AB 460 · In effect since January 1, 2026

AB 460 Virtual Contrast Supervision in California, Compliant From Day One

AB 460 Virtual Contrast Supervision in California, Compliant From Day One

AB 460 Virtual Contrast Supervision in California, Compliant From Day One

California wrote virtual supervision into law. Tether was built to it. Most facilities are live within weeks.

California wrote virtual supervision into law. Tether was built to it. Most facilities are live within weeks.

Virtual supervision available

California coastline
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Site Hours of Supervision

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Physicians & Radiologists

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Centers Supervised

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Median Response Time

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Missed Reactions

AB 460 opened the door. Most centers have not walked through it.

Since January 1, 2026, California imaging centers have been able to supervise contrast studies virtually. The centers that moved first stopped rationing contrast slots, stopped rescheduling patients, and started taking same-day add-ons that used to go to a competitor. In a market this tight, the center that can scan today keeps the referral. Tether gets you compliant and live in weeks, with the on-site personnel verification, technologist competency documentation, and imaging record access AB 460 requires already handled.

What changes when coverage is never the question

Stop rescheduling contrast patients

Grow volume without growing payroll

Technologists who walk in ready

Audit-ready without the paperwork

Live in weeks, not quarters

From first call to first supervised scan

Step one — the twenty-minute call

We scope your sites, modalities, operating hours, and current coverage. You get a straight answer on what your program looks like and what it costs, usually before we hang up.

Step two — we prepare your center

Hardware deployment, physician credentialing and state licensure, technologist training, reaction kit placement, and your supervision documentation. Setup is our job, not yours.

Step three — one button, seconds to a physician

Your technologist presses once and reaches a credentialed physician. Sessions document themselves. You get monthly QA summaries and a partner watching your state's rules.

Serving imaging centers across California

California coastline

Los Angeles

San Diego

San Jose

San Francisco

Fresno

Sacramento

Long Beach

Bakersfield

Riverside

Anaheim

Los Angeles and Orange County, the Bay Area, San Diego, the Inland Empire, the Central Valley, and rural Northern California

Where California stands

AB 460 amended Health and Safety Code Section 106985 effective January 1, 2026 to permit a certified radiologic technologist to administer contrast under a physician supervising by real-time audio and video, with imaging record access and defined on-site personnel present. Tether's onboarding verifies every condition.

Important note

This page is provided for general informational purposes and does not constitute legal advice. Supervision requirements vary by facility type, license category, modality, and payer and accreditation requirements, and they change over time. Facilities should confirm applicable requirements with their own counsel.

Everything a contrast program needs, from one partner

Everything a contrast program needs, from one partner

Virtual Contrast Supervision

A board-certified physician on every contrast-enhanced CT and MRI, reached in a median of under 23 seconds, on a HIPAA-compliant platform built for contrast rather than borrowed from video conferencing.

Virtual Contrast Supervision

A board-certified physician on every contrast-enhanced CT and MRI, reached in a median of under 23 seconds, on a HIPAA-compliant platform built for contrast rather than borrowed from video conferencing.

On-Site Supervision

Credentialed physicians, nurses, and advanced practice providers in your building for coverage gaps, seasonal peaks, or state requirements. Same standard, same documentation.

On-Site Supervision

Credentialed physicians, nurses, and advanced practice providers in your building for coverage gaps, seasonal peaks, or state requirements. Same standard, same documentation.

Technologist Training

Hands-on education in contrast administration and reaction recognition, including our Advanced Contrast Management Series with the ASRT. Your technologists know what to do before they need to.

Technologist Training

Hands-on education in contrast administration and reaction recognition, including our Advanced Contrast Management Series with the ASRT. Your technologists know what to do before they need to.

Contrast Reaction Medical Kits

Pre-assembled, standardized emergency kits so every site stocks identical drugs and equipment, inventoried and current rather than assumed.

Contrast Reaction Medical Kits

Pre-assembled, standardized emergency kits so every site stocks identical drugs and equipment, inventoried and current rather than assumed.

24/7 Post-Reaction Hotline

A physician to call after a contrast reaction, any hour, from any site in your network. Because the hard part is not always the event itself.

24/7 Post-Reaction Hotline

A physician to call after a contrast reaction, any hour, from any site in your network. Because the hard part is not always the event itself.

Questions we get from California imaging centers

Questions we get from California imaging centers

Is virtual contrast supervision allowed in California?

How fast does a Tether physician actually respond?

Do we need clinical staff on site in California?

How quickly can we go live in California?

Do you cover imaging centers outside Los Angeles?

What do we get besides the supervision itself?

Twenty minutes to a contrast program that holds

Book a twenty-minute call. We will scope your sites and operating hours and tell you exactly what your program looks like, what it costs, and how fast you can be live. Most facilities are running within weeks. Call +1 (832) 974-0401 or email info@tethersupervision.com.