How to Get a Respiratory Therapist License in Massachusetts
Last updated: March 2, 2026
Massachusetts is a high-value market centered on Boston and its surrounding suburbs, making it an excellent place to start a career as a respiratory therapist. Licensing in Massachusetts is overseen by the Massachusetts Board of Registration of Respiratory Therapists. The process requires 2200 hours of pre-license education and costs between $27,500 and $28,500 in total. You'll need to pass the TMC Examination and Clinical Simulation Examination (CSE) (administered by Massachusetts Board of Registration of Respiratory Therapists) with a score of at least 70%.
At 2200 hours, Massachusetts has one of the higher pre-license education requirements in the country. This is close to the national average of 2156 hours. Budget between $27,500 and $28,500 for the total licensing process, including education, application, and exam fees. Most aspiring respiratory therapists complete the entire process in 4-7 months, depending on how quickly they move through the coursework and exam preparation.
Massachusetts Respiratory Therapist License Requirements
| Requirement | Details |
|---|---|
| Minimum Age | 18 years old |
| Pre-License Education | 2200 hours |
| Degree Required | No |
| Exam Required | Yes — TMC Examination and Clinical Simulation Examination (CSE) |
| Passing Score | 70% |
| Background Check | Yes |
| Broker Sponsorship | Not required |
| Application Fee | $200 |
| Exam Fee | $390 |
| Governing Body | Massachusetts Board of Registration of Respiratory Therapists |
| License Reciprocity | Partial |
Reciprocity:
Steps to Get Your Respiratory Therapist License in Massachusetts
- 1
Complete a CoARC-Accredited RT Program
Graduate from a CoARC-accredited respiratory therapy program. Associate degree programs take 2 years; bachelor's programs take 4 years.
Time: 2-4 years Cost: $350 - 2
Pass the TMC Examination
Register and pass the Therapist Multiple-Choice (TMC) Examination administered by the NBRC. Scoring at the high cut score earns the RRT (Registered) credential; lower cut score earns CRT (Certified). The exam fee is $190.
Time: 2-4 weeks to schedule Cost: $190 - 3
Pass the Clinical Simulation Examination (CSE)
Complete the CSE to earn the RRT credential. The CSE tests clinical decision-making through simulated patient scenarios. The exam fee is $200.
Time: 2-4 weeks to schedule Cost: $200 - 4
Apply for State Licensure
Submit your application to the Massachusetts Board of Registration of Respiratory Therapists. Include NBRC credentials, transcripts, and the application fee of $200.
Time: 2-6 weeks Cost: $200 - 5
Begin Your RT Career
Once licensed, you can practice respiratory therapy in Massachusetts. RTs work in hospitals (ICU, ER, NICU), pulmonary rehab, home health, and sleep labs.
Time: Immediate once licensed
Key Things to Know
- Education requirement: . Many providers offer online options, giving you flexibility to study on your own schedule.
- The licensing exam: The TMC Examination and Clinical Simulation Examination (CSE) is administered by Massachusetts Board of Registration of Respiratory Therapists. You'll need to score at least 70% to pass. Study materials and practice exams are available from most education providers.
- Background check required: Massachusetts requires a criminal background check as part of the application process. Plan for additional processing time and fees.
- Online application available: Massachusetts accepts online applications, which can speed up processing time.
- Ongoing requirements: Once licensed, you'll need 20 hours of continuing education every 2 years. .
How Massachusetts Compares
Massachusetts requires 2200 hours of pre-license education for respiratory therapists. This is close to the national average of 2156 hours. The average total cost in Massachusetts is around $28,000, compared to the national average of $24,680.
How Much Does a Respiratory Therapist License Cost in Massachusetts?
| Cost Item | Estimated Range |
|---|---|
| Pre-License Education | $300 - $700 |
| Application Fee | $200 |
| Exam Fee | $390 |
| Total Estimated Cost | $27,500 - $28,500 |
License Renewal
- Renewal Period: Every 2 years
- Continuing Education: 20 hours
- CE Details:
- Renewal Fee: $200
Tips for Success
- Choose your education provider carefully: Compare prices, format (online vs. in-person), and reviews. Some providers offer exam prep materials bundled with the course, which can save you money. Check the Massachusetts Board of Registration of Respiratory Therapists website for a list of approved providers.
- Don't rush the exam: With 2200 hours of required coursework, consider a structured schedule — completing one course at a time helps avoid burnout. Use practice exams to identify weak areas before scheduling your test date.
- Aim for the RRT credential, not just CRT: Scoring at the high cut score on the TMC earns the Registered Respiratory Therapist (RRT) credential, which is preferred by employers. Study beyond the minimum — the RRT opens doors to ICU, NICU, and supervisory positions.
- Pursue specialty credentials after licensure: NBRC offers specialty exams in neonatal/pediatric (NPS), adult critical care (ACCS), and sleep disorders (SDS). Specialty credentials increase your earning potential by $5,000-$10,000/year and make you more competitive.
- Budget approximately $28,500 for your Massachusetts license: This includes $200 in application fees, $390 for the exam, and education costs. Once licensed, plan for $200 in renewal fees every 2 years.
Frequently Asked Questions
How long does it take to get a respiratory therapist license in Massachusetts?
Most people complete the process in 3-6 months total. The pre-license education (2200 hours) takes the longest. After completing education, the exam and application process typically adds 2-6 weeks.
How much does it cost to get a respiratory therapist license in Massachusetts?
The total cost ranges from $27,500 to $28,500, including pre-license education, the application fee ($200), and the exam fee ($390).
Can I get a Massachusetts respiratory therapist license with a criminal record?
The Massachusetts Board of Registration of Respiratory Therapists evaluates criminal history on a case-by-case basis. Having a criminal record does not automatically disqualify you, but certain offenses may affect your eligibility. Contact the Massachusetts Board of Registration of Respiratory Therapists for guidance before applying.
Do I need a college degree to become a respiratory therapist in Massachusetts?
No. Massachusetts does not require a college degree. You only need to complete the 2200 hours of approved pre-license courses.
Can I take the pre-license courses online in Massachusetts?
Many approved education providers offer pre-license courses online, allowing you to study at your own pace. Check the Massachusetts Board of Registration of Respiratory Therapists website for a list of approved providers.
Sources
- Official website: Massachusetts Board of Registration of Respiratory Therapists