May 04, 2023

An Update on Scope of Practice Bills

The American College of Radiology® (ACR®) state government relations staff has tracked more than ninety pieces of scope of practice legislation, in states ranging from Arkansas to Montana. Below is the current status of a few of these bills.


Senate Bill (SB) 112 requires a physician assistant (PA) be identified as the treating provider in the billing and claims process when the PA delivered the medical services to the patient.

This bill has been signed into law by Governor Sanders.


House Bill (HB) 407 would enjoin the state of Missouri into the Interstate Medical Licensure Compact. This compact allows physicians who meet the compact’s eligibility requirements to practice medicine in other compact states.

This bill has been referred to the House Committee on Professional Registration and Licensing.


HB 409 would enjoin Montana into the advanced practice registered nurse (APRN) compact. The compact allows APRNs who meet its eligibility requirements to practice in other compact states.

This bill has passed the Montana House of Representatives and has been referred to the Senate Committee on Business, Labor, and Economic Affairs.

New Hampshire

SB 83 would allow an APRN or certified midwife acting within the scope of their practice to certify a document in the place of a physician. The bill states that this provision cannot be construed to expand the scope of practice of an APRN or a certified nurse midwife.

This bill has passed the Senate Committee on Health and Human Services and is being considered in the New Hampshire House.

New York

SB 2126 would allow a PA to engage in the use of fluoroscopy for the guidance of diagnostic and therapeutic procedures, provided that the PA has successfully completed an educational program consisting of at least 40 hours of didactic and 40 hours of clinical training with successful completion of a competency exam.

This bill has been referred to the Senate Health Committee.


HB 2168 would allow a certified registered nurse anesthetist (CRNA), who also holds a valid certification in nonsurgical pain management, to practice interventional pain management. This would include the use of fluoroscopy. All of these services would have to be done in collaboration with a physician.

This bill has been referred to the House Committee on Rules.


HB 1764 would have allowed physician assistants (PA) practicing in hospitals, certain facilities operated by the Department of Behavioral Health and Development Services, or federally qualified health centers designated by the Centers for Medicare and Medicaid Services to practice without a practice agreement.

This bill failed to make it out of all its committees and the legislature has now adjourned sine die.

The College 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 or if you need any guidance on legislation in your state, contact Eugenia Brandt, ACR Senior Government Affairs Director, or Dillon Harp, ACR Senior State Government Relations Specialist.