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Montana State Flag

Montana Surgical Technologist Requirements

This page explains Montana Surgical Technologist requirements, including the state’s non‑licensure status, common CST® and TS‑C expectations, education options, and salary and job‑outlook data.[1][2][3][4]

Overview

Montana does not require state licensure, registration, or state‑mandated certification for surgical technologists.[1][2][3] There is no Montana practice act that creates a personal state credential for this role.[1][3]

Instead, hospitals and surgical facilities in Montana use their own hiring and credentialing rules.[1][4] Typically, employers expect graduation from an accredited surgical technology program and national certification such as CST® or TS‑C.[1][3][4]

National law maps list Montana among the states without a surgical technologist law.[2][3] As a result, the state is legally non‑regulated, but daily hiring often looks like a certification‑preferred environment.[1][4]

State Classification

Montana is classified as a non‑regulated state for surgical technologists.[1][2][3] The state does not issue a surgical technologist license, maintain a registry, or protect the title by statute.[1][3]

In addition, national law summaries group Montana with states where employers and national certification bodies set standards rather than a state board.[2][3] A dedicated licensing board for surgical technologists does not currently exist in Montana.[1]

Statutory Requirements

As of early 2026, Montana statutes and regulations do not create specific licensure or practice requirements for surgical technologists.[1][2][3] State law also does not reserve the titles “surgical technologist” or “certified surgical technologist” for a licensed group.[1][3]

According to multistate career and licensure guides, there are no statewide education or license requirements to work as a surgical technologist in Montana.[1][4] Instead, national certification is encouraged by educators and employers rather than mandated by law.[1][4]

Because no surgical technologist statute exists, Montana facility‑licensing rules focus on safe operating‑room practice and adequate staffing.[2][3] Individual hospitals and health systems then decide which education and certification credentials they require from technologists.[1][3]

Certification Requirements

Montana law does not require surgical technologists to hold CST®, TS‑C, or any other national credential.[1][2] Certification is voluntary at the state level, but it is common in employer job postings.[1][4]

LicenseMap notes that CST® certification through NBSTSA is the industry standard in Montana.[1] Many employers want applicants who completed a CAAHEP‑ or ABHES‑accredited program and who hold or will obtain CST® or TS‑C.[1][4]

Accredited Montana programs usually last 12–24 months and lead to a certificate or associate degree in surgical technology.[1][4] Programs highlight eligibility for national certification exams as a major outcome for graduates and include both classroom and clinical training.[4]

After certification, technologists must meet recertification rules from NBSTSA or NCCT.[1][3] This typically involves continuing education credits or periodic exams, and employers may monitor this as part of ongoing credentialing.[1][4]

Registration or Licensure Requirements

No Montana agency issues a surgical technologist license or keeps a surgical technologist registry.[1][2][3] There is no Montana ST license application, no state fee schedule, and no state renewal form for this role.[1][3]

Sometimes national career sites mention “licensure” for Montana surgical technologists.[1][4] In most cases, those references describe employer‑specific rules and national certification steps, not a Montana state license.

Surgical technologists who also hold another license, such as nursing or another allied health license, are regulated by that separate board.[2][3] However, their surgical technologist duties still follow employer policies and national standards rather than a Montana ST license.[2][3]

Renewal Requirements

Because Montana does not license or register surgical technologists, the state does not set renewal dates, renewal fees, or continuing education rules for this role.[1][2][3] Renewal responsibilities instead come from national certifying bodies and from employer policies.[1][4]

NBSTSA and NCCT publish recertification requirements for CST® and TS‑C, including continuing education and time limits.[1][4] Many Montana employers then require technologists to keep these credentials active as a condition of continued employment.

Background Checks

Montana does not run a background‑check system that is specific to surgical technologists.[2][3] There is no state ST license, so there is no ST‑only background screening tied to license issuance or renewal.[2]

Instead, hospitals and surgery centers rely on their own onboarding and credentialing processes.[3][4] These usually include criminal background checks, drug screening, immunization verification, and reference checks for surgical technologists and other perioperative staff.[3][4]

Scope of Practice

Montana does not define a statutory scope of practice for surgical technologists, and the title is not legally protected.[1][2][3] Therefore, the role is described mainly through job descriptions, employer policies, and national professional guidelines.[3][4]

In daily work, Montana surgical technologists typically prepare the operating room and arrange instruments and sterile supplies.[1][3][4] They also assist with gowning and gloving, maintain the sterile field, pass instruments, handle specimens, and help with counts under the supervision of surgeons and circulating nurses.[1][3][4]

Governing Agency

Montana does not have a licensing board devoted only to surgical technologists.[1][2][3] No single state agency directly regulates this occupation as a licensed profession.[1][3]

Instead, state agencies license and inspect health‑care facilities, such as hospitals and ambulatory surgery centers.[2][3] Within those facilities, credentialing offices and medical staff committees set internal standards for surgical technologist education, certification, and competency.[3][4]

Statute Citations

  • Current status: As of early 2026, Montana statutes and regulations do not create a surgical technologist license, registry, or practice act, and national law summaries list Montana as a non‑licensure state where surgical technologists practice under employer rules rather than a state credential.[1][2][3]
  • Facility regulation: Montana rules for hospitals and ambulatory surgery centers focus on licensing the facility, not on licensing individual surgical technologists; technologist qualifications fall under each facility’s staffing and credentialing policies.[2][3]

Montana Surgical Technologist Salary & Job Outlook

National Occupational Employment and Wage Statistics (OEWS) data for Surgical Technologists (SOC 29‑2055) report a national annual mean wage of $60,900 for full‑time employee wage and salary data as of May 2023.[4] These data also include Montana state‑level wage estimates that allow comparison between Montana wages and national figures for full‑time surgical technologists.[4][5]

Salary tools and Montana workforce resources show that surgical technologist wages in the state tend to sit near regional averages, with variation by employer type, experience level, and geography.[1][4] Pay is often higher in larger health systems and metropolitan areas, and nationally certified technologists may earn toward the upper end of local ranges for full‑time roles.[1][4]

Summary

Montana does not license or register surgical technologists, and state law does not require CST® or TS‑C.[1][2][3] Employers therefore decide which education and certification credentials are needed to work in the operating room.[1][4]

In practice, most Montana facilities prefer graduates of accredited surgical technology programs who hold national certification.[1][4] This makes Montana function as a certification‑preferred state even though no formal ST license exists.[1][2]

References

  • [1] LicenseMap. “Montana Surgical Technologist License (2026)” – states that Montana does not require state licensure, registration, or mandatory certification for surgical technologists and that CST® or TS‑C are employer‑driven credentials and the industry standard.[web:314]
  • [2] Association of Surgical Technologists (AST). “Surgical Technologist and Surgical Assistant State Law Map / Legislative Overview” – national overview identifying Montana as a state without an ST practice act and explaining that many states leave ST qualification to hospitals and ASCs.[web:17][web:4]
  • [3] Montana surgical technology program materials describing accredited curricula, program length, and the lack of state licensure for surgical technologists, while emphasizing employer‑driven standards and national certification eligibility. Examples: Great Falls College MSU Surgical Technology catalog; University of Montana and City College at MSU Billings surgical technology information.[web:316][web:317]
  • [4] Career and wage resources summarizing Montana surgical technologist education expectations, national certification norms, and wage levels compared with national averages. Examples include state and national career guides and BLS OEWS “29‑2055 Surgical Technologists.”[web:318][web:40]
  • [5] U.S. Bureau of Labor Statistics. “May 2023 State Occupational Employment and Wage Estimates – Montana” – OEWS Montana wage data for full‑time wage and salary workers, including surgical technologists, used to compare state earnings with national averages. Available at: https://www.bls.gov/oes/2023/may/oes_mt.htm.[web:1022]