What Idaho's rules say about ALARA (as low as reasonably achievable), dose limits in millisieverts (mSv), dosimeters, aprons and training for the people who work in fluoroscopy labs.
Please double-check this information. This is an ORSIF research summary, researched November 3, 2026. It is not comprehensive and not always accurate: rules change, and answers may be incomplete, out of date or wrong. It is education, not legal advice. Not yet reviewed by a regulatory expert. Confirm each requirement at the source linked beside the answer, with the state program and with your facility's radiation safety officer. How this was made
ORSIF's research identified the Idaho Department of Health and Welfare (DHW), Idaho Radiation Control Program, Bureau of Laboratories, Division of Public Health as the agency that regulates X-ray and fluoroscopy equipment in Idaho. Idaho is not a U.S. Nuclear Regulatory Commission (NRC) Agreement State, so the NRC regulates radioactive materials there directly. The state still regulates X-ray machines. Its 1968 agreement ended in 1991.
Idaho's rewritten X-ray rule, IDAPA 16.02.27 (effective 1 July 2026), removed all incorporation by reference, including the Conference of Radiation Control Program Directors (CRCPD) model dose limits and fluoroscopy rules. It requires exposure "as low as is practical" but has no numeric dose limits, no dosimetry threshold, and no rules on aprons, apron inspection, or apron alternatives. Anyone trained in 11 radiation-safety topics may operate X-ray equipment, including fluoroscopy, and Idaho does not license technologists. Idaho is not an NRC Agreement State. Federal Occupational Safety and Health Administration (OSHA) 29 CFR 1910.1096 may cover private-sector workers.
Every answer names the rule it comes from. Open "Rule text and source" to read the citation, the source page and, where it could be matched, the exact wording.
Which rules apply, and whether ALARA is among them.
No. Idaho's 1968 agreement ended in 1991; the NRC (Region IV) licenses radioactive materials in Idaho.
Idaho is a non-agreement state, so all RAM licenses and requirements go thought the Nuclear Regulatory Commission (NRC).This quote was matched word for word to the source page.
IDAPA 16.02.27, "Idaho Radiation Control Rules," sections 000-010, effective 7-1-26, is an X-ray-only rule. The 2026 rewrite (Docket 16-0227-2501) removed the adopted CRCPD model Parts D and F. The official PDF's cover page still refers to incorporation under Section 004, but the rule body governs. Statute: Idaho Code §§ 56-1041 to 56-1053.
To define licensure, education, quality assurance, and safety requirements for X-ray machines.This quote was matched word for word to the source page.
Yes, in different words. Licensed facilities must keep radiation exposure "as low as is practical." The phrase is undefined, and the rule does not say whether it covers worker dose, patient dose, or both.
Where ALARA lives in Idaho: In X-ray-specific rules. ALARA-type language appears only in the X-ray-only rule IDAPA 16.02.27. Idaho has no state radioactive-materials program or shared rule, is not an Agreement State, and removed all incorporation by reference, so an NRC change would not reach it directly. (IDAPA 16.02.27.009.01.b; Senate Health & Welfare Committee minutes, 19 January 2026.)
Licensed facilities must: … b. Keep radiation exposure as low as is practical;This quote was matched word for word to the source page.
The annual limits for workers, written in millisieverts (mSv). Ten mSv equal one rem.
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When a worker must wear a dosimeter, and where.
No numeric threshold. Facilities must ensure personnel wear monitoring devices "if applicable," which the rule does not define. DHW offers an X-ray Dosimetry Waiver Request form; the waiver criteria were not found.
g. Ensure personnel wear monitoring devices, if applicable.This quote was matched word for word to the source page.
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Protective apparel, how it is checked, and whether other systems are addressed.
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Who may use fluoroscopy equipment and what training the rules ask for.
Any individual may operate X-ray equipment, including fluoroscopy, after completing facility training and proving competency in radiation safety. There is no profession or supervision restriction, and Idaho does not license radiologic technologists. One commercial source conflicts on licensure, but no supporting statute was found.
Facility-provided training in 11 listed radiation-safety topics, with records kept for at least two license renewal cycles. There is no American Registry of Radiologic Technologists (ARRT) requirement, fluoroscopy permit, minimum hours, or continuing education. DHW posts a free training course.
X-ray operator training must include the following topics:This quote was matched word for word to the source page.
Rules, bills and guidance the research found from 2025 and 2026, with the ones that touch fluoroscopy teams first.
The research found nothing in this list that changes the rules for fluoroscopy teams.
In effect 1 July 2026; approved by SCR 128 (Jul 1, 2026)
Negotiated rulemaking notice 2 April 2025; proposed rule 4 June 2025; pending rule 6 August 2025, adopted with no changes; approved by the Senate Health & Welfare Committee 19 January 2026 and by SCR 128. Removed all incorporation by reference, including CRCPD Parts D and F.
Questions the research could not settle. If you know the answer, tell us.
ORSIF compiled this page from the sources linked on it and did its best. It is not comprehensive and it is not always accurate. Rules change, a rule may have been missed or misread, and the sources themselves can be out of date. Treat this page as a starting point.
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