CARE Act H.R. 1214 Rad CARE Act S. 1197 Presentation Prepared by the Society of Nuclear Medicine Technologist Section Government Relations Subcommittee. What is CARE & Rad CARE ?.
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CARE ActH.R. 1214RadCARE ActS. 1197Presentation Prepared by the Society of Nuclear Medicine Technologist SectionGovernment Relations Subcommittee
The CAREAct and the RadCARE Act are proposed legislation in the House and Senate which will require that every state enact a program of minimum standards for the education and certification of Radiologic and Nuclear Medicine Technologists as well as
“it is unlawful for an individual in the State to intentionallyadminister or plan medical imagingprocedures or radiation therapy proceduresto or foranother individual for medical or chiropracticpurposes unless the individual has obtained from the State a license, certificate, or other document that authorizes the individual to administer or plan such procedures in the State (referred to in this section as a `medical radiation license\').”
The CAREAct (H.R.1214) is a bill which was introduced in the US House of Representatives by Representative Heather Wilson (R-NM) on March 11, 2003.
The RadCAREAct (S.1197) is a virtually identical bill which was introduced in the US Senate by Senator Mike Enzi
(R-WY) on June 3, 2003.
The CAREAct would require that in order for nuclear medicine and other diagnostic imaging and radiation therapy procedures to be eligible for Medicaid payments, they must be performed by licensed individuals who have met the federal minimum standards for education
The CARE Act is designed to amend the Consumer-Patient Radiation Health and Safety Act of 1981 (“Randolph Bill”). This law establishedminimum education and certification standards of radiologic technologists. However, compliance was voluntary.
There was no mechanism attached to the Consumer Patient Radiation Health and Safety Act for enforcing this law.
Several states did pursue licensure,
but many did not.
There are currently noregulations governing the education and/or competence of imaging/therapy personnel
(2 jurisdictions with pending regulations for NMTs)
Pending NMT licensure
No NMT licensure
Alaska Alabama Colorado Connecticut
Georgia Idaho Iowa Indiana
Kansas* Kentucky Michigan Missouri
Minnesota Montana Nevada New Hampshire
New York* North Carolina North Dakota Oklahoma
Oregon Pennsylvania Puerto Rico South Carolina
South Dakota Tennessee Virginia West Virginia
Wisconsin District of Columbia
**Arizona & South Carolina licensure effective 2004
*New York and Kansas have licensure bills pending
The CAREAct links
Medicaid reimbursement with
licensure. This will give
the necessary “teeth”
which will require compliance
at the state level.
*Not including ultrasound and echocardiography
Health care quality depends upon adequately trained professional caregivers. In many states, nuclear medicine technologists are not
required to maintain certification or possess a license to administer/dispense radiopharmaceuticals and operate imaging equipment.
The SNMTS and ASRT are founding members of the Alliance for Quality Medical Imaging and Radiation Therapy.
Presently, the Alliance is comprised of 17 organizations representing diagnostic imaging and radiation therapy, dedicated to the provision of safe, high-quality radiologic care.
This Alliance is progressively growing.
The Alliance members agree that
the personnel who perform medical imaging procedures as well as plan and deliver radiation therapy treatments should be required to demonstrate competency in their area of practice.
This Coalition represents over 250,000 allied health professionals in thirteen disciplines in the field of Diagnostic Imaging and Radiation Therapy.
...and the list is growing
AL (Bachus) NC (Price, Watt)
AR (Berry, Ross) ND (Pomeroy)
AZ (Grijalva, Hayworth) NE (Osborne, Terry)
CA (Eshoo) NJ (Pallone, Payne)
CT (Larson) NY (Engel, Israel, King, McCarthy,
IL (Gutierrez, Lipinski Walsh)
Rush, Shimkus) OR (Blumenauer, Hooley)
IN (Burton, Visclosky) PA (Doyle)
MA (Frank, Markey) TN (Cooper, Davis, Duncan, Gordon,
MD (Van Hollen, Wynn) Tanner, Wamp)
MI (Conyers, Kildee, VA (Cantor)
Knollenburg) WA (Dicks, Inslee, Nethercutt, George)
MO (Clay, Emerson) WI (Baldwin)
MN (Peterson, Sabo)
RadCARE Act to the Senate on June 3, 2003.
Sen. Ted Kennedy (D-MA)
Sen. Tom Daschle (D-SD)
Sen. Frank Lautenberg (D-NJ)
Sen. Byron Dorgan (D-ND)
Sen. James Jeffords (I-VT)
“When it comes right down to it, it’s a big enough battle to fight the cancers or the injuries to our bodies that require such invasive treatments or diagnosis. We shouldn’t have to worry about the level of competence of those who are providing us with the services we so desperately require for the maintenance of our health.”
Health care quality depends upon adequately trained professional caregivers.
In many states:
to plan, administer, dispense or treat patients
It depends upon your state laws. State licensure laws that do
not meet the minimum
standards of the CAREAct
will need to be revised.
It will take 2-4 years after passage of the CAREAct for states to implement licensure.
It is possible that state licensing boards will require an annual fee. The benefits of professional licensure, however, outweigh the nominal costs.
Write to your representatives in both the:
Congress and Senate