Sen. Hanig files bill in North Carolina Senate to regulate medical imaging licensure

A new bill filed by State Sen. Bobby Hanig seeks to improve patient safety by setting licensure and practice standards for medical imaging and radiation therapy in North Carolina, according to the North Carolina State Senate.

The bill, filed as SB 415 on March 24 during the 2025 regular session, was formally listed with the short title: ‘Patient Safety/Med. Imaging/Radiation Therapy.’

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

In essence, this bill establishes the Patient Safety in Medical Imaging Act, which mandates education and licensure standards for individuals performing medical imaging and radiation therapy procedures in North Carolina, effective January 1, 2026. It creates the Medical Imaging and Radiation Therapy Board of Examiners to oversee licensure, set practice standards, and enforce regulations. The bill outlines specific licensing requirements for various modalities such as computed tomography and radiation therapy, and mandates certification by recognized organizations. It also specifies exemptions, including licensed practitioners and certain students. The Board may issue temporary licenses and can enforce disciplinary actions, including license suspension or revocation. Applicants must be at least 18, hold a high school diploma or equivalent, and meet modality-specific educational and certification requirements. License renewal is biennial, with fees applicable for initial and temporary licenses. Violations of the act are classified as misdemeanors, subject to legal penalties.

Of the three sponsors of this bill, Timothy D. Moffitt proposed the most bills (52) during the 2025 regular session.

Bills in North Carolina follow a multi-step process before becoming law. A lawmaker starts by filing a bill, which is assigned to a committee for review. The bill must be read three times in each chamber. If one chamber changes the bill after the other passes it, both must agree on the final version. Once both chambers approve the same bill, it goes to the governor, who has 10 days (or 30 if the legislature is not in session) to sign, veto, or let it become law without a signature.

You can read more about the bills and other measures here.

Hanig, a Republican, was elected to the North Carolina State Senate in 2025 to represent the state’s 1st Senate district, replacing previous state senator Norman Sanderson.