Bill Text: NY S09630 | 2023-2024 | General Assembly | Introduced


Bill Title: Authorizes a holder of a license to perform limited-scope radiography to practice radiography at urgent care centers under the supervision of a licensed practitioner or licensed registered radiologic technologist; defines limited-scope radiographer as a person licensed to practice radiography limited to chest, extremities, skull/sinus, and spine/sacrum at urgent care centers; makes related provisions.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-05-16 - REFERRED TO HEALTH [S09630 Detail]

Download: New_York-2023-S09630-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          9630

                    IN SENATE

                                      May 16, 2024
                                       ___________

        Introduced  by Sen. MARTINEZ -- read twice and ordered printed, and when
          printed to be committed 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:

     1    Section 1. Subdivision 1, paragraph (c) of subdivision 2 and  subdivi-
     2  sion 4 of section 3502 of the public health law, as added by chapter 175
     3  of the laws of 2006, are amended to read as follows:
     4    1.  The department shall issue separate licenses in the areas of radi-
     5  ography, radiation therapy and nuclear medicine technology  to  individ-
     6  uals  who  qualify under section thirty-five hundred five of this title.
     7  The department shall issue limited-scope radiographer licenses to  indi-
     8  viduals  who  qualify under sections thirty-five hundred three and thir-
     9  ty-five hundred five of this title.
    10    (c) only persons licensed under this article shall practice  radiogra-
    11  phy,  radiation  therapy or nuclear medicine technology or use the title
    12  "limited-scope radiographer," "radiographer," "radiologic technologist,"
    13  "radiation therapist" or "nuclear  medicine  technologist"  or  use  the
    14  abbreviations  LRT,  RTT,  LRTT,  NMT,  or  LNMT  with [his or her] such
    15  person's name; and
    16    4. No radiologic technologist shall administer or  inject  intravenous
    17  contrast  media unless (a) the individual is certified by the department
    18  to perform such function in accordance with the commissioner's rules and
    19  regulations (b) such administration or injection has been approved by  a
    20  physician,  physician's  assistant,  nurse  practitioner  or  registered
    21  professional nurse within twenty-four hours prior to the  administration
    22  or  injection (c) a physician, physician's assistant, nurse practitioner
    23  or registered professional nurse performs an evaluation of  the  patient
    24  on  the  day  of  the procedure. Administration or injection of contrast
    25  media means and is limited to the placement or insertion of a needle  or
    26  a catheter, not exceeding three inches in length and not above the level
    27  of  the axilla into a person's upper extremity and the administration or
    28  injection of the intravenous contrast media, manually or  by  mechanical

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15544-02-4

        S. 9630                             2

     1  injector,  but  does not mean the determination of the type or volume of
     2  media to be administered or injected.  Limited-scope radiographers shall
     3  not be authorized under this  article  to  inject  intravenous  contrast
     4  media.
     5    § 2. Subdivision 17 of section 3501 of the public health law, as added
     6  by chapter 175 of the laws of 2006, is amended to read as follows:
     7    17.  "Supervision"  means the oversight of a licensed radiologic tech-
     8  nologist or a limited-scope radiographer, as applicable, by  a  licensed
     9  practitioner  acting  within the limits specified in the law under which
    10  the practitioner is licensed.
    11    § 3. Section 3501 of the public health law is amended  by  adding  two
    12  new subdivisions 4-a and 13 to read as follows:
    13    4-a.  "Limited-scope radiographer" shall mean a person licensed pursu-
    14  ant to section thirty-five hundred three of  this  article  to  practice
    15  radiography limited to chest, extremities, skull/sinus, and spine/sacrum
    16  at urgent care centers. The limited-scope radiographer shall not utilize
    17  fluoroscopy.
    18    13. "Urgent care center" shall mean any medical practice location that
    19  provides  immediate  and on-site evaluation, diagnosis, and treatment of
    20  non-emergent, acute illnesses or injuries during posted hours of  opera-
    21  tion, primarily or exclusively on a walk-in or after-hours basis.
    22    §  4. The public health law is amended by adding a new section 3503 to
    23  read as follows:
    24    § 3503. Limited-scope radiographers. 1. A license  to  practice  as  a
    25  limited-scope  radiographer  shall authorize a holder of such license to
    26  practice radiography at urgent care centers under the supervision  of  a
    27  licensed practitioner or licensed registered radiologic technologist.
    28    2.   The  commissioner  shall  establish  standards  that  educational
    29  programs in limited radiography must meet to be approved  as  a  limited
    30  radiography  education program in New York state. Courses shall include,
    31  at a minimum, a total of eighty  hours  of  didatic  content  that  must
    32  address  radiographic  anatomy, procedures, and pathology, digital image
    33  acquisition and display, fundamentals, ethics, and laws  of  healthcare,
    34  human  anatomy  and  physiology,  image production and analysis, imaging
    35  equipment and radiation production,  medical  terminology,  and  patient
    36  care.  A  minimum  of  two hundred forty hours of clinical training must
    37  also be incorporated that includes a minimum of five clinical  competen-
    38  cies,  in  each anatomical area that the limited-scope radiographer will
    39  image, performed under direct supervision of a radiologic  technologist.
    40  Upon  completion  of the course, successful completion of a standardized
    41  accreditation examination that  assesses  the  knowledge  and  cognitive
    42  skills  underlying  the  intelligent  performance of the tasks typically
    43  required of a limited-scope radiographer is required.   Any such  course
    44  or  accrediting examination shall be approved by the commissioner and no
    45  person, institution or agency shall offer a course of study in  limited-
    46  scope  radiography  unless  such  course  of  study is registered by the
    47  department or by the department of education and meets such standards of
    48  quality, character and competence of sponsors and  officials,  financial
    49  resources, public need, and other pertinent matters as may be prescribed
    50  by  the  commissioner or by the commissioner of education in appropriate
    51  rules and regulations.
    52    3. The commissioner shall establish a registration  process  by  which
    53  individuals may submit an application to the commissioner to be licensed
    54  as a limited-scope radiographer pursuant to this section. Such registra-
    55  tion  process and application shall be consistent with the provisions of
    56  section thirty-five hundred seven of this title and shall include:

        S. 9630                             3

     1    (a) an attestation that the applicant has completed an approved course
     2  and accrediting examination pursuant to subdivision two of this section,
     3  and received a passing score on such accrediting examination  as  deter-
     4  mined by the commissioner; and
     5    (b) any other information as may be required by the commissioner.
     6    4. The commissioner shall be authorized to promulgate any rules and/or
     7  regulations necessary for the effective implementation of this section.
     8    § 5. The opening paragraph and paragraphs (d), (f) and (p) of subdivi-
     9  sion  1  of section 3510 of the public health law, the opening paragraph
    10  as amended and paragraph (p) as added by section 97 of part E of chapter
    11  56 of the laws of 2013, and paragraphs (d) and (f) as added  by  chapter
    12  175 of the laws of 2006, are amended to read as follows:
    13    The  license,  registration  or  intravenous  contrast  administration
    14  certificate of a radiologic technologist, or license to  practice  as  a
    15  limited-scope radiographer, may be suspended for a fixed period, revoked
    16  or  annulled, or such licensee censured, reprimanded, subject to a civil
    17  penalty not to exceed two thousand dollars for every such violation,  or
    18  otherwise  disciplined, in accordance with the provisions and procedures
    19  defined in this  article,  provided  that  no  civil  penalty  shall  be
    20  assessed for any crime or misconduct that occurred outside the jurisdic-
    21  tion of New York state upon decision after due hearing that the individ-
    22  ual is guilty of the following misconduct:
    23    (d)  aiding  and  abetting  in the practice of radiologic technology a
    24  person who is not a registered radiologic technologist or  limited-scope
    25  radiographer  or who is practicing a form of radiologic technology which
    26  is beyond the scope of the individual's license;
    27    (f) falsely impersonating a duly registered radiologic technologist or
    28  limited-scope radiographer or former duly registered radiologic technol-
    29  ogist or limited-scope radiographer, or is practicing  radiologic  tech-
    30  nology under an assumed name;
    31    (p)  having [his or her] such person's license to practice as a radio-
    32  logic technologist or limited-scope radiographer revoked,  suspended  or
    33  having  other  disciplinary  action  taken,  or having [his or her] such
    34  person's application for a license  refused,  revoked  or  suspended  or
    35  having  voluntarily  or otherwise surrendered [his or her] such person's
    36  license after a disciplinary action was instituted by a duly  authorized
    37  professional  disciplinary  agency  of  another state, where the conduct
    38  resulting in the revocation, suspension  or  other  disciplinary  action
    39  involving  the license or refusal, revocation or suspension of an appli-
    40  cation for a license or the surrender of the license would, if committed
    41  in New York state, constitute professional misconduct under the laws  of
    42  New  York state. A radiologic technologist or limited-scope radiographer
    43  licensed in New York state who is also licensed or seeking licensure  in
    44  another  state must immediately report to the department any revocation,
    45  suspension or  other  disciplinary  action  involving  the  out-of-state
    46  license  or  refusal,  revocation or suspension of an application for an
    47  out-of-state license or the surrender of the out-of-state license.
    48    § 6. This act shall take effect immediately.
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