POLISCOPE
Back to bills

The civic record

Read. Follow. Verify.
Passed

North Carolina creates Medical Imaging and Radiation Therapy Board to license technologists and therapists

Original title: Patient Safety/Med. Imaging/Radiation Therapy.

Last action · June 26, 2025: Ref To Com On Rules and Operations of the Senate (Senate action)Sponsors: Donna White and 9 others

Introduced
Committee
Floor Vote
Passed
Law

Track this bill to get notified when it advances a stage. One tap to stop, anytime.

What This Bill Would Do

Beginning January 1, 2026, North Carolina requires state licensure for medical imaging professionals and radiation therapists, establishing a new nine-member examining board appointed by the Governor to oversee qualifications, examinations, and continuing education. Employers are prohibited from knowingly hiring unlicensed personnel, and violations of the act constitute a .

Why it matters

Medical imaging professionals and radiation therapists must obtain state licensure and meet education standards to practice, while employers face misdemeanor penalties for hiring unlicensed staff, backed by new biennial renewal fees up to $150.

Background
  • The North Carolina General Assembly is the state legislature responsible for enacting statutory laws and establishing occupational licensing boards. context
  • Occupational licensing in North Carolina is governed by statutory frameworks designed to ensure professional competence and public safety. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medical imaging professionals and radiation therapists

They must obtain state licensure, meet specific educational and certification requirements, pay application and renewal fees, and comply with continuing education standards.

Directly affected

Healthcare employers and business entities

They are prohibited from knowingly employing unlicensed individuals to perform medical imaging or radiation therapy procedures.

Directly affected

Patients

They receive medical imaging and radiation therapy procedures performed by individuals subject to mandatory state education, examination, and licensure standards.

Key Facts

  • Establishes the Medical Imaging and Radiation Therapy Board of Examiners, consisting of nine members appointed by the Governor to three-year terms.
  • Requires individuals performing medical imaging or radiation therapy procedures on humans to hold a valid license issued by the Board, effective January 1, 2026.
  • Prohibits any person or business entity from knowingly employing unlicensed personnel to perform medical imaging or radiation therapy.
  • Authorizes the Board to set fee caps including $100 for initial or temporary applications, $150 for biennial renewal, $25 for duplicate licenses, and $75 for late renewal.
Show all 9 facts
  • Makes any violation of the new Article a Class 1 misdemeanor, with each unlawful act constituting a separate offense.
  • Exempts licensed practitioners, resident physicians, registered dental hygienists, dental assistants meeting specific standards, federal employees, students under supervision, and veterinarians or podiatrists acting within their ordinary scope.
  • Sets specific educational, certification, and examination prerequisites for various modalities including magnetic resonance, nuclear medicine, radiation therapy, radiography, sonography, and cardiovascular specialties.
  • Requires all individuals performing computed tomography for diagnostic purposes to be certified in computed tomography by January 1, 2026.
  • Allows individuals currently practicing without a voluntary professional certification to continue practicing if they register with the Board on or before October 1, 2026, maintain annual continuing education, and work under a radiologist's supervision.

Frequently Asked Questions

When does the requirement to hold a medical imaging or radiation therapy license take effect?
Section 1 of the act becomes effective on January 1, 2026.
Who is exempt from needing a license under this new law?
Exemptions include licensed practitioners (physicians, dentists, podiatrists, chiropractors), registered dental hygienists, qualified dental assistants, resident physicians, students under supervision, federal government employees, individuals working on cadavers, licensed veterinarians and their staff, and podiatry staff acting in the ordinary course of employment.
What are the penalties for violating the licensing requirements?
Any person who violates any provision of the Article is guilty of a , with each unlawful act constituting a distinct and separate offense. Additionally, the Board may seek injunctive relief in court.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

16 actions
  1. Jun 26, 2025Senate
    Ref To Com On Rules and Operations of the Senate
  2. Jun 26, 2025Senate
    Passed 1st Reading
  3. Jun 26, 2025Senate
    Special Message Received From House
  4. Jun 25, 2025House
    Special Message Sent To Senate
  5. Jun 25, 2025House
    Passed 3rd Reading
  6. Jun 25, 2025House
    Passed 2nd Reading
Show 10 earlier actions
  1. Jun 25, 2025House
    Added to Calendar
  2. Jun 25, 2025House
    Cal Pursuant Rule 36(b)
  3. Jun 25, 2025House
    Reptd Fav Com Sub 2
  4. Jun 24, 2025House
    Re-ref Com On Rules, Calendar, and Operations of the House
  5. Jun 24, 2025House
    Reptd Fav
  6. Apr 30, 2025House
    Re-ref Com On Finance
  7. Apr 30, 2025House
    Reptd Fav Com Substitute
  8. Apr 1, 2025House
    Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House
  9. Apr 1, 2025House
    Passed 1st Reading
  10. Mar 31, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Establishment of State Board for Medical Imaging

North Carolina transitions from relying on voluntary professional certifications to mandatory state-issued licensure for medical imaging and radiation therapy personnel.

Connected Entities

Karl Gillespie, Stephen Ross, Governor and 13 more
PersonKarl Gillespie“Sponsor of House Bill 590”Map →
PersonStephen Ross“Cosponsor of House Bill 590”Map →
PersonGovernor“Appointing authority for board members”Map →
PersonLarry Potts“Sponsor of House Bill 590”Map →
PersonJeff McNeely“Cosponsor of House Bill 590”Map →
OrganizationNuclear Medicine Technology Certification Board“Certification organization recognized in the act”Map →
PersonPricey Harrison“Cosponsor of House Bill 590”Map →
OrganizationMedical Imaging and Radiation Therapy Board of Examiners“New regulatory board established by the act”Map →
PersonShelly Willingham“Cosponsor of House Bill 590”Map →
PersonDonna White“Primary sponsor of House Bill 590”Map →
locationNorth Carolina“State jurisdiction enacting the legislation”Map →
PersonGarland Pierce“Cosponsor of House Bill 590”Map →
PersonKanika Brown“Cosponsor of House Bill 590”Map →
OrganizationAmerican Registry of Radiologic Technologists“Certification organization recognized in the act”Map →
OrganizationCardiovascular Credentialing International“Certification organization recognized in the act”Map →
PersonNasif Majeed“Cosponsor of House Bill 590”Map →

Sources

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy35
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

Publisher tools

Share or embed this record

POLISCOPE publisher tools

Share or embed this record