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State Regulatory Library

This State Regulatory Library is a state-by-state set of links to regulations governing the use of ionizing radiation and radioactive materials, which are subject to frequent change. The Library is intended as a resource only, and ASTRO does not represent that it is all inclusive. The Library is updated periodically to the best of our ability, but ASTRO assumes no responsibility for the accuracy and timeliness of any information linked from this page. Users should verify that they are viewing the most up-to-date regulations; ultimate responsibility for compliance with the regulations lies with the user.

The Federation of State Medical Boards’ COVID-19 resource page provides resources to inform and assist state boards and the public, including state emergency declarations and licensing waivers, as well as links to state health department updates.

The Organization of Agreement States’ COVID-19 page provides state responses to aid licensees and state programs.

The Conference of Radiation Control Program Directors’ COVID-19 page provides resources for radiation control programs.

Last updated: March 15, 2024

Alabama

Regulations Governing Use of Therapeutic Radiation Machines

Alabama Radiation Control Rules

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Alabama Public Health: Radiation Control

Radioactive Materials Program

Alabama Public Health: Radiation Control

Agreement State

Alaska

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Protection​

Licensure Requirements

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Programs

Alaska Department of Health and Social Services, Division of Public Health: Radiological Health​

Radioactive Materials Program

NRC Nuclear Materials

Not an Agreement State

Arizona

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Regulatory Agency

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Arizona Department of Health Services: Bureau of Radiation Control

Radioactive Materials Program

Arizona Bureau of Radiation Control

Agreement State

California

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Control Law
Radiation

Regulations Requiring Medical Event Reporting

Radiation Control Law

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

California Department of Public Health: Division of Radiation Safety and Environmental Management​

Radioactive Materials Program

California Department of Public Health: Radiologic Health Branch

Agreement State

Connecticut

Regulations Governing Use of Therapeutic Radiation Machines

Department of Environmental Protection (19-24, 19-25)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Connecticut Department of Energy and Environmental Protection: Radiation​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Delaware

Regulations Governing Use of Therapeutic Radiation Machines

Delaware Radiation Control Regulations

Regulations Requiring Medical Event Reporting

Reports and Notifications of Misadministrations (Part X, 5.2)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Delaware Office of Radiation Control​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

District of Columbia

Regulations Governing Use of Therapeutic Radiation Machines

Regulations for the Control of Radiation

Regulations Requiring Medical Event Reporting

Reports and Notifications of Misadministrations (Sec. G.119)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

DC Health: Radiation Control and Medical Devices Division​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Florida

Regulations Governing Use of Therapeutic Radiation Machines

Control of Radiation Hazard Regulations

Regulations Governing Use of Electronic Brachytherapy Machines

Control of Radiation Hazard Regulations (Electronic Brachytherapy, Part XVI, 64E-5)

Regulations Requiring Medical Event Reporting

Control of Radiation Hazard Regulations (Quality Management Program and Notifications, Records and Reports of Medical Events, Part VI, Subpart A, 64E-5.611)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Florida Health: Radiation Control​

Radioactive Materials Program

Florida Health: Radioactive Materials

Agreement State

Georgia

Regulations Governing Use of Therapeutic Radiation Machines

X-rays in the Healing Arts
Use of Radionuclides in the Healing Arts

Regulations Requiring Medical Event Reporting

Records of Misadministrations (Rule 391-3-17-.05(89))

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Georgia Environmental Protection Division: Radiation Protection Programs​

Radioactive Materials Program

Georgia Environmental Protection Division: Radiation Protection Programs

Agreement State

Hawaii

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Control

Regulations Requiring Medical Event Reporting

Records, Notifications and Reports of Misadministrations (§11-45-137)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Hawaii Indoor and Radiological Health Branch​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Idaho

Regulations Governing Use of Therapeutic Radiation Machines

Idaho Radiation Control Rules

Regulations Requiring Medical Event Reporting

Records and Reports of Misadministrations (140.06)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Idaho Department of Health and Welfare: X-ray Licensure

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Illinois

Regulations Governing Use of Therapeutic Radiation Machines

Use of X-rays in the Healing Arts Including Medical, Dental, Podiatry, and Veterinary Medicine

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (Section 360.130)

Regulations requiring medical event reporting

Reports and Notifications of Medical Events (Section 360.120)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Illinois Emergency Management Agency: Nuclear and Radiation Safety​

Radioactive Materials Program

Illinois Emergency Management Agency: Radioactive Materials

Agreement State

Iowa
Kansas

Regulations Governing Use of Therapeutic Radiation Machines

Radiation (Article 35)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Kansas Department of Health and Environment: Radiation Control Program​

Radioactive Materials Program

Kansas Department of Health and Environment: Radioactive Materials and Licensing

Agreement State

Kentucky

Regulations Governing Use of Therapeutic Radiation Machines

Radiology (902 KAR Chapter 100) 

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Kentucky Cabinet for Health and Family Services: Radiation Health Branch​

Radioactive Materials Program

Kentucky Cabinet for Health and Family Services: Radioactive Materials Program

Agreement State

Louisiana
Maine

Regulations Governing Use of Therapeutic Radiation Machines

Rules Relating to Radiation Protection

Regulations Requiring Medical Event Reporting

Report and Notification of a Medical Event (Subpart M, Section 3045)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Maine Division of Environmental and Community Health: Radiation Control Program​

Radioactive Materials Program

Maine Division of Environmental and Community Health: Radioactive Materials Section

Agreement State

Maryland

Regulations Governing Use of Therapeutic Radiation Machines

Regulations for the Control of Ionizing Radiation

Regulations Requiring Medical Event Reporting

Report and Notification of a Misadministration (Sec. D.1208)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Maryland Department of the Environment: Radiological Health Program​

Radioactive Materials Program

Maryland Department of the Environment: Radioactive Materials Licensing

Agreement State

Massachusetts

Regulations Governing Use of Therapeutic Radiation Machines

The Control of Radiation
Clarification of accreditation requirements for facilities offering CT services

Regulations Requiring Medical Event Reporting

Reports and Notification of Medical Events (120.435(E))

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Massachusetts Radiation Control​

Radioactive Materials Program

Massachusetts Radiation Control: Radioactive Materials Licensing

Agreement State

Michigan

Regulations Governing Use of Therapeutic Radiation Machines

Ionizing Radiation Rules Governing the Use of Radiation Machines

Regulations Governing Use of Electronic Brachytherapy Machines

Registration Conditions for Electronic Brachytherapy

Regulations Requiring Medical Event Reporting

Reporting Guideline: Example Format for Therapy Medical Events

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Michigan Occupational Safety & Health Administration: Radiation Safety​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Minnesota

Regulations Governing Use of Therapeutic Radiation Machines

Ionizing Radiation

Regulations Requiring Medical Event Reporting

Reports of Medical Events or Incidents Involving Radiation-Producing Equipment

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Minnesota Department of Health: Radiation Control​

Radioactive Materials Program

Minnesota Department of Health: Radioactive Materials

Agreement State

Mississippi

Regulations Governing Use of Therapeutic Radiation Machines

Regulations for Control of Radiation in Mississippi

Regulations Requiring Medical Event Reporting

Quality Management Program (Rule 1.15.5)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Mississippi Division of Radiological Health

Radioactive Materials Program

Mississippi Division of Radiological Health

Agreement State

Missouri

Regulations Governing Use of Therapeutic Radiation Machines

Protection Against Ionizing Radiation

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Missouri Department of Health & Senior Services: Radiation Control​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Montana

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Control

Regulations Requiring Medical Event Reporting

Records, Reports and Notification: Notification of Incidents

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Montana Department of Public Health and Human Resources: Radiation Machine Registration​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Nebraska

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines for Human Use

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (180 NAC 20-011)

Regulations Requiring Medical Event Reporting

Reports and Notifications of Misadministrations(180 NAC 20-005.02)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Nebraska Department of Health & Human Services: Radiation Control​

Radioactive Materials Program

Nebraska Department of Health and Human Services: Radioactive Materials

Agreement State

Nevada

Regulations Governing Use of Therapeutic Radiation Machines

A Regulation Relating to the Control of Radiation

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (Sec. 104. NAC 459.5924 and Sec. 105. NAC 459.5926)​

Regulations Requiring Medical Event Reporting

Report of Misadministration(Sec. 28)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Nevada Radiation Control Program​

Radioactive Materials Program

Nevada Radioactive Material Program

Agreement State

New Hampshire

Regulations Governing Use of Therapeutic Radiation Machines

NH Rules for the Control of Radiation

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (4047.11)

Regulations Requiring Medical Event Reporting

Reporting of Misadministrations (4047.05(z))

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

New Hampshire Department of Health and Human Services: Radiological Health​

Radioactive Materials Program

New Hampshire Radioactive Materials Program

Agreement State

New Mexico

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Protection
Medical Use of Radionuclides

Regulations Requiring Medical Event Reporting

Report and Notification of a Medical Event (20.3.7.716(a))​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

New Mexico Environment Department: Radiation Control Bureau​

Radioactive Materials Program

New Mexico Environment Department: Radioactive Materials

Agreement State

New York City

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Control

Regulations Requiring Medical Event Reporting

Notification and reporting of events (175.25)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

New York City Department of Health: Radiological Equipment (X-Rays) and Materials

Radioactive Materials Program

New York City Department of Health: Radiological Materials Licensing
North Carolina

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Protection

Regulations Requiring Medical Event Reporting

Medical Events (10A NCAC 15.0364)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

North Carolina Radiation Protection Section​

Radioactive Materials Program

North Carolina Radiation Protection Section

Agreement State

North Dakota

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines

Regulations Requiring Medical Event Reporting

Quality Management Program (Appendix B) ​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

North Dakota Radiation Control Program​

Radioactive Materials Program

North Dakota Radiation Control Program

Agreement State

Ohio

Regulations Governing Use of Therapeutic Radiation Machines

Medical Use of Radioactive Materials
Radiation Generating Equipment

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy

Regulations Requiring Medical Event Reporting

Unintended Treatment Deviations and Notifications of Medical Events (3701:1-67-12) 

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Ohio Department of Health; Radiological Health and Safety  

Radioactive Materials Program

Ohio Department of Health; Radioactive Materials Licensing and Inspection

Agreement State

Oklahoma

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Management (Article IX)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Oklahoma Department of Environmental Quality: Radiation Management​

Radioactive Materials Program

Oklahoma Department of Environmental Quality: Radiation Management

Agreement State

Oregon

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (333-123-0055)​

Regulations Requiring Medical Event Reporting

Reports and Notifications of Unplanned Medical Treatment (333-123-0020)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Oregon Radiation Protection Services​

Radioactive Materials Program

Oregon Radioactive Materials Licensing

Agreement State

Pennsylvania

Regulations Governing Use of Therapeutic Radiation Machines

Radiological Health
X-rays in the Healing Arts
Medical Use of Radioactive Materials

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy (25 Pa. Code 221.71)

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Pennsylvania Radiation Protection Programs​

Radioactive Materials Program

Pennsylvania Radioactive Materials Licensing Program

Agreement State

Rhode Island

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Rhode Island Department of Health: Radiological Health Program​

Radioactive Materials Program

Rhode Island Department of Health: Radioactive Material

Agreement State

South Carolina

Regulations Governing Use of Therapeutic Radiation Machines

X-rays (Title B)

Regulations Requiring Medical Event Reporting

Records and Reports of Misadministrations (RHB 1.11) 

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

South Carolina Department of Health and Environmental Control: Radioactive Material Licensing and Compliance​

Radioactive Materials Program

South Carolina Radioactive Material Licensing and Compliance

Agreement State

South Dakota

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Control

Regulations Requiring Medical Event Reporting

Reports of incidents involving radiation sources

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

South Dakota Department of Environment & Natural Resources: Radioactive Materials and Radiation Machines​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Tennessee

Regulations Governing Use of Therapeutic Radiation Machines

Use of X-ray apparatus
Standards for protection against radiation

Regulations Requiring Medical Event Reporting

Notifications, Records and Reports of Misadministration (0400-20-05-.145)​

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Tennessee Department of Environment & Conservation: Radiation​

Radioactive Materials Program

Tennessee Radioactive Material and X-Ray Permits

Agreement State

Utah

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines

Regulations Requiring Medical Event Reporting

Quality Management Program (R313-30-5(8))

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Utah Division of Waste Management and Radiation Control​

Radioactive Materials Program

Utah Radioactive Materials Regulatory Program

Agreement State

Vermont

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Protection
Ionizing and Nonionizing Radiation Control

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Vermont Health and the Environment: Radiological Health​

Radioactive Materials Program

Vermont Radioactive Materials Program

Not an Agreement State

Virginia

Regulations Governing Use of Therapeutic Radiation Machines

Virginia Radiation Protection Regulations

Regulations Governing Use of Electronic Brachytherapy Machines

Electronic Brachytherapy

Regulations requiring medical event reporting

Quality Management Program

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Virginia Department of Health: Radiological Health​

Radioactive Materials Program

Virginia Department of Health Radioactive Materials Program

Agreement State

Washington

Regulations Governing Use of Therapeutic Radiation Machines

Radiation Protection-X-rays in the Healing Arts

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Washington State Department of Health: Radiation Protection​

Radioactive Materials Program

Washington State Department of Health: Radioactive Materials

Agreement State

West Virginia

Regulations Governing Use of Therapeutic Radiation Machines

Radiological Health Rule

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

West Virginia Radiological Health Program​

Radioactive Materials Program

NRC Licensing of Medical, Industrial, and Academic Uses of Nuclear Materials

Not an Agreement State

Wyoming

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program

Wyoming Homeland Security: Radiological Services​

Radioactive Materials Program

Wyoming Homeland Security: Radiological Services​

Agreement State

Puerto Rico

Regulations Governing Use of Therapeutic Radiation Machines

Therapeutic Radiation Machines (Title 24, Part 1, Chapter 12)  

Licensure Requirement

For Radiation Oncologists
For Medical Physicists

State Radiation Protection Program  

Contact the Health Department Office: 787-765-2929, Ext. 3210, 3213, 3218, 3223

Not an Agreement State

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