May 21, 2025

As we look to June, many state legislatures are either adjourned or expected to adjourn soon. The American College of Radiology® (ACR®) tracks hundreds of healthcare-related bills each state legislative cycle, and below are a few that we wanted to highlight.

Scope of Practice

Arizona

House Bill (HB) 2134 died in committee. It would have removed physician supervision from the physician assistants collaborative practice statute.

HB 2310 died in committee. This bill would have enjoined Arizona in the Advanced Practice Registered Nurse (APRN) compact. This compact allows APRNs who meet their eligibility requirements to practice in other compact states.

HB 2583 was signed into law by Governor Hobbs. The bill allows physical therapists (PTs) to order diagnostic imaging.

Arkansas

HB 1244 died in committee. It would have granted full independent practice authority to a certified nurse practitioner or a clinical nurse specialist who has completed 2,000 hours of practice.

Hawaii

Senate Bill 1365 passed the House and Senate and is awaiting action by Governor Green. The bill would enjoin Hawaii in the interstate medical licensure compact, which allows physicians who meet the compact’s eligibility requirements to practice medicine in other compact states.

HB 407 died in committee. It would have repealed Chapter 457J. Under Chapter 457J, the licensure of certified midwives (CMs) and certified professional midwives (CPMs) will be repealed on June 30. Currently, in Hawaii, CMs and CPMs are allowed to order, interpret diagnostic tests, and perform ultrasounds.

Illinois

HB 1652 was referred to the House Rules Committee. This bill would enjoin Illinois into the interstate nurse licensure. This allows individuals who meet certain eligibility requirements to practice in other compact states.

New Mexico

SB 46 died in committee. It would have enjoined New Mexico into the interstate medical licensure compact.

New York

AB 2685 was referred to the House Health Committee. It would permit the licensure of limited-scope radiographers in New York who meet certain requirements.

North Dakota

SB 2273 was signed into law by Governor Armstrong. This bill allows PTs to order diagnostic imaging.

Wyoming

Senate File 155 died in committee. It would have allowed the Wyoming State Board of Medicine to grant provisional licenses to practice medicine in Wyoming to international physicians who met certain qualifications.

Prior Authorization

Prior authorization legislation died in Rhode Island (SB 13) and Washington (SB 5395). The bills considered in both states would have set standards such as use of artificial intelligence.
For more information about these bills, contact Dillon Harp, ACR Senior State Government Relations Specialist.

ACR is committed to supporting its chapters in their state-level advocacy efforts. The College also has resources available for members through the State Issues page and can assist with delivery of legislative calls-to-action and grassroots mobilization.

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 or receive state-specific reports from Fiscal Note.

For state-level calls to action or to sign up to receive Fiscal Note reports, chapter leaders should contact Eugenia Brandt, ACR Senior Government Relations Director, or Melody Ballesteros, ACR Assistant Director Government Relations.

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