New York CNA question

Browsing job postings in New York City, I've noticed that many hospitals seem to be asking specifically for Patient Care Technicians who are either certified as PCT's, or been through a PCT vocational program. In all the other job markets I'm familiar with, hospitals will accept CNA's who have previous experience and don't make a distinction between CNA's who have and have not been through a PCT course. So my question is do New York City CNA's have a harder time finding hospital employment without PCT training, even when they have experience? What about CNA's who are also certified in EKG and Phlebotomy? If a CNA is planning on moving to New York from elsewhere should he or she become PCT certified first?