April 14, 2023

Two dangerous scope of practice bills failed to advance in Maryland. Other states continue to address bills that would impact the practice of radiology.

Scope of Practice

Maryland

House Bill (HB) 727 and Senate Bill (SB) 673 would have allowed physician assistants (PAs) to “perform X-ray duties” without a license.

These bills failed to advance for consideration in this legislative session, which has adjourned for the year. The bills would have to be reintroduced in a future legislative session for consideration. The

Maryland Radiological Society opposed both bills.

Surprise/Balance Billing

Maine

House Paper 952 would prohibit healthcare providers from balance billing Medicare beneficiaries for any amount in excess of the reasonable charge for a service, procedure or treatment paid under Medicare.

Arizona

HB 2001 would mandate that rules regarding training and experience for persons using radiation could not be more stringent than those required by the Centers for Medicare and Medicaid Services (CMS).

The Arizona Radiological Society opposes this bill.

Puerto Rico

Senate File 1134 would state that “Any general practitioner who has worked for at least 10 uninterrupted years, full-time in an emergency room and who presents evidence of said practice to the satisfaction of the Puerto Rico Board of Medical Licensure and Discipline may be granted certification as a medical specialist.”

The Radiological Society of Puerto Rico opposes this bill.

South Carolina

HB 4272 would allow advanced practice registered nurses (APRNs) and nurse practitioners (NPs) to practice without a practice agreement with a physician.

Wisconsin

SB 145 would allow APRNs to practice without being supervised by a physician if the Wisconsin Board of Nursing verifies that the APRN has completed 3,840 clinical hours of practice in their recognized role while working with a physician.

The Wisconsin Radiological Society opposes 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.


Related ACR News

  • Make America Healthy Again

    President Trump released an Executive Order (EO) establishing the "Make America Healthy Again (MAHA) Commission,” Feb. 13 to be led by the new Department of Health and Human Services Secretary Robert F. Kennedy Jr.

    Read more
  • Scope of Practice Bills Introduced At State Legislative Level

    The American College of Radiology® (ACR®) is tracking more than 58 scope of practice bills across 22 states with more expected to be considered.

    Read more
  • ACR Others Challenge MAC Position on Minimally Invasive Arthrodesis of the Sacroiliac Joint

    The American College of Radiology® (ACR®) and other medical specialty societies that use or perform interventional pain and spine procedures told three of the seven Medicare Administrative Contractors (MACs) that implementation of a new policy as written could limit access to a safe, effective and durable treatment option, potentially exacerbating healthcare disparities among Medicare patients.

    Read more