Amended IN Assembly April 18, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1704Introduced by Assembly Member ChenJanuary 26, 2022 An act to add Section 2472.5 to the Business and Professions Code, and to amend Section 106975 115061 of the Health and Safety Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 1704, as amended, Chen. Leg-podiatric X-ray equipment: certification or permit exemption. Leg-podiatric radiography permit: Podiatric Medical Board of California.Existing law prohibits a person from administering or using diagnostic or therapeutic X-rays x-rays on human beings in this state, unless that person has been certified or granted a permit by the State Department of Public Health, as specified, is acting within the scope of that certification or permit, and is acting under the supervision of a healing arts licensee. Existing law exempts certain individuals from this certification or permit requirement, including, among others, a person who has been certified or granted by the department a permit limited to the performance of certain procedures or the application of X-rays to specific areas of the human body, as specified. Existing law requires the department to issue limited permits to persons to conduct radiologic technology limited to the performance of certain procedures or the application of x-rays to specific areas of the human body, except for mammography, and requires the department to prescribe minimum standards of training and experience for these persons and to prescribe procedures for examining applicants for limited permits. Existing administrative law defines the scope of a limited leg-podiatric radiography permit as radiography of the knee, tibia and fibula, and ankle and foot. Existing administrative law requires, as a condition of eligibility for the limited permit, an applicant to pass specified department-approved examinations and to submit an application containing a specified fee and certain information, including a copy of the limited permit x-ray technician school graduation diploma or certificate in that limited permit category.Existing law, the Radiation Control Law, requires the Radiologic Health Branch within the department to adopt specified regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality.Existing law establishes the Podiatric Medical Board of California within the Department of Consumer Affairs for the certification and regulation of podiatrists.This bill would exempt from the above-described X-ray certification or permit requirement a person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. The bill would require that person, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, to pass authorize the board to issue to a person a limited leg-podiatric radiograph permit described above if the person has satisfied the above-described eligibility requirements and has completed a course approved by the board in radiation safety jointly approved by the board and the Radiologic Health Branch that includes theory and clinical application in radiographic technique. The bill would require the board to require the courses to be taught by persons qualified in radiographic technique. The bill would also require the board to adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment. The bill would allow the course to be an online course, as specified, and would require the course to require a minimum of 100 hours of education. The bill would require the board and the branch to jointly approve and make available at least one course by July 1, 2023.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 2472.5 is added to the Business and Professions Code, to read:2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula.SEC. 2.Section 106975 of the Health and Safety Code is amended to read:106975.Section 106965 shall not apply to any of the following persons:(a)Licentiates of the healing arts.(b)Students in an approved school for radiologic technologists and in schools of medicine, podiatry or chiropractic when the students are operating X-ray machines under the supervision of an instructor who is a certified radiologic technologist or a certified supervisor or operator; and students of dentistry, dental hygiene and dental assisting when the students are operating X-ray machines under the supervision of an instructor who is a licensed dentist.(c)Any person employed by an agency of the government of the United States while performing the duties of employment.(d)Persons temporarily exempted pursuant to Section 107020.(e)A licensed dentist; or person who, under the supervision of a licensed dentist, operates only dental radiographic equipment for the sole purpose of oral radiography. This exemption applies only to those persons who have complied with the requirements of Section 1656 of the Business and Professions Code.(f)A person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. This exemption applies only to those persons who have complied with the requirements of Section 2472.5 of the Business and Professions Code.(g)A person who has been certified or granted a limited permit pursuant to subdivision (b) or (c) of Section 114870 and who performs dental radiography in a dental X-ray laboratory upon the written order of a licensed dentist.SEC. 2. Section 115061 of the Health and Safety Code is amended to read:115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. Amended IN Assembly April 18, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1704Introduced by Assembly Member ChenJanuary 26, 2022 An act to add Section 2472.5 to the Business and Professions Code, and to amend Section 106975 115061 of the Health and Safety Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 1704, as amended, Chen. Leg-podiatric X-ray equipment: certification or permit exemption. Leg-podiatric radiography permit: Podiatric Medical Board of California.Existing law prohibits a person from administering or using diagnostic or therapeutic X-rays x-rays on human beings in this state, unless that person has been certified or granted a permit by the State Department of Public Health, as specified, is acting within the scope of that certification or permit, and is acting under the supervision of a healing arts licensee. Existing law exempts certain individuals from this certification or permit requirement, including, among others, a person who has been certified or granted by the department a permit limited to the performance of certain procedures or the application of X-rays to specific areas of the human body, as specified. Existing law requires the department to issue limited permits to persons to conduct radiologic technology limited to the performance of certain procedures or the application of x-rays to specific areas of the human body, except for mammography, and requires the department to prescribe minimum standards of training and experience for these persons and to prescribe procedures for examining applicants for limited permits. Existing administrative law defines the scope of a limited leg-podiatric radiography permit as radiography of the knee, tibia and fibula, and ankle and foot. Existing administrative law requires, as a condition of eligibility for the limited permit, an applicant to pass specified department-approved examinations and to submit an application containing a specified fee and certain information, including a copy of the limited permit x-ray technician school graduation diploma or certificate in that limited permit category.Existing law, the Radiation Control Law, requires the Radiologic Health Branch within the department to adopt specified regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality.Existing law establishes the Podiatric Medical Board of California within the Department of Consumer Affairs for the certification and regulation of podiatrists.This bill would exempt from the above-described X-ray certification or permit requirement a person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. The bill would require that person, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, to pass authorize the board to issue to a person a limited leg-podiatric radiograph permit described above if the person has satisfied the above-described eligibility requirements and has completed a course approved by the board in radiation safety jointly approved by the board and the Radiologic Health Branch that includes theory and clinical application in radiographic technique. The bill would require the board to require the courses to be taught by persons qualified in radiographic technique. The bill would also require the board to adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment. The bill would allow the course to be an online course, as specified, and would require the course to require a minimum of 100 hours of education. The bill would require the board and the branch to jointly approve and make available at least one course by July 1, 2023.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Amended IN Assembly April 18, 2022 Amended IN Assembly April 18, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1704 Introduced by Assembly Member ChenJanuary 26, 2022 Introduced by Assembly Member Chen January 26, 2022 An act to add Section 2472.5 to the Business and Professions Code, and to amend Section 106975 115061 of the Health and Safety Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1704, as amended, Chen. Leg-podiatric X-ray equipment: certification or permit exemption. Leg-podiatric radiography permit: Podiatric Medical Board of California. Existing law prohibits a person from administering or using diagnostic or therapeutic X-rays x-rays on human beings in this state, unless that person has been certified or granted a permit by the State Department of Public Health, as specified, is acting within the scope of that certification or permit, and is acting under the supervision of a healing arts licensee. Existing law exempts certain individuals from this certification or permit requirement, including, among others, a person who has been certified or granted by the department a permit limited to the performance of certain procedures or the application of X-rays to specific areas of the human body, as specified. Existing law requires the department to issue limited permits to persons to conduct radiologic technology limited to the performance of certain procedures or the application of x-rays to specific areas of the human body, except for mammography, and requires the department to prescribe minimum standards of training and experience for these persons and to prescribe procedures for examining applicants for limited permits. Existing administrative law defines the scope of a limited leg-podiatric radiography permit as radiography of the knee, tibia and fibula, and ankle and foot. Existing administrative law requires, as a condition of eligibility for the limited permit, an applicant to pass specified department-approved examinations and to submit an application containing a specified fee and certain information, including a copy of the limited permit x-ray technician school graduation diploma or certificate in that limited permit category.Existing law, the Radiation Control Law, requires the Radiologic Health Branch within the department to adopt specified regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality.Existing law establishes the Podiatric Medical Board of California within the Department of Consumer Affairs for the certification and regulation of podiatrists.This bill would exempt from the above-described X-ray certification or permit requirement a person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. The bill would require that person, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, to pass authorize the board to issue to a person a limited leg-podiatric radiograph permit described above if the person has satisfied the above-described eligibility requirements and has completed a course approved by the board in radiation safety jointly approved by the board and the Radiologic Health Branch that includes theory and clinical application in radiographic technique. The bill would require the board to require the courses to be taught by persons qualified in radiographic technique. The bill would also require the board to adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment. The bill would allow the course to be an online course, as specified, and would require the course to require a minimum of 100 hours of education. The bill would require the board and the branch to jointly approve and make available at least one course by July 1, 2023. Existing law prohibits a person from administering or using diagnostic or therapeutic X-rays x-rays on human beings in this state, unless that person has been certified or granted a permit by the State Department of Public Health, as specified, is acting within the scope of that certification or permit, and is acting under the supervision of a healing arts licensee. Existing law exempts certain individuals from this certification or permit requirement, including, among others, a person who has been certified or granted by the department a permit limited to the performance of certain procedures or the application of X-rays to specific areas of the human body, as specified. Existing law requires the department to issue limited permits to persons to conduct radiologic technology limited to the performance of certain procedures or the application of x-rays to specific areas of the human body, except for mammography, and requires the department to prescribe minimum standards of training and experience for these persons and to prescribe procedures for examining applicants for limited permits. Existing administrative law defines the scope of a limited leg-podiatric radiography permit as radiography of the knee, tibia and fibula, and ankle and foot. Existing administrative law requires, as a condition of eligibility for the limited permit, an applicant to pass specified department-approved examinations and to submit an application containing a specified fee and certain information, including a copy of the limited permit x-ray technician school graduation diploma or certificate in that limited permit category. Existing law, the Radiation Control Law, requires the Radiologic Health Branch within the department to adopt specified regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. Existing law establishes the Podiatric Medical Board of California within the Department of Consumer Affairs for the certification and regulation of podiatrists. This bill would exempt from the above-described X-ray certification or permit requirement a person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. The bill would require that person, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, to pass authorize the board to issue to a person a limited leg-podiatric radiograph permit described above if the person has satisfied the above-described eligibility requirements and has completed a course approved by the board in radiation safety jointly approved by the board and the Radiologic Health Branch that includes theory and clinical application in radiographic technique. The bill would require the board to require the courses to be taught by persons qualified in radiographic technique. The bill would also require the board to adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment. The bill would allow the course to be an online course, as specified, and would require the course to require a minimum of 100 hours of education. The bill would require the board and the branch to jointly approve and make available at least one course by July 1, 2023. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 2472.5 is added to the Business and Professions Code, to read:2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula.SEC. 2.Section 106975 of the Health and Safety Code is amended to read:106975.Section 106965 shall not apply to any of the following persons:(a)Licentiates of the healing arts.(b)Students in an approved school for radiologic technologists and in schools of medicine, podiatry or chiropractic when the students are operating X-ray machines under the supervision of an instructor who is a certified radiologic technologist or a certified supervisor or operator; and students of dentistry, dental hygiene and dental assisting when the students are operating X-ray machines under the supervision of an instructor who is a licensed dentist.(c)Any person employed by an agency of the government of the United States while performing the duties of employment.(d)Persons temporarily exempted pursuant to Section 107020.(e)A licensed dentist; or person who, under the supervision of a licensed dentist, operates only dental radiographic equipment for the sole purpose of oral radiography. This exemption applies only to those persons who have complied with the requirements of Section 1656 of the Business and Professions Code.(f)A person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. This exemption applies only to those persons who have complied with the requirements of Section 2472.5 of the Business and Professions Code.(g)A person who has been certified or granted a limited permit pursuant to subdivision (b) or (c) of Section 114870 and who performs dental radiography in a dental X-ray laboratory upon the written order of a licensed dentist.SEC. 2. Section 115061 of the Health and Safety Code is amended to read:115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 2472.5 is added to the Business and Professions Code, to read:2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula. SECTION 1. Section 2472.5 is added to the Business and Professions Code, to read: ### SECTION 1. 2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula. 2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula. 2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met:(1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following:(A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment.(B) The course may be online and require additional in-person clinical training, as necessary.(C) The course shall require a minimum of 100 hours of education.(2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations.(b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a).(c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine.(d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula. 2472.5. (a) Notwithstanding Section 114870 of the Health and Safety Code or any other law, a person working in a podiatrists office who operates leg-podiatric X-ray equipment pursuant to subdivision (f) of Section 106975 of the Health and Safety Code shall, before operating leg-podiatric X-ray equipment under the supervision of a licensed doctor of podiatric medicine, pass a law or regulation, the board may issue to a person a limited permit in leg-podiatric radiography, as described in Section 30443 of Title 17 of the California Code of Regulations, if the following conditions are met: (1) The person has completed a course in radiation safety and radiologic technology jointly approved by the board in radiation safety that includes theory and the Radiologic Health Branch of the State Department of Public Health that complies with all of the following: (A) The course shall include theory and clinical application in radiographic technique. The board shall require the courses to be taught by persons qualified in radiographic technique and shall adopt regulations specifying the qualifications for course instructors. techniques specific to the operation of leg-podiatric x-ray equipment. (B) The course may be online and require additional in-person clinical training, as necessary. (C) The course shall require a minimum of 100 hours of education. (2) The person has satisfied the eligibility requirements defined in Section 30444 of Title 17 of the California Code of Regulations. (b) No later than July 1, 2023, the board and the Radiologic Health Branch of the State Department of Public Health shall jointly approve and make available at least one course that complies with the requirements specified in subdivision (a). (c) A permit in leg-podiatric radiography authorizes the holder to operate leg-podiatric x-ray equipment in a podiatric office only while under the supervision of a certified supervisor and operator who is a licensed doctor of podiatric medicine. (d) This section does not increase the scope of practice of a doctor of podiatric medicine or authorize the holder of the permit to perform x-rays beyond the foot, ankle, tibia, and fibula. Section 106965 shall not apply to any of the following persons: (a)Licentiates of the healing arts. (b)Students in an approved school for radiologic technologists and in schools of medicine, podiatry or chiropractic when the students are operating X-ray machines under the supervision of an instructor who is a certified radiologic technologist or a certified supervisor or operator; and students of dentistry, dental hygiene and dental assisting when the students are operating X-ray machines under the supervision of an instructor who is a licensed dentist. (c)Any person employed by an agency of the government of the United States while performing the duties of employment. (d)Persons temporarily exempted pursuant to Section 107020. (e)A licensed dentist; or person who, under the supervision of a licensed dentist, operates only dental radiographic equipment for the sole purpose of oral radiography. This exemption applies only to those persons who have complied with the requirements of Section 1656 of the Business and Professions Code. (f)A person who, under the supervision of a licensed podiatrist, operates only leg-podiatric radiography equipment for the sole purpose of lower extremity radiography. This exemption applies only to those persons who have complied with the requirements of Section 2472.5 of the Business and Professions Code. (g)A person who has been certified or granted a limited permit pursuant to subdivision (b) or (c) of Section 114870 and who performs dental radiography in a dental X-ray laboratory upon the written order of a licensed dentist. SEC. 2. Section 115061 of the Health and Safety Code is amended to read:115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. SEC. 2. Section 115061 of the Health and Safety Code is amended to read: ### SEC. 2. 115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. 115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. 115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes.(b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008.(c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code.(c)(d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change. 115061. (a) In order to better protect the public and radiation workers from unnecessary exposure to radiation and to reduce the occurrence of misdiagnosis, the Radiologic Health Branch within the State Department of Health Services Public Health shall adopt regulations that require personnel and facilities using radiation-producing equipment for medical and dental purposes to maintain and implement medical and dental quality assurance standards that protect the public health and safety by reducing unnecessary exposure to ionizing radiation while ensuring that images are of diagnostic quality. The standards shall require quality assurance tests to be performed on all radiation-producing equipment used for medical and dental purposes. (b) The Radiologic Health Branch shall adopt the regulations described in subdivision (a) and provide the regulations to the health committees of the Assembly and the Senate on or before January 1, 2008. (c) The Radiologic Health Branch, jointly with the Podiatric Medical Board of California, shall approve a course in radiation safety and radiologic technology pursuant to Section 2472.5 of the Business and Professions Code. (c) (d) For purposes of this section, medical and dental quality assurance means the detection of a change in X-ray x-ray and ancillary equipment that adversely affects the quality of films or images and the radiation dose to the patients, and the correction of this change.