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									                                       PROPOSED REGULATIONS
                                For information concerning Proposed Regulations, see Information Page.

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                         Roman type indicates existing text of regulations. Italic type indicates proposed new text.
                                Language which has been stricken indicates proposed text for deletion.



                  BOARD OF MEDICINE                                      number of procedures to be performed under direct
                                                                         supervision and observation before a license is granted.
Title of Regulation: 18 VAC 85-101. Regulations Governing                Consequently, the board has proposed that training in the
the Licensure of Radiologic Technologists and Radiologic                 anatomical areas for which someone is seeking licensure
Technologists-Limited (amending 18 VAC 85-101-10,                        include performance of at least 10 procedures under direct
18 VAC 85-101-30 through 18 VAC 85-101-60, 18 VAC 85-                    supervision and observation of a licensed rad tech or doctor.
101-100, 18 VAC 85-101-130, 18 VAC 85-101-140, and                       To accommodate the need for practice while in training, the
18 VAC 85-101-150; adding 18 VAC 85-101-25 and 18 VAC                    board has added provisions for a traineeship for the limited
85-101-61; repealing 18 VAC 85-101-80, 18 VAC 85-101-90,                 license similar to that already in effect for the full license.
and 18 VAC 85-101-160).                                                  Finally, the board determined that the public health and safety
Statutory Authority: § 54.1-2400 and Chapter 29 (§ 54.1-2900             was not adequately protected and further specified certain
et seq.) of Title 54.1 of the Code of Virginia.                          procedures to be beyond the scope of practice for someone
                                                                         with a limited license. Rad tech-limited licensees do not have
Public Hearing Date: January 8, 2003 - 1:15 p.m.                         the training and are not tested on fluoroscopic procedures,
  Public comments may be submitted until January 31, 2003.               computerized tomography, vascular-interventional procedures
    (See Calendar of Events section                                      or mobile radiography.
    for additional information)
                                                                         Substance: Amendments will provide for additional practical
Agency Contact: Elaine J. Yeatts, Agency Regulatory                      experience for those seeking licensure as a radiologic
Coordinator, Department of Health Professions, 6603 W.                   technologist-limited and will specify that certain radiographic
Broad Street, 5th Floor, Richmond, VA 23230-1717, telephone              procedures are outside their scope of practice. Amendments
(804) 662-9918, FAX (804) 662-9114 or e-mail                             are adopted to provide a traineeship in which to gain practical
elaine.yeatts@dhp.state.va.us.                                           experience under supervision and observation and to
Basis: Section 54.1-2400 of the Code of Virginia establishes             implement continuing education requirements as necessary
the general powers and duties of health regulatory boards                for renewal of a license in 2005. Other amendments are
                                                                         clarifying to eliminate unnecessary or outdated rules or to
including the responsibility to promulgate regulations, levy
fees, administer a licensure and renewal program, and                    provide adequate information for compliance with
discipline regulated professionals.                                      requirements of law and regulation.

The specific statutory authority for the board to license                Issues:
radiologic technologists-limited and to determine requisite              1) The primary advantages and disadvantages to the public.
education and training is found in Chapter 29 (§ 54.1-2900 et            The primary advantages to the public include the additional
seq.) of Title 54.1 of the Code of Virginia.                             assurance that persons with a limited license to perform
Purpose: During the periodic review of regulations, the                  radiographic procedures in certain anatomical areas have had
primary issue raised was the competency of persons with a                practical experience in those procedures under the direction
limited rad tech license to perform radiographic procedures. In          and observation of a supervising rad tech or physician.
the past, the Advisory Committee has heard testimony and                 Experience in specific anatomical procedures under the direct
received letters from practitioners and educators expressing             supervision and observation of a licensed person will ensure
concern about the limited amount of training received by these           that persons with a limited license have not only the education
licensees. When the ARRT examination was first required for              necessary to pass an examination but also the practical ability
licensure as a rad tech-limited, the cut score set by the board          to safely perform radiography. Also, specific limitations on the
was 75. Faced with a very poor passage rate, the board                   scope of practice for someone with a limited license will
looked into solutions to the problem. It was determined that             ensure that procedures are not being performed by someone
the cut score was set above the national average and should              who has not been appropriately trained or tested. There are
be lowered to be consistent with the score recommended by                no disadvantages to the public.
the ARRT, which was 65. Along with a reduction in the                    2) The primary advantages and disadvantages to the
passing score, the educational programs have become more                 Commonwealth. There are no advantages or disadvantages
proficient in teaching the material necessary to pass the                to the Commonwealth; there will be no additional cost for
national examination, and the passage rate has dramatically              licensing or enforcement of standards for radiologic
improved. Similar passage rates are evident on the                       technologists-limited.
anatomical exams of chest, extremities, skull, spine and
podiatric.                                                               Fiscal Impact: Projected cost to the state to implement and
                                                                         enforce:
Even with the improved passage on the exam, the actual
experience of some practitioners with the skill level of limited         1. Fund source: As a special fund agency, the board must
licensees has led to a recommendation to require a certain               generate sufficient revenue to cover its expenditures from

Volume 19, Issue 6                                  Virginia Register of Regulations                            Monday, December 2, 2002

                                                                     1
                                                                                                     Proposed Regulations
nongeneral funds, specifically the renewal and application             Estimated economic impact. According to the Department of
fees it charges to practitioners for necessary functions of            Health Professions (department), when the American Registry
regulation.                                                            of Radiologic Technologists (ARRT) examination was first
                                                                       required for licensure as a radiologic technologist-limited, the
2. Budget activity by program or subprogram: There is no               cut score set by the board was 75. Faced with a very poor
change required in the budget of the Commonwealth as a                 passage rate, the board decided to lower the cut score to the
result of this program.                                                score recommended by ARRT, 65. The passage rate has
                                                                                                 1
3. One-time versus ongoing expenditures: The agency will               dramatically improved, but there has been a significant
incur some one-time costs (less than $2,000) for mailings to           amount of dissatisfaction expressed by practitioners with the
the Public Participation Guidelines mailing lists, conducting a        skill level of some limited licensees. The board has also heard
public hearing, and sending copies of final regulations to             from educators who believe that under the current regulations
regulated entities. Every effort will be made to incorporate           radiologic technologists-limited receive inadequate training.
those into anticipated mailings and board meetings already             Consequently, the board proposes to require that individuals
scheduled.                                                             seeking radiologic technologists-limited licensure provide
Projected cost to localities: There are no projected costs to          evidence of having successfully performed in a traineeship at
localities.                                                            least ten radiologic examinations in the anatomical area for
                                                                       which they are seeking licensure under the direct supervision
Description of entities that are likely to be affected by              and observation of a licensed radiologic technologist or a
regulation: The entities that are likely to be affected by these       doctor of medicine or osteopathy. Similar to the existing
regulations would be persons interested in becoming licensed           traineeship for individuals seeking radiologic technologist
as radiologic technologists or radiologic technologists-limited        licensure, the traineeship for an applicant for licensure as a
or licensees seeking to comply with requirements for                   radiologic technologist-limited terminates fourteen days after
continuing education.                                                  receipt by the candidate of the licensure examination results
Estimate of number of entities to be affected: There are               or, if the training for limited licensure in bone densitometry or
currently 918 persons licensed as radiologic technologists-            abdomen and pelvis, fourteen working days after completion
limited and 2,309 persons licensed as radiologic                       of the required number of procedures. A notarized statement
technologists.                                                         from the supervising practitioner shall attest to the applicant’s
                                                                       competency in the areas of radiation safety, positioning,
Projected costs to the affected entities: There should be no           patient instruction, anatomy, pathology, and technical factors.
cost for compliance for applicants or current licensees.
Persons who are receiving training in anatomical areas for a           The proposed traineeship and demonstrated competency
limited license will gain that experience as a trainee in the          requirement is beneficial in that it provides information to
practice setting under the licensed doctor or rad tech.                employers and potential employers of radiologic technologists-
                                                                       limited concerning actual experience and demonstrated skill
Department of Planning and Budget's Economic Impact                    level. Employers seeking someone who already likely
Analysis: The Department of Planning and Budget (DPB) has              possesses enough skill to work without direct supervision will
analyzed the economic impact of this proposed regulation in            know to only interview individuals who are already fully
accordance with § 2.2-4007 H of the Administrative Process             licensed as a radiologic technologist-limited. Employers who
Act and Executive Order Number 21 (02). Section 2.2-4007 H             hire an individual in a traineeship will know that the new hire
requires that such economic impact analyses include, but               will initially require direct supervision. Overall, individuals that
need not be limited to, the projected number of businesses or          have qualified for limited licensure will likely command a
other entities to whom the regulation would apply, the identity        higher starting salary than individuals who have yet to
of any localities and types of businesses or other entities            demonstrate competency. Thus individuals who have
particularly affected, the projected number of persons and             demonstrated evidence of their acquired skills will receive
employment positions to be affected, the projected costs to            higher pay commensurate with their skill level with the
affected businesses or entities to implement or comply with            proposed traineeship and demonstrated competency
the regulation, and the impact on the use and value of private         requirement. The increased information provided to employers
property. The analysis presented below represents DPB’s                concerning the skill level of the radiologic technologist may
best estimate of these economic impacts.                               also reduce the probability of mistakes that may adversely
                                                                       affect patients, since the supervisor will have a better idea of
Summary of the proposed regulation. The Board of Medicine
                                                                       how much supervision is required.
(board) proposes to (i) require persons training as radiologic
technologists-limited to gain practical experience in the              The board proposes to prohibit performance of fluoroscopic
radiologic procedures for which they are seeking licensure, (ii)       procedures, computerized tomography, and vascular-
establish provisions for traineeships for radiologic                   interventional procedures by radiologic technologists-limited
technologists-limited that are similar to the traineeships for         since those procedures are not covered on the ARRT
radiologic technologists, (iii) prohibit the performance of            examination for Limited Scope of Practice in Radiography and
certain procedures by radiologic technologists-limited for             considered to be outside the scope of practice for a person
which they are not trained or tested, and (iv) eliminate the           with a limited license. According to the department, radiologic
requirement for an applicant for licensure as a radiologic             technologists-limited are not known to have been performing
technologist to submit documented evidence of her graduation
from an educational program accepted by ARRT.                          1
                                                                           Source: Department of Health Professions.

Volume 19, Issue 6                               Virginia Register of Regulations                                      Monday, December 2, 2002

                                                                   2
                                                                                                  Proposed Regulations
these procedures. Thus, the proposed prohibitions will have                                      PART I.
little impact. Explicitly adding the prohibitions to the                                   GENERAL PROVISIONS.
regulations may help prevent any potential confusion as to
                                                                       18 VAC 85-101-10. Definitions.
whether radiologic technologists-limited are competent to
perform the listed procedures.                                         In addition to definitions in § 54.1-2900 of the Code of Virginia,
The board proposes to eliminate the requirement for an                 the following words and terms when used in this chapter shall
applicant for licensure as a radiologic technologist to submit         have the following meanings, unless the context clearly
documented evidence of graduation from an educational                  indicates otherwise:
program accepted by ARRT. The documented evidence is                   "ACRRT" means the American Chiropractic Registry of
unnecessary since AART requires the submission of                      Radiologic Technologists.
transcripts documenting graduation as a prerequisite for sitting
for the ARRT examination. Successful applicants for the                "ARRT" means         the     American    Registry      of     Radiologic
radiologic technologist license must pass the ARRT                     Technologists.
certification exam. Since applicants will save the time and            "Bone densitometry" means a process for measuring bone
costs associated with documenting and sending evidence of              mineral density by utilization of single x-ray absorptiometry
graduation and the board has no need of the information, this          (SXA), dual x-ray absorptiometry (DXA) or other technology
proposed change clearly produces a net benefit.                        that is substantially equivalent as determined by the board.
Businesses and entities affected. The proposed amendments              "Direct supervision" means that a licensed radiologic
affect the 918 persons licensed as radiologic technologists-           technologist, doctor of medicine, osteopathy, chiropractic or
limited, the 2,309 persons licensed as radiologic                      podiatry is present and is fully responsible for the activities
technologists, their employers and potential employers, their          performed by radiologic personnel.
patients and potential patients, and individuals interested in
becoming licensed as a radiologic technologist-limited or              "Direction" means the delegation of radiologic functions to be
radiologic technologist.                                               performed upon a patient from a licensed doctor of medicine,
                                                                       osteopathy, chiropractic, or podiatry, to a licensed radiologic
Localities particularly affected. The proposed regulations             technologist or a radiologic technologist-limited for a specific
affect all Virginia localities.                                        purpose and confined to a specific anatomical area, that will
Projected impact on employment. The proposed amendments                be performed under the direction of and in continuing
will not significantly affect employment levels.                       communication with the delegating practitioner.

Effects on the use and value of private property. The                  "ISCD" means         the     International   Society        for   Clinical
proposed amendments will not have a large impact on the use            Densitometry.
and value of private property.                                         "Traineeship" means a period of activity during which an
Agency's Response to the Department of Planning and                    unlicensed applicant for licensure as a radiologic technologist
Budget's Economic Impact Analysis: The Board of Medicine               who is seeking licensure works under the direct supervision of
concurs with the analysis of the Department of Planning and            a practitioner approved by the board while waiting for the
Budget for amendments to 18 VAC 85-101 for changes                     results of the licensure examination or an applicant for
recommended by a periodic review of regulations.                       licensure as a radiologic technologist-limited working under
                                                                       direct supervision and observation to fulfill the practice
Summary:                                                               requirements in 18 VAC 85-101-60.
  The proposed amendments address concerns about the                   18 VAC 85-101-25. Fees.
  adequacy of training for the limited licensees and provide
  greater clarity for the regulated entities. Amendments are           A. Unless otherwise provided, fees listed in this section shall
  recommended to require persons training as a radiologic              not be refundable.
  technologist-limited to gain practical experience in the             B. Initial licensure fees.
  radiologic procedures for which they are seeking licensure,
  and provisions are established for a traineeship similar to            1. The application fee for radiologic technologist licensure
  that currently in effect for the radiologic technologists. In          shall be $130.
  addition, the scope of practice for the limited licensee is
                                                                         2. The application fee for the radiologic technologist-limited
  further specified to exclude certain procedures for which
                                                                         licensure shall be $90.
  they are not trained or tested. Regulations for endorsement
  are eliminated since the grandfathering provisions expired             3. All examination fees shall be determined by and made
  in 1999; persons licensed in other states who are seeking              payable as designated by the board.
  licensure in Virginia are licensed based on passage of the
  national examination. Finally, provisions for the                    C. Licensure renewal and reinstatement.
  implementation of continuing education requirements are                1. The fee for active license renewal for a radiologic
  added.                                                                 technologist shall be $135 and for a radiologic technologist-
                                                                         limited shall be $70. The fee for inactive license renewal for
                                                                         a radiologic technologist shall be $70 and for a radiologic
                                                                         technologist-limited shall be $35.

Volume 19, Issue 6                               Virginia Register of Regulations                              Monday, December 2, 2002

                                                                   3
                                                                                               Proposed Regulations
  2. An additional fee of $50 for a radiologic technologist and          under the direct supervision of a licensed radiologic
  $25 for a radiologic technologist-limited to cover                     technologist, or doctor of medicine, osteopathy, chiropractic,
  administrative costs for processing a late renewal                     or podiatry.
  application within one renewal cycle shall be imposed by
  the board.                                                             B. The graduate shall submit an application for a traineeship
                                                                         to the board for review and approval by the Chairman of the
  3. The fee for reinstatement of a license that has lapsed for          Radiologic Technology Advisory Committee Board on
  a period of two years or more shall be $180 for a radiologic           Radiological Technology or his designee.
  technologist and $120 for a radiologic technologist-limited
  and shall be submitted with an application for licensure               C. The traineeship shall terminate 14 working days after
  reinstatement.                                                         receipt by the candidate of the licensure examination results.
                                                                         The unlicensed graduate may reapply for a new traineeship
  4. The fee for reinstatement of a license pursuant to § 54.1-          while awaiting to take the next examination.
  2921 of the Code of Virginia shall be $2,000.
                                                                         D. An unlicensed graduate may serve in a traineeship for a
D. Other fees.                                                           period not to exceed two years or through three unsuccessful
                                                                         attempts of the licensure examination, whichever comes first.
  1. The application fee for a traineeship as a radiologic               After such time, the graduate shall apply to the Radiologic
  technologist shall be $25.                                             Technology Advisory Committee for approval to continue in
  2. The fee for a letter of good standing or verification to            practice as a trainee.
  another state for licensure shall be $10; the fee for                  18 VAC 85-101-60. Examination requirements.
  certification of grades to another jurisdiction shall be $25.
                                                                         A. An applicant for licensure by examination as a radiologic
  3. The fee for a returned check shall be $25.                          technologist-limited shall submit:
  4. The fee for a duplicate license shall be $5.00, and the fee           1. The required application and fee as prescribed by the
  for a duplicate wall certificate shall be $15.
                                                                           board;
18 VAC     85-101-30.   Educational         requirements      for
                                                                           2. Evidence of successful completion of an examination as
radiologic technologists.
                                                                           required in this section; and
An applicant for licensure as a radiologic technologist shall be           3. Evidence of completion of training as required in
a graduate of an educational program acceptable to the ARRT                18 VAC 85-101-70.
for the purpose of sitting for the ARRT certification
examination and shall submit, with the required application              B. To qualify for limited licensure to practice under the
and fee, documented evidence of his graduation from such a               direction of a doctor of medicine, osteopathy, or chiropractic
program.                                                                 with the exception of practice in bone densitometry, the
                                                                         applicant shall:
18 VAC 85-101-40. Examination Licensure requirements.
                                                                           1. Provide evidence that he has received a passing score
A. An applicant for board licensure by examination shall:                  as determined by the board on the core section of the
  1. Meet the educational requirements specified in 18 VAC                 ARRT examination for Limited Scope of Practice in
  85-101-30.;                                                              Radiography; and

  2. Submit the required application, fee, and credentials to              2. Meet one of the following requirements:
  the board.; and                                                            a. Provide evidence that he has received a passing score
  3. Submit evidence of passage of the ARRT certification                    as determined by the board on the section of the ARRT
  examination with a minimum passing score acceptable to                     examination on specific radiographic procedures,
  the board.                                                                 depending on the anatomical areas in which the applicant
                                                                             intends to practice, or
B. To qualify for licensure, the applicant shall take and pass
the ARRT certification examination with a minimum passing                    b. Until the ARRT offers an examination for limited
score as determined by the board If an applicant has been                    licensure in the radiographic procedures of the abdomen
licensed or certified in another jurisdiction, he shall provide on           and pelvis, the applicant may qualify for a limited license
the application information on the status of each license or                 by submission of a notarized statement from a licensed
certificate held and verification from that jurisdiction of any              radiologic technologist or doctor of medicine or
current, unrestricted license.                                               osteopathy attesting to the applicant's training and
                                                                             competency to practice in that anatomical area as follows:
C. An applicant who fails the ARRT examination shall follow
the policies and procedures of the ARRT for successive                         (1) To perform radiographic procedures on the
attempts.                                                                      abdomen or pelvis, the applicant shall have
                                                                               successfully performed during the traineeship at least
18 VAC 85-101-50. Traineeship for unlicensed graduate.                         25 radiologic examinations of the abdomen or pelvis in
A. An applicant who is an unlicensed graduate of an AART                       a traineeship under the direct supervision and
approved acceptable program may be employed as a trainee                       observation of a licensed radiologic technologist or a
                                                                               doctor of medicine or osteopathy. The notarized

Volume 19, Issue 6                                 Virginia Register of Regulations                        Monday, December 2, 2002

                                                                     4
                                                                                                Proposed Regulations
       statement shall further attest to the applicant's                 18 VAC 85-101-61. Traineeship for an applicant for
       competency in the areas of radiation safety,                      licensure as a radiologic technologist-limited.
       positioning, patient instruction, anatomy, pathology and
       technical factors.                                                A. An applicant who is seeking licensure as a radiologic
                                                                         technologist-limited may be employed as a trainee under the
       (2) When a section is added to the limited license                direct supervision of a licensed radiologic technologist, doctor
       examination by the ARRT that includes the abdomen                 of medicine, osteopathy, chiropractic or podiatry.
       and pelvis, the applicant shall provide evidence that he
       has received a passing score on that portion of the               B. The person shall submit an application for a traineeship to
       examination as determined by the board.; and                      the board for review and approval by the Chairman of the
                                                                         Advisory Board on Radiological Technology or his designee.
  3. Provide evidence of having successfully performed in a
  traineeship at least 10 radiologic examinations in the                 C. The traineeship shall terminate 14 working days after
  anatomical area for which he is seeking licensure under the            receipt by the candidate of the licensure examination results
  direct supervision and observation of a licensed radiologic            or, if training for limited licensure in bone densitometry or
  technologist or a doctor of medicine or osteopathy. A                  abdomen and pelvis, 14 working days after completion of the
  notarized statement from the supervising practitioner shall            required number of procedures. The trainee may reapply for a
  attest to the applicant’s competency in the areas of radiation         new traineeship while waiting to take the next examination or
  safety, positioning, patient instruction, anatomy, pathology           for satisfactory completion of the required number of
  and technical factors.                                                 procedures.

C. To qualify for limited licensure to practice in bone                                        PART IV.
densitometry under the direction of a doctor of medicine,                             LICENSURE BY ENDORSEMENT.
osteopathy, or chiropractic, the applicant shall either:                 18 VAC 85-101-80. Endorsement              requirements     for
                                                                         radiologic technologist. (Repealed.)
  1. Provide evidence that he has received a passing score
  as determined by the board on the core section of the                  A. A radiologic technologist who has an unrestricted license in
  ARRT examination for Limited Scope of Practice in                      the United States, its territories, the District of Columbia, or
  Radiography; and                                                       Canada by an examination equivalent to that required in
    a. The applicant shall provide a notarized statement from            Virginia at the time of licensure and who has met all other
    a licensed radiologic technologist or doctor of medicine,            requirements of the board may, upon recommendation of the
    osteopathy, or chiropractic attesting to the applicant’s             Radiologic Technology Advisory Committee, be licensed by
    training and competency to practice in that anatomical               endorsement. Such a person shall submit to the board, along
    area. The applicant shall have successfully performed at             with a completed application and required fee, verification of a
    least 10 examinations for bone density under the direct              current, unrestricted license in another jurisdiction.
    supervision and observation of a licensed radiologic                 B. A radiologic technologist who has practiced satisfactorily in
    technologist or a doctor of medicine or osteopathy; or               Virginia for five or more years may, upon recommendation of
    b. When a section is added to the limited license                    the Radiologic Technology Advisory Committee, be licensed
    examination by the ARRT that includes bone                           by endorsement. Such a person shall submit to the board,
    densitometry, the applicant shall provide evidence that he           along with a completed application and required fee, evidence
    has received a passing score on that portion of the                  of his scope of practice as documented by a supervising
    examination as determined by the board; or                           radiologist and a supervising radiologic technologist. A
                                                                         radiologic technologist may be initially licensed by
  2. Provide evidence that he has taken and passed an                    endorsement under this subsection until January 1, 1999.
  examination resulting in certification in bone densitometry
                                                                         18 VAC 85-101-90. Endorsement of previous practice for
  from the ISCD or any other substantially equivalent
                                                                         radiologic technologists-limited. (Repealed.)
  credential acceptable to the board.
D. To qualify for a limited license in the anatomical areas of the       A radiologic technologist-limited applicant who has practiced
spine or extremities or in bone densitometry to practice under           satisfactorily in Virginia for the past two consecutive years as
the direction of a doctor of chiropractic, the applicant shall           a radiologic technologist-limited and who submits evidence
provide evidence that he has taken and passed the                        from a licensed doctor of medicine, osteopathy, chiropractic,
appropriate requirements of subsection C or an examination by            or podiatry attesting to such practice shall be licensed by
the ACRRT.                                                               endorsement. A radiologic technologist-limited may be initially
                                                                         licensed by endorsement under this section until January 1,
E. To qualify for a limited license in the anatomical area of the        1999.
foot and ankle to practice under the direction of a doctor of
                                                                                             PART V IV.
podiatry, the applicant shall provide evidence that he has
taken and passed an examination acceptable to the board.                       PRACTICE OF RADIOLOGIC TECHNOLOGISTS.
                                                                         18 VAC 85-101-100. General requirements.
F. An applicant who fails the examination shall be allowed two
more attempts to pass the examination after which he shall               A. All services rendered by a radiologic technologist shall be
reapply and take additional educational hours which meet the             performed only upon direction of a licensed doctor of
criteria of 18 VAC 85-101-70.                                            medicine, osteopathy, chiropractic, or podiatry.

Volume 19, Issue 6                                 Virginia Register of Regulations                         Monday, December 2, 2002

                                                                     5
                                                                                              Proposed Regulations
B. Licensure as a radiologic technologist is not required for          having completed 24 hours of continuing education as
persons who are employed by a licensed hospital pursuant to            approved acceptable to and documented by the ARRT within
§ 54.1-2956.8:1 of the Code of Virginia.                               the last biennium. At least 12 of the hours must be approved
                                                                       by acceptable to the ARRT as Category A.
                   PART VI V.
 PRACTICE OF RADIOLOGIC TECHNOLOGIST-LIMITED.                          E. On and after January 1, 2005, in order to renew an active
                                                                       license as a radiologic technologist-limited, a licensee shall
18 VAC 85-101-130. General requirements.
                                                                       attest to having completed 12 hours of Category A continuing
A. A radiologic technologist-limited is permitted to perform           education within the last biennium that corresponds to the
radiologic functions within his capabilities and the anatomical        anatomical areas in which the limited licensee practices.
limits of his training and examination. A radiologic                   Hours shall be approved acceptable to and documented by
technologist-limited is responsible for informing the board of         the ARRT or by any other entity approved by the board for
the anatomical area or areas in which he is qualified by               limited licensees whose scope of practice is podiatry or bone
training and examination to practice.                                  densitometry.

B. A radiologic technologist-limited shall not instill contrast        F. Other provisions for continuing education shall be as
media     during    radiologic   examinations   or     perform         follows:
mammography,        fluoroscopic   procedures,   computerized            1. A practitioner shall be exempt from the continuing
tomography, or vascular-interventional procedures. The                   education requirements for the first biennial renewal
radiologic technologist-limited is responsible to a licensed             following the date of initial licensure in Virginia.
radiologic technologist, or doctor of medicine, osteopathy,
chiropractic, or podiatry.                                               2. The practitioner shall retain in his records the completed
                                                                         form provided by the board with all supporting
18 VAC 85-101-140. Individual responsibilities to patients               documentation for a period of four years following the
and licensed radiologic technologist, doctor of medicine,
                                                                         renewal of an active license.
osteopathy, chiropractic, or podiatry.
                                                                         3. The board shall periodically conduct a random audit of its
A. The initial patient visit shall be made by a licensed                 active licensees to determine compliance. The practitioners
radiologic technologist, doctor of medicine, osteopathy,                 selected for the audit shall provide all supporting
chiropractic, or podiatry.                                               documentation within 30 days of receiving notification of the
B. A. The radiologic technologist-limited's first procedure with         audit.
the patient shall only be made after verbal or written                   4. Failure to comply with these requirements may subject
communication, or both, with the licensed radiologic                     the licensee to disciplinary action by the board.
technologist, doctor of medicine, osteopathy, chiropractic, or
podiatry.                                                                5. The board may grant an extension of the deadline for
                                                                         satisfying continuing competency requirements, for up to
C. B. The radiologic technologist-limited's procedures shall be          one year, for good cause shown upon a written request
made under direct supervision.                                           from the licensee prior to the renewal date.
D. C. A radiologic technologist-limited, acting within the scope         6. The board may grant an exemption for all or part of the
of his practice, may delegate nonradiologic procedures to an             requirements for circumstances beyond the control of the
unlicensed person, including but not limited to preparing the            licensee, such as temporary disability, mandatory military
patient for radiologic procedures and post radiologic                    service, or officially declared disasters.
procedures. Such nonlicensed personnel shall not perform
those patient care functions that require professional judgment        18 VAC 85-101-151. Reinstatement.
or discretion.
                                                                       A. A licensee who allows his license to lapse for a period of
                      PART VII VI.                                     two years or more and chooses to resume his practice shall
                 RENEWAL OF LICENSURE.                                 submit to the board a new application, information on practice
                                                                       and licensure in other jurisdictions during the period in which
18 VAC 85-101-150. Biennial renewal of license.
                                                                       the license was lapsed, evidence of completion of hours of
A. A radiologic technologist or radiologic technologist-limited        continuing education equal to those required for a biennial
who intends to continue practice shall renew his license               renewal and the fees for reinstatement of his license as
biennially during his birth month in each odd-numbered year            prescribed in 18 VAC 85-101-160 18 VAC 85-101-25.
and pay to the board the prescribed renewal fee.                       B. A licensee whose license has been revoked by the board
B. A license that has not been renewed by the first day of the         and who wishes to be reinstated shall submit a new
month following the month in which renewal is required shall           application to the board, fulfill additional requirements as
be expired.                                                            specified in the order from the board, and pay the fee for
                                                                       reinstatement    of   his   license      as   prescribed   in
C. An additional fee as prescribed in 18 VAC 85-101-160                18 VAC 85-101-160 18 VAC 85-101-25.
18 VAC 85-101-125 shall be imposed by the board.
D. On and after January 1, 2005, in order to renew an active
license as a radiologic technologist, a licensee shall attest to

Volume 19, Issue 6                               Virginia Register of Regulations                        Monday, December 2, 2002

                                                                   6
                                                                                            Proposed Regulations
                              PART VIII.
                               FEES.
18 VAC 85-101-160.           Fees      required     by     the       board.
(Repealed.)
A. Unless otherwise provided, fees listed in this section shall
not be refundable.
B. Initial licensure fees.
  1. The application fee for radiologic technologist licensure
  shall be $130.
  2. The application fee for the radiologic technologist-limited
  licensure shall be $90.
  3. All examination fees shall be determined by and made
  payable as designated by the board.
C. Licensure renewal and reinstatement.
  1. The fee for active license renewal for a radiologic
  technologist shall be $135 and for a radiologic
  technologist-limited shall be $70. The fee for inactive
  license renewal for a radiologic technologist shall be $70
  and for a radiologic technologist-limited shall be $35.
  2. An additional fee of $50 for a radiologic technologist and
  $25 for a radiologic technologist-limited to cover
  administrative costs for processing a late renewal
  application within one renewal cycle shall be imposed by
  the board.
  3. The fee for reinstatement of a license which has lapsed
  for a period of two years or more shall be $180 for a
  radiologic technologist and $120 for a radiologic
  technologist-limited and shall be submitted with an
  application for licensure reinstatement.
  4. The fee for reinstatement of a license pursuant to
  § 54.1-2921 of the Code of Virginia shall be $2,000.
D. Other fees.
  1. The application fee for a traineeship shall be $25.
  2. The fee for a letter of good standing or verification to
  another state for licensure shall be $10; the fee for
  certification of grades to another jurisdiction shall be $25.
  3. The fee for a returned check shall be $25.
  4. The fee for a duplicate license shall be $5, and the fee for
  a duplicate wall certificate shall be $15.
        VA.R. Doc. No. R02-145; Filed November 6, 2002, 11:20 a.m.




Volume 19, Issue 6                                       Virginia Register of Regulations        Monday, December 2, 2002

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