Friday, March 23, 2012

HB 137 2/28/2012 Update

Read this update from Charles Coulston on HB 137 that supports the creation of a state licensing Board for nuclear medicine technologists and other related healthcare professionals in the state of Kentucky.


KY Board of Medical Imaging & Radiation Therapy

The proposed licensure board to replace the current technologist licensure program in Kentucky has successfully passed from the House Health and Welfare Committee through the entire House with only small changes to the original proposal.  None of these changes affects the organization or functions of the licensure board.  Many thanks to Representative John Will Stacy who sponsored and introduced the bill to the House.  Now it is on to the Senate committee and then to the entire Senate for passage. 

At present, those who are working closely with this bill are looking for a Senator who will sponsor the bill to that part of the legislature.   It looks as though we may have a sponsor in Senator Julie Denton who is also a dental hygienist that recognizes the importance of self-oversight by technologists.

You may read the text of the legislation at http://www.lrc.ky.gov/record/12RS/HB137.htm (click on the HB 137 hotlink to read the entire bill).

Radiographer certification has been a fact of life in KY since 1978 – a very progressive move for that time.  In 2007, the KAR (KY Administrative Regulations) were revised to include NMTs and RT(T)s.  A 2011attempt to pass the current proposal was unsuccessful.

At 8000 certificates, we are the 3rd largest group of health professionals in KY (following RNs and MDs).  The breakdown is as follows:
Radiographers ………….…5,900
NMTs ……………….……….545
Radiation Therapists …….….237
Limited Operators ………...1,070
Temporary Licensees ……….400
Other smaller groups such as Respiratory Care, Occupational Therapy, Physical Therapists as well as Barbers and Auctioneers must have a license to practice or work in KY.  It seemed to be the right to make the move to independent oversight of our work, our education, our practice standards, and to take on the discipline of those who decide not to abide by our standards.

With the public attention on radiation exposure from medical imaging and other sources, we need a stronger and authoritative organization to make sure that qualified individuals are the ones practicing medical imaging and therapy in KY.  Mirroring other medically oriented groups, we have proposed a 9-person board with an executive director and clerical staff to perform this work.  With the expansion of fusion imaging in PET-CT, SPECT-CT and the advent of PET-MRI among other new and innovative imaging methods not yet developed, it is hoped that this proposed structure can respond more quickly to the changes in national standards regarding who is qualified to operate new technologies.

Of course fees are going to increase.  Our current fee structure is among the least costly of any certification in KY.  What the ad hoc group has heard all through this process is that fees are going up whether our organizational structure changes or not.  We are hoping that the new structure will be able to represent and respond to our professional needs in a way that the current structure cannot and that there will be value added for each of us by whatever the new fees are through the work of this board. 

While I worked with the development of the legislation, those who have continued to shepherd this proposal through the legislative process are Andrea Cornuelle, NKU Radiography program; Jackie Darling, MSU Radiologic Sciences program, Dewey Crawford, BCTC NMT program and formerly of the Radiation Health Branch (retired) among others.  A great deal of thanks goes to all of you, those rank-and-file technologists who lent their support to this process by calling their representatives asking for support of this board.  Andrea said that she overheard representatives talk about receiving enthusiastic support from constituents for this legislation.  (Also thanks to Andrea for much of the factual information contained in this article.  It would not have been nearly so coherent without the material she has been presenting to make our case.)

Those of you who receive email from me will be getting some more when it is time to start to call our Senators.  Please watch for it and give it your support. 

Charles H Coulston, MSEd, CNMT, ARRT(N)(R)
Lexington KY

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