January 31, 2024

Ready For It? State Legislatures Debating Healthcare Bills Impacting Radiology

Bills ranging from scope of practice to network adequacy are being debated in the halls of statehouses throughout the country. You may not see your state listed, but be prepared, because it might be soon.

Scope of Practice


House Bill (HB) 1046 would allow advanced practice registered nurses (APRNs) and physician assistants (PAs) to order home healthcare services.


HB 361 would add the chair of the Physician Assistant Advisory Committee to the Kentucky Board of Medical Licensure as an ex officio nonvoting member.


HB 2534 would mandate that healthcare practitioners use appropriate titles and abbreviations. For example, only physicians could use the titles physician, medical doctor, “MD” or “DO.”


HB 2147 would allow pharmacists to order and administer immunizations and vaccinations to children three years of age and older.

Rhode Island

Senate Bill (SB) 2178 would enjoin the state of Rhode Island into the PA compact. This compact allows PAs who meet its eligibility requirements to practice in other compact states.


HB 1862 would enjoin Tennessee into the PA compact.

Loan Repayment


Senate File 2092 and House File 2110 would allow radiologists to participate in the rural Iowa primary care loan repayment program. This program is administered by the College Student Aid Commission and provides loan repayments for medical students who agree to practice as physicians in service commitment areas for five consecutive years after graduating from a residency program and receiving a permanent license to practice medicine in Iowa.

Network Adequacy


SB 2641 would permit the Illinois Department of Insurance to determine whether the network plan at each in-network hospital and facility has a sufficient number of hospital-based medical specialists to ensure that covered persons have reasonable and timely access to such in-network physicians and the services they direct or supervise. Hospital-based medical specialists are defined as “physicians working in specialties that are usually located at in-network hospitals and facilities, including, but not limited to radiologists, pathologists, anesthesiologists and emergency room physicians.”

Out-of-Network / Surprise / Balance Billing Bills


SB 24-080 would require health insurance carriers to comply with federal price transparency laws and to make available an internet-based self-service tool that provides real-time responses to a covered person's questions concerning carrier prices that are based on cost-sharing information.

SB 24-093 would allow an enrollee in the Colorado Medicaid program or within a private health insurance carrier whose coverage has been terminated or not renewed to receive continued care with the enrollee's same healthcare provider or healthcare facility under the enrollee's new health benefit plan at the in-network level when certain conditions exist.


HB 945 would provide protections for covered persons under a state health plan when an in-network hospital becomes out-of-network before the end of the plan year.
United States Nuclear Regulatory Commission

West Virginia

HB 4968 would make the state of West Virginia an agreement state with the United States Nuclear Regulatory Commission and would transfer authority and responsibility for sources of radiation from other state agencies to the Department of Environmental Protection. The bill would also create the Radiation Advisory Board. Under the board, the governor would appoint individuals from industry and academia with training in one or more of the following fields: radiology, medicine, radiation, health physics, physics, related sciences with specialization in ionizing radiation, law, management of nuclear materials, or emergency management.

The American College of Radiology® (ACR®) has partnered with Fiscal Note, a legislation and regulation tracking service, to provide continuous, comprehensive updates on radiology and healthcare-related legislation. To stay current on state legislative developments relevant to radiology, view the ACR policy map. You can also access information and ACR resources about scope of practice.

For more information about state legislative activities, contact Eugenia Brandt, ACR Senior Government Affairs Director, or Dillon Harp, ACR Senior Government Relations Specialist.