,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dfbd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ba1 #bjbf,mr4    
,boozman 7= himself & ,mr4 ,lujn7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = paym5t = s]vices ( radiologi/ 
assi/ants "u ! ,m$ic>e program1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m$ic>e ,access to         
,radiology ,c>e ,act ( #bjbf4  #b4      
,f9d+s ,congress makes ! foll[+ f9d+s3  
7#a7 ,radiologi/ assi/ants are          
advanc$-level radiograph]s :o are       
critically important memb]s ( !         
radiologi/-l$ team4  7#b7 ,radiologi/   
assi/ants "w /rictly "u ! sup]vision ( a
 radiologi/ to promote high /&>ds (     
pati5t c>e by assi/+ radiologi/s 9 !    
diagno/ic & int]v5tional imag+          
environm5t4  7#c7 ,9 e jurisdiction     
au?oriz+ radiologi/ assi/ants to        
practice1 !y are only p]mitt$ to furni% 

s]vices :5 delegat$ by & "u ! sup]vision
 ( a radiologi/4  7#d7 ,radiologi/      
assi/ants value _! work+ & pr(essional  
relation%ips ) radiologi/s & h nev]     
s\ght1 nor d !y seek1 ! ability to      
practice indep5d5t ( radiologi/s4  7#e7 
,:ile radiologi/ assi/ants p]=m v>i\s   
valuable pr(essional s]vices & may make 
& communicate initial obs]vations to !  
radiologi/1 radiologi/ assi/ants are n  
qualifi$ to p]=m int]pretations         
7prelim9>y1 f9al1 or o!rwise7 ( any     
radiological exam9ation4  7#f7 ,remov+  
b>ri]s to c>e r5d]$ by radiologi/       
assi/ants "u ! sup]vision ( a radiologi/
 w provide value-bas$1 effici5t         
solutions to improve pati5t outcomes    
:ile ensur+ pati5t safety4  #c4 ,m$ic>e 
paym5t = 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 9 clause 7ii71 by /rik+ !         
semicolon at ! end & ins]t+ 1 &2 &  7,b7
 by add+ at ! end ! foll[+ new clause3  

7iii7 radiologi/ assi/ant s]vices 7z    
def9$ 9 subsection 7ooo77#a772  2 &     
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7ooo7 ,radiologi/ assi/ant 
s]vices2 radiologi/ assi/ant  7#a7      
,radiologi/ assi/ant s]vices ,! t]m     
radiologi/ assi/ant s]vices means-- 7,a7
 s]vices :i* w\ld be physicians' s]vices
 if furni%$ by a physician 7z def9$ 9   
subsection 7r77#a77 & :i* are p]=m$ by a
 radiologi/ assi/ant 7z def9$ 9 p>agraph
 7#b77 "u ! sup]vision ( a radiologi/2  
7,b7 s]vices :i* ! radiologi/ assi/ant  
is legally au?oriz$ to p]=m by ! ,/ate 9
 :i* ! s]vices are p]=m$2 &  7,c7       
s]vices 9 :i* no o!r provid] 7o!r ?an ! 
sup]vis+ radiologi/7 *>ges or is paid   
any am\nt ) respect to ! furni%+ ( su*  
s]vices4  7#b7 ,radiologi/ assi/ant ,!  
t]m radiologi/ assi/ant means a         
radiograph] :o is c]tifi$ by ! ,am]ican 
,regi/ry ( ,radiologic ,te*nologi/s z a 
regi/]$ radiologi/ assi/ant to p]=m     
radiologi/ assi/ant s]vices4  7#c7      
,rules ( con/ruction ,no?+ 9 ?is        

subsection %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 ?is title z 9 effect be=e ! date ( !
 enactm5t ( ?is subsection2  7,b7 !     
am\nt ( paym5t made = physicians'       
s]vices "u ?is title :5 su* s]vices are 
p]sonally p]=m$ by a radiologi/2 or     
7,c7 ! am\nt ( paym5t made "u ?is title 
= s]vices furni%$ by a cov]$ facility   
sett+ 7z def9$ 9 section                
#ahdh7;a77#aj77;,b774  4  7b7 ,paym5t 9 
relation to physician fee s*$ule  7#a7  
,paym5t level ,section #ahcc7;a77#a77,o7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciel7a77#a77,o77 is am5d$ by
 /rik+ or cl9ical nurse speciali/s &    
ins]t+ cl9ical nurse speciali/s1 or 9 ! 
case ( s]vices provid$ 9 a cov]$        
facility sett+ 7z def9$ 9 section       
#ahdh7;a77#aj77;,b771 radiologi/        
assi/ants4  7#b7 ,application ( fee     
s*$ule 9 hospital1 ambulatory surgical  
c5t] sett+s ,section #ahdh7;a7 ( !      

,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7;a77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#aj7          
,application ( fee s*$ule = radiologi/  
assi/ant s]vices 9 hospital1 ambulatory 
surgical c5t] sett+s  7,a7 ,9 g5]al ,9 !
 case ( radiologi/ assi/ant s]vices 7z  
def9$ 9 section #ahfa7ooo77#a77 furni%$ 
9 a cov]$ facility sett+ 7z def9$ 9     
subp>agraph 7,b771 paym5t = su* s]vices 
furni%$ 9 su* sett+ %all be made to !   
sup]vis+ radiologi/ 9 ! am\nt det]m9$   
pursuant to section #ahcc7;a77#a77,o74  
7,b7 ,cov]$ facility sett+ def9$ ,9 ?is 
p>agraph1 ! t]m cov]$ facility sett+    
means-- 7i7 a hospital or critical      
access hospital2  7ii7 an ambulatory    
surgical c5t]2 &  7iii7 su* o!r provid]s
 ( s]vices z ! ,secret>y may specify4  4
  7#c7 ,paym5t to sup]vis+ radiologi/   
,section #ahdb7;b77#f7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acieu7b77#f77 is am5d$ 9 ! fir/        
s5t5ce-- 7,a7 by /rik+ & be=e 7,j72 &   
7,b7 by ins]t+ be=e ! p]iod at ! end !  

foll[+3 1 & 7,k7 9 ! case ( s]vices     
describ$ 9 section #ahfa7s77#b77,k77iii7
 7relat+ to radiologi/ assi/ant         
s]vices71 paym5t %all be made to !      
sup]vis+ radiologi/4  7c7 ,effective    
date ,! am5dm5ts made by ?is section    
%all apply to s]vices furni%$ on or aft]
 ,janu>y #a1 #bjbg4