I 
115TH CONGRESS 
1ST SESSION H. R. 1904 
To amend title XVIII of the Social Security Act to align physician supervision 
requirements under the Medicare program for radiology services per-
formed by advanced level radiographers with State requirements. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 5, 2017 
Mr. OLSON (for himself, Mr. REICHERT, Mr. MICHAEL F. DOYLE of Pennsyl-
vania, 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 provi-
sions 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Access to 
Radiology Care Act of 2017’’. 
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SEC. 2. ALIGNING PHYSICIAN SUPERVISION REQUIRE-
MENTS UNDER THE MEDICARE PROGRAM 
FOR RADIOLOGY SERVICES PERFORMED BY 
ADVANCED LEVEL RADIOGRAPHERS WITH 
STATE REQUIREMENTS. 
(a) IN GENERAL.—Section 1834(b) of the Social Se-
curity Act (42 U.S.C. 1395m(b)) is amended— 
(1) in paragraph (6), by inserting ‘‘, subject to 
paragraph (7),’’ after ‘‘includes radiology services’’; 
and 
(2) by adding at the end the following new 
paragraph: 
‘‘(7) TREATMENT OF SERVICES PERFORMED BY 
ADVANCED LEVEL RADIOGRAPHERS.—For purposes 
of paragraph (6), in the case of radiology services 
performed by an advanced level radiographer (as de-
fined in section 1861(jjj)) in a State that has estab-
lished standards for the direction or supervision by 
a physician of such a radiographer performing such 
services, such services shall be treated as performed 
under the direction or supervision of a physician if 
such services are performed under the direction or 
supervision of a physician to the extent required 
under such State law.’’. 
(b) ADVANCED LEVEL RADIOGRAPHER DEFINED.— 
Section 1861 of the Social Security Act (42 U.S.C. 1395x) 
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is amended by adding at the end the following new sub-
section: 
‘‘(jjj) ADVANCED LEVEL RADIOGRAPHER.—The term 
‘advanced level radiographer’ means a radiographer who 
is certified by the American Registry of Radiologic Tech-
nologists as a registered radiologist assistant or by the 
Certification Board for Radiology Practitioner Assistants 
as a radiology practitioner assistant to perform radiology 
services under the supervision of a radiologist.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services performed 
on or after the date that is 60 days after the date of the 
enactment of this Act. 
Æ 
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