HB 2113
SignedHouse
Radiologic technologists
Concerning the supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists.
- Introduced (completed)
- Committee (completed)
- Floor Vote (completed)
- Opposite Chamber (completed)
- Governor (completed)
- Signed (completed)
How does a bill become law?
- Introduced: The bill is filed and assigned a number.
- Committee: A subject-matter committee holds hearings, takes public testimony, and decides whether to advance the bill.
- Floor Vote: The full chamber (House or Senate) debates and votes on the bill.
- Opposite Chamber: The bill repeats the committee and floor vote process in the other chamber.
- Governor: The Governor reviews the bill and decides whether to sign or veto it.
- Signed: The bill has been signed into law.
AI Analysis
This bill clarifies and expands the authority of diagnostic, therapeutic, and MRI radiologic technologists to perform parenteral procedures — especially injecting contrast agents — under specified supervision, including virtual supervision via real-time video. It also updates definitions and supervision requirements to support safer, more efficient imaging services.
- Clarifies that diagnostic, therapeutic, and MRI technologists may perform parenteral procedures (e.g., injecting contrast) under the direct or virtual direct supervision of a physician, nurse practitioner, or physician assistant.
- Allows intravenous contrast administration by technologists under 'virtual direct supervision' — meaning real-time audio and video communication (not phone-only) — with a licensed supervisor.
- Requires facilities to have clinically trained staff on-site ready to respond to adverse reactions when intravenous contrast is administered by technologists.
- Expands the definition of 'radiologic technologist' to include radiologist assistants and cardiovascular invasive specialists, with specific scope-of-practice language for each role.
- Updates definitions in existing law to clarify supervision levels and clarify that 'direct supervision' can include real-time tele-supervision for certain procedures.
Who is affected
- Radiologic technologists — Radiologic technologists (including diagnostic, therapeutic, and MRI technologists) gain clearer authority to perform parenteral procedures like injecting contrast agents under specified supervision, expanding their scope of practice.
- Supervising licensed practitioners (physicians, nurse practitioners, physician assistants) — Physicians, advanced practice nurses, and physician assistants who supervise technologists performing intravenous contrast procedures must ensure qualified clinical staff are on-site to respond to emergencies.
- Healthcare facilities (hospitals, imaging centers) — Hospitals and imaging centers must ensure appropriate staffing and protocols are in place to support technologists performing contrast injections under new supervision rules.
- Patients receiving diagnostic imaging — Patients may experience improved access to imaging services, as technologists can perform more tasks under supervision, potentially reducing wait times and increasing efficiency.
Pro/Con Analysis
Stronger case for benefits
Potential Benefits (5)
Allows technologists to perform IV contrast injections under supervision of NPs/PAs, increasing capacity for imaging services — especially in rural or underserved areas where radiologist availability is limited, potentially reducing patient wait times and improving timely diagnosis.
HealthcarePeopleRef: Sec. 2(2)(b)Permits virtual direct supervision for contrast administration via real-time video, enabling rural or satellite facilities to access specialist oversight without requiring physical presence — supporting continuity of care and reducing patient travel burden.
HealthcarePeopleRef: Sec. 2(2)(a)Requires facilities to have clinically trained staff on-site ready to respond to adverse reactions during contrast administration — this standardizes emergency preparedness and improves patient safety during procedures previously performed only under direct physician supervision.
Public SafetyPeopleRef: Sec. 2(3)Expands definition of radiologic technologist to include radiologist assistants and cardiovascular invasive specialists with defined scope — clarifies roles and may improve care coordination in complex imaging scenarios, especially in academic or high-volume centers.
HealthcarePeopleRef: Sec. 1(7)(e)-(f)May reduce administrative overhead for facilities by clarifying supervision requirements — facilities can better plan staffing and protocols, potentially lowering operational costs and allowing more efficient use of technologists’ time and skills.
Business & EmploymentLean peopleRef: Fiscal Impact Summary
Potential Concerns (4)
Mandates on-site clinical staff for contrast administration, but does not require facilities to hire *additional* staff — facilities may reallocate existing staff, potentially weakening emergency response capacity during high-volume imaging sessions or staffing shortages.
Public SafetyPeopleRef: Sec. 2(3)Allows virtual direct supervision via real-time video for IV contrast administration, which may reduce immediate physical oversight — though the bill requires on-site clinical staff, remote supervision could delay recognition of subtle complications (e.g., early allergic reaction) if the supervising clinician is distracted or inattentive.
Public SafetyPeopleRef: Sec. 2(2)(a)Expands scope of practice for technologists to perform IV contrast injections under supervision of nurse practitioners and physician assistants — while this may improve access, it shifts procedural responsibility to mid-level providers who may have less training in managing contrast-related emergencies than radiologists.
HealthcareLean peopleRef: Sec. 2(2)(b)May increase demand for technologists trained in contrast administration, but does not fund or mandate training programs — facilities may face hiring bottlenecks or pressure to upskill existing staff without additional compensation, potentially increasing turnover.
Business & EmploymentLean peopleRef: Sec. 2(2)(b)
Who Is Most Affected
- Radiologic technologistsMixed Impact
Technologists gain clearer authority to perform contrast injections, improving job autonomy and career pathways — but may face increased responsibility without guaranteed wage increases or additional support staff.
- Supervising licensed practitioners (physicians, nurse practitioners, physician assistants)Mixed Impact
Supervising providers (especially NPs/PAs) gain delegation authority but must ensure on-site emergency readiness — may reduce their direct involvement in procedures but increases liability exposure if protocols fail.
- Healthcare facilities (hospitals, imaging centers)Mixed Impact
Hospitals and imaging centers may reduce wait times and increase throughput, but must invest in training, staffing, and protocol development — net effect depends on volume and reimbursement rates.
- Patients receiving diagnostic imagingPositive Impact
Patients benefit from faster access to imaging and reduced need to travel to specialist centers — but may face slightly higher risk if on-site staff are undertrained or overburdened.
- Rural and underserved healthcare providersMixed Impact
Rural and safety-net facilities gain ability to offer advanced imaging without full-time radiologist presence — but may struggle to meet on-site clinical staff requirements without additional funding.
Sponsors
- Representative Engell(Republican)District 7Primary
- Representative Parshley(Democrat)District 22Secondary
- Representative Davis(Democrat)District 32Secondary
- Representative Stuebe(Republican)District 17Secondary
- Representative Manjarrez(Republican)District 14Secondary
- Representative Marshall(Republican)District 2Secondary
- Representative Simmons(Democrat)District 23Secondary
- Representative Bernbaum(Democrat)District 24Secondary
- Representative Abell(Republican)District 7Secondary
- Representative Low(Republican)District 39Secondary
- Representative Barnard(Republican)District 8Secondary
- Representative Zahn(Democrat)District 41Secondary
- Representative Thai(Democrat)District 41Secondary
- Representative Graham(Republican)District 6Secondary