25 LC 46 1183S House Bill 571 (COMMITTEE SUBSTITUTE) By: Representatives Hawkins of the 27 th , Jasperse of the 11 th , Dempsey of the 13 th , Jackson of the 128 th , Silcox of the 53 rd , and others A BILL TO BE ENTITLED AN ACT To amend Chapter 34 of Title 43 of the Official Code of Georgia Annotated, relating to 1 physicians, assistants, and others, so as to provide for the licensing of radiologist assistants;2 to provide for continuing education requirements; to repeal a provision relating to radiologist3 assistant defined; to provide a short title; to provide for definitions; to provide for licensure4 requirements; to provide for renewal requirements; to prohibit holding oneself out as a5 radiologist assistant without licensure; to provide for licensure for currently employed6 radiologist assistants; to provide for the duties and powers of the Georgia Composite Medical7 Board with respect to radiologist assistants; to provide that radiologists may use the services8 of licensed radiologist assistants; to prohibit certain practices by radiologist assistants; to9 provide for an advisory committee; to provide for statutory construction; to provide for10 related matters; to provide for an effective date; to repeal conflicting laws; and for other11 purposes.12 BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:13 H. B. 571 (SUB) - 1 - 25 LC 46 1183S SECTION 1. 14 Chapter 34 of Title 43 of the Official Code of Georgia Annotated, relating to physicians,15 assistants, and others, is amended by revising subsection (a) of Code Section 43-34-11,16 relating to continuing education requirement and required training for physicians, as follows:17 "(a)(1) The board shall be authorized to require persons seeking renewal of a license,18 certificate, or permit under this chapter to complete board approved continuing education19 of not less than 40 hours biennially. The board shall be authorized to approve courses20 offered by institutions of higher learning, specialty societies, or professional21 organizations, including, but not limited to, the American Medical Association, the22 National Medical Association, and the American Osteopathic Association, the number23 of hours required, and the category in which these hours should be earned. This24 paragraph shall not apply to respiratory care professionals, persons seeking renewal of25 certification as respiratory care professionals, clinical perfusionists, persons seeking26 renewal of licensure as a clinical perfusionist, licensed orthotists or prosthetists, persons27 seeking renewal of licensure as an orthotist or prosthetist, genetic counselors, or persons28 seeking renewal of licensure as a genetic counselor, radiologist assistants, or persons29 seeking renewal of licensure as a radiologist assistant.30 (2) The board shall be authorized to require persons seeking renewal of certification as31 respiratory care professionals under Article 6 of this chapter to complete board approved32 continuing education. The board shall be authorized to establish the number of hours of33 continuing education required biennially for renewal of certification as a respiratory care34 professional and the categories in which these hours should be earned. The board shall35 be authorized to approve courses offered by institutions of higher learning, specialty36 societies, or professional organizations. Any action taken by the board pursuant to this37 paragraph shall be taken in conformity with the provisions of Code Section 43-34-143.38 (3) The board shall be authorized to require persons seeking renewal of licensure as39 clinical perfusionists under Article 7 of this chapter to complete board approved40 H. B. 571 (SUB) - 2 - 25 LC 46 1183S continuing education. The board shall be authorized to establish the number of hours of 41 continuing education required biennially for renewal of licensure as a clinical perfusionist42 and the categories in which these hours should be earned. The board shall be authorized43 to approve courses offered by institutions of higher learning, specialty societies, or44 professional organizations. Any action taken by the board pursuant to this paragraph45 shall be taken in conformity with the provisions of Code Section 43-34-172.46 (4) The board shall be authorized to require persons seeking renewal of licensure to47 practice orthotics or prosthetics under Article 8 of this chapter to complete board48 approved continuing education. The board shall be authorized to establish the number49 of hours of continuing education required biennially for renewal of licensure to practice50 orthotics or prosthetics and the categories in which these hours should be earned,51 provided that the maximum number of hours of continuing education required for52 renewal of licensure shall not exceed 40 hours. The board shall be authorized to approve53 courses offered by institutions of higher learning, specialty societies, or professional54 organizations. Any action taken by the board pursuant to this paragraph shall be taken55 in conformity with the provisions of subsection (a) of Code Section 43-34-200.56 (5) The board shall be authorized to require persons seeking renewal of licensure to57 practice genetic counseling under Article 12 of this chapter to complete board approved58 continuing education. The board shall be authorized to establish the number of hours of59 continuing education required biennially for renewal of licensure to practice genetic60 counseling and the categories in which these hours should be earned, provided that the61 number of hours of continuing education required for renewal of licensure shall not be62 less than 30 hours biennially. The board shall be authorized to approve courses offered63 by institutions of higher learning, specialty societies, or professional organizations. Any64 action taken by the board pursuant to this paragraph shall be taken in conformity with the65 provisions of subsection (b) of Code Section 43-34-313.66 H. B. 571 (SUB) - 3 - 25 LC 46 1183S (6) The board shall be authorized to require persons seeking renewal of licensure to67 practice as a radiologist assistant under Article 13 of this chapter to complete board68 approved continuing education. The board shall be authorized to establish the number69 of hours of continuing education required biennially for renewal of licensure to practice70 as a radiologist assistant and the categories in which these hours should be earned. The71 board shall be authorized to approve courses offered by institutions of higher learning,72 specialty societies, or professional organizations. Any action taken by the board pursuant73 to this paragraph shall be taken in conformity with the provisions of subsection (b) of74 Code Section 43-34-334.75 (6)(7) On and after January 1, 2022, all physicians shall be required to receive one-time76 education and training, for a minimum of two hours, regarding professional boundaries77 and physician sexual misconduct. Such education and training shall include subject78 matter relating to how to proceed with basic as well as sensitive or intimate examinations79 and the communication with patients that is required as a component of such80 examinations. Such education and training shall be established by the board and shall be81 informed by members of the public, as best possible."82 SECTION 2.83 Said chapter is further amended by repealing Code Section 43-34-12, relating to radiologist84 assistant defined.85 SECTION 3.86 Said chapter is further amended by adding a new article to read as follows:87 H. B. 571 (SUB) - 4 - 25 LC 46 1183S "ARTICLE 1388 43-34-330.89 This article shall be known and may be cited as the 'Radiologist Assistant Act.'90 43-34-331.91 As used in this article, the term:92 (1) 'Board' means the Georgia Composite Medical Board.93 (2) 'Radiologist' means a physician who is licensed to practice medicine pursuant to94 Article 2 of this chapter and who is certified by the American Board of Radiology, the95 American Osteopathic Board of Radiology, or the Royal College of Physicians and96 Surgeons of Canada.97 (3) 'Radiologist assistant' means an advanced level certified diagnostic radiologic98 technologist who assists radiologists under the on site direct supervision of a radiologist99 as defined by the Georgia Composite Medical Board in performing advanced diagnostic100 imaging procedures as determined by board rule, according to levels of supervision as101 defined by the Centers for Medicare and Medicaid Services including, but not limited to,102 enteral and parenteral procedures when performed under the on site direct supervision of103 the radiologist and may include injecting diagnostic agents to sites other than intravenous,104 performing diagnostic aspirations and localizations, and assisting radiologists with other105 invasive procedures, according to levels of supervision as defined by the Centers for106 Medicare and Medicaid Services.107 43-34-332.108 A person shall be qualified for licensure as a radiologist assistant and the board may issue109 a license if that person:110 H. B. 571 (SUB) - 5 - 25 LC 46 1183S (1) Has applied in writing in form and substance satisfactory to the board and is at least111 21 years of age;112 (2) Has not engaged in conduct or activities which would constitute grounds for113 discipline under this article;114 (3) Is registered and credentialed as a radiographer with the American Registry of115 Radiologic Technologists;116 (4) Is certified and registered:117 (A) As a radiologist assistant with the American Registry of Radiologic Technologists;118 or119 (B) As a radiology practitioner assistant with the Certification Board for Radiology120 Practitioner Assistants and the American Registry of Radiologic Technologists;121 (5) Has paid the fees required by rule; and122 (6) Has met any other requirements established by rule.123 43-34-333.124 (a) Licenses issued by the board pursuant to this article shall be subject to renewal and125 shall be valid for up to two years unless otherwise specified by this article and shall be126 renewable biennially on the renewal date established by the board.127 (b) The board shall be authorized to, in conformance with paragraph (6) of subsection (a)128 of Code Section 43-34-11:129 (1) Require persons seeking renewal of licensure under this article to complete board130 approved continuing education;131 (2) Establish the number of hours of continuing education to be completed as well as the132 categories in which the continuing education is to be completed; and133 (3) Maintain continued certification and registration as a radiologist assistant with the134 American Registry of Radiologic technologist or radiology practitioner assistant with the135 H. B. 571 (SUB) - 6 - 25 LC 46 1183S Certification Board for Radiology Practitioner Assistants and the American Registry of136 Radiologic Technologists.137 (c) A person who has permitted his or her license to expire or who has had his or her138 license on inactive status may have his or her license restored by:139 (1) Making application to the board;140 (2) Filing proof acceptable to the board of his or her fitness to have his or her license141 restored, including, but not limited to, sworn evidence certifying to active practice in142 another jurisdiction satisfactory to the board; and143 (3) Paying the required restoration fee.144 If the person has not maintained an active practice in another jurisdiction satisfactory to the145 board, the board shall determine, by an evaluation program established by rule, such146 person's fitness to resume active status and may require such person to complete a period147 of evaluated clinical experience and successful completion of an examination.148 (d) A person who notifies the board on forms prescribed thereby may elect to place his or149 her license on an inactive status and shall, subject to rules of the board, be excused from150 payment of renewal fees until he or she notifies the board of his or her desire to resume151 active status. A person requesting restoration from inactive status shall be required to pay152 the current renewal fee and shall be required to restore his or her license as provided in153 subsection (c) of this Code section. A radiologist assistant whose license is on inactive154 status shall not engage in the scope of practice for radiologist assistants in this state.155 (e) A person whose license expired while he or she was:156 (1) In federal service on active duty within the armed forces of the United States or with157 the state militia and called into service or training; or158 (2) In training or education under the supervision of the United States preliminary to159 induction into military service160 may have his or her license renewed or restored without paying a lapsed renewal fee if,161 within two years after termination from the service, training, or education except under162 H. B. 571 (SUB) - 7 - 25 LC 46 1183S conditions other than honorable, he or she furnishes the board with satisfactory evidence163 that he or she has been so engaged and that his or her service, training, or education has164 been terminated.165 43-34-334.166 (a) On and after July 1, 2025, a person shall not engage in the scope of practice for167 radiologist assistants in this state without a valid license issued by the board pursuant to168 this article.169 (b) A person shall not hold himself or herself out as a radiologist assistant unless he or she170 holds a license issued by the board in accordance with this article. A person not licensed171 by the board pursuant to this article shall not use in connection with his or her name or172 place of business the terms 'radiologist assistant' or any words, letters, abbreviations, or173 insignia indicating or implying that the person holds a license as a radiologist assistant.174 (c) A person who verifies to the board that he or she is employed in this state as a175 radiologist assistant as of the effective date of this article shall by operation of law be176 licensed to practice as a radiologist assistant in this state on July 1, 2025.177 43-34-335.178 (a) A radiologist may use the services of a radiologist assistant under the on site direct179 supervision of such radiologist, provided that such radiologist assistant is duly qualified180 and licensed pursuant to this article.181 (b) A radiologist assistant shall not interpret images, make diagnoses, or prescribe182 medications or therapies.183 (c) Any rules and regulations adopted by the board pertaining to the scope of practice as184 a radiologist assistant in this state shall be consistent with guidelines adopted by the185 American College of Radiology, the American Society of Radiologic Technologists, the186 H. B. 571 (SUB) - 8 - 25 LC 46 1183S American Registry of Radiologic Technologists, or any other entity deemed appropriate187 by the board.188 43-34-336.189 The board shall have the power and responsibility to:190 (1) Determine the qualifications and fitness of applicants for licensure and renewal of191 licensure;192 (2) Adopt and revise rules consistent with the laws of the State of Georgia that are193 necessary to conduct its business, carry out its duties, and administer this article;194 (3) Examine for, approve, issue, deny, revoke, suspend, sanction, and renew the licenses195 of applicants and radiologist assistants under this article and conduct hearings in196 connection with these actions;197 (4) Conduct hearings on complaints concerning violations of this article and the rules198 adopted under this article and cause the prosecution and enjoinder of the violations;199 (5) Establish application, examination, and certification fees;200 (6) Establish continuing education requirements; and201 (7) Establish the number of radiologist assistants that may be supervised by a radiologist202 according to levels of supervision as defined by the Centers for Medicare and Medicaid203 Services.204 43-34-337.205 The board shall appoint an advisory committee. The advisory committee shall consist of206 no fewer than five individuals and shall include at least one licensed physician who207 practices radiology, three licensed radiologist assistants, and one consumer representative. 208 Members shall receive no compensation for service on the committee. The committee shall209 have such advisory duties and responsibilities as the board may determine, including, but210 not limited to, consulting with the board on the issuance, denial, suspension, and revocation211 H. B. 571 (SUB) - 9 - 25 LC 46 1183S of licenses and the promulgation of rules and regulations under this article. The initial212 members of the advisory committee may include persons eligible for licensing under this213 article. Subsequent advisory committee members must be licensed pursuant to this article.214 43-34-338.215 Nothing in this article shall be construed to prohibit:216 (1) The performance of any tasks or responsibilities by any student engaged in clinical217 training in a general hospital, provided such practice is limited to clinical training that218 shall be carried out under the direct supervision of a radiologist;219 (2) The performance of any tasks or responsibilities by any person licensed under this220 title, provided such tasks or responsibilities are permitted by the article governing the221 profession pursuant to which such person is licensed; or222 (3) The performance of any tasks or responsibilities by any legally qualified radiologist223 assistants of any other state or territory who is serving in the armed forces or the Public224 Health Service of the United States or who is employed by the United States Department225 of Veterans Affairs, while engaged in the performance of his or her duties."226 SECTION 4.227 This Act shall become effective upon its approval by the Governor or upon its becoming law228 without such approval.229 SECTION 5.230 All laws and parts of laws in conflict with this Act are repealed.231 H. B. 571 (SUB) - 10 -