What States Do Not Require X-Ray Licenses?

Sep 29, 2023 2:00:00 AM / by Chad Hutchison

Disclaimer: The information in this document is solely for reference material. Regulations change often. To be sure of the most up-to-date laws, contact your local and state agencies.

Navigating the labyrinth of X-ray licensing is no small task. Every state has its own unique set of rules, adding layers of complexity. We at Maven Imaging are here to simplify things for you. If you're in chiropractic, veterinary, orthopedic, or other sectors relying on X-ray technology, knowing the licensing landscape is vital. In today’s blog, we'll outline the various X-ray licensing and certification situations in states without license requirements, ensuring you're equipped with all the knowledge your practice needs.


In Alabama, there's a distinct perspective on X-ray technician licensing, opting for a less regulated approach compared to other states. While Alabama doesn't necessitate a formal license, it in no way diminishes the value of expertise and quality in X-ray management and operations. On the contrary, the state's stance signifies trust in medical professionals to maintain high standards. That said, many practitioners in Alabama still choose to acquire voluntary certifications, solidifying their commitment to excellence.


In Alaska, the Radiological Health program, nested within the State Public Health Laboratories, plays a pivotal role in overseeing the safe usage of radiation sources. The program, as governed by Alaska statute, is entrusted with the critical task of Radiation Protection. Their extensive list of responsibilities ranges from developing radiation hazard evaluation policies to inspecting facilities where radiation is in use. While this encompasses both ionizing and non-ionizing sources, Alaska has yet to enact specific legislation addressing the training prerequisites for radiologic technology.


Idaho remains vigilant when it comes to radiation exposure to its residents. X-ray facilities, which cover a wide spectrum including medical, dental, and veterinarian, are scrutinized under the Idaho Radiation Control Regulations. Mammography facilities find themselves under additional scrutiny: these sites are inspected annually as part of an agreement with the FDA, in line with the Federal Mammography Quality Standards Act. The inspections assess both equipment precision and the expertise of the professionals involved. However, it's noteworthy that Idaho doesn’t set any licensure stipulations for X-ray professionals.


Michigan’s stance on radiology licensing is quite straightforward. The state has opted not to license operators of X-ray equipment, nor does it dictate any specific requirements concerning the licensure or credentialing of these operators. That said, there's an exception when we delve into the niche of mammography. Operators in this field are expected to either pass the ARRT exam or secure a registration certificate from the American Registry of Clinical Radiography Technologists. Moreover, while radiographers don’t have set continuing education requirements, mammography professionals are mandated to complete 15 hours over three years, with additional specific CE prerequisites.


Missouri, aligning closely with Michigan's perspective, refrains from licensing personnel associated with X-ray equipment operation. The state does not impose any form of license requirement on these operators, nor does it put forth guidelines or mandates regarding their licensure or credentialing. In essence, while Missouri recognizes the significance of X-ray technology and its implications, it offers a flexible environment for professionals in the field, emphasizing the importance of institutional and personal standards over statewide directives.


In Nevada, there's another specific approach to radiology licensing. Operators of medical X-ray machines, for the most part, aren’t required to be registered or licensed. However, a distinction is made for mammography technologists, who must clear the ARRT Mammography exam. The onus primarily lies with the owner or the machine registrant to guarantee training that aligns with the particular machines they oversee. While general radiographers don't have a fixed continuing education trajectory, mammography professionals are mandated to achieve 15 hours over a span of three years, abiding by distinct CE course stipulations.

New Hampshire

In New Hampshire, the Advisory Board of Medical Imaging and Radiation Therapy stands as a guardian of public health. Their mission revolves around ensuring the standardized training of various medical imaging professionals, including limited X-ray machine operators and radiographers. This training emphasizes diverse areas, from anatomy and radiation safety to equipment protocols. Despite the vast range of professionals they regulate, from Cardiac Electrophysiology Specialists to Sonographers, there’s a clear caveat: New Hampshire doesn't necessitate licensing or any specific requirements for X-ray machine operators.

North Carolina

North Carolina maintains a consistent approach when it comes to X-ray machinery. The state has chosen not to navigate the path of licensing or setting requirements concerning the licensure or credentialing of X-ray machine operators. This approach offers a hands-off regulatory environment, allowing institutions and professionals to set their own guidelines, while ensuring safety and competence.

North Dakota

North Dakota has a more segmented stance on radiology licensing. General diagnostic operators in radiography must clear State, ARRT, or ACRRT exams, while those under the bracket of Limited License X-ray can step into the field without any exam, only requiring a passing grade or course completion. Such individuals are permitted to conduct procedures on specific body parts, including the chest, ribs, and spine.

South Dakota

In South Dakota, the licensing landscape for X-ray procedures is quite lenient. The state does not enforce any formal licensing requirements for those performing such procedures. Yet, a minimum guideline is set: an individual must have undergone 24 hours of orientation and training in operating radiation-producing equipment, guided by a qualified instructor. Dental radiographers, however, face a slightly different mandate with a requirement of a minimum of 16 hours of training, echoing a parallel with Alaska's approach to dental assistants.

Final Thoughts

Navigating the diverse landscape of X-ray technician licensing across states can seem challenging. As we've seen, many states offer flexibility in formal licensing while still emphasizing the importance of expertise and high-quality patient care. Regardless of where your practice stands, being informed is key to ensuring compliance and excellence at all levels. 

At Maven Imaging, we're not just about providing top-tier digital X-ray equipment; we're also dedicated to keeping you informed and equipped for success. If you're considering updating or expanding your X-ray capabilities, don’t hesitate to reach out and request a quote. We're here to guide and support your journey.

Disclaimer: The information in this document is solely for reference material. Regulations change often. To be sure of the most up-to-date laws, contact your local and state agencies.

Tags: Digital X-ray System, X-ray System

Chad Hutchison

Written by Chad Hutchison

Founder and CEO of Maven Imaging, Chad Hutchison has been in the medical imaging equipment market since 2003. As his business grew, he pioneered buying and selling medical equipment online and eventually began offering leasing and financing to meet market demands and help customers. His market expertise goes beyond traditional medical imaging and finance support, as he’s spearheading cloud-based lending solutions for vendors across the sector.