WashingtonHB 21132025-2026 Regular SessionHouseWALLET

Concerning the supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists.

Sponsored By: Andrew Engell (Republican)

Became Law

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 0 benefits, 0 costs, 2 mixed.

Updated IV contrast rules for technologists

Beginning June 11, 2026, new supervision and staffing rules apply to diagnostic, therapeutic, and MRI technologists. IV contrast can be supervised by a physician over live video, not audio-only. IV contrast can also be directly supervised by a physician, advanced practice nurse, or physician assistant. All other parenteral tasks must be directly supervised by a physician. Before IV contrast, trained clinical staff must be on-site to handle bad reactions. Supervisors must act within their legal scope of practice.

Which technologists these rules cover

Beginning June 11, 2026, the law updates who counts as a radiologic technologist. It links diagnostic, therapeutic, and MRI technologists to the new supervision and procedure rules. This helps employers and the Health Department apply the law the same way.

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Sponsors & Cosponsors

Sponsor

  • Andrew Engell

    Republican • House

Cosponsors

  • Adam Bernbaum

    Democratic • House

  • David Stuebe

    Republican • House

  • Deb Manjarrez

    Republican • House

  • Hunter Abell

    Republican • House

  • Janice Zahn

    Democratic • House

  • Jenny Graham

    Republican • House

  • Lauren Davis

    Democratic • House

  • Lisa Parshley

    Democratic • House

  • Matt Marshall

    Republican • House

  • My-Linh Thai

    Democratic • House

  • Sam Low

    Republican • House

  • Stephanie Barnard

    Republican • House

  • Tarra Simmons

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 145 • No: 0

Senate vote 2/28/2026

3rd Reading & Final Passage

Yes: 48 • No: 0 • Other: 1

House vote 2/16/2026

3rd Reading & Final Passage

Yes: 97 • No: 0 • Other: 1

Actions Timeline

  1. Effective date 6/11/2026.

    3/9/2026House
  2. Chapter 10, 2026 Laws.

    3/9/2026House
  3. Governor signed.

    3/9/2026legislature
  4. Delivered to Governor.

    3/3/2026legislature
  5. President signed.

    2/28/2026legislature
  6. Speaker signed.

    2/28/2026legislature
  7. Third reading, passed; yeas, 48; nays, 0; absent, 0; excused, 1.

    2/28/2026House
  8. Rules suspended. Placed on Third Reading.

    2/28/2026House
  9. Placed on second reading consent calendar.

    2/27/2026House
  10. Passed to Rules Committee for second reading.

    2/25/2026House
  11. HLTC - Majority; do pass.

    2/24/2026House
  12. First reading, referred to Health & Long-Term Care.

    2/18/2026House
  13. Third reading, passed; yeas, 97; nays, 0; absent, 0; excused, 1.

    2/16/2026House
  14. Rules suspended. Placed on Third Reading.

    2/16/2026House
  15. Rules Committee relieved of further consideration. Placed on second reading.

    2/6/2026House
  16. Referred to Rules 2 Review.

    1/26/2026House
  17. HCW - Executive action taken by committee.

    1/21/2026House
  18. HCW - Majority; do pass.

    1/21/2026House
  19. First reading, referred to Health Care & Wellness.

    1/12/2026House
  20. Prefiled for introduction.

    12/8/2025House

Bill Text

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