Title 201 | Chapter 046 | Regulation 020REG
PROPOSED
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PREVIOUS VERSION
The previous document that this document is based upon is available.
BOARDS AND COMMISSIONS
Board of Medical Imaging and Radiation Therapy
(Amendment)
201 KAR 46:020.Fees.
Section 1.
Initial Application and License Fee. A non-refundable initial application and license fee shall be $100.Section 2.
Renewal License Fee. A non-refundable renewal fee shall be fifty (50) dollars per year.Section 3.
Temporary Application and License Fee. A non-refundable fee for a temporary license shall be $100.Section 4.
Provisional Training License Fee. A non-refundable fee for a provisional training license for a radiation therapist and a nuclear medicine technologist shall be fifty (50) dollars per twenty-four (24) month training period.Section 5.
Temporary Limited X-ray Machine Operator Application and License Fee. A non-refundable, non-transferrable fee for a license shall be $100.Section 6.
Duplicate License Fee. A non-refundable fee for a duplicate license shall be twenty (20) dollars.Section 7.
Reinstatement Fee. A reinstatement fee shall be $100. Reinstatement fee shall be assessed starting on day six (6) following the expiration date of license.Section 8.
Name Change Fee. A non-refundable fee for a new printed license with a name change shall be twenty (20) dollars.Section 9.
Limited X-ray Machine Operator Examination Qualification Fee. A non-refundable fee for the qualification to register for the limited x-ray machine operator examination shall be twenty-five (25) dollars.Section 10.
Insufficient Funds Fee. A fee for returned check or denied online banking (ACH) payment shall be fifty (50) dollars.Section 11.
Written Verification of Qualifications Fee. The fee for completion of written verification documents shall be twenty-five (25) dollars per document.Section 12.
Continuing Education Approval Fee.(1)
Individual continuing education program fee shall be ten (10) dollars.(2)
Annual sponsoring institution fee shall be $100.Section 13.
Temporary Student Radiography Application and License Fee. A non-refundable fee for a license shall be fifty (50) dollars.KERI LEAMY, Chair
APPROVED BY AGENCY: November 12, 2025
FILED WITH LRC: November 14, 2025 at 9:25 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on January 27, 2026 at 10:00 am at 2365 Harrodsburg Rd, Suite A220, Lexington KY 40504. Individuals interested in being heard at this hearing shall notify this agency in writing by five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through January 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Elizabeth Morgan, Executive Director, 2365 Harrodsburg Rd, Suite A220, Lexington Kentucky 40504, 502-782-5687, fax 502-782-6495, elizabeth.morgan@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Elizabeth Morgan
Subject Headings:
Medical Imaging and Radiology, Licensing, Health and Medical Services
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation establishes the fees to be assessed to licensees and applicants.
(b) The necessity of this administrative regulation:
The necessity of this regulation is to advise the public, licensee and applicant of fees to be assessed.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
The regulation is in conformity as the authorizing statute gives the board the ability to promulgate regulations to establish fees and penalties.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This regulation establishes the fees to be assessed from applications, renewals, reinstatements, and various other programs and services provided by the board.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment establishes a fee for the temporary student radiography application and license.
(b) The necessity of the amendment to this administrative regulation:
The amendment is necessary to address other changes in the regulations filed as well as to establish a fee associated with the application and license for a temporary student radiography license.
(c) How the amendment conforms to the content of the authorizing statutes:
The amendment is in conformity as KRS 311B.010(1) gives the board the authority to regulate and control the practice of medical imaging, radiation therapy, and related occupations, as provided by this chapter and by the administrative regulations of the board in order to protect and safeguard the health and safety of the citizens of the Commonwealth of Kentucky. Further, KRS 311B.050 requires the board to promulgate administrative regulations to administer and enforce the chapter as well as issue and renew the licenses of duly qualified applicants, following procedures established by the board through the promulgation of administrative regulations. Finally, 311B.120 requires that the board establish fees for the issuance and renewal of licenses.
(d) How the amendment will assist in the effective administration of the statutes:
The amendment will establish a fee to carry out the requirements of 201 KAR 46:045.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
No
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
Approximately 300 state health care organizations and approximately 8,000 licensees.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
Healthcare Organizations: These organizations will not have to take any action to comply with this amendment; this amendment establishes a fee for the application and license for a temporary student radiographer. Licensees: Only applicants for the temporary student radiography license will be required to comply with the established fee in this administrative regulation. It will require that an individual seeking a temporary student radiography license will be required to pay the appropriate fee.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
The cost for the individual seeking a temporary student radiography license will be a fifty (50) dollar application and licensing fee.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
This regulation establishes fees for applications and licensing, therefore, no benefits will accrue to the entities.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
No new costs will be incurred by the changes.
(b) On a continuing basis:
No continuing costs will be incurred by the changes.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The board’s operations are funded by fees paid by licensees and applicants.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
The amendment does not require an increase in funding. A new fee has been established for the application and licensing of the temporary student radiographer.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
The amendment establishes a new fee to address application and licensing fee for the temporary student radiographer.
(10) TIERING: Is tiering applied?
Tiering was not applied as the regulation is applicable to all radiography students interested in obtaining employment outside of the academic clinical setting. This regulation does not distinguish between similarly situated individuals on the basis of any factor.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311B.010, 311B.050, 311B.120
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
Although amendment of this administrative regulation is not expressly authorized by an act by the General Assembly, the Board confirms it is necessary to address the disparities within the healthcare workforce, particularly with medical imaging as well as access to healthcare within the Commonwealth. The General Assembly declared that the practice of medical imaging, radiation therapy, and related occupations should be regulated and controlled as provided by KRS 311B and by the administrative regulations of the board in order to protect and safeguard the health and safety of the citizens of the Commonwealth of Kentucky (2012 Ky. Acts ch. 50, sec. 1, effective July 12, 2012).
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Board of Medical Imaging and Radiation Therapy.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
None
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
There is no additional cost associated with administering this regulation.
(b) Methodology and resources used to reach this conclusion:
The work required to process the application and issue a temporary student license will be absorbed by current employees of the board. There is no additional cost associated with administering this regulation.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
There is no additional cost associated with administering this regulation.
(b) The methodology and resources used to reach this conclusion:
The work required to process the application and issue a temporary student license will be absorbed by current employees of the board. There is no additional cost associated with administering this regulation.
BOARDS AND COMMISSIONS
Board of Medical Imaging and Radiation Therapy
(Amendment)
201 KAR 46:020.Fees.
Section 1.
Initial Application and License Fee. A non-refundable initial application and license fee shall be $100.Section 2.
Renewal License Fee. A non-refundable renewal fee shall be fifty (50) dollars per year.Section 3.
Temporary Application and License Fee. A non-refundable fee for a temporary license shall be $100.Section 4.
Provisional Training License Fee. A non-refundable fee for a provisional training license for a radiation therapist and a nuclear medicine technologist shall be fifty (50) dollars per twenty-four (24) month training period.Section 5.
Temporary Limited X-ray Machine Operator Application and License Fee. A non-refundable, non-transferrable fee for a license shall be $100.Section 6.
Duplicate License Fee. A non-refundable fee for a duplicate license shall be twenty (20) dollars.Section 7.
Reinstatement Fee. A reinstatement fee shall be $100. Reinstatement fee shall be assessed starting on day six (6) following the expiration date of license.Section 8.
Name Change Fee. A non-refundable fee for a new printed license with a name change shall be twenty (20) dollars.Section 9.
Limited X-ray Machine Operator Examination Qualification Fee. A non-refundable fee for the qualification to register for the limited x-ray machine operator examination shall be twenty-five (25) dollars.Section 10.
Insufficient Funds Fee. A fee for returned check or denied online banking (ACH) payment shall be fifty (50) dollars.Section 11.
Written Verification of Qualifications Fee. The fee for completion of written verification documents shall be twenty-five (25) dollars per document.Section 12.
Continuing Education Approval Fee.(1)
Individual continuing education program fee shall be ten (10) dollars.(2)
Annual sponsoring institution fee shall be $100.Section 13.
Temporary Student Radiography Application and License Fee. A non-refundable fee for a license shall be fifty (50) dollars.KERI LEAMY, Chair
APPROVED BY AGENCY: November 12, 2025
FILED WITH LRC: November 14, 2025 at 9:25 a.m.
PUBLIC HEARING AND COMMENT PERIOD: A public hearing on this administrative regulation shall be held on January 27, 2026 at 10:00 am at 2365 Harrodsburg Rd, Suite A220, Lexington KY 40504. Individuals interested in being heard at this hearing shall notify this agency in writing by five workdays prior to the hearing, of their intent to attend. If no notification of intent to attend the hearing was received by that date, the hearing may be cancelled. A transcript of the public hearing will not be made unless a written request for a transcript is made. If you do not wish to be heard at the public hearing, you may submit written comments on the proposed administrative regulation. Written comments shall be accepted through January 31, 2026. Send written notification of intent to be heard at the public hearing or written comments on the proposed administrative regulation to the contact person.
CONTACT PERSON: Elizabeth Morgan, Executive Director, 2365 Harrodsburg Rd, Suite A220, Lexington Kentucky 40504, 502-782-5687, fax 502-782-6495, elizabeth.morgan@ky.gov.
REGULATORY IMPACT ANALYSIS AND TIERING STATEMENT
Contact Person:
Elizabeth Morgan
Subject Headings:
Medical Imaging and Radiology, Licensing, Health and Medical Services
(1) Provide a brief summary of:
(a) What this administrative regulation does:
This administrative regulation establishes the fees to be assessed to licensees and applicants.
(b) The necessity of this administrative regulation:
The necessity of this regulation is to advise the public, licensee and applicant of fees to be assessed.
(c) How this administrative regulation conforms to the content of the authorizing statutes:
The regulation is in conformity as the authorizing statute gives the board the ability to promulgate regulations to establish fees and penalties.
(d) How this administrative regulation currently assists or will assist in the effective administration of the statutes:
This regulation establishes the fees to be assessed from applications, renewals, reinstatements, and various other programs and services provided by the board.
(2) If this is an amendment to an existing administrative regulation, provide a brief summary of:
(a) How the amendment will change this existing administrative regulation:
The amendment establishes a fee for the temporary student radiography application and license.
(b) The necessity of the amendment to this administrative regulation:
The amendment is necessary to address other changes in the regulations filed as well as to establish a fee associated with the application and license for a temporary student radiography license.
(c) How the amendment conforms to the content of the authorizing statutes:
The amendment is in conformity as KRS 311B.010(1) gives the board the authority to regulate and control the practice of medical imaging, radiation therapy, and related occupations, as provided by this chapter and by the administrative regulations of the board in order to protect and safeguard the health and safety of the citizens of the Commonwealth of Kentucky. Further, KRS 311B.050 requires the board to promulgate administrative regulations to administer and enforce the chapter as well as issue and renew the licenses of duly qualified applicants, following procedures established by the board through the promulgation of administrative regulations. Finally, 311B.120 requires that the board establish fees for the issuance and renewal of licenses.
(d) How the amendment will assist in the effective administration of the statutes:
The amendment will establish a fee to carry out the requirements of 201 KAR 46:045.
(3) Does this administrative regulation or amendment implement legislation from the previous five years?
No
(4) List the type and number of individuals, businesses, organizations, or state and local governments affected by this administrative regulation:
Approximately 300 state health care organizations and approximately 8,000 licensees.
(5) Provide an analysis of how the entities identified in question (4) will be impacted by either the implementation of this administrative regulation, if new, or by the change, if it is an amendment, including:
(a) List the actions that each of the regulated entities identified in question (4) will have to take to comply with this administrative regulation or amendment:
Healthcare Organizations: These organizations will not have to take any action to comply with this amendment; this amendment establishes a fee for the application and license for a temporary student radiographer. Licensees: Only applicants for the temporary student radiography license will be required to comply with the established fee in this administrative regulation. It will require that an individual seeking a temporary student radiography license will be required to pay the appropriate fee.
(b) In complying with this administrative regulation or amendment, how much will it cost each of the entities identified in question (4):
The cost for the individual seeking a temporary student radiography license will be a fifty (50) dollar application and licensing fee.
(c) As a result of compliance, what benefits will accrue to the entities identified in question (4):
This regulation establishes fees for applications and licensing, therefore, no benefits will accrue to the entities.
(6) Provide an estimate of how much it will cost the administrative body to implement this administrative regulation:
(a) Initially:
No new costs will be incurred by the changes.
(b) On a continuing basis:
No continuing costs will be incurred by the changes.
(7) What is the source of the funding to be used for the implementation and enforcement of this administrative regulation or this amendment:
The board’s operations are funded by fees paid by licensees and applicants.
(8) Provide an assessment of whether an increase in fees or funding will be necessary to implement this administrative regulation, if new, or by the change if it is an amendment:
The amendment does not require an increase in funding. A new fee has been established for the application and licensing of the temporary student radiographer.
(9) State whether or not this administrative regulation establishes any fees or directly or indirectly increases any fees:
The amendment establishes a new fee to address application and licensing fee for the temporary student radiographer.
(10) TIERING: Is tiering applied?
Tiering was not applied as the regulation is applicable to all radiography students interested in obtaining employment outside of the academic clinical setting. This regulation does not distinguish between similarly situated individuals on the basis of any factor.
FISCAL IMPACT STATEMENT
(1) Identify each state statute, federal statute, or federal regulation that requires or authorizes the action taken by the administrative regulation:
KRS 311B.010, 311B.050, 311B.120
(2) State whether this administrative regulation is expressly authorized by an act of the General Assembly, and if so, identify the act:
Although amendment of this administrative regulation is not expressly authorized by an act by the General Assembly, the Board confirms it is necessary to address the disparities within the healthcare workforce, particularly with medical imaging as well as access to healthcare within the Commonwealth. The General Assembly declared that the practice of medical imaging, radiation therapy, and related occupations should be regulated and controlled as provided by KRS 311B and by the administrative regulations of the board in order to protect and safeguard the health and safety of the citizens of the Commonwealth of Kentucky (2012 Ky. Acts ch. 50, sec. 1, effective July 12, 2012).
(3)(a) Identify the promulgating agency and any other affected state units, parts, or divisions:
Board of Medical Imaging and Radiation Therapy.
(b) Estimate the following for each affected state unit, part, or division identified in (3)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(4)(a) Identify affected local entities (for example: cities, counties, fire departments, school districts):
None
(b) Estimate the following for each affected local entity identified in (4)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(5)(a) Identify any affected regulated entities not listed in (3)(a) or (4)(a):
None
(b) Estimate the following for each regulated entity identified in (5)(a):
1. Expenditures:
For the first year:
None
For subsequent years:
None
2. Revenues:
For the first year:
None
For subsequent years:
None
3. Cost Savings:
For the first year:
None
For subsequent years:
None
(6) Provide a narrative to explain the following for each entity identified in (3)(a), (4)(a), and (5)(a)
(a) Fiscal impact of this administrative regulation:
There is no additional cost associated with administering this regulation.
(b) Methodology and resources used to reach this conclusion:
The work required to process the application and issue a temporary student license will be absorbed by current employees of the board. There is no additional cost associated with administering this regulation.
(7) Explain, as it relates to the entities identified in (3)(a), (4)(a), and (5)(a):
(a) Whether this administrative regulation will have a "major economic impact", as defined by KRS 13A.010(14):
There is no additional cost associated with administering this regulation.
(b) The methodology and resources used to reach this conclusion:
The work required to process the application and issue a temporary student license will be absorbed by current employees of the board. There is no additional cost associated with administering this regulation.