North Carolina 2025 Session Status: Passed House Bipartisan · 5 R · 4 D · 1 I cosponsors

HB 590 — Patient Safety/Medical Imaging/Radiation Therapy.

Last action — Special Message Received From House

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the House. Introduced March 31, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Prognosis

Likely to advance 74% · high confidence

Where this bill stands today.

Odds of enactment

Moderate

How often bills like it became law.

  • Passed House

    Current position in the legislative process.

  • 10 sponsors

    2 primary, 8 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (5 R · 4 D · 1 I) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

554 added · 558 removed

Plain-language change summary

The recent amendments to Bill HB 590 primarily involved clarifying definitions related to medical imaging procedures, such as computed tomography, diagnostic medical sonography, and fluoroscopy. Some redundant phrases were removed to streamline the text, improving readability and understanding. These changes are significant as they ensure that the bill is clear and accessible, which can help in implementation and ensure better communication among healthcare providers.

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GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 2 HOUSE BILL 590 Committee Substitute Favorable 4/30/25 Short Title:
GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2025 H 1 HOUSE BILL 590 Short Title:
Representatives White, Potts, and Gillespie (Primary Sponsors).
For a complete list of sponsors, refer to the North Carolina General Assembly web site.
April 1, 2025 A BILL TO BE ENTITLED AN ACT PROVIDING FOR AND ENHANCING PATIENT SAFETY IN MEDICAL IMAGING BY ENSURING EDUCATIONALLY PREPARED AND CLINICALLY COMPETENT PERSONS PERFORM AND ADMINISTER MEDICAL IMAGING AND RADIATION THERAPY PROCEDURES.
Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House April 1, 2025 A BILL TO BE ENTITLED AN ACT PROVIDING FOR AND ENHANCING PATIENT SAFETY IN MEDICAL IMAGING BY ENSURING EDUCATIONALLY PREPARED AND CLINICALLY COMPETENT PERSONS PERFORM AND ADMINISTER MEDICAL IMAGING AND RADIATION THERAPY PROCEDURES.
– A national certification organization that specializes in the certification and registration of medical imagingor radiation therapy technical personnel and is accredited by the National Commission for Certifying Agencies, the American National Standards Institute, or other accreditation organization recognized by the Board.
– A national certification organization that specializes in the certification and registration of medical imagingor radiation therapy technical personnel and is accredited by the National Commission for *H590-v-1* General Assembly Of North Carolina Session 2025 Certifying Agencies, the American National Standards Institute, or other accreditation organization recognized by the Board.
*H590-v-2* General Assembly Of North Carolina Session 2025 (6) Computed tomography.
(6) Computed tomography.
(19) Nonionizing radiation.
(19) Nuclear medicine technologist.
– As defined in G.S.
– A person who is licensed under this Article to perform nuclear medicine and molecular imaging procedures using sealed Page 2 House Bill 590-First Edition General Assembly Of North Carolina Session 2025 and unsealed radiation sources, ionizing and nonionizing radiation, adjunctive medicines, and therapeutic procedures using unsealed radioactive sources.
104E-5.
(20) Public member.
(20) Nuclear medicine technologist.
– A person who is licensed under this Article to perform nuclear medicine and molecular imaging procedures using sealed and unsealed radiation sources, ionizing and nonionizing radiation, adjunctive medicines, and therapeutic procedures using unsealed radioactive sources.
Page 2 House Bill 590-Second Edition General Assembly Of North Carolina Session 2025 (21) Public member.
(22) Radiation therapist.
(21) Radiation therapist.
(23) Radiographer.
(22) Radiographer.
(24) Radiologist.
(23) Radiologist.
(25) Radiologist assistant.
(24) Radiologist assistant.
"§ 90-752.
License required;
exemptions.
(a) License Required.
– Except as provided in this section, only a person currently licensed under this Article may perform or offer to perform radiologic imaging or radiation therapy procedures on humans for diagnostic or therapeutic purposes or otherwise indicate or imply that the person is licensed to perform radiologic imaging or radiation therapy procedures.
(b) License Required for Employment.
– No person or business entity shall knowingly employ a person who does not hold a license, or is not exempt under this Article, to perform radiologic imaging or radiation therapy procedures on humans for diagnostic or therapeutic purposes.
(c) No Limitation or Enlargement of Practice.
– Nothing in this Article shall limit or enlarge the practice of a licensed practitioner.
(d) Exemptions.
– The provisions of this Article shall not apply to the following:
(1) A licensed practitioner performing medical imaging procedures or administering radiation therapy.
(2) A registered dental hygienist (RDH).
(3) Adentalassistant IorIIwhohassatisfactorilycompletedoneofthefollowing:
a.
The North Carolina radiography equivalency examination.
b.
Dental assisting school through an American Dental Association-accredited program.
c.
The Dental Assisting National Board examination.
d.
Classification as a dental assistant II in this State under the laws regulating the practice of dentistry.
(4) A resident physician licensed under Article 1 of this Chapter.
(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.
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(6) A person administering radiologic imaging or radiation procedures as an employee of the United States government.
House Bill 590-First Edition Page 3 General Assembly Of North Carolina Session 2025 (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 Board.
The Board may grant this exemption for a period not to exceed three years, and this exemption may be renewed by the Board.
(9) Chiropractic students as described in G.S.
90-142.1 and diagnostic imaging technicians as described in G.S.
90-143.2.
(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.
(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.
House Bill 590-Second Edition Page 3 General Assembly Of North Carolina Session 2025 (4) Possess current credentials as a registered cardiovascular invasive specialist offered by Cardiovascular Credentialing International, Cardiac Interventional Radiography, or Cardiovascular Interventional Radiography, as offered by the American Registry Radiologic Technologists or other certification organization as approved by the Board.
(4) Possess current credentials as a registered cardiovascular invasive specialist offered by Cardiovascular Credentialing International, Cardiac Interventional Radiography, or Cardiovascular Interventional Radiography, as offered by the Page 4 House Bill 590-First Edition General Assembly Of North Carolina Session 2025 American Registry Radiologic Technologists or other certification organization as approved by the Board.
(j) Apersonlicensedas aradiologistassistantshallnotinterpretimages, makediagnoses, or prescribe medications or therapies.
(j) Apersonlicensedas aradiologistassistantshall notinterpretimages,makediagnoses, or prescribe medications or therapies.
Page 4 House Bill 590-Second Edition General Assembly Of North Carolina Session 2025 (3) Except for the public member and the licensed practitioners, each Board member shall have at least two years of experience performing medical imaging or radiation therapy in the modality for which the Board member is appointed.
(3) Except for the public member and the licensed practitioners, each Board member shall have at least two years of experience performing medical House Bill 590-First Edition Page 5 General Assembly Of North Carolina Session 2025 imaging or radiation therapy in the modality for which the Board member is appointed.
The Board may review and accept the continuing education and recertification or continuing competency requirements established by a House Bill 590-Second Edition Page 5 General Assembly Of North Carolina Session 2025 medical imaging or radiation therapy certification organization for license renewal.
The Board may review and accept the continuing education and recertification or continuing competency requirements established by a medical imaging or radiation therapy certification organization for license renewal.
(8) Issue, renew, deny, suspend, or revoke licenses and carry out any disciplinary actions authorized by this Article.
Page 6 House Bill 590-First Edition General Assembly Of North Carolina Session 2025 (8) Issue, renew, deny, suspend, or revoke licenses and carry out any disciplinary actions authorized by this Article.
Page 6 House Bill 590-Second Edition General Assembly Of North Carolina Session 2025 (d) Nuclear Medicine Technologist License.
(d) Nuclear Medicine Technologist License.
(1) Successfully complete a course of study in nuclear medicine technology approved by the Board.
House Bill 590-First Edition Page 7 General Assembly Of North Carolina Session 2025 (1) Successfully complete a course of study in nuclear medicine technology approved by the Board.
(3) Submit to the Board clinical protocols signed by the supervising radiologist specifying procedures that are performed bythe radiologist assistant, levels of radiologist supervision, and locations of practice designated by the supervising radiologist.
(3) Submit to the Board clinical protocols signed by the supervising radiologist specifying procedures that are performed by the radiologist assistant, levels of radiologist supervision, and locations of practice designated by the supervising radiologist.
House Bill 590-Second Edition Page 7 General Assembly Of North Carolina Session 2025 (i) Cardiac Electrophysiology Specialist License.
(i) Cardiac Electrophysiology Specialist License.
(1) Successfully complete a course of study in cardiac electrophysiology approved by the Board.
Page 8 House Bill 590-First Edition General Assembly Of North Carolina Session 2025 (1) Successfully complete a course of study in cardiac electrophysiology approved by the Board.
Page 8 House Bill 590-Second Edition General Assembly Of North Carolina Session 2025 "§ 90-757.
"§ 90-757.
– To meet the requirement of examination under this Article for nuclear medicine technology, radiation therapy, radiography, radiologist assistant, or sonography, the Board shall accept current certification and registration by a certification organization recognized by the Board in the applicant's or licensee's modality.
– To meet the requirement of examination under this Article for nuclear medicine technology, radiation therapy, radiography, radiologist assistant, or House Bill 590-First Edition Page 9 General Assembly Of North Carolina Session 2025 sonography, the Board shall accept current certification and registration by a certification organization recognized by the Board in the applicant's or licensee's modality.
House Bill 590-Second Edition Page 9 General Assembly Of North Carolina Session 2025 (b) The Board shall notify a licensee at least 60 days in advance of the expiration of his or her license.
(b) The Board shall notify a licensee at least 60 days in advance of the expiration of his or her license.
(c) The Board may provide for the late renewal of an automatically lapsed license upon the payment of a reinstatement fee.
Page 10 House Bill 590-First Edition General Assembly Of North Carolina Session 2025 (c) The Board may provide for the late renewal of an automatically lapsed license upon the payment of a reinstatement fee.
(b) The denial, refusal to renew, suspension, revocation, or imposition of probationary conditions upon a license may be ordered by the Board after a hearing held in accordance with Page 10 House Bill 590-Second Edition General Assembly Of North Carolina Session 2025 Chapter 150B of the General Statutes and rules adopted by the Board.
(b) The denial, refusal to renew, suspension, revocation, or imposition of probationary conditions upon a license may be ordered by the Board after a hearing held in accordance with Chapter 150B of the General Statutes and rules adopted by the Board.
An application may be made to the Board for reinstatement of a revoked license if the revocation has been in effect for at least two years after the date of the Board's order revoking the license." SECTION 2.
An application may be made to the Board for reinstatement of a revoked license if the revocation has been in effect for at least two years after the date of the Board's order revoking the license.
Article 44 of Chapter 90 of the General Statutes, as enacted by Section 1 of this act, is amended by adding new sections to read:
"§ 90-752.
License required;
exemptions.
(a) License Required.
– Except as provided in this section, only a person currently licensed under this Article may perform or offer to perform radiologic imaging or radiation therapy procedures on humans for diagnostic or therapeutic purposes or otherwise indicate or imply that the person is licensed to perform radiologic imaging or radiation therapy procedures.
(b) License Required for Employment.
– No person or business entity shall knowingly employ a person who does not hold a license, or is not exempt under this Article, to perform radiologic imaging or radiation therapy procedures on humans for diagnostic or therapeutic purposes.
(c) No Limitation or Enlargement of Practice.
– Nothing in this Article shall limit or enlarge the practice of a licensed practitioner.
(d) Exemptions.
– The provisions of this Article shall not apply to the following:
(1) A licensed practitioner performing medical imaging procedures or administering radiation therapy.
(2) A registered dental hygienist (RDH).
(3) Adentalassistant IorIIwhohassatisfactorilycompletedoneofthefollowing:
a.
The North Carolina radiography equivalency examination.
b.
Dental assisting school through an American Dental Association-accredited program.
c.
The Dental Assisting National Board examination.
d.
Classification as a dental assistant II in this State under the laws regulating the practice of dentistry.
(4) A resident physician licensed under Article 1 of this Chapter.
(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 United States 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 Board.
The Board may grant this exemption for a period not to exceed three years, and this exemption may be renewed by the Board.
(9) Chiropractic students as described in G.S.
90-142.1 and diagnostic imaging technicians as described in G.S.
90-143.2.
(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.
(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.
(12) A certified registered nurse anesthetist performing fluoroscopy.
House Bill 590-Second Edition Page 11 General Assembly Of North Carolina Session 2025 (13) A nurse practitioner performing fluoroscopy.
(a) Any person who violates any provision of this Article shall be guilty of a Class 1 misdemeanor.
House Bill 590-First Edition Page 11 General Assembly Of North Carolina Session 2025 (a) Any person who violates any provision of this Article shall be guilty of a Class 1 misdemeanor.
(b) The Board may make application to any appropriate court for an order enjoining violations of this Article, and upon a showing by the Board that any person has violated or is about to violate this Article, the court may grant an injunction or restraining order or take other appropriate action." SECTION 3.
(b) The Board may make application to any appropriate court for an order enjoining violations of this Article, and upon a showing by the Board that any person has violated or is about to violate this Article, the court may grant an injunction or restraining order or take other appropriate action." SECTION 2.
SECTION 4.
SECTION 3.
SECTION 5.
SECTION 4.
SECTION 5.
The Medical Imagingand Radiation TherapyBoard of Examiners may adopt rules to implement the provisions of this act once the Board is appointed by the Governor under this act.
No later than January 1, 2026, The Medical Imaging and Radiation Therapy Board of Examiners shall adopt rules to implement the provisions of this act.
Section 1 of this act becomes effective January1, 2026.
SECTION 7.
Section 1 of this act becomes effective July 1, 2025.
Section 2 of this act becomes effective January 1, 2026.
Page 12 House Bill 590-Second Edition
Page 12 House Bill 590-First Edition
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How this bill changes current law

5 changes Share ↗

Compared against the N.C. General Statutes as published AI-generated reading aid — verify against the official bill.

The bill amends existing law to establish licensure and educational standards for medical imaging and radiation therapy professionals in North Carolina.

  • Chapter 90

    A new Article 44 is added to establish standards for radiologic technologists, radiation therapists, and sonographers.

    Creates a new regulatory framework for professionals in medical imaging and radiation therapy.

  • G.S. 90-750

    Definitions pertinent to medical imaging and radiation therapy are established, including terms like 'Board', 'Bone densitometry', and 'Medical imaging'.

    Clarifies terminology and roles within medical imaging and radiation therapy.

  • G.S. 90-753

    The Board shall establish licensure standards for various radiologic imaging and radiation therapy modalities.

    Delegates authority to the Board to set specific licensure standards for professionals.

  • G.S. 90-753(b)

    A person licensed in medical imaging or radiation therapy must operate under the supervision of a licensed practitioner.

    Ensures oversight and quality assurance in medical imaging and radiation therapy practices.

  • G.S. 90-753(f)

    Effective January 1, 2026, individuals performing computed tomography must have certification.

    Establishes a certification requirement for professionals performing computed tomography.

Action History

  1. Special Message Received From House

  2. Passed 1st Reading

  3. Ref To Com On Rules and Operations of the Senate

  4. Reptd Fav Com Sub 2

  5. Cal Pursuant Rule 36(b)

  6. Added to Calendar

  7. Passed 2nd Reading

  8. Passed 3rd Reading

  9. Special Message Sent To Senate

  10. Reptd Fav

  11. Re-ref Com On Rules, Calendar, and Operations of the House

  12. Reptd Fav Com Substitute

  13. Re-ref Com On Finance

  14. Passed 1st Reading

  15. Ref to the Com on Health, if favorable, Finance, if favorable, Rules, Calendar, and Operations of the House

  16. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 8 co-sponsors · 169 not signed on

Sponsors (2)

Co-sponsors (8)

Not signed on (169)

169 members have not signed on to this bill.

Show all 169 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Second Reading

Passed 108 Yea · 0 Nay · 12 Other
Party YeaNayPresentNot Voting
Democratic 43001
Unaffiliated 6000
Republican 59009
U 0002
Total 1080012
% of votes cast 90%0%0%10%
How each member voted (120)
Member Party Vote
CharlesSmith — Yea
vonHaefen — Yea
Campbell — Yea
Reeder — Yea
C. Smith — Yea
F. Jackson — Yea
Abe Jones Democratic Yea
Aisha O. Dew Democratic Yea
Allen Buansi Democratic Yea
Allison A. Dahle Democratic Yea
Amber M. Baker Democratic Yea
Amos L. Quick, III Democratic Not Voting
B. Ray Jeffers Democratic Yea
Becky Carney Democratic Yea
Beth Helfrich Democratic Yea
Brandon Lofton Democratic Yea
Brian Turner Democratic Yea
Bryan Cohn Democratic Yea
Carolyn G. Logan Democratic Yea
Cecil Brockman Democratic Yea
Cynthia Ball Democratic Yea
Dante Pittman Democratic Yea
Deb Butler Democratic Yea
Eric Ager Democratic Yea
Garland E. Pierce Democratic Yea
Gloristine Brown Democratic Yea
James Roberson Democratic Yea
Jordan Lopez Democratic Yea
Julia Greenfield Democratic Yea
Kanika Brown Democratic Yea
Laura Budd Democratic Yea
Lindsey Prather Democratic Yea
Marcia Morey Democratic Yea
Maria Cervania Democratic Yea
Mary Belk Democratic Yea
Mike Colvin Democratic Yea
Monika Johnson-Hostler Democratic Yea
Phil Rubin Democratic Yea
Pricey Harrison Democratic Yea
Renée A. Price Democratic Yea
Robert T. Reives, II Democratic Yea
Rodney D. Pierce Democratic Yea
Sarah Crawford Democratic Yea
Shelly Willingham Democratic Yea
Terry M. Brown Jr. Democratic Yea
Tim Longest Democratic Yea
Tracy Clark Democratic Yea
Vernetta Alston Democratic Yea
Ya Liu Democratic Yea
Zack Hawkins Democratic Yea
A. Reece Pyrtle, Jr. Republican Yea
Allen Chesser Republican Yea
Ben T. Moss, Jr. Republican Not Voting
Bill Ward Republican Yea
Blair Eddins Republican Yea
Brenden H. Jones Republican Not Voting
Brian Biggs Republican Yea
Brian Echevarria Republican Yea
Celeste C. Cairns Republican Yea
Charles W. Miller Republican Yea
Chris Humphrey Republican Yea
Cody Huneycutt Republican Yea
David Willis Republican Yea
Dean Arp Republican Yea
Dennis Riddell Republican Yea
Destin Hall Republican Not Voting
Diane Wheatley Republican Yea
Donna McDowell White Republican Yea
Donnie Loftis Republican Yea
Donny Lambeth Republican Yea
Dudley Greene Republican Yea
Edward C. Goodwin Republican Yea
Erin Paré Republican Yea
Frank Iler Republican Yea
Harry Warren Republican Yea
Heather H. Rhyne Republican Yea
Howard Penny, Jr. Republican Yea
Hugh Blackwell Republican Yea
Jarrod Lowery Republican Yea
Jay Adams Republican Yea
Jeff Zenger Republican Yea
Jeffrey C. McNeely Republican Yea
Jennifer Balkcom Republican Yea
Jerry "Alan" Branson Republican Yea
Jimmy Dixon Republican Yea
John A. Torbett Republican Yea
John M. Blust Republican Not Voting
John R. Bell, IV Republican Yea
John Sauls Republican Not Voting
Jonathan L. Almond Republican Yea
Joseph Pike Republican Yea
Julia C. Howard Republican Yea
Karl E. Gillespie Republican Yea
Keith Kidwell Republican Yea
Kelly E. Hastings Republican Not Voting
Kyle Hall Republican Yea
Larry C. Strickland Republican Yea
Larry W. Potts Republican Yea
Mark Brody Republican Yea
Mark Pless Republican Yea
Matthew Winslow Republican Yea
Mike Clampitt Republican Yea
Mike Schietzelt Republican Yea
Mitchell S. Setzer Republican Yea
Neal Jackson Republican Not Voting
Paul Scott Republican Yea
Phil Shepard Republican Yea
Ray Pickett Republican Not Voting
Sam Watford Republican Yea
Sarah Stevens Republican Yea
Stephen M. Ross Republican Yea
Steve Tyson Republican Not Voting
Ted Davis, Jr. Republican Yea
Todd Carver Republican Yea
Todd Johnson Republican Yea
Tricia Ann Cotham Republican Yea
William D. Brisson Republican Yea
Wyatt Gable Republican Yea
Carla D. Cunningham U Not Voting
Nasif Majeed U Not Voting

Official roll call →

Subjects

public-safety healthcare health-insurance
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Frequently asked questions

Who sponsors HB 590?
HB 590 is sponsored by Shelly Willingham (Democratic), Stephen M. Ross (Republican), Garland E. Pierce (Democratic), Jeffrey C. McNeely (Republican), Nasif Majeed (U), Pricey Harrison (Democratic), Kanika Brown (Democratic), Karl E. Gillespie (Republican), Larry W. Potts (Republican), and Donna McDowell White (Republican).
What is the current status of HB 590?
This bill has passed the House. Introduced March 31, 2025. It now moves to the second chamber.
Where can I track HB 590?
Track HB 590 free on One Click Politics — get push/email alerts when it moves.

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