Rep. Engell Proposes Bill to Expand Options for Radiologic Technologists

House Bill (HB) 2113, prefiled for the 2026 legislative session, proposed changes to state regulations governing radiologic technologists by allowing additional flexibility in physician supervision while maintaining patient safety requirements.

“I’ve had hundreds of conversations and dozens of meetings in the process of developing this bill and trying to get all the major players on the same page, and I’m now cautiously optimistic that this important bill may pass,” Engell said on social media. “It is a common-sense bill that codifies existing practice that has been deemed, first by a lawyer and then by the agency, to be out of compliance with the law.”

The current law states that many radiologic procedures involving injections require the direct, in-person supervision of a physician. HB 2113 would allow diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging (MRI) technologists to administer intravenous contrast under either real-time audio and video supervision by a physician or direct supervision by an advanced practice registered nurse or physician assistant.

The bill specified that virtual supervision must include live, two-way audio and video communication and may not rely on audio-only technology. It also required that appropriately trained clinical staff be physically present at the facility to respond to any adverse reactions when contrast agents are administered.

Legislative language clarified that the changes are limited to procedures within a licensed practitioner’s scope of practice and do not permit unsupervised administration of contrast agents. The bill also excluded cases involving tampering with established safety standards or procedures outside radiologic technology practice.

“Everyone I’ve talked to who works in a hospital agrees that a trained ARNP (Advanced Registered Nurse Practitioner) or PA (Physician’s Assistant) is qualified to supervise CT (Computed Tomography) scans with IV contrast,” Engell said. “Without this bill, hospitals will incur unnecessary extra costs, and these providers will lose career opportunities they have had for more than 20 years.”

HB 2113 also updates statutory definitions within state law to reflect the new supervision framework and formally recognizes virtual direct supervision as an acceptable option for specific radiologic procedures.