,,ii  #aac? ,,congress  #a/ ,session    
,s4 #fdb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #ba1 #bjac ,mr4   
,enzi introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act & title ,,xviii ( ! ,social
 ,security ,act to make ! provision (   
te*nical s]vices = m$ical imag+         
exam9ations & radiation !rapy treatm5ts 
saf]1 m accurate1 & less co/ly4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,consi/5cy1 ,accuracy1 ,responsibility1 
& ,excell5ce 9 ,m$ical ,imag+ &         
,radiation ,!rapy ,act ( #bjac4  #b4    
,purpose ,! purpose ( ?is ,act is to    
improve ! quality & value ( heal? c>e by
 increas+ ! safety & accuracy ( m$ical  
imag+ exam9ations & radiation !rapy     
proc$ures1 !reby r$uc+ duplication (    
s]vices & decreas+ co/s4  #c4 ,quality (
 m$ical imag+ & radiation !rapy ,"p ,f (
 title ,,iii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bfb et seq47 is    

am5d$ by add+ at ! end ! foll[+3  #d    
,m$ical imag+ & radiation !rapy  #cee4  
,quality ( m$ical imag+ & radiation     
!rapy  7a7 ,qualifi$ p]sonnel  7#a7 ,9  
g5]al ,effective #db mon?s aft] ! date (
 enactm5t ( ?is section1 p]sonnel :o    
furni% ! te*nical compon5t ( m$ical     
imag+ exam9ations or radiation !rapy    
proc$ures = m$ical purposes 7except     
exempt individuals & suppli]s z describ$
 9 p>agraph 7#d77 %all be fully qualifi$
 "u ?is section to furni% su* s]vices4  
7#b7 ,qualifications ,individuals       
qualifi$ to furni% ! te*nical compon5t (
 m$ical imag+ exam9ations or radiation  
!rapy proc$ures %all--  7,a7 possess    
curr5t c]tification 9 ! m$ical imag+ or 
radiation !rapy modality or s]vice !y   
furni% f a c]tification organization    
designat$ "u subsection 7b72 &  7,b7 if 
a ,/ate requires ! possession (         
lic5sure1 c]tification1 or regi/ration1 
possess curr5t ,/ate lic5sure or        
c]tifications :]e su* s]vices &         
modalities are )9 ! scope ( practice z  

def9$ by ! ,/ate = su* pr(ession4  7#c7 
,/ate lic5sure1 c]tification1 or        
regi/ration  7,a7 ,9 g5]al ,no?+ 9 ?is  
section %all be con/ru$ to dim9i% !     
au?ority ( a ,/ate to def9e requirem5ts 
= lic5sure1 c]tification1 or            
regi/ration1 ! requirem5ts = practice1  
or ! scope ( practice ( p]sonnel4  7,b7 
,limitation ,! ,secret>y %all n take any
 action "u ?is section t w\ld require   
lic5sure by a ,/ate ( p]sonnel :o furni%
 ! te*nical compon5t ( m$ical imag+     
exam9ations or radiation !rapy          
proc$ures4  7#d7 ,exemptions  7,a7 ,9   
g5]al ,! qualification /&>ds describ$ 9 
?is subsection & ! limitation on paym5t 
9 section #ahdh7;b77#d77;,e7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#d7;b77#d77;,e77 %all n apply to 
any ( ! foll[+3  7i7 ,items & s]vices   
furni%$ by a physician 7z def9$ 9       
section #ahfa7r7 ( su* ,act 7#db        
,u4,s4,c4 #aciex7r7771 a nurse          
practition] or a physician assi/ant 7ea*
 z def9$ 9 section #ahfa7;aa77#e7 ( su* 

,act 7#db ,u4,s4,c4 #aciex7aa77#e7774   
,su* physicians & practition]s %all n be
 includ$ "u ! t]ms p]sonnel or qualifi$ 
p]sonnel = purposes ( ?is section4  7ii7
 ,advanc$ diagno/ic imag+ s]vices 7z    
def9$ 9 p>agraph 7#a77;,b7 ( section    
#ahcd7;e7 ( su* ,act7 furni%$ by a      
suppli] 7z def9$ 9 p>agraph 7#a77;,c7 ( 
su* ,act7 = :i* ! accr$itation          
requirem5t "u su* section is applicable4
  7,b7 ,individuals curr5tly enroll$    
,individuals enroll$ 9 a nucle> m$ic9e1 
radiation !rapy1 or m$ical physici/     
tra9+ or c]tification program z ( ! date
 ! ,secret>y publi%es ! li/ ( approv$   
c]tification organizations %all h #f    
mon?s f ! date ( completion ( ! tra9+   
program to become fully qualifi$ z      
requir$ "u p>agraph 7#a74  7b7          
,designation ( c]tification             
organizations  7#a7 ,9 g5]al ,!         
,secret>y %all e/abli% a program =      
designat+ m$ical imag+ or radiation     
!rapy c]tification organizations t !    
,secret>y det]m9es h e/abli%$           

appropriate proc$ures & programs =      
c]tify+ p]sonnel z qualifi$ to furni%   
m$ical imag+ or radiation !rapy s]vices4
 ,9 e/abli%+ su* program1 ! ,secret>y   
%all consult ) pr(essional organizations
 & recogniz$ exp]ts 9 ! te*nical        
compon5t ( m$ical imag+ & radiation     
!rapy s]vices4  7#b7 ,factors  7,a7 ,9  
g5]al ,:5 designat+ c]tification        
organizations "u ?is subsection1 & :5   
review+ or modify+ ! li/ ( designat$    
organizations = ! purposes ( p>agraph   
7#d77;,b71 ! ,secret>y--  7i7 %all      
consid]--  7,i7 :e!r ! c]tification     
organization has e/abli%$ a process = ! 
timely integration ( new m$ical imag+ or
 radiation !rapy s]vices into !         
organization's c]tification program2    
7,,ii7 :e!r ! c]tification organization 
has e/abli%$ education & cont9u+        
education requirem5ts = individuals     
c]tifi$ by ! organization2  7,,iii7 :e!r
 ! c]tification organization is a       
nonpr(it organization2  7,,iv7 :e!r !   
c]tification organization requires      

completion ( a c]tification exam9ation z
 a pr]equisite = c]tification2 &  7,v7  
:e!r ! c]tification organization has be5
 accr$it$ by an accr$it+ body 7z def9$ 9
 subp>agraph 7,b77 t is approv$ by !    
,secret>y2 &  7ii7 may consid]--  7,i7  
:e!r ! c]tification organization has    
e/abli%$ reasonable fees to be *>g$ to  
^? apply+ = c]tification2 &  7,,ii7 !   
ability ( ! c]tification organization to
 review applications = c]tification 9 a 
timely mann]4  7,b7 ,accr$it+ body ,=   
purposes ( ?is section1 ! t]m accr$it+  
body means an organization t--  7i7 is a
 nonpr(it organization2  7ii7 is a      
national or int]national organization ) 
accr$itation programs = exam9ations     
lead+ to c]tification by c]tification   
organizations2 &  7iii7 has e/abli%$    
/&>ds = recordkeep+ & to m9imize !      
possibility ( conflicts ( int]e/4  7#c7 
,equival5t education1 tra9+1 & exp]i5ce 
7,a7 ,9 g5]al ,= purposes ( ?is section1
 ! ,secret>y %all1 ?r\gh regulation1    
provide a process = individuals ^: tra9+

 or exp]i5ce are det]m9$ to be equal to1
 or 9 excess (1 ^? ( a graduate ( an    
accr$it$ educational program 9 t        
specialty to demon/rate _! exp]i5ce     
meets ! educational /&>ds = qualifi$    
p]sonnel 9 _! imag+ modality or         
radiation !rapy proc$ures4 ,su* process 
may include docum5tation ( items su* z--
  7i7 ye>s & type ( exp]i5ce2  7ii7 a   
li/ ( sett+s :]e exp]i5ce 0 obta9$2 &   
7iii7 v]ification ( exp]i5ce by sup]vis+
 physicians or cl9ically qualifi$       
hospital p]sonnel4  7,b7 ,eligibility ,!
 ,secret>y %all n recognize any         
individual z hav+ met ! educational     
/&>ds applicable "u ?is p>agraph bas$ on
 exp]i5ce pursuant to ! au?ority (      
subp>agraph 7,a7 unless su* individual 0
 furni%+ ! te*nical compon5t ( m$ical   
imag+ exam9ations or radiation !rapy    
treatm5ts prior to ! date ( enactm5t (  
?is section4  7#d7 ,process  7,a7       
,regulations ,n lat] ?an #ab mon?s aft] 
! date ( enactm5t ( ?is section1 !      
,secret>y %all promulgate regulations = 

designat+ c]tification organizations    
pursuant to ?is subsection4  7,b7       
,designations & li/ ,n lat] ?an #ah     
mon?s aft] ! date ( enactm5t ( ?is      
section1 ! ,secret>y %all make          
det]m9ations reg>d+ all c]tification    
organizations t h appli$ = designation  
pursuant to ! regulations promulgat$ "u 
subp>agraph 7,a71 & %all publi% a li/ ( 
all c]tification organizations t h      
receiv$ a designation4  7,c7 ,p]iodic   
review & revision ,! ,secret>y %all     
p]iodically review ! li/ "u subp>agraph 
7,b71 tak+ into acc\nt ! factors "u     
p>agraph 7#b74 ,aft] su* review1 !      
,secret>y may1 by regulation1 modify !  
li/ ( c]tification organizations t h    
receiv$ su* designation4  7,d7 ,)drawal 
( approval ,! ,secret>y may )draw !     
approval ( a c]tification organization  
li/$ "u subp>agraph 7,b7 if ! ,secret>y 
det]m9es t ! body no long] meets !      
requirem5ts ( subsection 7b74  7,e7     
,c]tifications prior to removal f li/   
,if ! ,secret>y removes a c]tification  

organization f ! li/ ( c]tification     
organizations designat$ "u subp>agraph  
7,b71 any individual :o 0 c]tifi$ by !  
c]tification organization dur+ or be=e !
 p]iod beg9n+ on ! date on :i* !        
c]tification organization 0 designat$ z 
a c]tification organization "u su*      
subp>agraph1 & end+ #ab mon?s f ! date  
on :i* ! c]tification organization is   
remov$ f su* li/1 %all be consid]$ to h 
be5 c]tifi$ by a c]tification           
organization designat$ by ! ,secret>y "u
 su* subp>agraph = ! rema9+ p]iod t su* 
c]tification is 9 effect4  7c7          
,alt]native /&>ds = rural & und]s]v$    
areas ,! *ief executive (fic] ( a ,/ate 
may submit to ! ,secret>y a /atem5t     
decl>+ t ! requirem5ts describ$ 9       
subsection 7a7 are inappropriate =      
application = m$ical imag+ exam9ations  
or radiation !rapy proc$ures t are      
furni%$ 9 a geographic area t is det]m9$
 to be a rural area 7z su* t]m is def9$ 
= purposes ( section #ahhf7;d77#b77;,d7 
( ! ,social ,security ,act7 or t is     

designat$ z a heal? pr(essional %ortage 
area 7z def9$ 9 section #ccb ( ?is      
,act74 ,^u receipt ( su* /atem5t1 if !  
,secret>y deems x appropriate1 !        
,secret>y may waive ! /&>ds describ$ 9  
subsection 7a7 or develop alt]native    
/&>ds = su* rural areas or heal?        
pr(essional %ortage areas4  7d7 ,rule ( 
con/ruction ,not)/&+ any o!r provision (
 ?is section1 individuals :o provide    
m$ical imag+ exam9ations relat+ to      
mammograms %all cont9ue to meet !       
regulations applicable "u ! ,mammography
 ,quality ,/&>ds ,act ( #aiib4  7e7     
,def9ition ,z us$ 9 ?is section3  7#a7  
,m$ical imag+ ,! t]m m$ical imag+ means 
any exam9ation or proc$ure us$ to       
visualize tissues1 organs1 or           
physiologic processes 9 humans = !      
purpose ( detect+1 diagnos+1 treat+1 or 
impact+ ! progression ( disease or      
illness4 ,= purposes ( ?is section1 su* 
t]m does n include r\t9e d5tal or       
oph?almologic diagno/ic proc$ures or    
ultras\nd guidance ( vascul> access     

proc$ures4  7#b7 ,radiation !rapy ,! t]m
 radiation !rapy means any proc$ure or  
article int5d$ = use 9 ! cure1          
mitigation1 treatm5t1 or prev5tion (    
disease 9 humans t a*ieves its int5d$   
purpose ?r\gh ! emission ( ioniz+ or    
non-ioniz+ radiation4  4  #d4 ,/&>ds =  
m$ical imag+ & radiation !rapy ,section 
#ahdh7;b77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;b77#d77 is   
am5d$ by add+ at ! end ! foll[+ new     
subp>agraph3  7,e7 ,/&>ds = m$ical imag+
 & radiation !rapy ,) respect to exp5ses
 incurr$ 9 ! furni%+ ( ! te*nical       
compon5t ( m$ical imag+ exam9ations or  
radiation !rapy proc$ures = m$ical      
purposes 7z def9$ 9 subsection 7e7 (    
section #cee ( ! ,public ,heal? ,s]vice 
,act7 on or aft] #db mon?s aft] ! date (
 enactm5t ( ! ,consi/5cy1 ,accuracy1    
,responsibility1 & ,excell5ce 9 ,m$ical 
,imag+ & ,radiation ,!rapy ,act ( #bjac1
 paym5t %all be made "u ?is section only
 if ! exam9ation or proc$ure is furni%$ 
by an individual :o meets ! /&>ds       

e/abli%$ by ! ,secret>y "u su* section  
#cee 7o!r ?an an individual describ$ 9  
subsection 7a77#d77;,a7 ( su* section74 
4  #e4 ,report on ! effects ( ?is ,act  
7a7 ,9 g5]al ,n lat] ?an #e ye>s aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices1 %all submit 
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions ( ! ,s5ate1 !        
,committee on ,f9ance ( ! ,s5ate1 & !   
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report on !  
effects ( ?is ,act4  7b7 ,requirem5ts ,!
 report "u subsection 7a7 %all include !
 types & numb]s ( individuals qualifi$  
to furni% ! te*nical compon5t ( m$ical  
imag+ or radiation !rapy s]vices = :om  
/&>ds h be5 develop$1 ! impact ( su*    
/&>ds on diagno/ic accuracy & pati5t    
safety1 & ! availability & co/ (        
s]vices4 ,entities reimburs$ = te*nical 
s]vices ?r\gh programs op]at+ "u !      
au?ority ( ! ,secret>y ( ,heal? & ,human
 ,s]vices %all be requir$ to contribute 
data to su* report4