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WashingtonHB 21132025-2026 Regular SessionHouse

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

Sponsored By: Andrew Engell (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More supervision options for imaging technologists

Beginning June 11, 2026, Washington allows licensed practitioners to supervise diagnostic, therapeutic, and MRI technologists within their authorized scope of practice. Radiology procedures that deliver substances outside the digestive tract require direct physician supervision, except for intravenous contrast. For intravenous contrast, a physician can supervise remotely using live, interactive video and audio; audio alone is not allowed. Direct supervision can also come from a licensed physician, advanced practice registered nurse, or physician assistant. Before contrast is given, trained and qualified clinical staff must be on-site to handle adverse events and provide needed care. The law does not change healthcare prices, insurance coverage, or household payments.

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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