,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #aadh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ad1 #bjac ,mr4  
,rei*]t 7= himself1 ,mr4 ,ma!son1 ,mr4  
,olson1 & ,mr4 ,pascrell7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to provide =     
paym5t = s]vices ( qualifi$ radiologi/  
assi/ants "u ! ,m$ic>e program4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,m$ic>e ,access to ,radiology ,c>e ,act 
( #bjac4  #b4 ,m$ic>e paym5t = qualifi$ 
radiologi/ assi/ant s]vices  7a7        
,cov]age ,section #ahfa ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciex7 is
 am5d$--  7#a7 9 subsection             
7s77#b77,k7--  7,a7 by /rik+ ! semicolon
 at ! end ( clause 7ii7 & ins]t+ a      

comma2 &  7,b7 by add+ at ! end ! foll[+
 new clause3  7iii7 qualifi$ radiologi/ 
assi/ant s]vices 7z def9$ 9 subsection  
7iii77#a771  2 &  7#b7 by add+ at ! end 
! foll[+ new subsection3  7iii7         
,qualifi$ ,radiologi/ ,assi/ant         
,s]vices2 ,qualifi$ ,radiologi/         
,assi/ant  7#a7 ,! t]m qualifi$         
radiologi/ assi/ant s]vices means       
s]vices--  7,a7 p]=m$ by a qualifi$     
radiologi/ assi/ant 7z def9$ 9 p>agraph 
7#b77 z an employee1 leas$ employee1 or 
indep5d5t contractor ( ! sup]vis+       
radiologi/ "u ! sup]vision 7z det]m9$ by
 ,/ate law7 ( a radiologi/2 &  7,b7 :i* 
! radiologi/ assi/ant is legally        
au?oriz$ to p]=m "u ,/ate law 7or !     
,/ate regulatory me*anism provid$ by    
,/ate law74  7#b7 ,! t]m qualifi$       
radiologi/ assi/ant means a radiograph] 
:o is c]tifi$ by ! ,am]ican ,regi/ry (  
,radiologic ,te*nologi/s z a regi/]$    
radiologi/ assi/ant or by !             
,c]tification ,bo>d = ,radiology        
,practition] ,assi/ants z a radiology   

practition] assi/ant to p]=m radiologic 
proc$ures "u ! sup]vision 7z det]m9$ by 
,/ate law7 ( a radiologi/4  4  7b7      
,paym5t 9 relation to physician fee     
s*$ule  7#a7 ,paym5t level ,section     
#ahcc7;a77#a77,o7 ( su* ,act 7#db       
,u4,s4,c4 #aciel7a77#a77,o77 is am5d$ by
 ins]t+ or qualifi$ radiologi/ assi/ant 
s]vices aft] or cl9ic nurse speciali/s4 
7#b7 ,paym5t to sup]vis+ radiologi/ ,!  
fir/ s5t5ce ( section #ahdb7;b77#f7 (   
su* ,act 7#db ,u4,s4,c4 #acieu7b77#f77  
is am5d$--  7,a7 by /rik+ & be=e 7,h72 &
  7,b7 by ins]t+ be=e ! p]iod at ! end !
 foll[+3 1 & 7,i7 9 ! case ( qualifi$   
radiologi/ assi/ant s]vices1 ! paym5t   
%all be made to ! sup]vis+ radiologi/4  
7#c7 ,rules ( con/ruction ,no?+ 9 ?is   
section1 or ! am5dm5ts made by ?is      
section1 %all be con/ru$ z affect+--    
7,a7 cov]age ( & paym5t = ! te*nical    
compon5t 7includ+ ! te*nical compon5t ( 
a global fee7 ) respect to imag+ s]vices
 "u title ,,xviii ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie et seq47 z 9  

effect be=e ! date ( ! enactm5t ( ?is   
,act2 or  7,b7 ! am\nt ( paym5t made =  
physicians' s]vices "u su* title :5     
furni%$ solely by a radiologi/4  7c7    
,review & report ,! ,secret>y ( ,heal? &
 ,human ,s]vices %all conduct a review (
 ! effect ( ! am5dm5ts made by ?is      
section on pati5t satisfaction & on !   
cl9ical & op]ational effectiv5ess ( !   
use ( radiologi/ assi/ants pursuant to  
su* am5dm5ts1 & %all submit to ,congress
 n lat] ?an ,janu>y #a1 #bjah1 a report 
to ,congress on su* review4  7d7        
,effective date ,! am5dm5ts made by ?is 
section %all apply to s]vices furni%$ on
 or aft] ,janu>y #a1 #bjad4