The 2025 legislative session has been hectic! As the beginning of a new congressional cycle in all 50 states and the federal government, legislation new and old has been introduced throughout the U.S. To elevate and protect the medical imaging and radiation therapy profession, ASRT continues to diligently monitor legislative actions at the state and the federal level —from efforts to roll back licensure to proposals to expand scopes of practice for other practices.
State Actions
ASRT is coordinating its efforts with partner imaging organizations, the American Registry of Radiologic Technologists and affiliate societies. The Society has continued its concerted work with Georgia, Pennsylvania, California and North Carolina societies to ensure only those who have met nationally recognized education, training and competency standards are allowed to perform medical imaging and radiation therapy procedures.
Additionally, ASRT launched three calls for action this year to support its legislative efforts in North Carolina, California and Massachusetts. To learn more about ASRT’s advocacy efforts in these states and how to get involved, please visit the ASRT Advocacy Action Center.
Legislative Wins
ASRT has successfully protected the medical imaging and radiation therapy profession from encroachment in 2025. ASRT’s advocacy victories so far include:
In Washington, Senate Bill 5299 was introduced which would allow the remote supervision of contrast administration. ASRT submitted a letter to the Senate Health and Long Term Care Committee focused on ensuring that this legislation requires facilities to have an appropriate provider onsite during the administration of contrast or other medications. In Hawaii, House Bill 1194, which deals with the licensing of certified midwives, was introduced. HB 1194 included ordering, interpreting and performing diagnostic tests. ASRT submitted recommendations to the House Committee on Health and the House Committee on Consumer Protection and Commerce urging the committees to amend the legislation to explicitly exclude the ordering, supervising, interpreting or performing procedures utilizing ionizing radiation. In California, Assembly Bill 460 was introduced. It would have allowed the remote supervision of contrast administration. ASRT submitted a letter focused on ensuring that this legislation requires facilities to have an appropriate provider onsite during the administration of contrast or other medications. The Assembly Business and Professions Committee amended the legislation.
Additionally, ASRT submitted comments on Assembly Bill 876 in California, which included the performance and supervision of procedures utilizing fluoroscopy and ultrasound and the interpretation of diagnostic radiologic studies by a certified registered nurse anesthetist. ASRT urged the Assembly Business and Professions Committee to strike the concerning language from the legislation.
In each case, ASRT’s recommended amendments were included in the legislation.
Letters ASRT Sent
ASRT has sent letters to the following states to voice opposition to or recommend changes to proposed legislation across issue areas. ASRT’s concerns included encroachment, inappropriate scope of practice expansion, remote imaging and deregulation.
California: Certified registered nurse anesthetist encroachment.
California: Remote supervision of contrast administration.
Hawaii: Midwifes licensure encroachment.
Louisiana: Board appointment authority.
Massachusetts: Physical therapist scope of practice expansion.
Minnesota: Acupuncturist scope of practice expansion.
Minnesota: Midwifes licensure encroachment.
North Carolina: Advanced Practice Nursing encroachment.
North Carolina: Medical imaging and radiation therapy licensure deregulation.
Oklahoma: Certified registered nurse anesthetist encroachment.
Washington: Remote supervision of contrast administration.
In addition to letters of opposition, ASRT has sent letters and recommendations to the following states to express support for the following issues:
California: Radiologist assistant title recognition.
Connecticut: Workforce shortage taskforce.
Kentucky: Sonography and MR licensure.
Louisiana: LXMO standards regulations.
Maryland: Limited x-ray machine operator licensure.
New Mexico: Fusion imaging rules updates.
New York: LXMO licensure for urgent care.
New York: Physician assistant may perform fluoroscopy with 40/40 training.
Washington: Magnetic resonance licensure.
What's Next?
With many states’ legislative sessions completed or finishing soon, ASRT looks to push its legislative efforts past the finish line before sessions end. Additionally, ASRT continues to monitor legislation and regulations that impact the medical imaging and radiation therapy profession.