Medicare would cover radiologist assistant services starting in 2027

What does this do?

Senate bill S 4624 would require Medicare to cover and pay for services performed by radiologist assistants beginning January 1, 2027. Radiologist assistants must be certified by the American Registry of Radiologic Technologists and can only work under a radiologist's direct supervision. They are not permitted to interpret or read imaging results independently, and payment goes to the supervising radiologist.

Who does it affect?

Medicare patients receiving imaging services at hospitals, critical access hospitals, and ambulatory surgical centers are directly affected. Radiologists, their practices, and radiologist assistants are also affected, as are patients in rural and underserved communities where radiologists are in short supply.

Why does it matter?

Currently, Medicare does not recognize or reimburse services performed by radiologist assistants, creating coverage gaps when they assist with patient care. Extending coverage could affect the availability of imaging services in settings and communities where radiologist assistants help fill workforce shortages.

Where does it stand?