,,ii  #aaeth ,,congress  #ast ,session  
,s4 #gfi  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #bi1         
#bjag,mr4 ,boozman 7for himself and ,mr4
 ,casey7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,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 requirements4 
#a4 ,short title ,this ,act may be cited
 as the ,medicare ,access to ,radiology 
,care ,act of #bjag4  #b4 ,aligning     
physician supervision requirements under
 the ,medicare program for radiology    
services performed by advanced level    
radiographers with ,state requirements  
7a7 ,in general ,section #ahcd7;b7 of   
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciem7b77 is amended--  7#a7 
in paragraph 7#f71 by inserting 1       
subject to paragraph 7#g71 after        

includes radiology services2 and  7#b7  
by adding at the end the following new  
paragraph3  7#g7 ,treatment of services 
performed by advanced level             
radiographers ,for purposes of paragraph
 7#f71 in the case of radiology services
 performed by an advanced level         
radiographer 7as defined in section     
#ahfa7;jjj77 in a ,state that has       
established standards for the direction 
or supervision by a physician of such a 
radiographer performing such services1  
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
 law4  4  7b7 ,advanced level           
radiographer defined ,section #ahfa of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciex7 is amended by adding  
at the end the following new subsection3
  7jjj7 ,advanced level radiographer    
,the term advanced level radiographer   

means a radiographer who is certified by
 the ,american ,registry of ,radiologic 
,technologists 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 radiologist4  4  7c7 ,effective   
date ,the amendments made by this       
section shall apply with respect to     
services performed on or after the date 
that is #fj days after the date of the  
enactment of this ,act4