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Bill

S 10439

Relates to registered radiologic technologists working within a collaborative practice agreement with a licensed physician

2025 Regular Session Introduced by Joe Addabbo

Radiologic technologists may perform certain radiography tasks under physician-led collaborative practice agreements, with guidelines, safety controls, and supervision tech in plac

REFERRED TO HEALTH
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Bill Summary · S 10439

Summary of Bill S. 10439 (2025-2026) — New York

Purpose and Intent

  • Authorizes registered radiologic technologists to perform radiography services under collaborative practice agreements with licensed physicians.
  • Establishes framework for collaborative practice agreements (CPAs) that allow radiologic technologists to administer certain radiography-related tasks, including intravenous administration of contrast Media, without requiring direct physician supervision at all times.
  • Aims to expand radiologic technologist scope of practice while maintaining patient safety and oversight standards.

Key Provisions and Changes

  • Definition Update

    • Clarifies radiography scope and defines “collaborative practice agreement” as an agreement between a radiologic technologist and a licensed physician, permitting practice without direct physician supervision when operating under written practice agreements and protocols.

  • New CPA Requirements (Public Health Law § 3502(7))

    • CPAs must be signed and maintained by both the radiologic technologist and the physician.
    • CPAs must be reviewed annually by both parties.
    • CPAs must address:
    • Medical conditions of medically compromised patients
    • Specific practice protocols by age and procedure
    • Recognition and response to adverse reactions/events related to intravenous contrast
    • CPAs must be accessible to the Department and other interested parties upon request.

  • Patient Information Duty

    • Before performing CPA-based services, the radiologic technologist must provide the patient with a written statement that the services are not provided under direct or personal physician supervision.

  • CPA Capacity and Oversight

    • A collaborating physician can enter into as many CPAs as they determine appropriate given oversight, patient safety, and facility capability.
    • An individual radiologic technologist may have no more than one CPA at a time.

  • Application and Certification

    • Radiologic technologists must file an application with the Department to practice under a CPA and pay a department-determined fee.

  • Prerequisites for CPA Practice

    • The technologist must hold and maintain an intravenous contrast administration certificate (issued by the Department) in good standing for the duration of the CPA; lapse terminates the CPA.
    • Must demonstrate ongoing practice with active intravenous contrast administration and documented completion of relevant coursework (e.g., advanced radiology life support, medical emergency procedures, risk management).

  • Supervision Model

    • The bill does not require direct or personal physician supervision unless specified in the CPA.
    • CPAs at a practice site must include supervision by a licensed physician via two-way, real-time audiovisual technology that meets current CMS guidance, plus on-site staffing of qualified or trained personnel to handle adverse events related to contrast administration.

  • Effective Date

    • The act would take effect one year after enactment.
    • Immediate authority is provided to implement necessary regulations and requirements prior to that date.

Who Is Affected

  • Radiologic Technologists: Eligible to practice radiography under CPAs if they hold the required intravenous contrast administration certification and complete specified training.
  • Licensed Physicians: Can enter into CPAs with technologists to supervise and oversee indicated radiography services, subject to annual review and capacity limits.
  • Healthcare Facilities/Providers: May implement CPAs to expand radiography services and utilization of radiologic technologists without constant direct physician supervision, provided infrastructure (tele-supervision, on-site staff) meets the bill’s requirements.
  • Patients: May receive certain radiographic services administered by technologists under CPAs, with explicit notification that supervision is not direct/personal, and with enhanced safety oversight provisions.

Procedural and Timeline Considerations

  • Introduction and referral to the Health Committee (May 15, 2026).
  • Requires licensing department rules and certifications; immediate regulatory actions authorized in anticipation of the act’s effective date.
  • Full implementation contingent on one-year effective date after enactment and subsequent regulatory development.

Observations for Readers

  • The bill seeks to balance expanded access to radiographic services with safety safeguards by mandating CPAs, annual reviews, specified protocols, and real-time supervision technology where applicable.
  • The scope includes intravenous contrast administration under CPA supervision, a key area of risk management and patient safety.
  • Financial and administrative steps include CPAs filing for approval, annual reviews, and a set CPA limit (one per technologist).

If you’d like, I can provide a side-by-side comparison with current law (pre-S.10439) or draft a plain-language FAQ for patients and providers.

Compiled from official sources — confirm details with the bill’s official record.

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