TMB Proposes Harmful Radiology Rule
Monday, February 4, 2019
Posted by: Erin Cusack
Update on Radiology Rule (as of 2.11.19)
On January 25, the Texas Medical Board (TMB) proposed a new radiology rule, §193.21, that would have dramatically impacted the practice of APRNs in Texas across all settings – from hospitals in urban areas to the most remote rural clinics. Last week, we made an urgent call to action to our Members and youd heard that call. Thanks to hundreds of emails from you and other nursing organizations, the Texas Medical Board has decided to postpone adoption of this rule until the Spring and will be putting together a stakeholder group to help develop and propose new radiology rules. TNP, as well as members of the APRN Alliance, have already been invited to participate in the stakeholder group.
What did proposed rule §193.21 say, and how would it impact you? On 1/25, TMB proposed the following rule language: “the following acts have been determined to be the practice of medicine under the authority of the Act, §157.001(b)(1), and cannot be delegated to a midlevel provider, certified radiological technologist (MRT and LMRT), or non-certified radiological technologist (NCT):
(1) the reading and interpretation of the radiological studies; and
(2) rendering a diagnosis based on the radiological studies.
Nurse Practitioners regularly use radiological images for everything from ultrasounds and chest x-rays to broken bones, and their ability to do so is critical to providing timely patient care.
Even though the TMB has decided to postpone rule adoption until the Spring, we are still encouraging TNP Members to submit comment letters to the Board on how the proposed rule could impact your patients, your practice, and your facility. Comments can be emailed to firstname.lastname@example.org or mailed to Ms. Rita Chapin to P.O. Box 2018, Austin, Texas, 78768-2018.