State-by-State Scope of Practice Activity

Summary of radiology-related measures categorized by state as of May 23, 2022

Arizona

SB 1367 seeks to change the practice agreement between a physician assistant (PA) and physician to a collaborative agreement.

Status: Passed the Health and Human Services and the Rules Committee and is being heard by the whole chamber.

Colorado

House Bill (HB) 22-1095 seeks to permit PAs who have completed 3,000 or more practice hours to practice without physician supervision.

ACR/Chapter activity: The Colorado Radiological Society opposed the bill.

Status: The bill failed- Sine Die.

Hawaii

HB 1575 would expand the definition of a patient’s provider to include PAs.

ACR/Chapter activity: The Hawaii Radiological Society is monitoring the bill.

Status: Passed both chambers and is awaiting action from the governor.

SB 2680 would permit APRNs to order and perform therapeutic measures.

ACR/Chapter activity: The Hawaii Radiological Society is monitoring the bill.

Status: The bill failed- Sine Die.

SB 2445 would expand the definition of a patient’s provider to include PAs.

Status: The bill failed- Sine Die.

Illinois

SB 3196 would allow advanced practice registered nurses (APRNs) licensed under the Nurse Practice Act and that practice in a hospital, hospital affiliate, or an ambulatory surgical center to administer radiation through a fluoroscope without supervision, prescription, or direction of a licensed person.

ACR/Chapter activity: The Illinois Radiological Society opposed the bill.

Status: Introduced and assigned to the Committee on Assignments & Licensed Activities.

Indiana

SB 250 would require APRNs who collaborate with licensed practitioners to operate within a 75-mile radius of the licensed practitioner's primary practice location or residence. Additionally, the APRN and the APRN's collaborating practitioner must meet quarterly.

Status: The bill failed- Sine Die.

SB 239 calls for disciplinary action against a professional if their advertising includes deceptive or misleading information or does not prominently state their profession or license

ACR/Chapter activity: The Illinois Radiological Society supports this bill.

Status: Signed into law by the governor,

Kansas

HB 2279 grants nurse practitioners independent authority to prescribe durable medical equipment and medication. Most nurse practitioners will be required to maintain malpractice insurance coverage and comply with U.S. Drug Enforcement Administration requirements related to controlled substances

ACR/Chapter activity: The Kansas Radiological Society opposed the bill.

Status: Signed into law by the governor.

Louisiana

SB 175 would remove the physician collaboration requirement for nurse anesthetists, nurse midwives, clinical nurse specialists and nurse practitioners who have 1,000 hours of experience.

Status: Assigned to the Senate Committee on Health and Welfare.

SB 158 would change the required collaboration between a physician assistant (PA) and a physician. This, bill among many things would change the requirement that a supervising physician be a physician approved by the Louisiana State Board of Medical Examiners, and instead define a supervising physician(s) as a group practice or partnership of physicians, a professional medical corporation, or a hospital or other healthcare organization or entity.

Status: Assigned to the Senate Committee on Health and Welfare.

HB 543 would define advanced practice registered nurses (APRNs) with 10 years of clinical health experience and completion of collaborative practice hours as a consulting practitioner. APRNs would be exempt from a collaborative practice agreement if they have 2,080 collaborative practice hours and successfully complete coursework in advanced physical assessment and diagnostic reasoning, advanced pharmacology, and advanced pathophysiology.

Status: Assigned to the House Committee on Health and Welfare.

HB 941 would allow only physicians who have completed a residency in orthopedic surgery or neurosurgery to perform a decompression, fusion, or instrumentation procedure on the lumbar, thoracic, or cervical spine.

Status: The bill was voluntarily deferred for further studies and is defeated for this session.

ACR/Chapter activity: The Radiological Society of Louisiana opposed the bill(s).

Mississippi

HB 440 would exempt APRNs from a collaborating practice agreement once the APRN has completed 3,600 practice hours.

Status: The bill failed- Sine Die.

Missouri

HB 2683 seeks to permit an assistant physician to become eligible as a licensed physician if the assistant physician completes:

  • Step 3 of the United States Medical Licensing Examination,
  • 60 months of cumulative collaborative practice, and
  • 100 hours of continuing medical education every two years.

ACR/Chapter activity: The Missouri Radiological Society is monitoring the bill.

Status: The bill failed- Sine Die.

SB 938 seeks to permit an assistant physician to enter into a collaborative practice agreement with a physician if the assistant physician completes medical school and step two of the United States Medical Licensing Examination.

ACR/Chapter activity: The Missouri Radiological Society is monitoring the bill.

Status: The bill failed- Sine Die.

SB 991 would prohibit anyone from providing the services of a radiographer, nuclear medicine technologist, radiation therapist, or limited x-ray machine operator unless they are certified by the Department of Health and Senior Services.

ACR/Chapter activity: The Missouri Radiological Society is monitoring the bill.

Status: The bill failed- Sine Die.

New Hampshire

SB 228 would change the practice agreement between a PA and physician to a collaborative agreement.

ACR/Chapter Activity: The New Hampshire Radiological Society is monitoring the measure.

Status: Passed both chambers and is awaiting action by the governor.

New York

Assembly Bill 1837 and SB 1591 would permit PAs to use fluoroscopy for guidance of diagnostic and therapeutic procedures; provided that the PA has 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, as approved by the Department of Health.

ACR/Chapter activity: The New York Radiological Society opposed the measures.

Status: Referred to their respective Health Committees.

SB 3056 would permit nurse practitioners (NPs) to perform therapeutic measures in collaboration with a licensed physician or nurse practitioner. In addition, a certified nurse practitioner practicing for more than 3,600 hours would not be required to collaborate with a physician or NP.

ACR/Chapter activity: The New York Radiological Society opposed the measures.

Status: Referred to the Higher Education Committee.

SB 9233 would permit the performance of medical services by a physician assistant without the supervision of a physician as appropriate to the physician assistant's scope of practice, education and training where such physician assistant has practiced for more than 3,600 hours

ACR/Chapter activity: The New York Radiological Society opposed the measures.

Status: Referred to the Higher Education Committee.

2022-2023 State Budget included a provision to allow a nurse practitioner with more than 3,600 hours of experience to practice without a written practice agreement with a physician.

ACR/Chapter activity: The New York Radiological Society opposed the measures.

Status: Signed into law by the governor.

South Dakota

SB 134 sought to change the practice agreement between a PA and physician to a collaborative agreement.

ACR/Chapter activity: The South Dakota Radiological Society opposed the bill.

Status: Failed in Senate chamber.

Tennessee

HB 184 would permit APRNs to initiate a therapeutic regimen that includes ordering diagnostic services.

ACR/Chapter activity: The Tennessee Radiological Society opposed the bill.

Status: The bill failed- Sine Die.

SB 176 seeks to permit APRNs to plan and initiate a therapeutic regimen that includes ordering and prescribing non-pharmacological interventions, including durable medical equipment, medical devices, and diagnostic services.

ACR/Chapter activity: The Tennessee Radiological Society is worked with the Tennessee Collaborative Care Coalition to oppose the bill.

Status: The bill failed- Sine Die.

Virginia

HB 1245 would repeal a sunset provision in a bill (HB 1737) enacted in 2021 that would reduce the number of years of full-time clinical experience a nurse practitioner must have to be eligible to practice without a practice agreement from five years to two years.

ACR/Chapter activity: The Virginia Radiological Society is opposed to the measure. ACR alongside VRS sent a letter opposing this bill as well.

Status: Currently being heard in the Virginia Special Session.

Washington

SB 5704 would mandate carriers to reimburse advanced registered nurse practitioners and physicians at the same rate for providing the same healthcare services.

ACR/Chapter activity: The Washington Radiological Society is opposed to the measure.

Status: The bill failed- Sine Die.

Wisconsin

SB 394 would give independent practice to APRNs by removing physician supervision/collaboration requirements of nurse practitioners, nurse anesthetists, and clinical nurse specialists after 3,840 clinical care hours in their respective APRN role with a physician.

ACR/Chapter activity: Wisconsin Radiological opposed the bill.

Status: Vetoed by the governor.

ACRA Scope of Practice



The ACR works with our state chapters to advocate at the legislative, regulatory and administrative levels for clear, sensible definition of scope for allied health professionals.

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