Tattoo and piercing shops in Billings must register with RiverStone Health for sanitation inspection and obtain a city business license under BMC Chapter 8. Montana has no statewide tattoo license requirement.
Unlike massage, Montana does not license individual tattoo artists statewide. Local enforcement falls to RiverStone Health, which inspects body art establishments for sanitation, sterilization of tools, single-use needle disposal, and bloodborne pathogen training. Billings requires a business license through the city under BMC Chapter 8 plus zoning compliance under BMC Title 27. Minors under 18 cannot receive tattoos in Montana even with parental consent under MCA section 45-5-623, though parents may consent to ear and limited body piercings. Shops must keep client records for at least three years.
Tattooing minors violates MCA 45-5-623 and is a misdemeanor with fines up to 500 dollars. Failed sanitation inspections by RiverStone Health may trigger suspension of operations until corrections are verified.
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