SSB 6439 -
By Committee on Health Care & Wellness
ADOPTED 03/04/2008
Strike everything after the enacting clause and insert the following:
"Sec. 1 RCW 18.84.010 and 1991 c 222 s 1 are each amended to read
as follows:
It is the intent and purpose of this chapter to protect the public
by the certification and registration of practitioners of radiological
technology. By promoting high standards of professional performance,
by requiring professional accountability, and by credentialing those
persons who seek to provide radiological technology under the title of
((radiological)) radiologic technologists, and by regulating all
persons utilizing ionizing radiation on human beings this chapter
identifies those practitioners who have achieved a particular level of
competency. Nothing in this chapter shall be construed to require that
individual or group policies or contracts of an insurance carrier,
health care service contractor, or health maintenance organization
provide benefits or coverage for services and supplies provided by a
person certified under this chapter.
The legislature finds and declares that this chapter conforms to
the guidelines, terms, and definitions for the credentialing of health
or health-related professions specified under chapter 18.120 RCW.
Sec. 2 RCW 18.84.020 and 2000 c 93 s 42 are each amended to read
as follows:
((Unless the context clearly requires otherwise,)) The definitions
in this section apply throughout this chapter unless the context
clearly requires otherwise.
(1) "Department" means the department of health.
(2) "Secretary" means the secretary of health.
(3) "Licensed practitioner" means any licensed health care
practitioner performing services within the person's authorized scope
of practice.
(4) "Radiologic technologist" means an individual certified under
this chapter, other than a licensed practitioner, who practices
radiologic technology as a:
(a) Diagnostic radiologic technologist, who is a person who
actually handles X-ray equipment in the process of applying radiation
on a human being for diagnostic purposes at the direction of a licensed
practitioner, this includes parenteral procedures related to radiologic
technology when performed under the direct supervision of a physician
licensed under chapter 18.71 or 18.57 RCW; ((or))
(b) Therapeutic radiologic technologist, who is a person who uses
radiation-generating equipment for therapeutic purposes on human
subjects at the direction of a licensed practitioner, this includes
parenteral procedures related to radiologic technology when performed
under the direct supervision of a physician licensed under chapter
18.71 or 18.57 RCW; ((or))
(c) Nuclear medicine technologist, who is a person who prepares
radiopharmaceuticals and administers them to human beings for
diagnostic and therapeutic purposes and who performs in vivo and in
vitro detection and measurement of radioactivity for medical purposes
at the direction of a licensed practitioner; or
(d) Radiologist assistant, who is an advanced-level certified
diagnostic radiologic technologist who assists radiologists by
performing advanced diagnostic imaging procedures as determined by rule
under levels of supervision defined by the secretary, this includes but
is not limited to enteral and parenteral procedures when performed
under the direction of the supervising radiologist, and that these
procedures may include injecting diagnostic agents to sites other than
intravenous, performing diagnostic aspirations and localizations, and
assisting radiologists with other invasive procedures.
(5) "Approved school of radiologic technology" means a school of
radiologic technology or radiologist assistant program approved by the
((council on medical education of the American medical association))
secretary or a school found to maintain the equivalent of such a course
of study as determined by the department. Such school may be operated
by a medical or educational institution, and for the purpose of
providing the requisite clinical experience, shall be affiliated with
one or more general hospitals.
(6) "Approved radiologist assistant program" means a school
approved by the secretary. The secretary may recognize other
organizations that establish standards for radiologist assistant
programs and designate schools that meet the organization's standards
as approved.
(7) "Radiologic technology" means the use of ionizing radiation
upon a human being for diagnostic or therapeutic purposes.
(((7))) (8) "Radiologist" means a physician certified by the
American board of radiology or the American osteopathic board of
radiology.
(((8))) (9) "Registered X-ray technician" means a person who is
registered with the department, and who applies ionizing radiation at
the direction of a licensed practitioner and who does not perform
parenteral procedures.
Sec. 3 RCW 18.84.030 and 1991 c 222 s 3 are each amended to read
as follows:
No person may practice radiologic technology without being
registered or certified under this chapter, unless that person is a
licensed practitioner as defined in RCW 18.84.020(3). A person
represents himself or herself to the public as a certified
((radiological)) radiologic technologist when that person adopts or
uses a title or description of services that incorporates one or more
of the following items or designations:
(1) Certified radiologic technologist or CRT, for persons so
certified under this chapter;
(2) Certified radiologic therapy technologist, CRTT, or CRT, for
persons certified in the therapeutic field;
(3) Certified radiologic diagnostic technologist, CRDT, or CRT, for
persons certified in the diagnostic field; ((or))
(4) Certified nuclear medicine technologist, CNMT, or CRT, for
persons certified as nuclear medicine technologists; or
(5) Certified radiologist assistant or CRA for persons certified as
radiologist assistants.
Sec. 4 RCW 18.84.040 and 1994 sp.s. c 9 s 506 are each amended to
read as follows:
(1) In addition to any other authority provided by law, the
secretary may:
(a) Adopt rules, in accordance with chapter 34.05 RCW, necessary to
implement this chapter;
(b) Set all registration, certification, and renewal fees in
accordance with RCW 43.70.250;
(c) Establish forms and procedures necessary to administer this
chapter;
(d) Evaluate and designate those schools from which graduation will
be accepted as proof of an applicant's eligibility to receive a
certificate;
(e) Determine whether alternative methods of training are
equivalent to formal education, and to establish forms, procedures, and
criteria for evaluation of an applicant's alternative training to
determine the applicant's eligibility to receive a certificate;
(f) Issue a certificate to any applicant who has met the education,
training, examination, and conduct requirements for certification; and
(g) Issue a registration to an applicant who meets the requirement
for a registration.
(2) The secretary may hire clerical, administrative, and
investigative staff as needed to implement this chapter.
(3) The uniform disciplinary act, chapter 18.130 RCW, governs the
issuance and denial of registrations and certifications, unregistered
and uncertified practice, and the discipline of registrants and
certificants under this chapter. The secretary is the disciplining
authority under this chapter.
(4) The secretary may appoint ad hoc members of the profession to
serve in an ad hoc advisory capacity to the secretary in carrying out
this chapter. The members will serve for designated times and provide
advice on matters specifically identified and requested by the
secretary. The members shall be compensated in accordance with RCW
43.03.220 and reimbursed for travel expenses under RCW 43.03.040 and
43.03.060.
Sec. 5 RCW 18.84.080 and 1991 c 3 s 209 are each amended to read
as follows:
(1) The secretary shall issue a certificate to any applicant who
demonstrates to the secretary's satisfaction, that the following
requirements have been met to practice as:
(a) A diagnostic radiologic technologist, therapeutic radiologic
technologist, or nuclear medicine technologist:
(i) Graduation from an approved school or successful completion of
alternate training that meets the criteria established by the
secretary; ((and)) (ii) Satisfactory completion of a radiologic technologist
examination approved by the secretary; and
(b)
(iii) Good moral character; or
(b) A radiologist assistant:
(i) Satisfactory completion of an approved radiologist assistant
program;
(ii) Satisfactory completion of a radiologist assistant examination
approved by the secretary; and
(iii) Good moral character.
(2) Applicants shall be subject to the grounds for denial or
issuance of a conditional license under chapter 18.130 RCW.
(3) The secretary shall establish by rule what constitutes adequate
proof of meeting the requirements for certification and for designation
of certification in a particular field of radiologic technology.
NEW SECTION. Sec. 6 A new section is added to chapter 18.84 RCW
to read as follows:
It is unprofessional conduct under chapter 18.130 RCW for any
person registered or certified under this chapter to interpret images,
make diagnoses, prescribe medications or therapies, or perform other
procedures that may be prohibited by rule."
Correct the title.
EFFECT: Removes the requirement that radiologist assistant programs be recognized by the American Registry of Radiologic Technologists and authorizes the Secretary to recognize other organizations that establish standards for radiologist assistant programs.