Radiology-Specific State Legislative Bills Report

As most state legislatures end their 2025 sessions and look to 2026, ACR® staff is looking at how some radiology-specific bills they tracked fared this year. There are a few states that are still in session and actively considering bills.

Certificate of Need

Michigan

Senate Bill (SB) 148 is awaiting action by the Senate Health Policy Committee. This bill would allow an individual to obtain a written acknowledgment, rather than a certificate of need for the following items, provided they are performed at an outpatient imaging center:

• A PET scanner
• A fixed or mobile MRI
• A fixed or mobile CT scanner
  
  

Scope of Practice

New Mexico

House Bill (HB) 266 died in committee. The bill would have allowed physician assistants (PAs) to practice independently and prescribe drugs.

Rhode Island

SB 701 died in committee. This bill would have expanded access to telemedicine services by allowing physicians, advanced practice registered nurses (APRNs) and PAS to provide telemedicine services even if they were not licensed in Rhode Island.

Texas

HB 3794 died in committee. It would have permitted APRNs to practice independently, including ordering, performing and interpreting diagnostic tests.

Licensing

Texas

HB 4380 died in committee. It would have required a medical physicist to hold a license in MRI physics in order to practice in that medical specialty.

Out-of-Network/Surprise/Balance Billing

Florida

HB 1101 died. The bill would have required healthcare practitioners to notify patients in writing upon referring them to a nonparticipating provider for nonemergency services.

Prior Authorization

Arkansas

HB 1816 died in committee. It would have prohibited healthcare providers and healthcare insurers from using AI in the delivery of healthcare services or the generation of medical records unless the AI is approved by the FDA and verified by a quality assurance laboratory.

Maryland

HB 1314 died in committee. It would have prohibited certain insurers, nonprofit health service plans and health maintenance organizations) from using AI to automatically deny prior authorizations. The bill would also prohibit healthcare providers from charging a fee to obtain prior authorization from a carrier or managed care organization).

Texas

HB 4018 died in committee. This bill would have prohibited a utilization review agent from using AI as the sole basis of a decision to wholly or partly deny, delay, or modify healthcare services based on medical necessity or appropriateness.

Reimbursement

Oregon

HB 3752 died in committee. It would have directed the Oregon Health Authority to study the reimbursement rates in the state’s medical assistance program.

For more information about these bills or any additional state legislative information, contact Dillon Harp, ACR Senior State Government Relations Specialist.