HB 1546 — Concerning general supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists by licensed physicians.

H-1506.2H-0186.1 SUBSTITUTE HOUSE BILL 1546 State of Washington 69th Legislature 2025 Regular Session By House Health Care & Wellness (originally sponsored by Representatives Parshley, Schmick, Ryu, and Macri)Macri READRead FIRSTfirst TIMEtime 02/21/25.01/23/25.

Referred to Committee on Health Care & Wellness.

and amending RCW 18.84.020;18.84.020.

and adding a new section to chapter 18.84 RCW.

1 SHBHB 1546 any requisite clinical experience, shall be affiliated with one or more general hospitals.

(5)(a) "General supervision" for purposes of intravenous contrast procedures authorized under this section means supervision of a procedure that is furnished under the overall direction and control of a physician licensed under chapter 18.71 or 18.57 RCW, but where the physician is not required to be physically present during the performance of the procedure.

A(b) licensedIf practitionergeneral withsupervision theis requisiteperformed trainingremotely, tothe respondprocess tomust adversecomply eventswith mustall befederal on-siteand atstate thelaws facilityand whereregulations theand procedurelocal, isinstitutional, takingsite, placeand tofacility managepolicies, patientguidelines, careand asrules needed.related to telemedicine.

(b)The Ifphysician performing general supervision is performed remotely through real- time audio and visual interactive telecommunications, by a physician licensed under chapter 18.71 or 18.75 RCW, the process must complybe withwithin all30 federalmiles andto staterespond lawsto andon-site regulationspatient andcare local,as institutional,needed. site, and facility policies, guidelines, and rules related to telemedicine.

The physician performing general supervision must be on-call, available for consultation, or able to respond to on-site patient care as needed.

This includes parenteral procedures related to radiologic technology when performed under the direct supervision of a physician licensed under chapter 18.71 or 18.57 RCW, p.

2 SHB 1546 with the exception of intravenous contrast procedures, which may be performed under general supervision;

(b) Therapeutic radiologic technologist, who is a person who uses radiation-generating equipment for therapeutic purposes on human subjects at the direction of a licensed practitioner((, this)).

(b) Therapeutic radiologic technologist, who is a person who uses radiation-generating equipment for therapeutic purposes on human subjects at the direction of a licensed practitioner((, this)).

This includes parenteral procedures related to radiologic technology when p.

2 HB 1546 performed under the direct supervision of a physician licensed under chapter 18.71 or 18.57 RCW, with the exception of intravenous contrast procedures, which may be performed under general supervision;

(e) Radiologist assistant, who is an advanced-level certified diagnostic radiologic technologist who assists radiologists by performing advanced diagnostic imaging procedures as determined by rule under levels of supervision defined by the secretarysecretary((, ((, this)).

This includes parenteral procedures related to cardiac or p.vascular catheterization including, but not limited to, parenteral procedures involving arteries and veins.

3 SHB 1546 vascular catheterization including, but not limited to, parenteral procedures involving arteries and veins.

(((9)))p. (10) "Radiologist" means a physician certified by the American board of radiology or the American osteopathic board of radiology.

3 HB 1546 (((9))) (10) "Radiologist" means a physician certified by the American board of radiology or the American osteopathic board of radiology.

NEW SECTION.

Sec.

2.

A new section is added to chapter 18.84 RCW to read as follows:

Nothing in RCW 18.84.020(5) is meant to prevent licensed health care providers working within their scope of practice from providing supervision or otherwise alter or amend their scope of practice, as allowed by state and federal law.

4 SHBHB 1546