I 

114TH CONGRESS 

2D SESSION H. R. 4614 

To amend title XVIII of the Social Security Act to align physician supervision 

requirements under the Medicare program for radiology services performed by advanced level radiographers with State requirements. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 25, 2016 

Mr. OLSON (for himself, Mr. REICHERT, Mr. MICHAEL F. DOYLE of Pennsylvania, Mr. PASCRELL, and Mr. KIND) introduced the following bill; which 

was referred to the Committee on Energy and Commerce, and in addition 

to the Committee on Ways and Means, for a period to be subsequently 

determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to align 

physician supervision requirements under the Medicare 

program for radiology services performed by advanced 

level radiographers with State requirements. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Medicare Access to 

5 Radiology Care Act of 2016’’. 


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•HR 4614 IH

1 SEC. 2. ALIGNING PHYSICIAN SUPERVISION REQUIRE2 MENTS UNDER THE MEDICARE PROGRAM 

3 FOR RADIOLOGY SERVICES PERFORMED BY 

4 ADVANCED LEVEL RADIOGRAPHERS WITH 

5 STATE REQUIREMENTS. 

6 (a) IN GENERAL.—Section 1834(b) of the Social Se7 curity Act (42 U.S.C. 1395m(b)) is amended— 

8 (1) in paragraph (6), by inserting ‘‘, subject to 

9 paragraph (7),’’ after ‘‘includes radiology services’’; 

10 and 

11 (2) by adding at the end the following new 

12 paragraph: 

13 ‘‘(7) TREATMENT OF SERVICES PERFORMED BY

14 ADVANCED LEVEL RADIOGRAPHERS.—For purposes 

15 of paragraph (6), in the case of radiology services 

16 performed by an advanced level radiographer (as de17 fined in section 1861(iii)) in a State that has estab18 lished standards for the direction or supervision by 

19 a physician of such a radiographer performing such 

20 services, such services shall be treated as performed 

21 under the direction or supervision of a physician if 

22 such services are performed under the direction or 

23 supervision of a physician to the extent required 

24 under such State law.’’. 

25 (b) ADVANCED LEVEL RADIOGRAPHER DEFINED.— 

26 Section 1861 of the Social Security Act (42 U.S.C. 1395x) 


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•HR 4614 IH

1 is amended by adding at the end the following new sub2 section: 

3 ‘‘(iii) ADVANCED LEVEL RADIOGRAPHER.—The term 

4 ‘advanced level radiographer’ means a radiographer who 

5 is certified by the American Registry of Radiologic Tech6 nologists as a registered radiologist assistant or by the 

7 Certification Board for Radiology Practitioner Assistants 

8 as a radiology practitioner assistant to perform radiology 

9 services under the supervision of a radiologist.’’. 

10 (c) EFFECTIVE DATE.—The amendments made by 

11 this section shall apply with respect to services performed 

12 on or after the date that is 60 days after the date of the 

13 enactment of this Act. 

Æ 


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