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March 12, 2025

Patient Care Technician Licensing and Regulations by State (2025)

Here’s a complete breakdown of patient care technician licensing requirements, state oversight agencies, and regulated healthcare settings across all U.S. states to keep you informed and compliant.
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Patient Care Technician Licensing and Regulations by State (2025)

Patient Care Technicians (PCTs), also known as patient care associates or patient care assistants, play an essential role in health care teams, supporting nurses and other health care providers by performing direct patient care tasks. Licensing and regulation requirements for patient care technicians vary significantly by state, making it critical for professionals to understand state-specific mandates.

In the United States, PCT regulation typically involves either mandatory state certification, national certification, or no formal credentialing at all. Generally, states do not issue separate licenses specifically titled "patient care technician" or "patient care associate." Instead, they commonly oversee these roles through their nurse aide registries, certifications, or specific health care sector regulations.

Below, we've compiled a clear, state-by-state breakdown of licensing, certification, regulatory bodies, and covered health care settings for patient care technicians.

State-by-State Licensing and Regulatory Requirements for Patient Care Technicians

State License Required? Certification Required? Regulatory Agency Covered Settings
Alabama No Optional (NST-C) Alabama Board of Nursing Nursing homes, hospitals, clinics
Alaska No CNA for nursing homes Alaska Board of Nursing Nursing homes
Arizona No CNA or optional LNA Arizona State Board of Nursing Nursing homes; optional elsewhere
Arkansas No CNA for nursing homes Arkansas Department of Health Nursing homes
California No CNA (nursing homes), CHT (dialysis) California Dept. of Public Health Nursing homes, dialysis
Colorado No CNA for nursing homes Colorado Board of Nursing Nursing homes
Florida No CNA for hospitals and LTC Florida Board of Nursing Nursing homes, hospitals
Hawaii No CNA for all settings Hawaii Dept. of Human Services, Dept. of Commerce & Consumer Affairs All licensed healthcare settings
Maryland No CNA; Dialysis (CNA-DT) Maryland Board of Nursing Nursing homes, dialysis
Nebraska Yes (Dialysis only) CNA (LTC), Dialysis registration Nebraska Dept. of Health & Human Services Nursing homes, dialysis centers
New Mexico No CNA (LTC), CHT (dialysis) New Mexico Board of Nursing Nursing homes, dialysis centers
New York No CNA for nursing homes New York Department of Health Nursing homes, dialysis
North Carolina No CNA I required, CNA II optional North Carolina Board of Nursing & DHHS Nursing homes; hospitals (optional CNA II)
Ohio No (dialysis registration required) STNA; dialysis tech cert Ohio Board of Nursing Nursing homes, dialysis centers
Oklahoma No CNA; optional AUA certification Oklahoma Board of Nursing Nursing homes, hospitals (optional AUA)
Oregon No CNA required; CNA-2 optional Oregon State Board of Nursing Nursing homes; hospitals optional (CNA-2)
Rhode Island No (LNA license) LNA required Rhode Island Department of Health All healthcare settings (via LNA)
Texas No CNA (LTC), dialysis certification Texas Health & Human Services Commission Nursing homes, dialysis centers
Washington No NAC (Nursing Assistant Certified) Washington State Department of Health Nursing homes; hospitals

Key Takeaways:

  • Licensing vs. Certification: Most states do not require a dedicated license for patient care technicians; instead, they require nursing assistant certification (CNA or LNA) for roles in long-term care settings.
  • Dialysis Technician: Several states have specific requirements for dialysis patient care technicians, mandating national certification and sometimes state registration (e.g., Nebraska, Ohio).
  • Hospital Settings: While state regulations often do not explicitly mandate PCT credentials for hospital work, many health care facilities prefer or require CNA certification or other national credentials for employment.

Importance for PCTs and Employers:

Patient care technicians and employers should verify specific state requirements and credentialing guidelines, especially if working in specialized health care environments such as dialysis centers or hospitals. Although state licensing for general patient care technician roles is uncommon, required certifications and titles vary and are critical for regulatory compliance and patient safety.

Always check with the state's regulatory agency or board for the most current and specific information.

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