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A 11494

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

2025 Regular Session

Allows radiologic technologists to perform IV contrast administration under physician collaboration agreements with defined supervision, training, and patient notification.

REFERRED TO HEALTH
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Bill Summary · A 11494

Bill overview

  • Bill: A 11494 (2025-2026 Session, New York)
  • Introduced by: Committee on Rules (at request of Assembly Member Cruz)
  • Current status: Referred to the Assembly Committee on Health (as of May 28, 2026)
  • Purpose: Amend the public health law to authorize, regulate, and govern registered radiologic technologists (RTs) who perform radiologic procedures under a collaborative practice agreement with a licensed physician, including intravenous administration of contrast media under specified conditions.

Main purpose and intent

  • Create a framework for radiologic technologists to practice radiology services under collaborative practice agreements (CPAs) with licensed physicians.
  • Allow RTs to perform intravenous administration of contrast media as part of an x-ray or imaging procedure, when done under a CPA and with appropriate supervision and protocols.
  • Establish standards for CPAs, training, supervision, patient notification, and oversight to ensure patient safety.

Key provisions and changes

Definitions (Section 1)

  • Expands the definition of “Radiography” to include tasks under direct supervision of a licensed physician and, where applicable, direct supervision of a certified nurse practitioner or licensed physician assistant.
  • Introduces and defines “Collaborative practice agreement” as an agreement between an RT and a licensed physician, in line with requirements set forth in another statutory provision (section 3502(7)).

Collaborative practice agreement requirements (Section 2, new subdivision 7)

A radiologic technologist–physician CPA must:
- Be signed and maintained by both the physician and the RT.
- Be reviewed annually by both parties.
- Include considerations for medically compromised patients, specific medical conditions, age- and procedure-specific practice protocols, and recognition/response to adverse reactions and events related to IV contrast administration.
- Be available to the Department and other interested parties upon request.

Patient notification and consent (Section 2)

  • Before performing CPA services, the RT must provide the patient with a written statement that the services are not provided by or under the direct/personal supervision of a licensed physician.

CPA capacity and supervision (Section 2)

  • A collaborating physician may enter into multiple CPAs as appropriate for clinical oversight, patient safety, and operations.
  • An RT may have no more than one CPA with a single physician at any given time.
  • The RT must file an application with the Department to practice under a CPA and pay a department-determined fee.

Certification and training requirements (Section 2)

  • RTs in a CPA must:
    • Hold and maintain an intravenous contrast administration certificate issued by the Department in good standing for the duration of the CPA; loss of certification terminates the CPA.
    • Demonstrate active practice with IV contrast administration and complete educational coursework, including advanced radiology life support, medical emergency procedures, and risk management.

Supervision standards (Section 2)

  • The bill does not require direct or personal physician supervision by default; instead:
    • CPA sites must provide supervision by a licensed physician using two-way real-time audiovisual technology that meets current CMS guidance.
    • On-site staffing must include healthcare professionals qualified, licensed, or trained to handle adverse events related to IV contrast administration.

Who is affected

  • Radiologic Technologists seeking to work under CPAs with physicians.
  • Licensed physicians who supervise RTs under CPAs.
  • Medical facilities employing RTs under CPAs.
  • Patients receiving radiologic services that involve IV contrast administration, as controlled by CPAs.
  • Department of Health, which would regulate CPA approvals, certifications, and oversight.

Procedural and timeline aspects

  • Effective date: The act would take effect one year after it becomes law.
  • Immediate provisions: The bill authorizes necessary rule or regulation changes to implement the act immediately upon signing, with such changes to be completed by the effective date.
  • Oversight and reporting: CPAs must be available to the Department upon request; annual reviews are required.

Potential impacts and considerations

  • Expands scope of practice for RTs in New York under formal CPAs, potentially increasing accessibility to radiologic services and improving workflow in settings where physicians provide oversight remotely via tele-supervision.
  • Enhances patient safety through written, annually reviewed CPAs, explicit protocols for high-risk IV contrast situations, and required staff training.
  • Introduces clear limits on the number of CPAs per RT (one at a time) and requires ongoing certification in IV contrast administration.
  • Requires informed patient notification that services are not provided under direct or personal physician supervision, which could affect patient perceptions and consent processes.
  • Creates state-level regulatory accountability by requiring CPAs to be maintained, reviewed, and available to the Department and other stakeholders.

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

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