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State rules
Texas Radiation Safety Rules for Fluoroscopy Teams
Texas (DSHS Radiation Control Program, Agreement State since 1963) requires ALARA for X-ray registrants in a machine-only rule (25 TAC §289.231), separate from the materials rule (§289.202), and…
orsif.org/guidelines/us/states/texas
State rules
Vermont Radiation Safety Rules for Fluoroscopy Teams
Vermont's Radiological Health Rule Part A (effective January 1, 2024) has its own X-ray ALARA requirement (§ 7.1.2), separate from Part B, which adopts 10 CFR Part 20 by reference, and its worker dose…
orsif.org/guidelines/us/states/vermont
State rules
Montana Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Montana an NRC Agreement State? No
orsif.org/guidelines/us/states/montana
State rules
Oklahoma Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Oklahoma an NRC Agreement State? Yes
orsif.org/guidelines/us/states/oklahoma
State rules
Indiana Radiation Safety Rules for Fluoroscopy Teams
Indiana's X-ray rules (IDOH, 410 IAC 5) use very old wording: the only general ALARA language is advisory ('should'), and while the X-ray rule mandates procedures and equipment that minimize patient…
orsif.org/guidelines/us/states/indiana
State rules
Rhode Island Radiation Safety Rules for Fluoroscopy Teams
Rhode Island (an Agreement State) has no ALARA wording of its own for X-ray users; ALARA applies through 216-RICR-40-20-1, which adopts the fixed 2021 edition of 10 CFR Part 20 and deems "licensee" to…
orsif.org/guidelines/us/states/rhode-island
State rules
Kentucky Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Kentucky an NRC Agreement State? Yes
orsif.org/guidelines/us/states/kentucky
State rules
Illinois Radiation Safety Rules for Fluoroscopy Teams
…ALARA requirement is in its general radiation protection rule, 32 Ill. Adm. Code 340.110(b), which applies to both licensees and X-ray registrants, while the X-ray rule (Part 360) asks for procedures…
orsif.org/guidelines/us/states/illinois
State rules
California Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is California an NRC Agreement State? Yes. Yes. Based on the NRC Agreement State list (updated 2026-10-29). Rule text and source
orsif.org/guidelines/us/states/california
State rules
Massachusetts Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Massachusetts an NRC Agreement State? Yes
orsif.org/guidelines/us/states/massachusetts
State rules
Ohio Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Ohio an NRC Agreement State? Yes
orsif.org/guidelines/us/states/ohio
FAQ
Do any states allow alternatives to wearing lead aprons?
A few address it directly, according to ORSIF's State Rules Map (November 2026, not yet reviewed by a regulatory expert). Arizona's Senate Bill 1121, in effect September 12, 2026, bars hospitals from…
orsif.org/faqs
State rules
Utah Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Utah an NRC Agreement State? Yes
orsif.org/guidelines/us/states/utah
State rules
Louisiana Radiation Safety Rules for Fluoroscopy Teams
…by whole-body protective barriers of the same rating, stationary fluoroscopy units must have drapes, curtains or viewing shields, and aprons must be checked every 12 to 14 months, while thyroid…
orsif.org/guidelines/us/states/louisiana
State rules
Wisconsin Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Wisconsin an NRC Agreement State? Yes
orsif.org/guidelines/us/states/wisconsin
State rules
Virginia Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Virginia an NRC Agreement State? Yes. Yes. Virginia is an NRC Agreement State. Rule text and source. Rule
orsif.org/guidelines/us/states/virginia
State rules
Nebraska Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Nebraska an NRC Agreement State? Yes. Yes. Nebraska is an NRC Agreement State. Rule text and source. Rule
orsif.org/guidelines/us/states/nebraska
State rules
Arizona Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Arizona an NRC Agreement State? Yes
orsif.org/guidelines/us/states/arizona
State rules
Maryland Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Maryland an NRC Agreement State? Yes
orsif.org/guidelines/us/states/maryland
State rules
Iowa Radiation Safety Rules for Fluoroscopy Teams
Which rules apply, and whether ALARA is among them. Is Iowa an NRC Agreement State? Yes. Yes. Iowa has been an NRC Agreement State since January 1, 1986. Rule text and source
orsif.org/guidelines/us/states/iowa