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AB 460 (Chen): Expanding Radiology Access
CRS is pleased to sponsor AB 460 (Chen), which makes a narrow but important modernization to California’s radiology supervision laws. Using real-time audio and video technology, the bill allows supervising physicians to remotely monitor radiological technologists, performing contrast injections, rather than being physically onsite. This change brings California into alignment with federal CMS standards and reflects today’s telehealth capabilities.
Crucially, all patient-safety safeguards remain intact: qualified personnel must still be onsite, and facilities are required to follow established protocols for managing adverse events. Compliance is overseen by existing CDPH inspection authority, with no additional regulatory costs or changes to who may perform procedures. The measure aims to improve access to radiologic services in rural and underserved areas without compromising quality or safety. After numerous discussions with the CA Department of Public Health, CRS developed language to address concerns by the Department to ensure only the appropriate personnel are onsite when a radiologist is not. The bill is currently on the Governor’s desk awaiting signature.
The Good and the Bad: AI Legislation
Not all AI legislation is created equal.
With well over 20 individual pieces of legislation on AI, CRS remains actively engaged in those specific bills impacting health care. The good: AB 489 (Bonta); this measure supports innovation while safeguarding patients. It encourages the integration of AI tools that enhance diagnostic accuracy and timeliness, helping radiologists deliver better care. It is currently on the Governor’s desk awaiting signature.
The (very) Bad: AB 1018 (Bauer Kahan); this bill imposes overly broad regulations that risk slowing the adoption of AI in imaging. Duplicative oversight, costly compliance mandates, and audits by unregulated third-party entities could drain resources from clinical services and drive-up healthcare costs. CRS has been working with a strong health care coalition (providers, health plans, and hospitals) and meeting with legislators to explain why this is poor legislation. Fortunately, AB 1018 was held on the Senate Floor as a two-year bill and will not be considered for the remainder of the year. The bill is not dead however so we will remain engaged to ensure the harmful provisions are removed or the bill does not move.
Our association continues to advocate for balanced legislation that expands access to care, embraces innovation, and protects patient safety. Bills like AB 460 demonstrate how policy can modernize outdated rules while safeguarding standards. On AI, the goal remains clear: welcome transformative tools but ensure human expertise and patient trust remain at the center of medical care.
In the End
CRS remains actively engaged on many bills impacting radiology and healthcare and has negotiated agreements on several bills, including AB 849 which initially would have required an opt out policy for medical chaperones during sonograms, to mitigate or eliminate potential harm.
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