September 11, 2019

ACR Looks Forward to 2020 State Legislative Challenges

While only a few state legislatures remained in session in mid-September, the American College of Radiology (ACR®) state government relations staff is already planning for 2020 and the challenges and opportunities of the upcoming election year.

Forty-six state legislatures will meet in 2020, many without carryover of bills from previous, odd number session. In the states without carry-over, any bill that died in 2019 will have to be re-introduced next year.

ACR state government affairs staff tracked close to 600 state bills related to radiology in 2019. We expect a similar number of bills in 2020.

A searchable website, maintained by, offers a convenient way to track individual legislative proposals by state, topic, bill number and other variables.

Pre-filing will soon begin in a few states that allow the practice in September, October or November. More states will come on board in December and January to meet their stipulated pre-filing deadlines.

In accordance with state constitutional requirements, legislatures in Montana, Nevada, North Dakota and Texas will not meet in 2020.

ACR state government affairs staff is a valuable resource for effectively responding to important, state-level issues. Recent legislative areas of interest have included scope of practice, surprise/balance/out of network billing (OON), price transparency, physician reimbursement, teleradiology, state licensure and medical liability reform.

With assistance from CQ Engage, our state legislation tracking service, the ACR can now assist any of the 46 states and several territories that will convene their legislatures in 2020 with geographically targeted Call-To-Action Alerts. They can be customized to target specific committees or state legislators in specific districts.

Factual accuracy and proper coordination with local efforts are of utmost importance when planning such initiatives. We ask that they be vetted and endorsed by state radiological societies before seeking our involvement. Please contact to learn more about this feature.

Eugenia Brandt and Tina Getachew are your expert points of contact for other questions about state legislative and regulatory affairs.