alliedPublished: March 12, 2025Updated: December 17, 20253 min read

Patient Care Technician Licensing and Regulations by State

Discover state-by-state licensing and certification rules for Patient Care Technicians (PCTs). Includes detailed requirements, oversight agencies, and health care settings covered.

HealthJob Editors
HealthJob Editors

Healthcare Education Specialist

Patient Care Technician Licensing and Regulations by State

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

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StateLicense Required?Certification Required?Regulatory AgencyCovered Settings
AlabamaNoOptional (NST-C)Alabama Board of NursingNursing homes, hospitals, clinics
AlaskaNoCNA for nursing homesAlaska Board of NursingNursing homes
ArizonaNoCNA or optional LNAArizona State Board of NursingNursing homes; optional elsewhere
ArkansasNoCNA for nursing homesArkansas Department of HealthNursing homes
CaliforniaNoCNA (nursing homes), CHT (dialysis)California Dept. of Public HealthNursing homes, dialysis
ColoradoNoCNA for nursing homesColorado Board of NursingNursing homes
FloridaNoCNA for hospitals and LTCFlorida Board of NursingNursing homes, hospitals
HawaiiNoCNA for all settingsHawaii Dept. of Human Services, Dept. of Commerce & Consumer AffairsAll licensed healthcare settings
MarylandNoCNA; Dialysis (CNA-DT)Maryland Board of NursingNursing homes, dialysis
NebraskaYes (Dialysis only)CNA (LTC), Dialysis registrationNebraska Dept. of Health & Human ServicesNursing homes, dialysis centers
New MexicoNoCNA (LTC), CHT (dialysis)New Mexico Board of NursingNursing homes, dialysis centers
New YorkNoCNA for nursing homesNew York Department of HealthNursing homes, dialysis
North CarolinaNoCNA I required, CNA II optionalNorth Carolina Board of Nursing & DHHSNursing homes; hospitals (optional CNA II)
OhioNo (dialysis registration required)STNA; dialysis tech certOhio Board of NursingNursing homes, dialysis centers
OklahomaNoCNA; optional AUA certificationOklahoma Board of NursingNursing homes, hospitals (optional AUA)
OregonNoCNA required; CNA-2 optionalOregon State Board of NursingNursing homes; hospitals optional (CNA-2)
Rhode IslandNo (LNA license)LNA requiredRhode Island Department of HealthAll healthcare settings (via LNA)
TexasNoCNA (LTC), dialysis certificationTexas Health & Human Services CommissionNursing homes, dialysis centers
WashingtonNoNAC (Nursing Assistant Certified)Washington State Department of HealthNursing 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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