resonance (6 States)

New Hampshire
New Mexico
North Dakota
Oregon
Tennessee
West Virginia

Sonography (4 States)

New Hampshire
New Mexico
North Dakota
Oregon

Radiologist Assistant (33 States)

Arizona
Arkansas
Colorado
Connecticut
Florida
Georgia
Illinois
Iowa
Kentucky
Maryland
Massachusetts
Minnesota
Mississippi
Montana
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wyoming

Limited X-ray Machine Operators (33 States)

Arizona
Arkansas
California
Colorado
Delaware
Florida
Georgia
Illinois
Indiana
Iowa
Kentucky
Maine
Minnesota
Mississippi
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
North Dakota
Ohio
Oregon
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Computed Tomography (13 States)

Arizona
California
Colorado
Florida
Massachusetts
Michigan 
Nevada
New Mexico
North Carolina
Oregon
Tennessee
Wisconsin
Vermont

Cardiovascular Technologists (RCIS) (9 States)

Arkansas
Delaware
Indiana
Maryland
Minnesota
Ohio
South Carolina
Texas
Washington

Fluoroscopy Only (2 States)

Alaska
California (additional permit)

No Standards for Any Discipline

Alabama
Idaho
Missouri 
South Dakota

No Standards for Radiography

Alabama
Alaska
Idaho
Michigan
Missouri
North Carolina
Oklahoma 
South Dakota

Mammography

States may have specific laws and regulations for mammographers in addition to requirements contained in the Mammography Quality Standards Act. Please check with your state’s radiation control agency for mammography information.