Medicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreWhile some state legislative sessions are winding down, scope expansion bills failed in multiple states, including major scope of practice (SOP) wins in Mississippi and South Dakota.
Network Adequacy
Illinois
House Bill (HB) 4025 would require the Illinois Department of Insurance to create a network adequacy unit. The unit would be tasked with investigating insurers' compliance with Illinois’s 2017 Network Adequacy and Transparency Act.
The Illinois Radiological Society is monitoring this bill.
Out-of-Network/Surprise/Balance Billing Bills
Minnesota
Senate File 3021 would create the Minnesota Health Plan (MHP). Details of this health plan include:
Scope of Practice
Nevada
Assembly Bill 364 would remove physician supervision of a physician assistant (PA) after the PA has completed 4,000 hours of practice under a collaborative agreement with a physician.
North Carolina
Senate Bill (SB) 324 would enjoin the state of North Carolina into the Interstate Medical Licensure Compact. This compact allows physicians who meet the compact’s eligibility requirements to practice medicine in other compact states.
Vermont
HB 473 would make the following changes regarding radiologist assistants (RAs) and radiologists:
Truth in Advertising
Georgia
SB 197 would make the following changes regarding truth in advertising (TIA):
The Georgia Radiological Society supports this bill.
The American College of Radiology® (ACR®) has partnered with Fiscal Note, a legislation and regulation tracking service, to provide continuous, comprehensive updates about radiology and healthcare-related legislation. To stay current regarding state legislative developments relevant to radiology, view the ACR policy map. You can also access information and ACR resources there 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 Government Relations Specialist.
Medicare Payment Increase in Final Budget Reconciliation Bill
The bill includes a 2.5% increase to the Medicare Physician Fee Schedule for calendar year 2026.
Read moreCMS Announces Prior Authorization Test Model
WiSer is a six-year program that will begin in six states on January 1, 2026. It will introduce prior authorization using AI technology for a select number of services, including some IR procedures.
Read moreSupreme Court Upholds Preventive Services Coverage
ACR commends the Supreme Court’s ruling affirming the constitutionality of the structure and appointment process of the U.S. Preventive Services Task Force.
Read more