HB 2113
SignedHouse
Radiologic technologists
Concerning the supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists.
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
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 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.
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 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 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.