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H.B. 375 Enrolled





Chief Sponsor: Edward H. Redd

Senate Sponsor: Allen M. Christensen

             7      LONG TITLE
             8      General Description:
             9          This bill amends the scope of practice of radiologist assistants under the Radiologic
             10      Technologist, Radiologist Assistant, and Radiology Practical Technician Licensing Act.
             11      Highlighted Provisions:
             12          This bill:
             13          .    defines terms; and
             14          .    establishes conditions when a radiologist assistant may practice under the general
             15      supervision of a supervising radiologist.
             16      Money Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          None
             20      Utah Code Sections Affected:
             21      AMENDS:
             22          58-54-102, as renumbered and amended by Laws of Utah 2011, Chapter 61
             23          58-54-304, as enacted by Laws of Utah 2011, Chapter 61
             25      Be it enacted by the Legislature of the state of Utah:
             26          Section 1. Section 58-54-102 is amended to read:
             27           58-54-102. Definitions.
             28          In addition to the definition in Section 58-1-102 , as used in this chapter:
             29          (1) "Board" means the Radiologic Technologist Licensing Board established under this

             30      chapter.
             31          (2) "Critical access hospital" means a hospital in a rural or medically underserved area
             32      that is recognized by the Centers for Medicare and Medicaid Services as meeting the conditions
             33      of participation specified in 42 C.F.R. 485.601-647.
             34          [(2)] (3) "General supervision" means the supervising radiologist is available to
             35      provide immediate communication with the supervised person and is aware of the procedure
             36      before it is performed.
             37          [(3)] (4) "Indirect supervision" means the supervising radiologist:
             38          (a) has given either written or verbal instructions to the person being supervised;
             39          (b) is present in the facility in which the person being supervised is providing services;
             40      and
             41          (c) is available to provide immediate face-to-face communications with the person
             42      being supervised.
             43          [(4)] (5) "Practice of radiologic technology" means using radiation from a radioactive
             44      substance, radiology equipment, or any other source, in amounts beyond normal background
             45      levels, for diagnostic or therapeutic purposes on humans.
             46          [(5)] (6) "Practice of radiologist assistant" means the performance of non-invasive and
             47      minimally invasive radiological procedures:
             48          (a) delegated to a radiologist assistant by a radiologist; and
             49          (b) performed under the indirect supervision of a radiologist.
             50          [(6)] (7) "Radiologic technologist" means a person licensed under this chapter to
             51      engage in the practice of radiologic technology under the general supervision of a radiologist or
             52      radiology practitioner including the administration of parenteral contrast media, radionuclides,
             53      and other medications incidental to radiology procedures provided the administrations are
             54      under the direct supervision of a qualified physician and the technologist is currently certified
             55      in cardiopulmonary resuscitation (CPR) and appropriate patient care procedures.
             56          [(7)] (8) "Radiologist" means a physician certified by the American Board of
             57      Radiology, the American Osteopathic Board of Radiology, the British Royal College of

             58      Radiology, or the Canadian College of Physicians and Surgeons.
             59          [(8)] (9) "Radiologist assistant" means a person licensed under this chapter to engage
             60      in the practice of a radiologist assistant.
             61          [(9)] (10) "Radiology equipment" means any medical radiation device that emits
             62      ionizing or nonionizing radiation or detects that radiation for the purpose or intended purpose
             63      of:
             64          (a) diagnosing disease or other medical conditions in humans; or
             65          (b) treating, curing, mitigating, or preventing disease in humans.
             66          [(10)] (11) "Radiology practical technician" means a person licensed under this chapter
             67      to engage in a practice of radiologic technology performing limited diagnostic radiology
             68      procedures:
             69          (a) as defined and permitted by rule in accordance with Title 63G, Chapter 3, Utah
             70      Administrative Rulemaking Act; and
             71          (b) under the supervision of a radiologist or radiology practitioner.
             72          [(11)] (12) "Radiology practitioner" means any person or individual licensed in this
             73      state as a physician and surgeon, osteopathic physician, podiatric physician, chiropractic
             74      physician, dentist, dental hygienist, or a physician's assistant, nurse practitioner, or nurse
             75      specialist practicing under the supervision of an approved supervising physician and in
             76      accordance with an approved protocol and utilization plan.
             77          [(12)] (13) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-54-501 .
             78          [(13)] (14) "Unprofessional conduct" is as defined in Sections 58-1-501 and 58-54-501
             79      and as may be further defined by administrative rule adopted by the division.
             80          Section 2. Section 58-54-304 is amended to read:
             81           58-54-304. Scope of practice for radiologist assistant.
             82          (1) The scope of practice for a radiologist assistant includes:
             83          (a) determination of whether a patient has been appropriately prepared for the
             84      radiologic procedure;
             85          (b) assessment and evaluation of the physiologic responsiveness of a patient

             86      undergoing a radiologic procedure;
             87          (c) assessment and evaluation of possible contraindications to a procedure;
             88          (d) obtaining informed consent from the patient as specified by a Delegation of
             89      Services Agreement between the radiologic assistant and the supervising radiologist in
             90      accordance with Subsection (2);
             91          (e) evaluation of image quality and communication of initial image observations only
             92      to the supervising radiologist;
             93          (f) administration of contrast media or other medications prescribed by the supervising
             94      radiologist; [and]
             95          (g) performance of radiologic procedures under the indirect supervision of a
             96      radiologist[.]; and
             97          (h) performance of radiologic procedures under the general supervision of a radiologist
             98      only if:
             99          (i) the radiologist assistant is practicing in a critical access hospital; and
             100          (ii) the supervising radiologist has the necessary privileges for the procedure to be
             101      performed by the radiologist assistant.
             102          (2) The radiologist assistant and supervising radiologist shall enter into a Delegation of
             103      Services Agreement identifying radiologic procedures to be performed by the radiologist
             104      assistant and establishing a regular review process by the supervising radiologist for all work
             105      performed by and records kept by the radiologist assistant. The Delegation of Services
             106      Agreement shall:
             107          (a) be kept at the place of practice at which the radiologist assistant is performing
             108      delegated services; and
             109          (b) be consistent with radiologist assistant practice guidelines developed by the
             110      American College of Radiology, as supplemented by recognized radiology organizations such
             111      as the American Society of Radiologic Technologists and the American Registry of Radiologic
             112      Technologists.
             113          (3) The radiologist assistant shall not interpret images, provide diagnosis, or prescribe

             114      medications or therapies.

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