S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   2685
 
                        2025-2026 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 22, 2025
                                ___________
 
 Introduced  by M. of A. TAPIA -- read once and referred to the Committee
   on Health
 
 AN ACT to amend the public health  law,  in  relation  to  limited-scope
   radiographers
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section 1. Subdivision 1, paragraph (c) of subdivision 2 and  subdivi-
 sion 4 of section 3502 of the public health law, as added by chapter 175
 of the laws of 2006, are amended to read as follows:
   1.  The department shall issue separate licenses in the areas of radi-
 ography, radiation therapy and nuclear medicine technology  to  individ-
 uals  who  qualify under section thirty-five hundred five of this title.
 THE DEPARTMENT SHALL ISSUE LIMITED-SCOPE RADIOGRAPHER LICENSES TO  INDI-
 VIDUALS  WHO  QUALIFY UNDER SECTIONS THIRTY-FIVE HUNDRED THREE AND THIR-
 TY-FIVE HUNDRED FIVE OF THIS TITLE.
   (c) only persons licensed under this article shall practice  radiogra-
 phy,  radiation  therapy or nuclear medicine technology or use the title
 "LIMITED-SCOPE RADIOGRAPHER," "radiographer," "radiologic technologist,"
 "radiation therapist" or "nuclear  medicine  technologist"  or  use  the
 abbreviations  LRT,  RTT,  LRTT,  NMT,  or  LNMT  with [his or her] SUCH
 PERSON'S name; and
   4. No radiologic technologist shall administer or  inject  intravenous
 contrast  media unless (a) the individual is certified by the department
 to perform such function in accordance with the commissioner's rules and
 regulations (b) such administration or injection has been approved by  a
 physician,  physician's  assistant,  nurse  practitioner  or  registered
 professional nurse within twenty-four hours prior to the  administration
 or  injection (c) a physician, physician's assistant, nurse practitioner
 or registered professional nurse performs an evaluation of  the  patient
 on  the  day  of  the procedure. Administration or injection of contrast
 media means and is limited to the placement or insertion of a needle  or
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD02747-01-5
              

 A. 2685                             2
 
 a catheter, not exceeding three inches in length and not above the level
 of  the axilla into a person's upper extremity and the administration or
 injection of the intravenous contrast media, manually or  by  mechanical
 injector,  but  does not mean the determination of the type or volume of
 media to be administered or injected.  LIMITED-SCOPE RADIOGRAPHERS SHALL
 NOT BE AUTHORIZED UNDER THIS  ARTICLE  TO  INJECT  INTRAVENOUS  CONTRAST
 MEDIA.
   § 2. Subdivision 17 of section 3501 of the public health law, as added
 by chapter 175 of the laws of 2006, is amended to read as follows:
   17.  "Supervision"  means the oversight of a licensed radiologic tech-
 nologist OR A LIMITED-SCOPE RADIOGRAPHER, AS APPLICABLE, by  a  licensed
 practitioner  acting  within the limits specified in the law under which
 the practitioner is licensed.
   § 3. Section 3501 of the public health law is amended  by  adding  two
 new subdivisions 4-a and 13 to read as follows:
   4-A.  "LIMITED-SCOPE RADIOGRAPHER" SHALL MEAN A PERSON LICENSED PURSU-
 ANT TO SECTION THIRTY-FIVE HUNDRED THREE OF  THIS  ARTICLE  TO  PRACTICE
 RADIOGRAPHY LIMITED TO CHEST, EXTREMITIES, SKULL/SINUS, AND SPINE/SACRUM
 AT URGENT CARE CENTERS. THE LIMITED-SCOPE RADIOGRAPHER SHALL NOT UTILIZE
 FLUOROSCOPY.
   13. "URGENT CARE CENTER" SHALL MEAN ANY MEDICAL PRACTICE LOCATION THAT
 PROVIDES  IMMEDIATE  AND ON-SITE EVALUATION, DIAGNOSIS, AND TREATMENT OF
 NON-EMERGENT, ACUTE ILLNESSES OR INJURIES DURING POSTED HOURS OF  OPERA-
 TION, PRIMARILY OR EXCLUSIVELY ON A WALK-IN OR AFTER-HOURS BASIS.
   §  4. The public health law is amended by adding a new section 3503 to
 read as follows:
   § 3503. LIMITED-SCOPE RADIOGRAPHERS. 1. A LICENSE  TO  PRACTICE  AS  A
 LIMITED-SCOPE  RADIOGRAPHER  SHALL AUTHORIZE A HOLDER OF SUCH LICENSE TO
 PRACTICE RADIOGRAPHY AT URGENT CARE CENTERS UNDER THE SUPERVISION  OF  A
 LICENSED PRACTITIONER OR LICENSED REGISTERED RADIOLOGIC TECHNOLOGIST.
   2.   THE  COMMISSIONER  SHALL  ESTABLISH  STANDARDS  THAT  EDUCATIONAL
 PROGRAMS IN LIMITED RADIOGRAPHY MUST MEET TO BE APPROVED  AS  A  LIMITED
 RADIOGRAPHY  EDUCATION PROGRAM IN NEW YORK STATE. COURSES SHALL INCLUDE,
 AT A MINIMUM, A TOTAL OF EIGHTY  HOURS  OF  DIDATIC  CONTENT  THAT  MUST
 ADDRESS  RADIOGRAPHIC  ANATOMY, PROCEDURES, AND PATHOLOGY, DIGITAL IMAGE
 ACQUISITION AND DISPLAY, FUNDAMENTALS, ETHICS, AND LAWS  OF  HEALTHCARE,
 HUMAN  ANATOMY  AND  PHYSIOLOGY,  IMAGE PRODUCTION AND ANALYSIS, IMAGING
 EQUIPMENT AND RADIATION PRODUCTION,  MEDICAL  TERMINOLOGY,  AND  PATIENT
 CARE.  A  MINIMUM  OF  TWO HUNDRED FORTY HOURS OF CLINICAL TRAINING MUST
 ALSO BE INCORPORATED THAT INCLUDES A MINIMUM OF FIVE CLINICAL  COMPETEN-
 CIES,  IN  EACH ANATOMICAL AREA THAT THE LIMITED-SCOPE RADIOGRAPHER WILL
 IMAGE, PERFORMED UNDER DIRECT SUPERVISION OF A RADIOLOGIC  TECHNOLOGIST.
 UPON  COMPLETION  OF THE COURSE, SUCCESSFUL COMPLETION OF A STANDARDIZED
 ACCREDITATION EXAMINATION THAT  ASSESSES  THE  KNOWLEDGE  AND  COGNITIVE
 SKILLS  UNDERLYING  THE  INTELLIGENT  PERFORMANCE OF THE TASKS TYPICALLY
 REQUIRED OF A LIMITED-SCOPE RADIOGRAPHER IS REQUIRED.   ANY SUCH  COURSE
 OR  ACCREDITING EXAMINATION SHALL BE APPROVED BY THE COMMISSIONER AND NO
 PERSON, INSTITUTION OR AGENCY SHALL OFFER A COURSE OF STUDY IN  LIMITED-
 SCOPE  RADIOGRAPHY  UNLESS  SUCH  COURSE  OF  STUDY IS REGISTERED BY THE
 DEPARTMENT OR BY THE DEPARTMENT OF EDUCATION AND MEETS SUCH STANDARDS OF
 QUALITY, CHARACTER AND COMPETENCE OF SPONSORS AND  OFFICIALS,  FINANCIAL
 RESOURCES, PUBLIC NEED, AND OTHER PERTINENT MATTERS AS MAY BE PRESCRIBED
 BY  THE  COMMISSIONER OR BY THE COMMISSIONER OF EDUCATION IN APPROPRIATE
 RULES AND REGULATIONS.
   3. THE COMMISSIONER SHALL ESTABLISH A REGISTRATION  PROCESS  BY  WHICH
 INDIVIDUALS MAY SUBMIT AN APPLICATION TO THE COMMISSIONER TO BE LICENSED
 A. 2685                             3
 
 AS A LIMITED-SCOPE RADIOGRAPHER PURSUANT TO THIS SECTION. SUCH REGISTRA-
 TION  PROCESS AND APPLICATION SHALL BE CONSISTENT WITH THE PROVISIONS OF
 SECTION THIRTY-FIVE HUNDRED SEVEN OF THIS TITLE AND SHALL INCLUDE:
   (A) AN ATTESTATION THAT THE APPLICANT HAS COMPLETED AN APPROVED COURSE
 AND ACCREDITING EXAMINATION PURSUANT TO SUBDIVISION TWO OF THIS SECTION,
 AND  RECEIVED  A PASSING SCORE ON SUCH ACCREDITING EXAMINATION AS DETER-
 MINED BY THE COMMISSIONER; AND
   (B) ANY OTHER INFORMATION AS MAY BE REQUIRED BY THE COMMISSIONER.
   4. THE COMMISSIONER SHALL BE AUTHORIZED TO PROMULGATE ANY RULES AND/OR
 REGULATIONS NECESSARY FOR THE EFFECTIVE IMPLEMENTATION OF THIS SECTION.
   § 5. The opening paragraph and paragraphs (d), (f) and (p) of subdivi-
 sion 1 of section 3510 of the public health law, the  opening  paragraph
 as amended and paragraph (p) as added by section 97 of part E of chapter
 56  of  the laws of 2013, and paragraphs (d) and (f) as added by chapter
 175 of the laws of 2006, are amended to read as follows:
   The  license,  registration  or  intravenous  contrast  administration
 certificate  of  a  radiologic technologist, OR LICENSE TO PRACTICE AS A
 LIMITED-SCOPE RADIOGRAPHER, may be suspended for a fixed period, revoked
 or annulled, or such licensee censured, reprimanded, subject to a  civil
 penalty  not to exceed two thousand dollars for every such violation, or
 otherwise disciplined, in accordance with the provisions and  procedures
 defined  in  this  article,  provided  that  no  civil  penalty shall be
 assessed for any crime or misconduct that occurred outside the jurisdic-
 tion of New York state upon decision after due hearing that the individ-
 ual is guilty of the following misconduct:
   (d) aiding and abetting in the practice  of  radiologic  technology  a
 person  who is not a registered radiologic technologist OR LIMITED-SCOPE
 RADIOGRAPHER or who is practicing a form of radiologic technology  which
 is beyond the scope of the individual's license;
   (f) falsely impersonating a duly registered radiologic technologist OR
 LIMITED-SCOPE RADIOGRAPHER or former duly registered radiologic technol-
 ogist  OR  LIMITED-SCOPE RADIOGRAPHER, or is practicing radiologic tech-
 nology under an assumed name;
   (p) having [his or her] SUCH PERSON'S license to practice as a  radio-
 logic  technologist  OR LIMITED-SCOPE RADIOGRAPHER revoked, suspended or
 having other disciplinary action taken, or  having  [his  or  her]  SUCH
 PERSON'S  application  for  a  license  refused, revoked or suspended or
 having voluntarily or otherwise surrendered [his or her]  SUCH  PERSON'S
 license  after a disciplinary action was instituted by a duly authorized
 professional disciplinary agency of another  state,  where  the  conduct
 resulting  in  the  revocation,  suspension or other disciplinary action
 involving the license or refusal, revocation or suspension of an  appli-
 cation for a license or the surrender of the license would, if committed
 in  New York state, constitute professional misconduct under the laws of
 New York state. A radiologic technologist OR LIMITED-SCOPE  RADIOGRAPHER
 licensed  in New York state who is also licensed or seeking licensure in
 another state must immediately report to the department any  revocation,
 suspension  or  other  disciplinary  action  involving  the out-of-state
 license or refusal, revocation or suspension of an  application  for  an
 out-of-state license or the surrender of the out-of-state license.
   § 6. This act shall take effect immediately.