Adds new Article 44, Radiologic Technologists, Radiation Therapists, Sonographers, to GS Chapter 90, providing as follows. Sets out the title of the Article and NCGA findings. Sets out definitions that apply to the Article.

Requires a license in order to perform or offer to perform radiologic imaging or radiation therapy on humans for diagnostic or therapeutic purposes or to indicate or imply that the person is licensed to perform those procedures. Prohibits employing a non-licensed person to perform radiologic imaging or radiation therapy procedures on humans. Specifies that the Article does not limit or enlarge the practice of a licensed practitioner. Exempts from the Article: (1) a licensed practitioner performing medical imaging procedures or administering radiation therapy; (2) a registered dental hygienist (RDH); (3) a dental assistant I or II who has satisfactorily completed one of listed exams or programs; (4) a licensed resident physician; (5) a student enrolled in and attending a school or college of medicine or medical imaging or radiation therapy who performs medical imaging or radiation therapy procedures on humans while under the supervision of a licensed practitioner, or an individual holding a license under this Article; (6) a person administering radiologic imaging or radiation procedures as an employee of the US government; (7) a person performing radiologic procedures or therapy on cadavers; (8) a person licensed to perform radiologic imaging or radiation therapy who is performing supervised clinical procedures in preparation for certification in an additional radiologic imaging or radiation therapy modality who has registered with the Medical Imaging and Radiation Therapy Board of Examiners (Board) (allows the Board to grant this exemption for up to three years, which may be renewed); (9) chiropractic students and diagnostic imaging technicians; (10) a licensed veterinarian performing medical imaging procedures or administering radiation therapy, or to an individual employed by, or engaged as an independent contractor by, a licensed veterinarian that performs a medical imaging procedure or administers radiation therapy in the ordinary course of their employment or engagement; and (11) an individual employed by, or engaged as an independent contractor by, a podiatrist that performs medical imaging procedures in the ordinary course of their employment or engagement.

Requires the Board to establish licensure standards for the following radiologic imaging and radiation therapy modalities: (1) computed tomography; (2) cardiac invasive specialist; (3) cardiac electrophysiology specialist; (4) diagnostic medical sonography; (5) limited practice radiographer; (6) magnetic resonance; (7) nuclear medicine technologist; (8) radiation therapist; (9) radiographer; and (10) radiologist assistant. Sets out additional parameters for the scope of practice for those licensed in medical imaging or radiation therapy, as limited practice radiographers, as cardiovascular invasive specialist, as cardiovascular electrophysiology specialist, as a radiologist assistant, those performing computed tomography for diagnostic purposes, performing nuclear medicine technology, performing rational therapy, and performing radiography.

Establishes the 9-member Board, with members meeting the specified areas of expertise appointed by the Governor. Sets out qualifications for Board members who will serve three-year terms and are limited to serving two consecutive terms. Sets out staggered terms. Sets out provisions governing officers of the Board, meeting frequency, quorum, and meeting attendance. Sets out the Board’s 16 powers, including: (1) issue interpretations of this Article; (2) establish the scope of practice for each license or permit type issued by the Board; (3) issue, renew, deny, suspend, or revoke licenses and carry out any disciplinary actions authorized by this Article; (4) conduct investigations for the purpose of determining whether violations of this Article or grounds for disciplining licensees exist; (5) establish criteria and standards for educational programs offered in the State on medical imaging and radiation therapy; and (6) approve medical imaging and radiation therapy educational programs that the Board determines meet the criteria and standards established by the Board.

Requires a person seeking licensure for a radiologic imaging or radiation therapy modality to be at least 18 years old and have a high school diploma or passed an approved equivalency test. Sets out additional requirements for those seeking licensure as a limited practice radiographer, magnetic resonance technologist, nuclear medicine technologist, radiation therapist, radiographer, radiologist assistant, sonographer, cardiac electrophysiology specialist, cardiac invasive specialist, or for computed tomography. Requires persons currently practicing as a medical imaging professional, radiation therapist, or radiologist assistant to be issued a license within two years if they hold a current license or certification in one of those respective modalities or fields issued by a medical imaging certification organization approved by the Board. Requires licensees to notify the Board within 30 days if they (1) fail to maintain the required certification and registration, or (2) are subject to any legal or disciplinary actions or are subject to proceedings for acts or conduct substantially the same as those that would constitute grounds for refusal to issue, refusal to renew, suspension, revocation, or other discipline by any of the specified entities.

Sets out examination requirements. Requires the Board to issue a license to an applicant meeting the licensure requirements of this Article and those adopted by the Board, verified by oath or admission, after paying the required fee. Allows issuing a license to perform more than one modality. Sets out when a temporary license may be issued and allows for temporary licensing when training in an additional modality. Allows new graduates awaiting national certification to be issued a provisional license for up to one year.

Sets out requirements for educational programs that might be approved by the Board.

Sets the duration of licenses at two years and sets out requirements for renewing a license. Sets out conditions for reciprocity for those licensed, registered, or certified in another jurisdiction.

Allows the Board to charge fees not to exceed the following: (1) $100 for initial, provisional, or temporary license application fee, (2) $150 for biennial license fee, (3) $100 for a temporary license, (4) $25 for a duplicate license, and (5) $75 for a license renewal late fee. Allows the fees to be used to pay the expenses of carrying out the Article and to pay the salaries, compensation, and expenses incurred to carry out the Article.

Allows the Board to deny, suspend, revoke, or refuse to renew a license or impose probationary conditions on a license if the licensee or applicant for licensure has engaged in any of the eight types of conduct, including: (1) obtaining a license by means of fraud, misrepresentation, or concealment of material facts; (2) having been convicted of or pleaded guilty or nolo contendere to a crime involving moral turpitude or any crime that indicates that the licensee or applicant is unfit or incompetent to administer medical imaging or radiation therapy procedures or that the licensee or applicant has deceived or defrauded the public; (3) practicing as a person licensed to administer medical imaging or radiation therapy procedures without a current license; or (4) engaging in conduct that could result in harm or injury to the public.

Violations of the Article are a Class 1 misdemeanor.

The above provisions are effective January 1, 2026.

Specifies that certain initial Board members do not have to meet the licensure requirements so long as they get a license within 90 days after the Board begins issuing licenses.

Allows persons other than radiologist assistants who have been engaged in the practice of medical imaging and radiation therapy and who do not hold a current registration from a voluntary professional certification organization approved by Board to continue to practice in the modality of medical imaging or radiation therapy in which they are currently employed so long as they (1) register with the Board on or before October 1, 2026, (2) do not change the scope of their current employment practice, (3) complete all continuing education requirements for their area of practice annually as prescribed by the Board, and (4) practice only under the supervision of a radiologist.

Includes a severability clause.

Allows the Board to adopt rules to implement this act once the Board is appointed by the Governor.