Are Paramedics & EMTs Compliant with ACR Contrast Media Supervision Requirements in Medical Imaging?

This article delves into the complexities of using Paramedics and EMTs for contrast supervision in MRI and CT imaging, particularly in Independent Diagnostic Testing Facilities (IDTFs). It scrutinizes the alignment of their roles with regulations set by the Texas Medical Board, CMS, ACR, and ASRT. Highlighting gaps in EMTs' training and certification, the article addresses the risks of non-compliance, including legal, financial, and reputational consequences.

Tether Supervision

Nov 27, 2024

Legal & Regulatory

Introduction

In MRI and CT imaging centers, particularly Independent Diagnostic Testing Facilities (IDTFs), there are a number of questions around employing Parametrics & Emergency Medical Technicians (EMTs) for direct contrast supervision. Direct supervision is commonly understood to require a qualified professional who is physically present and immediately available to provide guidance, assistance, oversight, or intervention during the performance of contrast administration. But, the nuances of this requirement are often misunderstood.

Utilizing Paramedics and EMTs to provide this supervision, while operationally convenient, raises significant questions regarding regulatory compliance. The deployment of Paramedics & EMTs in roles traditionally reserved for more highly qualified medical personnel is likely to conflict with these legal and regulatory frameworks.

This article aims to delve into the intricate legal implications of such staffing decisions, scrutinizing whether the use of EMTs and/or Paramedics align with or contravenes the established standards. The central thesis we explore is the potential non-compliance risk that imaging centers might face when Paramedics or EMTs are assigned supervisory duties, a decision that could have far-reaching consequences in terms of legal and ethical medical practice.‍

The Role of EMTs and Paramedics in Imaging Centers

In the context of imaging centers, Emergency Medical Technicians (EMTs) and Paramedics are often tasked with a range of responsibilities that primarily center around basic patient care and emergency response. Their duties typically include monitoring vital signs, providing basic life support, and assisting with patient mobility and comfort. EMTs and Paramedics are trained to handle acute medical situations, which makes them valuable in settings where patient health can rapidly change. However, their training does not extensively cover the specialized requirements and knowledge necessary for imaging procedures, but more importantly they are not compliant with the existing laws and regulations governing contrast supervision. .

Overview of Relevant Regulations and Laws

For the use of contrast media, adherence to strict regulatory standards and guidelines is paramount. These standards are designed to ensure patient safety and the efficacy of imaging procedures. The qualifications for personnel supervising contrast media administration are outlined by various regulatory and professional bodies, including the Texas Medical Board, Federal Medicare regulations under CMS guidelines, the American College of Radiology (ACR), and the American Society of Radiologic Technologists (ASRT).

Texas Medical Board Regulations: The Texas Medical Board outlines strict requirements for medical practices within the state. These regulations require that procedures involving contrast media be overseen by licensed medical professionals with specific training and qualifications. Paramedics and EMTs, while highly trained in emergency care, typically do not possess the specialized training in radiology or contrast media administration expected by these regulations.

Federal Medicare Regulations and CMS Guidelines: Medicare regulations and CMS (Centers for Medicare & Medicaid Services) guidelines stipulate specific standards for healthcare providers to receive Medicare reimbursement. These standards often include requirements for physician supervision, particularly for procedures involving contrast media. These regulations are designed to ensure patient safety and high-quality care. The qualifications of paramedics and EMTs generally do not meet the criteria set forth for these types of procedures under Medicare guidelines.
American College of Radiology (ACR) Guidelines: The ACR is a key authority in setting standards for radiological practices. In their recent update on CT and MRI Accreditation Contrast Media Supervision Requirements, the ACR emphasizes the need for qualified physicians to supervise contrast media administration. This is due to the potential risks and complications associated with contrast media, requiring a level of medical knowledge and immediate response capability that goes beyond the scope of EMT or paramedic training.
American Society of Radiologic Technologists (ASRT) Standards: ASRT standards support the use of qualified radiologic technologists and appropriately trained medical personnel in the administration of contrast media. These standards are designed to ensure that those handling contrast media have a comprehensive understanding of radiological procedures, patient safety, and the specific use of contrast agents. EMTs and paramedics typically do not have this specialized radiologic training.

Essentially, there are three reasons that EMTs and Paramedics are non-compliant.

EMT and Paramedics' Training and Certifications: Emergency Medical Technicians (EMTs) and paramedics are trained primarily for emergency care in pre-hospital settings. Their expertise lies in providing acute medical care and life support, which, while critical, does not encompass the specialized knowledge required for supervising the use of contrast media in imaging procedures.
Alignment with Regulatory Requirements: The Texas Medical Board and Federal Medicare regulations, including CMS guidelines, often necessitate individuals in supervisory roles to have advanced medical training, particularly in radiology and contrast media use. These regulations are designed to ensure that those overseeing imaging procedures have a comprehensive understanding of the complexities involved, including potential contrast media reactions and their management. EMTs and paramedics, despite their valuable training, may not fulfill these specific regulatory requirements.
Gaps in Training or Scope: The scope of practice for EMTs and paramedics is distinct from the requirements for imaging center supervision. This includes a lack of specific training in radiologic technology, understanding contrast media reactions, and the technicalities of MRI and CT scans. Adherence to ACR guidelines and ASRT standards necessitates a level of expertise beyond the scope of EMTs and paramedics. These gaps in training and scope could lead to non-compliance with the stringent standards set by regulatory bodies, potentially compromising patient safety and imaging center compliance.

While EMTs and Paramedics are indispensable in their field, their training and scope of practice do not align with the specialized requirements for supervising contrast media administration in medical imaging settings. This misalignment could lead to potential risks in patient safety and regulatory compliance.

Risks of Non-Compliance

Non-compliance with the stringent standards set by regulatory bodies in the medical imaging field can lead to significant legal, financial, and reputational risks for healthcare facilities. Understanding these risks is crucial for maintaining the integrity and trustworthiness of medical services.

Legal Risks: Non-compliance can result in legal repercussions, including lawsuits and legal actions from patients or regulatory bodies. If a patient suffers adverse effects due to improper supervision or handling of contrast media, the facility and its staff could face legal liabilities. These legal challenges not only result in potential financial losses due to settlements or fines but also consume valuable time and resources.

Financial Risks: Financial penalties for non-compliance can be substantial. Regulatory bodies like the Centers for Medicare & Medicaid Services (CMS) and the American College of Radiology (ACR) may impose hefty fines on facilities that fail to adhere to their guidelines. Additionally, non-compliance can lead to the loss of accreditation, which is critical for reimbursement from insurance providers, including Medicare and Medicaid. This loss can severely impact a facility's revenue stream and financial stability.

Reputational Risks: The reputational damage from non-compliance can be long-lasting and more damaging than immediate legal or financial consequences. Healthcare facilities rely on their reputation for high-quality and compliant care to attract and retain patients. Non-compliance incidents can erode public trust, leading to a decrease in patient volume and a tarnished reputation in the medical community.

Case Studies or Real-World Examples

In recent years, there have been instances where healthcare facilities have faced compliance issues due to employing Emergency Medical Technicians (EMTs) and Paramedics in roles that require specialized knowledge in medical imaging.

For example, a medical center in Texas faced significant challenges when it was discovered that EMTs were used to supervise contrast media administration. This practice was in direct violation of the American College of Radiology's (ACR) guidelines, which require individuals with specific radiological training for such roles.

The outcome for this facility was severe. They faced substantial fines and were subjected to a rigorous compliance review by the Texas Medical Board. Additionally, the facility's accreditation with key medical bodies was put under scrutiny, leading to a temporary suspension. This not only resulted in financial losses but also affected the facility's reputation, leading to a decline in patient trust and confidence.

Another example involves a clinic that utilized EMTs for MRI and CT scan supervision. This led to a mismanagement incident where a patient had an adverse reaction to the contrast media, and the EMTs on duty were not equipped to handle the situation appropriately. The clinic faced legal action from the patient's family, hefty fines, and a mandatory overhaul of its operational protocols to ensure compliance with federal and state regulations.

Solutions and Best Practices

To avoid such compliance issues, healthcare facilities should:

Conduct Regular Audits: Regularly audit practices and procedures to ensure they align with current regulatory standards.
Staff Training and Certification: Ensure all staff, especially those involved in medical imaging, are appropriately trained and certified according to the ACR and other relevant bodies.
Consult Legal and Compliance Experts: Regularly consult with legal and compliance experts to stay updated on evolving regulations and standards.
Develop a Compliance-Oriented Culture: Foster a culture where compliance is a top priority, and staff are encouraged to stay informed and compliant with all regulations.
Implement a Transition Plan: For facilities currently utilizing non-compliant practices, develop a structured plan to transition to compliant practices, including hiring qualified personnel and retraining existing staff.

Conclusion

The use of EMTs in roles not aligning with regulatory standards in medical imaging can lead to significant legal, financial, and reputational risks. The case studies highlighted exemplify the serious repercussions facilities can face. Ensuring compliance with guidelines set by bodies like the ACR, CMS, and state medical boards is not just a regulatory requirement but a critical aspect of patient safety and care quality. Healthcare facilities must proactively adopt best practices, invest in proper training and certifications, and regularly review their compliance status to uphold the highest standards in medical imaging and patient care.

In addressing these compliance challenges, Tether Supervision stands as an exemplary solution. Our team of highly qualified, board-certified radiologists and physicians are specifically trained in the administration and supervision of contrast media in accordance with the latest ACR, CMS, and state regulatory guidelines. By partnering with us, healthcare facilities can mitigate the risks associated with non-compliance. We offer comprehensive services that include not only staffing with the appropriately trained professionals but also ongoing support and guidance to ensure that your facility remains compliant. With Tether Supervision, facilities can focus on providing top-notch patient care, confident in the knowledge that their contrast supervision needs are being met with the highest standards of compliance and expertise.

Take the uncertainty out of contrast supervision.

We’ll support your team every step of the way, from onboarding and training to live supervision and ongoing quality improvement.

Schedule a call

Take the uncertainty out of contrast supervision.

We’ll support your team every step of the way, from onboarding and training to live supervision and ongoing quality improvement.

Schedule a call

Take the uncertainty out of contrast supervision.

We’ll support your team every step of the way, from onboarding and training to live supervision and ongoing quality improvement.

Schedule a call

Tennessee Advances Amendment to X-Ray Rules to Modernize Contrast Supervision

On November 17, 2025, the Tennessee Board of Medical Examiners voted to approve a significant amendment to its X-ray supervision rules governing the use of contrast media. While the final regulatory text has not yet been published, the Board’s discussion and unanimous vote make the direction of the change clear.

The proposal first entered the Development Committee on September 19, 2025, where members began evaluating the need for a modernized supervision standard. Between September and November, the committee held discussions, gathered stakeholder input, reviewed training requirements, and ultimately advanced the amendment to the full Board for action. On November 17, 2025 the board unanimously passed that graduated Development Committee proposal.

A complete recording of the Board’s November 17 vote is available on the Tether Supervision YouTube channel here.

For imaging centers, radiology practices, and supervising physicians, this marks an important shift: Tennessee is preparing to modernize its supervision standards in a way that expands access, aligns with national policy, and maintains clinical safety.

What the Current Rule Says

Tenn. Comp. R. & Regs. 0880-05-.12:

(1) Before being authorized to perform any x-ray procedure or operate any x-ray equipment in a physician's office, the physician shall place a copy of the person's renewal certificate in the person's personnel file to prove the person being authorized has the appropriate certification required for either or both the procedure being performed and/or the equipment being used and that such certification is current.
(2) The employing physician(s), or a physician designated by the employing physician(s) as a substitute supervisor, shall exercise close supervision and assume full control and responsibility for the services provided by any person certified under this chapter of rules employed in the physician(s') practice. That supervision, control and responsibility, except when it involves contrast imaging or involves sedation, does not require the physical presence of the physician(s) at all times at the site where the services are being provided.
However, it does require that the physician(s) have his/her primary medical practice physically located within the boundaries of the state of Tennessee and that he/she be capable of being physically present at the site where the services are being provided within a reasonable time depending upon the type of x-ray being performed and the severity of the medical complications that may arise from that type of x-ray.

Under the current version of Tenn. Comp. R. & Regs. 0880-05-.12:

A physician does not need to be physically present to supervise most X-ray procedures.
But there are two exceptions:
- Contrast administration, and
- Sedation

These exceptions have historically required more restrictive, in-person supervision models.

What the Board Approved on November 17

Based on the transcript of the meeting, the Board approved an amendment that:

Updates the X-ray rules to address supervision for contrast administration.
The Board emphasized that the change is intended to increase access to care without compromising quality.
Allows contrast supervision to follow the same CMS supervision approach used for contrast X-ray procedures, rather than requiring physical presence.
Incorporates a training and competency framework, with explicit reference to ACLS and contrast-allergy-specific training requirements—an important safeguard the Board discussed in detail.
Applies not only to contrast supervision but also clarifies general supervision standards within this section of the rules.
Passed unanimously, with strong support from the Development Committee and no objections raised by the Board.

Once the final rule text is released, we will confirm the precise language. But the Board’s explanation makes the intent clear: Tennessee is embracing a modern, real-time model of supervision for contrast-enhanced imaging.

Why This Matters

1. Improved Access to Care

The Board underscored the need for greater flexibility, particularly for rural communities and high-volume centers that face staffing constraints. Updating the rule allows practices to staff more efficiently without sacrificing patient safety.

2. Alignment with Federal Policy

CMS has permanently authorized real-time audio-video technology to satisfy “direct supervision” requirements beginning January 1, 2026. Tennessee’s proposed amendment reflects this national shift.

3. Clearer Standards for Training and Safety

The Board highlighted the importance of formal training in managing contrast reactions and complications. This creates a consistent statewide expectation for technologists and supervising physicians.

4. A More Modern Framework for Imaging Centers

By moving away from rigid physical-presence requirements, Tennessee enables imaging centers to operate under a more efficient and predictable supervision model.

What Happens Next

The amendment now moves through Tennessee’s rulemaking process, including:

Finalization of the regulatory language
Filing with the Tennessee Secretary of State
Publication and effective date

As soon as the final text is published, we will provide a detailed analysis of:

Exact supervision requirements
Whether any location-based limitations remain
Technologist training expectations
Implementation timeline
Impact on hospital, outpatient, and mobile imaging providers

We Will Update This Article When the Final Rule Becomes Public

We will continue monitoring the Tennessee rulemaking process closely and will publish updates as more information becomes available. If you operate imaging centers in Tennessee or support supervision workflows, stay tuned—2026 may bring a more flexible, modern approach to contrast supervision statewide.

Summary of the article: California's AB 460 signed into law, allowing virtual direct supervision for contrast-enhanced imaging (CT/X-ray) starting January 1, 2026, aligning state law with CMS rules and improving access and operational efficiency while maintaining patient safety through required onsite licensed personnel and safety protocols.

CMS Finalizes 2026 PFS and OPPS Rules: Virtual Direct Supervision Becomes Permanent for Level 2 Diagnostic Tests

With two coordinated rules, the 2026 Medicare Physician Fee Schedule (PFS) Final Rule, issued October 31, 2025, and the 2026 Hospital Outpatient Prospective Payment System (OPPS) Final Rule, issued November 21, 2025, CMS has permanently authorized the use of real-time, two-way audio-video technology to meet “direct supervision” requirements for many diagnostic tests, including advanced imaging with contrast, across both office-based and hospital outpatient settings. These policies take effect January 1, 2026.

For imaging leaders, radiology groups, and hospital administrators, this is a structural change, one that reshapes how contrast-enhanced CT and MRI can be supervised, staffed, and scaled. For Tether Supervision, it further validates the model we were built for: safe, compliant virtual supervision paired with on-site support.

What CMS Means by Virtual Direct Supervision

Under both the PFS and OPPS rules, CMS maintains the classical definition of direct supervision: the supervising clinician must be immediately available to assist throughout the performance of the diagnostic test. What has changed is how that presence can be fulfilled. Beginning in 2026, immediate availability may be achieved via real-time, two-way, interactive audio and video. The connection must remain active and capable of supporting live intervention for the entire duration of the test. Audio-only communication does not satisfy the standard, and services associated with 010- and 090-day global surgical periods remain excluded due to safety and postoperative considerations.

This distinction is particularly relevant to advanced diagnostic imaging, where Level 2 tests such as CT with contrast and MRI with contrast have always required direct supervision. CMS’s updated rules mean that these contrast-enhanced studies can now be supervised virtually, provided the supervising radiologist or NPP maintains continuous, real-time audio-video availability and can interrupt other activities when needed.

The Role of State Law and Scope-of-Practice Requirements

Although the Medicare rules establish a federal baseline, CMS repeats in both the PFS and OPPS regulations that virtual direct supervision is permissible only where state law allows—or does not explicitly prohibit—remote supervision. Many states are modernizing radiologic technologist scope-of-practice statutes to align with contemporary imaging workflows, but others maintain legacy supervision frameworks or remain ambiguous regarding virtual supervision in contrast studies. Imaging centers, radiology groups, and health systems therefore must reconcile three layers of policy: CMS reimbursement rules, state practice acts and board guidance, and internal medical staff bylaws and privileging standards.

Because contrast administration often triggers specific state-level requirements around competency, escalation, and adverse reaction management, a careful review of state rules remains necessary even after CMS’s 2026 changes. A compliant virtual supervision program is one that satisfies Medicare’s technology requirements and state-based supervision constraints simultaneously.

Operational and Clinical Implications for Imaging Centers

For imaging leaders, these changes have immediate implications for staffing, coverage models, and workflow design. Virtual direct supervision allows a supervising radiologist to remain “immediately available” without being physically located in the imaging suite, enabling new models of multi-site coverage—particularly valuable in rural and underserved regions where securing on-site supervision has historically been challenging. Hospitals and health systems may now design hybrid models that combine qualified on-site technologists or nurses with a remotely available supervising physician, increasing the reliability of coverage while reducing staffing inefficiencies.

This shift places greater emphasis on training for on-site personnel, who must recognize and escalate adverse reactions, execute protocol adjustments under supervision, and operate within state scope-of-practice boundaries. It also requires imaging organizations to evaluate their technology infrastructure. Real-time audio-video capability must be HIPAA-compliant, stable, and documented. Audit trails—who supervised, when, and under which circumstances—become central to both compliance and risk management. Quality assurance programs will increasingly track response times, contrast reaction management, and adherence to virtual supervision protocols as part of continuous oversight.

Why This Matters for Contrast-Enhanced CT and MRI

Advanced imaging with contrast often represents the most operationally complex portion of outpatient radiology. These Level 2 diagnostic tests require oversight from a radiologist or qualified NPP who is immediately available to intervene should patient status change. By making virtual direct supervision permanent, CMS is aligning supervision standards with the realities of modern imaging: distributed networks, uneven geographic supply of radiologists, and rising demand for high-acuity diagnostic studies.

Virtual direct supervision offers imaging centers the ability to stabilize coverage, improve scheduling flexibility, reduce delays, and ensure that Medicare beneficiaries receive timely access to imaging—even when in-person supervision is not feasible. As a result, patients benefit from shorter wait times and more consistent quality of care across locations.

How Tether Supervision Supports Compliance and High Reliability

Tether Supervision was built for the workflows CMS has now formally recognized. Our platform—and the broader Tether model—supports real-time, HIPAA-compliant audio-video supervision that satisfies Medicare’s direct supervision requirements while integrating seamlessly with on-site technologists. We help clients align federal regulations with state laws, update internal supervision policies, and train teams to confidently operate under virtual supervision conditions. Because our model includes both virtual and on-site coverage when required, imaging centers can adapt to state variations and mixed-site footprints without the fragmentation seen in single-mode vendors.

Beyond compliance, Tether provides structured escalation pathways, incident reporting tools, and QA frameworks designed specifically for contrast-enhanced imaging. These systems allow organizations to demonstrate reliability and readiness—key considerations for hospital leadership, accreditation bodies, and regulatory reviewers.

Key Dates and What’s Next

The two foundational dates for imaging organizations planning 2026 operations are:

October 31, 2025 – CMS finalizes the PFS rule making virtual direct supervision permanent for Level 2 diagnostic tests in physician offices and IDTFs.
November 21, 2025 – CMS finalizes the OPPS rule extending the same virtual supervision standards to hospital outpatient departments, including off-campus provider-based departments.
January 1, 2026 – Both rules take effect, formally integrating virtual direct supervision into Medicare’s standard supervision framework.

Together, these changes mark a decisive shift toward modernized supervision in diagnostic imaging. For health systems preparing for 2026, the focus now turns to updating policies, aligning state law interpretations, credentialing supervising clinicians accordingly, configuring compliant A/V technology, and preparing on-site teams to operate confidently within virtual supervision workflows.

Tether Supervision will continue supporting organizations as they adopt these new standards, ensuring that patient safety, regulatory compliance, and operational efficiency remain at the forefront in this next era of contrast imaging supervision.

Virtual Supervision Officially Recognized in California — AB 460 Signed Into Law

‍October 7, 2025, marks a milestone for California radiology.

Governor Gavin Newsom has officially signed Assembly Bill 460 (AB 460) into law, modernizing the state’s definition of “direct supervision” for contrast-enhanced imaging procedures.

Beginning January 1, 2026, radiologists in California will be able to meet supervision requirements either in person or remotely via real-time audio and video, with full access to imaging records and the ability to direct licensed onsite personnel.

This marks the first time California has formally recognized virtual supervision as an equivalent, compliant form of direct oversight for contrast-enhanced CT and similar procedures — aligning state policy with existing Centers for Medicare & Medicaid Services (CMS) rules that have been in place since 2020.

What AB 460 Changes

For decades, California required supervising physicians to be physically present within the facility whenever contrast was administered by a technologist — a rule that limited flexibility and often constrained access to care, particularly in rural or multi-site imaging settings.

AB 460 updates this outdated framework by allowing:

Virtual direct supervision: Radiologists may now provide real-time oversight via secure audio/video communication (excluding audio-only).
Immediate availability: The supervising physician must remain available to intervene or direct onsite personnel if needed.
Access to imaging records: Physicians must have immediate access to the relevant imaging information to inform their supervision.

Key compliance detail: When supervision is provided remotely, facilities must have:

Written safety protocols for contrast administration and emergencies, and
Onsite licensed personnel — a physician, registered nurse (RN), nurse practitioner (NP), clinical nurse specialist (CNS), or physician assistant (PA) — available to respond at the physician’s direction.

This onsite requirement must be reflected in both protocol documentation and staffing models for compliance.

Why AB 460 Matters for Imaging Centers

AB 460 represents a transformative update for outpatient imaging and radiology operations.

1. Expands Access to Care: For rural and community-based imaging centers, the ability to leverage virtual supervision ensures patients can access contrast-enhanced exams without delays or rescheduling due to radiologist availability.

2. Strengthens Patient Safety: By requiring trained onsite clinicians and standardized emergency protocols, the new law maintains — and in many cases, enhances — safety standards while enabling modern, technology-driven workflows.

3. Aligns with CMS Policy: CMS has recognized virtual direct supervision for diagnostic testing and incident-to services since 2020. AB 460 finally brings California’s Health & Safety Code into alignment with these federal standards, eliminating the compliance tension between state and federal definitions.

4. Reduces Operational Bottlenecks: Facilities can now scale coverage across multiple sites more efficiently, improving scheduling flexibility and optimizing radiologist workloads — without sacrificing oversight or compliance.

Tether Supervision’s Role in the Legislative Process

Tether Supervision closely tracked and contributed to AB 460 from its early drafts through final passage.

Our policy and operations team submitted written feedback and recommendations that helped refine the bill’s language — including clarifying the scope of virtual supervision and the requirements for onsite clinical responders.

We also worked alongside imaging leaders and advocacy groups to ensure the legislation supports:

Equitable access for small, rural, and independent imaging centers
Clarity for radiologists and administrators designing compliant workflows
Consistency with federal CMS and ACR standards

AB 460’s final language reflects a balance between safety, access, and operational practicality — the same balance that underpins Tether’s supervision model.

Preparing for Implementation: What Centers Should Do Now

With the law set to take effect on January 1, 2026, imaging centers should begin preparing their infrastructure, documentation, and staff training now.

Tether recommends:

Reviewing current supervision protocols to identify areas that require revision for compliance under AB 460.
Updating written procedures to incorporate virtual oversight workflows, including contrast reaction escalation and documentation standards.
Verifying onsite coverage — ensure licensed personnel are consistently available to respond during remote supervision.
Implementing HIPAA-compliant AV technology capable of supporting real-time communication and record access.
Training technologists and onsite staff on the new expectations for communication and escalation under virtual oversight.

Tether provides direct guidance and implementation support to imaging centers navigating this process, ensuring a smooth transition that’s fully compliant by 2026.

A Win for Radiology — and for Patients

AB 460 is more than a policy win. It’s a signal that California is ready to modernize supervision and embrace the proven safety and efficiency of virtual radiology oversight.

For imaging centers, it means fewer delays, more flexibility, and broader patient access.
For radiologists, it means a sustainable, scalable model for coverage.
For patients, it means timely, high-quality care delivered where and when it’s needed most.

At Tether Supervision, we’re proud to have supported this effort and remain committed to helping imaging centers translate legislation into safe, compliant, real-world practice.

We’re here to help your center prepare for implementation in 2026 — and lead confidently through the transition.

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