201 KAR 46:040. Medical imaging technologist, advanced imaging professional, radiographer, nuclear medicine technologist, and radiation therapist licenses.

 

      RELATES TO: KRS 311B.020, 311B.050, 311B.080, 311B.100(2), 311B.110, 311B.120, 311B.180, 311B.190

      STATUTORY AUTHORITY: KRS 311B.050, 311B.080, 311B.100(2), 311B.110

      NECESSITY, FUNCTION, AND CONFORMITY: KRS 311B.050 requires the Board of Medical Imaging and Radiation Therapy to promulgate administrative regulations to establish the procedures for the issuance and renewal of a license. KRS 311B.100(2) and KRS 311B.110(6) require the board to promulgate administrative regulations to establish the qualifications for an advanced imaging professional, a medical imaging technologist, a radiographer, a radiation therapist, and a nuclear medicine technologist. KRS 311B.080 requires the board to recognize and enforce national practice standards and scopes of practice. This administrative regulation establishes uniform standards for the licensure of individuals who perform medical imaging and radiation therapy for diagnostic and therapeutic purposes while under the supervision of a licensed practitioner of the healing arts.

 

      Section 1. Applicability. This administrative regulation shall apply to individuals who perform medical imaging or radiation therapy for diagnostic medical imaging or therapeutic purposes while under the direct or indirect supervision of a licensed practitioner of the healing arts as specified by practice standards, by scope of practice, and in the ACR-AAPM Technical Standard For The Management Of The Use Of Radiation In Fluoroscopic Procedures as listed in Section 11 of this administrative regulation.

 

      Section 2. Eligibility for an Advanced Imaging Professional, a Medical Imaging Technologist, a Radiographer, a Radiation Therapist, and a Nuclear Medicine Technologist License. No person shall be eligible for a license pursuant to this administrative regulation for diagnostic imaging or therapeutic purposes unless the person has:

      (1) Satisfactorily passed the national examination administered by the American Registry of Radiologic Technologists or the Nuclear Medicine Technology Certification Board examination; and

      (2) Satisfactorily completed a program in radiography, nuclear medicine technology, radiation therapy, or advanced imaging practice that has achieved and maintained programmatic accreditation recognized by the board as described in 201 KAR 46:030.

 

      Section 3. Application for Initial License. (1) An applicant shall submit:

      (a) A completed and signed application KBMIRT Form 1;

      (b) A non-refundable initial application and license fee as established by 201 KAR 46:020, Section 1;

      (c) The results of a criminal background check completed within the past six (6) months in state of residence and employment and any other state of residence and employment within the past five (5) years;

      (d) A copy of a government-issued photo ID;

      (e) Documentation of active registration or certification with the ARRT or NMTCB; and

      (f) Verification of graduation from a program accredited by the Joint Review Committee on Education in Radiologic Technology or the Joint Review Committee on Educational Programs in Nuclear Medicine Technology.

      (2) Notwithstanding subsection (1)(f) of this section, if a student enters a program not under probation, and the majority of the education program is completed under the accreditation required under 201 KAR 46:030, then the board may waive the accreditation standard as long as the graduate passes the American Registry of Radiologic Technologists (ARRT) examination on the first attempt.

 

      Section 4. The issued license shall identify the licensee as an advanced imaging professional, a medical imaging technologist, a radiographer, a radiation therapist, or a nuclear medicine technologist. The medical imaging technologist license shall also identify any ARRT or NMTCB disciplines awarded to the licensee.

 

      Section 5. The license shall expire annually on the last day of the licensee’s birth month.

 

      Section 6. Renewal of License. To renew a license, the licensee shall submit:

      (1) KBMIRT Form 2;

      (2) Verification of current active status with the ARRT or NMTCB; and

      (3) The renewal license fee as established by 201 KAR 46:020, Section 2.

 

      Section 7. Reinstatement of Lapsed License. (1) A licensee who has allowed the license to lapse for more than one (1) month but less than twelve (12) months is eligible to be reinstated upon submission of KBMIRT Form 2, documentation of twenty-four (24) hours of approved continuing education biennially, and the payment of reinstatement and renewal fees as established by 201 KAR 46:020, Sections 2 and 7.

      (2) A licensee whose license has lapsed for more than twelve (12) months shall submit:

      (a) Verification of current active status with the ARRT or NMTCB;

      (b) KBMIRT Form 1;

      (c) Continuing education KBMIRT Form 8, as incorporated by reference in 201 KAR 46:060, that documents twenty-four (24) hours of approved continuing education;

      (d) The non-refundable initial application and license fee as established by 201 KAR 46:020, Section 1;

      (e) The results of a criminal background check completed within the past six (6) months in state of residence and employment and any other state of residence and employment within the past five (5) years; and

      (f) A copy of a government-issued photo ID.

 

      Section 8. Temporary License. The board may, upon completion of Form KBMIRT 3, as incorporated by reference in 201 KAR 46:045, and payment of the fee established in 201 KAR 46:020, Section 3, issue a temporary license to an applicant who has successfully completed an approved course of study in radiography, nuclear medicine technology, radiation therapy, or an advanced imaging profession and meets the other requirements of 201 KAR 46:045 other than having taken the required examination. Temporary licenses shall be effective for one (1) year only and are not renewable.

 

      Section 9. Continuing Education Audit Process. (1) The board shall select a sample of licensees to audit for continuing education compliance.

      (2) The board shall send each licensee selected for audit a notification of audit.

      (3) Each licensee shall maintain his or her personal files such as certificates or records of credit from approved continuing education programs from the current biennium and immediate prior biennium.

      (4) A licensee selected for audit shall provide the board with a copy of his or her certificate or records of completion.

      (5) Failure to comply with an audit may result in non-renewal, suspension, or revocation of license.

 

      Section 10. Contrast Procedures. Only individuals holding a license pursuant to this administrative regulation shall perform diagnostic imaging or radiation therapy procedures regulated by KRS Chapter 311B at facilities where contrast studies are performed.

 

      Section 11. Practice Standards. Individuals licensed pursuant to this administrative regulation shall perform according to practice standards of the discipline for which they hold credentials, as established by the American Society of Radiologic Technologists (ASRT), the American College of Radiology (ACR), the American Association of Physicists in Medicine (AAPM), and the Society of Nuclear Medicine and Molecular Imaging (SNMMI) and incorporated by reference. These standards include the:

      (1) Radiography Practice Standards;

      (2) Nuclear Medicine Technologist Scope of Practice and Performance Standards;

      (3) Positron Emission Tomography (PET) Technologist Scope of Practice and Performance Standards;

      (4) Scope of Practice for the Nuclear Medicine Advanced Associate;

      (5) Radiation Therapy Practice Standards;

      (6) Bone Densitometry Practice Standards;

      (7) Cardiovascular Interventional Technology Practice Standards;

      (8) Computed Tomography Practice Standards;

      (9) Limited X-ray Machine Operator Practice Standards;

      (10) Mammography Practice Standards;

      (11) Radiologist Assistant Practice Standards;

      (12) ACR ASRT Joint-Policy Statement-Radiologist Assistant: Roles and Responsibilities; and

      (13) ACR-AAPM Technical Standard For Management Of The Use Of Radiation In Fluoroscopic Procedures.

 

      Section 12. CT Training for Nuclear Medicine Technologists and Radiation Therapists. Individuals who are licensed in the primary discipline of nuclear medicine or radiation therapy, are certified by the ARRT or NMTCB, and are seeking post-primary certification in computed tomography (CT) may work under the direct supervision of a licensed and certified CT technologist to gain clinical competency. An individual who wishes to complete clinical training in CT shall submit a Provisional License Application, as incorporated by reference in 201 KAR 46:050, which shall expire twenty-four (24) months from the date of issuance.

 

      Section 13. PET Training for Radiographers and Radiation Therapists. Individuals who are licensed in the primary discipline of radiography or radiation therapy, are certified by the ARRT, and are seeking post-primary certification in positron emission tomography (PET) may work under the direct supervision of a licensed and certified PET technologist with the permission of an authorized user to gain clinical competency. An individual who wishes to complete clinical training in PET shall submit a Provisional License Application, as incorporated by reference in 201 KAR 46:050, which shall expire twenty-four (24) months from the date of issuance.

 

      Section 14. Applications for licensure shall be filed with the Board of Medical Imaging and Radiation Therapy, 42 Fountain Place, Frankfort, Kentucky 40601.

 

      Section 15. Incorporation by Reference. (1) The following material is incorporated by reference:

      (a) "Radiography Practice Standards", revised June 16, 2013;

      (b) "Nuclear Medicine Technologist Scope of Practice and Performance Standards", revised June 7, 2013;

      (c) "Positron Emission Tomography (PET) Technologist Scope of Practice and Performance Standards", revised January 26, 2013;

      (d) "Scope of Practice for the Nuclear Medicine Advanced Associate", created 2009;

      (e) "Radiation Therapy Practice Standards ", revised June 19, 2011;

      (f) "Bone Densitometry Practice Standards", revised June 19, 2011;

      (g) "Cardiovascular Interventional Technology Practice Standards", revised June 16, 2013;

      (h) "Computed Tomography Practice Standards", revised June 16, 2013;

      (i) "Limited X-ray Machine Operator Practice Standards", revised June 16, 2013;

      (j) "Mammography Practice Standards", revised July 1, 2012;

      (k) "Radiologist Assistant Practice Standards", revised July 29, 2014;

      (l) "ACR ASRT Joint Policy Statement-Radiologist Assistant: Roles and Responsibilities", May 2003;

      (m) "ACR-AAPM Technical Standard For Management Of The Use Of Radiation In Fluoroscopic Procedures", revised 2013 (Resolution 44);

      (n) KBMIRT Form 1, "License Application-Medical Imaging or Radiation Therapy", March 2015; and

      (o) KBMIRT Form 2, "License Renewal Application-Medical Imaging or Radiation Therapy", March 2015.

      (2) This material may be inspected, copied, or obtained, subject to applicable copyright law, at:

      (a) American Society of Radiologic Technologists, 15000 Central Ave. SE Albuquerque, NM 87123-3909, http://www.asrt.org/main/standards-regulations/practice-standards;

      (b) Society for Nuclear Medicine and Molecular Imaging, 1850 Samuel Morse Drive Reston, Virginia 20190, http://www.snmmi.org; or

      (c) The Board of Medical Imaging and Radiation Therapy, 42 Fountain Place, Frankfort, Kentucky 40601, Monday through Friday, 8:00 a.m. to 4:30 p.m. (1 Ky.R. 1160; Am. 2 Ky.R. 218; rejected 12-10-1975; 3 Ky.R. 638; eff. 3-2-1977; 4 Ky.R. 290; eff. 3-3-1978; 5 Ky.R. 631; eff. 3-7-1979; 12 Ky.R. 1428; eff. 3-4-1986; 18 Ky.R. 1591; eff. 1-10-1992; 33 Ky.R. 1733; 34 Ky.R. 768; eff. 10-17-2007; Recodified from 902 KAR 105:040, 11-20-2013; 41 Ky.R. 2304; 42 Ky.R. 344; eff. 11-18-2015.)