CHAPTER Plc 1300  MEDICAL IMAGING AND RADIATION THERAPY

 

Statutory Authority:  RSA 328-J:7

 

REVISION NOTE:

 

        The Board of Medical Imaging and Radiation Therapy was established pursuant to 2016, 54:2, effective 7-1-16, with rulemaking authority under RSA 328-J:7.

 

        Pursuant to 2022, 104:1 and 104:4, effective 7-26-22, the Board of Medical Imaging and Radiation Therapy was renamed and re-established as the Advisory Board of Medical Imaging and Radiation Therapy under RSA 328-J:7, I and RSA 328-J:3.  The former rulemaking authority of the Board of Medical Imaging and Radiation Therapy was transferred to the Executive Director of the Office of Professional Licensure and Certification (OPLC) under RSA 328-J:7.

 

        The Executive Director of the OPLC subsequently readopted with amendments Mirt 303.05, Mirt 303.07, Mirt 303.08, and Mirt 303.09 in Document #13431, effective 8-11-22, on initial licensure eligibility requirements. 

 

        The Executive Director adopted Chapter Plc 1300 governing medical imaging and radiation therapy as an interim rule in Document #13548, effective 2-1-23.  The Executive Director subsequently adopted and filed Document #13586, effective 3-22-33, repealing Chapter Mirt 100 through Chapter Mirt 500 of the former Board of Medical Imaging and Radiation Therapy.  The repeal of Chapter Mirt 100 through Chapter Mirt 500 meant that Document #13548 replaced all prior filings affecting rules of the former Board of Medical Imaging and Radiation Therapy

 

          The filings prior to Document #13586 which affected the former Chapter Mirt 100 through Mirt 500 included the following documents, where italics indicate the rules were subject to expiration only pursuant to RSA 541-A:17, II:

 

                  Mirt 100

                  #12466, effective 1-25-18

                  #13285, effective 10-26-21

 

                  Mirt 200

                  #12466, effective 1-25-18

 

                  Mirt 300

                  #12597, effective 7-31-18

                  #12998, effective 3-5-20

                  #13329, effective 1-22-22

                  #13431, effective 8-11-22

 

                  Mirt 400

                  #13075, effective 7-24-20

 

                  Mirt 500

                  #12598, effective 7-31-18

 

          The Executive Director subsequently readopted with amendment Chapter Plc 1300 as a regular rule in Document #13701, effective 8-1-23, thereby replacing the former interim rule for Plc 1300 in Document #13548.  Amendments in Document #13701 included adding new definitions of “criminal records check” in Plc 1302.09, “military spouse” in Plc 1302.21, and “on active military duty” in Plc 1302.23; and adding new rules Plc 1305.07 on challenging a denial of initial licensure and Plc 1309.09 on challenging a denial of license renewal.  Document #13701 also extensively amended Part Plc 1306 on temporary licenses and amended Part Plc 1308 on licensee obligations and Part Plc 1309 on renewal of licenses and reinstatement to apply renewal procedures in Chapter Plc 300.

 

 

PART Plc 1301  PURPOSE AND APPLICABILITY; SENDING NOTICES AND LICENSES

 

          Plc 1301.01  Purpose.  The purpose of this chapter is to implement RSA 328-J relative to regulating the practice of medical imaging and radiation therapy, to safeguard the life and health of the people of New Hampshire by establishing requirements for:

 

          (a)  Obtaining and renewing a license to practice in the professions regulated under RSA 328-J;

 

          (b)  Obtaining the reinstatement of a license to practice in the professions regulated under RSA 328-J that has lapsed, expired, or otherwise been rendered inactive or invalid; and

 

          (c)  The regulation of the practices of the professions regulated under RSA 328-J, including establishing the scope of practice and ethical and professional standards required to be met by each holder of a license.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1301.02  Applicability.  This chapter shall apply to any individual who intends to practice or who does practice in the professions regulated under RSA 328-J, subject to the exemptions listed in RSA 328-J:25, reprinted in Appendix E.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1301.03  Notifications; Issuance of Licenses.

 

          (a)  All notifications sent to applicants and licensees and all licenses issued pursuant to this chapter shall be sent to the applicant’s or licensee’s designated email address.

 

          (b)  All notifications and licenses sent to a designated email address for which the office of professional licensure and certification (OPLC) does not receive any indication that the email was not delivered shall be deemed to have been received by the individual who designated the email address.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1302  DEFINITIONS

 

          Plc 1302.01  “Advisory board” means the advisory board of medical imaging and radiation therapy established pursuant to RSA 328-J:3.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.02  “Approved equivalency test” means any test that led or leads to the receipt of a high school equivalency certificate.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.03  “Cardiac electrophysiology specialist” means “cardiac electrophysiology specialist” as defined in RSA 328-J:1, I-a, namely “the individual who assists a physician with diagnosing and treating the electrical activities of the heart, including procedures involving invasive (intracardiac) catheter recording of spontaneous activity as well as of cardiac responses to programmed electrical stimulation (PES).”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.04  “Cardiovascular invasive specialist” means “cardiovascular invasive specialist” as defined in RSA 328-J:1, I-b, namely “the individual who assists a physician with cardiac catheterization procedures which can determine if a blockage exists in the blood vessels that supply the heart muscle and can help diagnose and treat other problems.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.05  “Credentialing organization” means the organization with or by which an applicant or licensee is required by RSA 328-J:11 to be registered and certified, as reflected in Plc 1304.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.06  “Computed tomography” means “computed tomography” as defined in RSA 328-J:1, III, namely “the process of producing sectional and three-dimensional images using external ionizing radiation.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.07  “Continuing competence” means the reinforcement and enhancement of professional skills and knowledge through participation in structured courses and professional activities and experiences that are beyond entry-level preparation for professional licensing.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.08  “Cooperate” means to provide information requested by an investigator during an investigation and to answer any questions posed by the investigator in order to enable the executive director to determine compliance with RSA 328-J and Plc 1300.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.09  “Criminal records check” means the process undertaken by the NH department of safety (NHDOS) that requires live scanned prints taken digitally and submitted electronically to the NH criminal records unit and the FBI.  The term includes “criminal history record check” but does not include an “online NH criminal conviction check”.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.10  “Designated email address” means an email address provided by an applicant or licensee as the address for the OPLC to use when sending notifications and licenses.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.11  “Executive director” means the executive director of the OPLC or designee.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.12  “Fluoroscopy” means “fluoroscopy” as defined in RSA 328-J:1, IV, namely “the exposure of a patient to ionizing radiation in a fluoroscopy mode, including the positions of the patient, positioning of the fluoroscopy equipment, and the selection of exposure factors.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.13  “License” means “license” as defined in RSA 541-A:1, VIII, namely “the whole or part of any agency permit, certificate, approval, registration, charter or similar form of permission required by law.”  For purposes of this chapter, the term includes any similar form of approval to practice a regulated medical imaging and radiation therapy (MIRT) profession in any jurisdiction.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.14  “Licensed practitioner” means “licensed practitioner” as defined in RSA 328-J:1, V, namely “a person licensed to practice medicine, dentistry, chiropractic, podiatry, or osteopathy in New Hampshire.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.15  “Licensing bureau” means the organizational unit within the OPLC’s division of licensing and board administration that is responsible for accepting and processing applications.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.16  “Limited x-ray machine operator” means “limited x-ray machine operator” as defined in RSA 328-J:1, VI, namely “a person who is licensed under this chapter to perform, under the supervision of a licensed practitioner, limited diagnostic radiography procedures of specific parts of human anatomy or bone density measurements using equipment that emits external ionizing radiation.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.17  “Live programming” means educational programming presented by an instructor or by a panel of instructors that is available to attendees at the time it is being originally presented.  The term includes a program attended remotely using a computer or other audio-visual telecommunications equipment, provided the attendee has an opportunity during the program to ask questions about the material presented that are answered by the instructor(s).

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.18  “Magnetic resonance technologist” means “magnetic resonance technologist” as defined in RSA 328-J:1, VII, namely “a person who is licensed under this chapter to perform magnetic resonance procedures using magnetic fields and radio frequency signals.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.19  “Medical imaging” means “medical imaging” as defined in RSA 328-J:1, VIII, namely “any procedure intended for use in the diagnosis or visualization of disease or other medical conditions in human beings, including, but not limited to the following modalities, radiography, nuclear medicine, fluoroscopy, magnetic resonance, and other procedures using ionizing radiation, magnetic resonance, or ultrasound.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.20  “Medical imaging professional” means “medical imaging professional” as defined in RSA 328-J:1, IX, namely “any person who is a magnetic resonance technologist, nuclear medicine technologist, radiographer, radiologist assistant, or sonographer licensed under this chapter.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.21  “Military spouse” means an individual who is legally married to an individual who is on active military duty.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.22  “Nuclear medicine technologist” means “nuclear medicine technologist” as defined in RSA 328-J:1, X, namely “a person who is licensed under this chapter to perform a variety of nuclear medicine and molecular imaging procedures using sealed and unsealed radiation sources, ionizing and nonionizing radiation, and adjunctive medicine and therapeutic procedures using unsealed radioactive sources.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.23  “On active military duty” means on active duty in the U.S. armed forces.  The term includes “active military”.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.24  “Personal contact information” means an individual’s home or other personal telephone number, home address, home mailing address if different, and designated email address.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.25  “Plan of correction” means a list of specific actions to be taken with a deadline for taking each action, to reflect how a licensee will correct a violation of, and come into compliance with, Plc 1300 and RSA 328-J.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.26  “Radiation therapist” means “radiation therapist” as defined in RSA 328-J:1, XI, namely “a person who is licensed under this chapter to administer ionizing radiation to human beings for therapeutic purposes.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.27  “Radiographer” means “radiographer” as defined in RSA 328-J:1, XII, namely “a person who is licensed under this chapter to perform a comprehensive set of diagnostic radiographic procedures using external ionizing radiation to produce radiographic, fluoroscopic, or digital images.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.28  “Radiologist” means “radiologist” as defined in RSA 328-J:1, XIII, namely “a physician certified by or board-eligible to be certified for the American Board of Radiology, the American Osteopathic Board of Radiology, the British Royal College of Radiology, or the Canadian College of Physicians and Surgeons in that medical specialty.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.29  “Radiologist assistant” means “radiologist assistant” as defined in RSA 328-J:1, XIV, namely “a radiographer who has met additional qualifications and who is licensed under this chapter to perform a variety of activities under the supervision of a radiologist in the areas of patient care, patient management, radiologic imaging, or interventional procedures guided by radiologic imaging.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.30  “Regulated MIRT professions” means the medical imaging and radiation therapy professions regulated under RSA 328-J, including limited x-ray machine operators.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.31  “Self-directed education” means participation in electronic continuing professional education courses that are self-study courses or self-paced clinical courses, which require the participant to pass an examination to obtain confirmation of participation.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.32  “Sonographer” means “sonographer” as defined in RSA 328-J:1, XV, namely “a person who is licensed under this chapter to perform a comprehensive set of diagnostic sonography procedures using ultrasound to create medical images.”

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1302.33  “Working day” means any Monday through Friday, excluding days on which state offices are closed in observance of holidays.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1303  ADVISORY BOARD

 

          Plc 1303.01  Advisory Board Members Appointment and Qualifications.

 

          (a)  Pursuant to RSA 328-J:3, the executive director shall establish an advisory board of medical imaging and radiation therapy consisting of 3 members who are licensed and in good standing in New Hampshire as a medical imaging professional.

 

          (b)  As required by RSA 328-J:3:

 

(1)  The executive director also shall appoint one alternate board member who has the same qualifications set forth for advisory board members;

 

(2)  Each member shall be appointed to a term of 3 years; and

 

(3)  No member shall serve more than 2 consecutive full terms.

 

          (c)  Each advisory board member shall:

 

(1)  Have been a licensed medical imaging professional for at least 3 years preceding the appointment;

 

(2)  Be currently licensed in New Hampshire when appointed and for the duration of the term; and

 

(3)  Have actively practiced in New Hampshire for at least one year immediately preceding appointment to the advisory board.

 

          (d)  The executive director shall appoint members who are licensed in different regulated MIRT professions to the extent such professionals are willing and able to serve on the advisory board.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1303.02  Meetings and Records of Advisory Board.

 

          (a)  The advisory board shall meet at the call of the executive director.

 

          (b)  Meetings of the advisory board shall be held at the OPLC’s offices in Concord, NH, or in such other location as the executive director determines will be most convenient for the largest number of anticipated attendees.

 

          (c)  Notice of meetings shall be provided as required by RSA 91-A.

 

          (d)  Records of the advisory board shall be maintained by the OPLC as required by RSA 91-A.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1303.03  Responsibilities of Advisory Board.

 

          (a)  As provided in RSA 328-J:3, the advisory board shall advise the executive director regarding the implementation of RSA 328-J, including in particular by reviewing and commenting on proposed rules and proposed revisions to rules intended to implement RSA 328-J.

 

          (b)  If requested by the executive director based on a determination that the expertise of the advisory board members is needed, members of the advisory board shall sit as part of a panel for an adjudicative hearing conducted pursuant to applicable provisions in Plc 200 and RSA 541-A.

 

          (c)  If requested by the executive director based on a determination that the expertise of the advisory board members is needed, the advisory board shall assist with an investigation commenced pursuant to RSA 310:9 and Plc 204 relative to investigations.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1303.04  Records of Predecessor Board.  The records of the board of medical imaging and radiation therapy that existed prior to July 26, 2022, the effective date of Laws of 2022, ch. 104, shall be:

 

          (a)  Retained by the executive director in accordance with the retention schedule established pursuant RSA 310:4, II(e) and available in the frequently asked questions (FAQ) section of the OPLC website at https://www.oplc.nh.gov; and

 

          (b)  Available for public review as provided in Plc 100.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1304  STATUTORY QUALIFICATIONS FOR LICENSURE

 

          Plc 1304.01  Qualifications for Limited X-Ray Machine Operator.

 

          (a)  As required by RSA 328-J:11, I(a) and (b), to qualify for licensure as a limited x-ray machine operator, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in limited x-ray machine operation required by RSA 328-J:11, I(c) shall be any course that qualifies an individual to take one of the examinations listed in (c), below.

 

          (c)  The examination in limited x-ray machine operation required by RSA 328-J:11, I(d) shall be any of the following examinations:

 

(1)  The American Registry of Radiologic Technologist limited x-ray machine operator examination for limited bone density, chest, extremities, podiatric, skull/sinus, and podiatric radiography;

 

(2)  The American Chiropractic Registry of Radiologic Technologists examination in spine radiography;

 

(3)  The American Society of Podiatric Medical Assistants examination in podiatric radiography; or

 

(4)  The International Society for Clinical Densitometry examination in clinical bone densitometry technology.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.02  Qualifications for Magnetic Resonance Technologist.

 

          (a)  As required by RSA 328-J:11, II(a) and (b), to qualify for a license as a magnetic resonance technologist, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in radiography and additional educational requirements in magnetic resonance technology required by RSA 328-J:11, II(c) shall be a course of study in radiography approved, recognized as accredited, or required for certification by:

 

(1)  The American Registry of Magnetic Resonance Imaging Technologists; or

 

(2)  The American Registry of Radiologic Technologists.

 

          (c)  Pursuant to RSA 328-J:11, II(e), all applicants shall be certified and registered in magnetic resonance by:

 

(1)  The American Registry of Radiologic Technologists; or

 

(2)  The American Registry of Magnetic Resonance Imaging Technologists.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.03  Qualifications for Nuclear Medicine Technologist.

 

          (a)  As required by RSA 328-J:11, III(a) and (b), to qualify for a license as a nuclear medicine technologist, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in nuclear medicine technology required by RSA 328-J:11, III(c) shall be a course of study in nuclear medicine technology that is approved, accredited, or required for certification by:

 

(1)  The Joint Review Committee on Educational Programs in Nuclear Medicine Technology;

 

(2)  The Canadian Association of Medical Radiation Technologists; or

 

(3)  The Australian and New Zealand Society of Nuclear Medicine.

 

          (c)  As required by RSA 328-J:11, III(d), the applicant shall possess current certification and registration in nuclear medicine technology from:

 

(1)  The American Registry of Radiologic Technologists; or

 

(2)  The Nuclear Medicine Technology Certification Board.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.04  Qualifications for Radiation Therapist.

 

          (a)  As required by RSA 328-J:11, IV(a) and (b), to qualify for a license as a radiation therapist, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in radiation therapy required by RSA 328-J:11, IV(c) shall be a course of study that is approved, recognized as accredited, or required for certification in radiation therapy by the American Registry of Radiologic Technologists.

 

          (c)  As required by RSA 328-J:11, IV(d), the applicant shall possess current certification and registration in radiation therapy from the American Registry of Radiologic Technologists.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.05  Qualifications for Radiographer.

 

          (a)  As required by RSA 328-J:11, V(a) and (b), to qualify for a license as a radiographer, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in radiography required by RSA 328-J:11, V(c) shall be a course of study that is approved, recognized as accredited, or required for certification in radiography by the American Registry of Radiologic Technologists.

 

          (c)  As required by RSA 328-J:11, V(d), the applicant shall possess current certification and registration in radiography from the American Registry of Radiologic Technologists.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.06  Qualifications for Radiologist Assistant.  As required by RSA 328-J:11, VI, to qualify for a license as a radiologist assistant, an applicant shall:

 

          (a)  Possess a radiographer license and current certification and registration in radiography from the American Registry of Radiologic Technologists;

 

          (b)  Possess current certification and registration as a radiologist assistant or radiology practitioner assistant from:

 

(1)  The American Registry of Radiologic Technologists; or

 

(2)  The Certification Board of Radiology Physician Assistants; and

 

          (c)  Submit clinical protocols that are signed by the supervising radiologist and that specify:

 

(1)  The procedures that are or will be performed by the radiologist assistant;

 

(2)  The level of radiologist supervision; and

 

(3)  The location(s) of practice designated by the supervising radiologist.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.07  Qualifications for Sonographer.

 

          (a)  As required by RSA 328-J:11, VII(a) and (b), to qualify for a license as a sonographer, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in sonography required by RSA 328-J:11, VII(c) shall be a course of study that is approved, recognized as accredited, or required for certification in sonography by:

 

(1)  The American Registry of Radiologic Technologists;

 

(2)  The American Registry for Diagnostic Medical Sonography; or

 

(3)  Cardiovascular Credentialing International.

 

          (c)  As required by RSA 328-J:11, VII(d), the applicant shall possess current certification and registration in sonography from:

 

(1)  The American Registry of Radiologic Technologists;

 

(2)  The American Registry for Diagnostic Medical Sonography; or

 

(3)  Cardiovascular Credentialing International.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.08  Qualifications for Cardiac Electrophysiology Specialist.

 

          (a)  As required by RSA 328-J:11, VIII(a) and (b), to qualify for a license as a cardiac electrophysiology specialist, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in cardiac electrophysiology required by RSA 328-J:11, VIII(c) shall be a course of study that is approved, recognized as accredited, or required for certification as a registered cardiac electrophysiology specialist (RCES) by Cardiovascular Credentialing International.

 

          (c)  As required by RSA 328-J:11, VIII(d), the applicant shall possess current certification in cardiac electrophysiology from Cardiovascular Credentialing International.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.09  Qualifications for Cardiovascular Invasive Specialist.

 

          (a)  As required by RSA 328-J:11, IX(a) and (b), to qualify for a license as a cardiovascular invasive specialist, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in cardiovascular invasive procedures required by RSA 328-J:11, IX(c) shall be a course of study that is approved, recognized as accredited, or required for certification as a registered cardiovascular invasive specialist (RCIS) by Cardiovascular Credentialing International.

 

          (c)  As required by RSA 328-J:11, IX(d), the applicant shall possess current certification in cardiovascular invasive procedures from Cardiovascular Credentialing International.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.10  Qualifications for a License in Computed Tomography.

 

          (a)  As required by RSA 328-J:11, X(a) and (b), to qualify for a license in computed tomography, an applicant shall:

 

(1)  Be at least 18 years of age; and

 

(2)  Have obtained a high school diploma or have passed an approved equivalency test.

 

          (b)  The course of study in computed tomography required by RSA 328-J:11, X(c) shall be a course of study that is approved, recognized as accredited, or required for certification in computed tomography by:

 

(1)  The American Registry of Radiologic Technologists; or

 

(2)  The Nuclear Medicine Technology Certification Board. 

 

          (c)  As required by RSA 328-J:11, X(d), the applicant shall possess current certification and registration in computed tomography from:

 

(1)  The American Registry of Radiologic Technologists; or

 

(2)  The Nuclear Medicine Technology Certification Board.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1304.11  Additional Qualification for All Applicants.

 

          (a)  Pursuant to RSA 328-J:7, VII, each applicant for licensure under RSA 328-J shall satisfy the executive director that the applicant will faithfully and conscientiously avoid professional misconduct and otherwise adhere to the requirements of this chapter.

 

          (b)  To meet the requirements of (a), above, each applicant shall provide evidence of good professional character and reliability by:

 

(1)  Answering the background and character questions on the application as required by Plc 304.03(e); and

 

(2)  Arranging for a criminal records check or confirmation of military security clearance to be sent to the licensing bureau as required by Plc 1305.01(c) or (d), as applicable.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1305  INITIAL LICENSURE

 

          Plc 1305.01  Applying for Initial Licensure.

 

          (a)  Any individual who meets the applicable qualifications in Plc 1304 and wishes to become licensed in New Hampshire to practice one of the regulated MIRT professions shall submit an application for licensure in accordance with this section.

 

          (b)  Each applicant for initial licensure shall submit to the licensing bureau:

 

(1)  A “Universal Application for Initial License” dated March 2023, as tailored for MIRT licenses, that contains the information specified in Plc 304.03 and Plc 1305.02 and the signature and attestation specified in Plc 304.05;

 

(2)  The documentation identified in Plc 304.04 and Plc 1305.03; and

 

(3)  The application processing and licensing fee specified in Plc 1002.

 

          (c)  Subject to (d), below, each applicant shall also complete the process established by the NHDOS for requesting a criminal records check, accessible via the NHDOS website at https://www.nh.gov/safety/ or directly at https://services.dos.nh.gov/chri/cpo/, including paying any required fee and directing that the results be sent to the OPLC.

 

          (d)  Pursuant to RSA 328-J:7-a, IV, an applicant who is actively serving in any component of the U.S. Department of Defense who has a current military security clearance may arrange for confirmation of the security clearance to be sent to the licensing bureau in lieu of obtaining a criminal records check.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.02  Information Required for Initial License Application.  In addition to the information required by Plc 304.03, the applicant for an initial license to practice a regulated MIRT profession shall provide the following information:

 

          (a)  The specific regulated MIRT profession in which the applicant is seeking licensure;

 

          (b)  Information about the applicant’s education, as follows:

 

(1)  Whether the applicant graduated from high school or obtained an equivalent; and

 

(2)  For each educational institution attended by the applicant for courses related to the regulated MIRT profession in which the applicant is applying to be licensed, the following:

 

a.  The name, address, and URL of the institution;

 

b.  The dates attended; and

 

c.  The date on which the applicant graduated or otherwise completed the courses; and

 

          (c)  Identification of the applicant’s credentialing organization or, for applicants for a limited x-ray machine operator license, the credentialing organization that administered the examination taken by the applicant.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.03  Information and Documentation Required for Initial License Application.  In addition to the information and documentation required by Plc 304.04, the applicant shall provide the following with an application for initial licensure, as applicable:

 

          (a)  A chronologically-organized list of the applicant’s paid and voluntary work experience in the applicant’s regulated MIRT profession for the prior 5 years that includes, for each separate experience, the organization for which the applicant worked or volunteered, the position held, the beginning and end dates, and the city and state in which the position was located, provided that the list may be a résumé;

 

          (b)  If the applicant is applying for licensure as other than a radiologist assistant, the following:

 

(1)  Proof of being at least 18 years of age, such as a copy of an official government identification card or driver’s license showing a date of birth or a copy of the applicant’s birth certificate; and

 

(2)  A copy of the applicant’s high school diploma or equivalency certificate;

 

          (c)  For applicants applying for a limited x-ray machine operator license:

 

(1)  A copy of a certificate of course completion from the educational institution identified pursuant to Plc 1305.02(b)(2); and

 

(2)  Evidence that the applicant passed the examination required by RSA 328-J:11, I(d), in the form of:

 

a.  A notification sent to the applicant by mail or electronically by the credentialing organization; or

 

b.  The URL of a web site that confirms the applicant passed the examination; and

 

          (d)   For other than applicants for a limited x-ray machine operator license, proof of the applicant’s current certification required by the applicable provision of RSA 328-J:11, as reflected in the applicable section in Plc 1304.02 through Plc 1304.10, in the form of a photocopy of the certification card or certificate or a link to the certifying organization’s website that shows the applicant is certified.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.04  Initial Review of Applications for Initial Licensure; Abandonment.

 

          (a)  Within 30 days of receipt of an application submitted pursuant to Plc 1305.01, the licensing bureau shall process the application as provided in Plc 304.06.

 

          (b)  The application shall be subject to the abandonment provisions of Plc 304.06(h).

 

          (c)  If the application is abandoned, the application processing and licensing fee shall not be refunded.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.05  Withdrawal of Application for Initial Licensure.

 

          (a)  An applicant may withdraw the applicant’s application for initial licensure at any time prior to being notified of a decision under Plc 1305.06 by proceeding in accordance with Plc 304.07.

 

          (b)  If the application is withdrawn, the application processing and licensing fee shall not be refunded.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.06  Review of Complete Applications for Initial Licensure; Decisions.

 

          (a)  After determining that an application is complete, the licensing bureau shall review the application to determine whether the applicant meets all criteria for licensure.

 

          (b)  The licensing bureau shall issue a license to any applicant who:

 

(1)  Meets the statutory qualifications referenced in the applicable provisions of Plc 1304.01 through Plc 1304.10;

 

(2)  Has demonstrated good character as specified in Plc 1304.11; and

 

(3)  Has submitted an application that meets all requirements of Plc 1305.01.

 

          (c)  The licensing bureau shall notify the applicant of the decision on the application in writing sent to the applicant’s designated email address.

 

          (d)  If the licensing bureau determines that the applicant has not demonstrated that all requirements to obtain a license are met, then:

 

(1)  The licensing bureau shall deny the application; and

 

(2)  The notice sent pursuant to (c), above, shall inform the applicant that the decision will become final in 30 days unless the applicant requests a hearing in writing within 30 days.

 

          (e)  If the application is denied, the application processing and licensing fee shall not be refunded.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.07  Challenging a Denial of Initial Licensure.  An applicant who wishes to challenge the denial of an application for initial licensure shall do so as provided in Plc 304.10.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.08  Initial Licenses: Issuance and Duration.

 

          (a)  Each initial license issued under this chapter shall specify:

 

(1)  The name of the licensee;

 

(2)  The effective date of the license;

 

(3)  The license number; and

 

(4)  The regulated MIRT profession in which the licensee is licensed.

 

          (b)  An initial license shall:

 

(1)  Expire 2 years from the date on which the license was issued unless a timely and complete renewal application is filed or the license is sooner suspended or revoked in accordance with Plc 1311; and

 

(2)  Be subject to renewal.

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1305.09  Facilitated Licensing for Active Duty Military and Military Spouses.

 

          (a)  Each applicant for licensure who is on active military duty or who is a military spouse shall apply for licensure as provided in Plc 1305.01, except that no fee shall be required.

 

          (b)  Each applicant who applies for facilitated licensing under this section shall be eligible to obtain a facilitated license if the applicant:

 

(1)  Meets the qualifications for licensure specified in the applicable provisions of RSA 328-J:11, as summarized in Plc 1304; or

 

(2)  Is licensed or registered in another jurisdiction, provided that the other jurisdiction’s licensure or registration requirements are substantially equivalent to or more stringent than New Hampshire’s requirements as described in Plc 1304.

 

          (c)  Any individual who obtains a facilitated license under this section shall comply with all license renewal requirements specified in Plc 1309 if the individual wishes to continue to work in a regulated MIRT profession in New Hampshire after the term of the initial license.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1306  TEMPORARY LICENSES

 

          Plc 1306.01  Availability of Temporary License.  A temporary license shall be available pursuant to RSA 328-J:13 to any individual who:

 

           (a)  If applying for a limited x-ray machine operator license, has:

 

(1)  Completed the course of study required by RSA 328-J:11, I(c), as reflected in Plc 1304.01(b); and

 

(2)  Has taken an examination required by RSA 328-J:11, I(d), as reflected in Plc 1304.01(c); or

 

          (b)  If applying for other than a limited x-ray machine operator license, has completed the process of applying for the certification and registration required by the applicable paragraph in RSA 328-J:11, II-X, as reflected in Plc 1304.02 through Plc 1304.10, but has not yet received certification and registration.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1306.02  Applying for a Temporary License.  To apply for a temporary license under RSA 328-J:13, the applicant shall proceed in accordance with Plc 305 or Plc 306, as applicable.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1306.03  Obligations of Temporary Licensees.  The holder of a temporary license shall:

 

          (a)  Comply with Plc 1308.03 relative to required notifications and Plc 1308.05 relative to posting of licenses; and

 

          (b)  Be subject to the ethical and professional standards identified in Plc 1310 and the disciplinary procedures and sanctions identified in Plc 1311.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1307  SCOPE OF PRACTICE

 

          Plc 1307.01  Limitations on Practice for All Licensees.  Pursuant to RSA 328-J:12, no licensee shall use radioactive substances or equipment emitting ionizing radiation, magnetic resonance, or ultrasound for medical imaging or radiation therapy procedures on humans for diagnostic or therapeutic purposes unless the licensee does so:

 

          (a)  With the prescription of an individual authorized to prescribe medical imaging or radiation therapy procedures;

 

          (b)  Under the supervision of a licensed practitioner; and

 

          (c)  Within the scope of the regulated MIRT profession in which the licensee is licensed.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.02  Scope of Practice for Licensed Limited X-Ray Machine Operators.  As provided in RSA 328-J:12, III:

 

          (a)  Limited x-ray machine operators shall perform tasks only if the tasks are:

 

(1)  Within the scope of the license issued to them under RSA 328-J; and

 

(2)  Performed under the direct supervision of a licensed practitioner or licensed radiographer for a particular area of the human anatomy; and

 

          (b)  Limited x-ray machine operators shall not perform:

 

(1)  Computed tomography;

 

(2)  Fluoroscopy;

 

(3)  Magnetic resonance imaging;

 

(4)  Mammography;

 

(5)  Radiation therapy;

 

(6)  Sonography;

 

(7)  Mobile imaging procedures; or

 

(8)  Imaging procedures using contrast media.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.03  Scope of Practice for Licensed Magnetic Resonance Technologists.  The scope of practice for magnetic resonance technologists shall be as follows:

 

          (a)  If certified by the American Registry of Radiologic Technologists (ARRT), the “Magnetic Resonance Practice Standards” adopted by the American Society of Radiologic Technologists (ASRT), effective June 26, 2022, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B; or

 

          (b)  If certified by the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT), the scope of practice outlined by the United States department of labor research contractor O*NET Online under the heading “Tasks”, available at https://www.onetonline.org/link/summary/29-2035.00 and as reprinted in Appendix C on October 11, 2022.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.04  Scope of Practice for Licensed Nuclear Medicine Technologists.  The scope of practice for nuclear medicine technologists shall be:

 

          (a)  If certified by the ARRT, the “Nuclear Medicine Practice Standards” adopted by the ASRT, effective June 26, 2022, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B; or

 

          (b)  If certified by the Nuclear Medicine Technology Certification Board (NMTCB), the “Nuclear Medicine Technologist Scope of Practice and Performance Standards”, 2nd Edition, approved June 9, 2022 by the Society of Nuclear Medicine and Molecular Imaging Technologist Section, available at http://www.snmmi.org/ClinicalPractice/content.aspx?ItemNumber=5532 and as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.05  Scope of Practice for Licensed Radiation Therapists.  The scope of practice for radiation therapists shall be the ASRT’s “Radiation Therapy Practice Standards”, effective June 26, 2022, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.06  Scope of Practice for Licensed Radiographers.  The scope of practice for radiographers certified by the ARRT shall be the ASRT’s “Radiography Practice Standards”, effective June 26, 2022, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards and as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.07  Scope of Practice for Licensed Radiologist Assistants.

 

          (a)  As required by RSA 328-J:11, VI(c), the scope of practice for licensed radiologist assistants shall be the most recent version of the Radiologist Assistant Practice Standards published by the ASRT, available at www.asrt.org/main/standards-regulations/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B.

 

          (b)  As provided in RSA 328-J:12, IV, a licensed radiologist assistant shall not interpret images, make diagnoses, or prescribe medications or therapies.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.08  Scope of Practice for Licensed Sonographers. The scope of practice for licensed sonographers shall be as follows:

 

          (a)  If certified by the American Registry for Diagnostic Medical Sonography, the Society of Diagnostic Medical Sonography’s (SDMS) “Scope of Practice and Clinical Standards for the Diagnostic Medical Sonographer” dated April 13, 2015, published by the Society of Diagnostic Medical Sonography, available at http://www.sdms.org/about/who-we-are/scope-of-practice  and as noted in Appendix B;

 

          (b)  If certified by the ARRT, the ASRT’s “Sonography Practice Standards”, effective June 26, 2022, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B; or

 

          (c)  If certified by Cardiovascular Credentialing International (CCI), the scope of practice described in “Scope of Practice and Clinical Standards for the Diagnostic Medical Sonographer,” effective April 13, 2015, published by the Society of Diagnostic Medical Sonography, available at http://www.sdms.org/about/who-we-are/scope-of-practice and as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.09  Scope of Practice for Licensed Cardiac Electrophysiology Specialist.

 

          (a)  The scope of practice for licensees certified by CCI as an RCES shall be the “Scope of Practice for the Registered Cardiovascular Electrophysiology Specialist (RCES)” dated 2017, available online at https://www.acp-online.org/advocacy/scopes-of-practice/.

 

          (b)  Within the scope identified in (a), above, the term “direct supervision” means having a physician in the room where the procedure is taking place.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.10  Scope of Practice for Licensed Cardiovascular Invasive Specialist.

 

          (a)  The scope of practice for licensees certified by CCI as an RCIS, shall be the “Scope of Practice for the Registered Cardiovascular Invasive Specialist (RCIS)” dated 2018, available online at https://www.acp-online.org/advocacy/scopes-of-practice/ and as noted in Appendix B.

 

          (b)  Within the scope identified in (a), above, the term “direct supervision” means having a licensed physician in the room where the procedure is taking place.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1307.11  Scope of Practice for Licensees in Computed Tomography.  The scope of practice for licensees in computed tomography shall be the ASRT’s “Magnetic Resonance Practice Standards”, effective June 26, 20227, available at https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards by clicking on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy” and as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1308  LICENSEE OBLIGATIONS; CONTINUING EDUCATION

 

          Plc 1308.01  Purpose and Applicability; Definition.

 

          (a)  The purpose of this part is to identify requirements relating to certification and registration, notifications, license renewal, and maintenance of continuing competence with which every individual licensed under RSA 328-J and Plc 1300 shall comply.

 

          (b)  This part shall apply to every individual licensed under RSA 328-J and Plc 1300.

 

          (c)  For purposes of this part, “accredited institution” means a college, university, or other educational institution that:

 

(1)  Offers instruction above the high school level; and

 

(2)  Is accredited by an accrediting agency that is recognized by the U.S. Secretary of Education as a reliable authority concerning the quality of education or training or higher education program(s) it accredits, as reflected at https://www2.ed.gov/admins/finaid/accred/accreditation_pg3.html#RegionalInstitutional.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.02  Licensee Obligation to Maintain Certification and Registration; Continuing Education.

 

          (a)  Except for limited x-ray machine operator licensees, each licensee shall maintain the applicable certification and registration specified in Plc 1304.02 through Plc 1304.10 at all times, including completing all continuing education requirements for maintaining the certification and registration.

 

          (b)  Limited x-ray machine operator licensees who intend to renew their licenses shall maintain continuing competence by completing 24 hours of continuing education or other professional activities as described in Plc 1308.06, in each 2-year renewal cycle.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.03  Licensee Obligations to Notify.

 

          (a)  Each licensee shall:

 

(1)  Notify the licensing bureau within 30 days of a change in name, home address, or business address; and

 

(2)  Update the OPLC’s records within 10 working days of a change of personal telephone number or designated email address.

 

          (b)  As required by RSA 328-J:17, a licensee shall submit written notification to the licensing bureau within 30 days of any legal or disciplinary action, other than minor traffic infractions or proceedings, that are initiated:

 

(1)  Against the licensee, for acts or conduct substantially the same as acts or conduct that would constitute grounds for suspension, denial, modification, limitation, revocation, or refusal to renew a license; and

 

(2)  By any of the following:

 

a.  Any other licensing jurisdiction whether United States or foreign;

 

b.  Any health care institution;

 

c.  Any professional society or association;

 

d.  Any certification organization or any credentialing organization;

 

e.  Any government agency, including but not limited to any law enforcement agency; or

 

f.  Any court.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.04  Licensee Responsibilities for Renewal.  Each licensee shall:

 

          (a)  Know when the license is due to expire; and

 

          (b)  File an application for renewal prior to the expiration of the current license in accordance with Plc 1309.03 if the individual wishes to continue to practice in New Hampshire.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.05  Posting of License Required.

 

          (a)  As required by RSA 328-J:13, IV, any person issued a license under this chapter shall display the official license document or a verified copy in each place of regular employment.

 

          (b)  Any person issued a temporary license to practice a regulated MIRT profession under Plc 305 or Plc 306 shall display a copy of the temporary license in each place of regular employment.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.06  Creditable Continuing Education and Professional Activities.  The following continuing education courses and professional activities shall qualify as meeting continuing competence requirements:

 

          (a)  Receipt of academic instruction in one or more of the regulated MIRT professions, as further described in Plc 1308.08;

 

          (b)  Non-academic courses, seminars, conferences, and workshops, as further described in Plc 1308.09;

 

          (c)  Facility-based in-service training, as further described in Plc 1308.10;

 

          (d)  Publication of writing related to medical imaging or radiation therapy, as further described in Plc 1308.11;

 

          (e)  Professional presentations relating to medical imaging or radiation therapy made to other professionals or the public, as further described in Plc 1308.12;

 

          (f)  Participation in the work of professional boards or committees, as further described in Plc 1308.13;

 

          (g)  Completion of self-directed education, as further described in Plc 1308.14;

 

          (h)  Teaching an academic course in medical imaging or radiation therapy, as further described in Plc 1308.15;

 

          (i)  Receipt of infection control education, as further described in Plc 1308.16; and

 

          (j)  Radiation safety courses, as further described in Plc 1308.17.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.07  Documentation Requirements; Audits.

 

          (a)  Upon being notified by the OPLC that an on-line system administered by a third-party organization is available to manage continuing competence compliance, each licensee shall use the on-line system to track and report the completion of continuing competence activities.

 

          (b)  Each licensee shall retain documentation of the licensee’s participation in continuing competence for the current license period and most recent renewal period, provided that documentation may be retained in the on-line system once available.

 

          (c)  The executive director shall audit licensee participation in continuing competence by:

 

(1)  Randomly selecting 10% of licensees each year to be audited; and

 

(2)  Notifying each selected licensee of the audit by email sent to the personal email address on record.

 

          (d)  The notice sent pursuant to (c)(2), above, shall direct the licensee to submit documentation to support the continuing competence activities claimed by the licensee for the most recent renewal period to the executive director by a specified date, which shall be no sooner than 30 days from the date of the notice.

 

          (e)  In response to the notice, a licensee selected for audit shall submit the following to the executive director no later than the date specified in the notice:

 

(1)  The documentation required by Plc 1308.08 through Plc 1308.17, as applicable to the type of activity; or

 

(2)  For any time period covered by the on-line system, a copy of the licensee’s on-line records, subject to (f), below.

 

          (f)  In lieu of submitting a copy of the on-line records, a licensee selected for audit may provide the executive director with access to the on-line records directly.

 

          (g)  Failure to submit documentation when directed to do so shall constitute a violation of these rules.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.08  Receipt of Academic Instruction.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for successful completion of an academic course in one or more of the regulated MIRT professions, provided that the course work is sponsored and assigned credit by an accredited institution.

 

          (b)  The licensee may claim 5 hours towards the required total for each academic credit of course work described in (a), above.

 

          (c)  Documentation of successful completion of academic course work shall be:

 

(1)  An official transcript showing successful completion of the course, the date of the course, and the credits earned; and

 

(2)  One of the following descriptions of the course:

 

a.  The description of the course copied from the institution’s catalog; or

 

b.  A photocopy of the course syllabus or outline that includes a description of the course and the course competencies.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.09  Non-Academic Courses, Seminars, Conferences, and Workshops.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for the successful completion of non-academic courses, seminars, conferences, and workshops in medical imaging or radiation therapy, provided that the program is presented as live programming as defined in Plc 1302.

 

          (b)  The licensee may claim one hour for each clock hour of attendance.

 

          (c)  Documentation of successful completion of non-academic courses, seminars, conferences, and workshops shall be an official certificate showing:

 

(1)  The licensee’s name;

 

(2)  The name and location of the course, seminar, conference, or workshop;

 

(3)  The name of the provider or sponsoring entity;

 

(4)  The beginning and ending date(s) of the program, course, seminar, conference, or workshop;

 

(5)  The number of hours credited by the provider or sponsoring entity or the brochure showing the scheduled hours; and

 

(6)  The signature or stamp of the speaker, the instructor, or a representative of the provider or sponsoring entity.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.10  Facility-Based In-Service Training.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for participation in, or attendance at, a facility-based training consisting of continuing education lasting 2 hours or less.

 

          (b)  The licensee may claim one contact hour for each clock hour of participation or attendance, to a maximum of 4 hours per renewal cycle.

 

          (c)  Documentation of participation in, or attendance at, a facility-based in-service training shall be a memo from the licensee’s supervisor stating:

 

(1)  The licensee’s name;

 

(2)  The name of the facility;

 

(3)  The date and duration of the in-service training;

 

(4)  The topic of the in-service training; and

 

(5)  The licensee’s hours of attendance, if less than the training’s duration.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.11  Publication of Writing Related to Medical Imaging or Radiation Therapy.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for the publication of a licensee’s writing related to medical imaging or radiation therapy, including books, peer-reviewed and non-peer-reviewed chapters of books, and peer-reviewed and non-peer-reviewed articles.

 

          (b)  The licensee may claim no more than 12 contact hours per renewal cycle in accordance with the following:

 

(1)  For a book:

 

a.  If the licensee was the sole or primary author, 12 contact hours; and

 

b.  If the licensee was a co-author or secondary author, 6 contact hours;

 

(2)  For a peer-reviewed chapter of a book or a peer-reviewed article:

 

a.  If the licensee was the sole or primary author, 6 contact hours; and

 

b.  If the licensee was a co-author or secondary author, 3 contact hours; and

 

(3)  For a non-peer-reviewed chapter or article:

 

a.  If the licensee was the sole or primary author, 4 contact hours; and

 

b.  If the licensee was a co-author or secondary author, 2 contact hours.

 

          (c)  Documentation of the publication of a licensee’s writing related to medical imaging or radiation therapy shall be:

 

(1)  Any item showing:

 

a.  The title of the writing;

 

b.  The date of publication;

 

c.  Whether the writing was peer-reviewed; and

 

d.  Whether the licensee was a sole or primary author of the published writing; and

 

(2)  A photocopy of:

 

a.  The cover or the dust jacket of the licensee’s published book; or

 

b.  The licensee’s published chapter or article.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.12  Professional Presentations Relating to Medical Imaging or Radiation Therapy.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for professional presentations relating to medical imaging or radiation therapy, including workshops, lectures, and in-service trainings, made to other professionals or to the public.

 

          (b)  The licensee may claim 2 hours for each clock hour of a presentation, to a maximum of 8 hours per renewal cycle, provided that if the licensee gives substantially the same presentation more than once, the licensee shall receive credit for a single presentation only.

 

          (c)  Documentation of a professional presentation relating to medical imaging or radiation therapy made to other professionals or to the public shall be:

 

(1)  The official program of the presentation;

 

(2)  A written statement signed by a representative of the program’s sponsor including:

 

a.  The title of the presentation;

 

b.  The name of the licensee as presenter;

 

c.  The date of the presentation;

 

d.  The hours during which the presentation took place; and

 

e  The type of audience attending the presentation; or

 

(3)  A program brochure showing the information described in (2) above.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.13  Participation in the Work of Professional Boards and Committees.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for participating as a member in the work of a board or committee of a professional medical imaging and radiation therapy organization or government agency related to the practice of medical imaging.

 

          (b)  The licensee may claim 2 hours for each board or committee on which the licensee serves or served, to a maximum of 4 hours per renewal cycle.

 

          (c)  Documentation of participation in the work of a professional board or committee as a member shall be a letter conforming to (d), below, and issued by:

 

(1)  The authority appointing the licensee to the board or committee; or

 

(2)  The chair or chair-equivalent of the board or committee, provided that if the licensee is the chair or chair-equivalent, the letter shall be issued by 2 members of the board or committee.

 

          (d)  The letter shall:

 

(1)  Establish the appointment of the licensee to the board or committee or identify

the beginning and ending dates of the licensee’s participation; and

 

(2)  Be signed by the chair or chair-equivalent of the board or committee, provided that if the licensee is the chair or chair-equivalent, the letter shall be signed by 2 members of the board or committee.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.14  Completion of Self-Directed Education.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for completing self-directed education as defined in Plc 1302, provided that the course sponsor or provider issues the documentation described in (c), below.

 

          (b)  The licensee may claim the hours attributed by the course sponsor or provider. 

 

          (c)  Documentation of self-directed education shall be:

 

(1)  An official transcript showing successful completion of the course, the date of the course, and the credits earned; or

 

(2)  The official certificate of completion issued to the licensee by the course sponsor or provider showing:

 

a.  The licensee’s name;

 

b.  The name of the course;

 

c.  The name of the provider or sponsor;

 

d.  The beginning and ending date(s) of the course, if applicable;

 

e.  The number of contact hours credited by the provider or sponsor; and

 

f.  The printed name and signature or stamp of the instructor or a representative of the provider or sponsor.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.15  Teaching a Medical Imaging or Radiation Therapy Academic Course.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for teaching an academic course relevant to the medical imaging or radiation therapy profession.

 

          (b)  The licensee may claim 2 hours for each clock hour of teaching, to a maximum of 8 hours per renewal cycle, provided that:

 

(1)  The course is sponsored by an accredited institution;

 

(2)  If the licensee gives substantially the same course more than once during the renewal cycle, the licensee shall claim credit for a single presentation of the course only; and

 

(3)  If the licensee gives a course that includes a lab component, the licensee shall not claim credit for repeating a presentation in the laboratory.

 

          (c)  Documentation of medical imaging teaching shall be:

 

(1)  For each course taught, a copy of the institution’s catalog showing a description of the course; and

 

(2)  A dated letter of confirmation or appointment signed by an official of the institution sponsoring the course(s).

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.16  Receipt of Infection Control Education.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for receiving infection control education.

 

          (b)  The licensee may claim one contact hour for each clock hour spent in receipt of infection control education, to a maximum of 2 hours per renewal cycle.

 

          (c)  Documentation of a licensee’s receipt of infection control education shall be:

 

(1)  A certificate showing:

 

a.  The title or subject matter of the education; and

 

b.  The receipt of the education by the licensee; or

 

(2)  A statement signed by the supervisor of the facility where the course took place providing the information described in (1), above.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1308.17  Receipt of Radiation Safety Education.

 

          (a)  A licensee may claim credit towards the continuing competence requirement for completing a radiation safety course.

 

          (b)  The licensee may claim one hour for each clock hour spent in receipt of radiation safety education, to a maximum of 3 hours per renewal cycle.

 

          (c)  Documentation of a licensee’s completion of radiation safety education shall be a document or certificate of completion of the radiation safety course issued by the sponsor of the course.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1309  RENEWAL OF LICENSES; REINSTATEMENT

 

          Plc 1309.01  Eligibility for License Renewal.  A licensee shall be eligible for license renewal if the licensee:

 

          (a)  Continues to meet the applicable qualifications in Plc 1304;

 

          (b)  Has submitted a complete application as specified in Plc 1309.03 that demonstrates the applicant has complied with the licensee obligation to maintain certification and registration or continuing education requirements specified in Plc 1308.02, as applicable, and is of good character; and

 

          (c)  Meets the eligibility for renewal criteria specified in Plc 308.02.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.02  Notification of Pending License Expiration.

 

          (a)  At least 60 days prior to the expiration of a license issued pursuant to RSA 328-J and Plc 1300 or rules of the predecessor board in title Mirt, the licensing bureau  shall:

 

(1)  Notify, in writing to the licensee’s designated email address, each licensee whose license is expiring that:

 

a.  The license is due to expire; and

 

b.  Failure to file a complete and timely application for renewal shall result in the license expiring; and

 

(2)  Include with the notice a copy of the application identified in Plc 1309.03(a) or, when the application becomes available on-line, a registration code for the licensee to use to renew on-line.

 

          (b)  A licensee who wishes to renew a license who does not receive an application or registration code shall contact OPLC customer support at CustomerSupport@oplc.nh.gov to obtain an application or code.

 

          (c)  If a licensee fails to file a renewal application on or before the expiration of the license or files an incomplete renewal application then fails to file what is needed to complete it by the last day of the month of expiration, the license shall expire.

 

          (d)  A licensee whose license has expired shall not practice any of the regulated MIRT professions in New Hampshire unless and until the individual’s license has been reinstated.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.03  Applying for License Renewal.  A licensee who wishes to renew a license to practice a regulated MIRT profession shall submit to the licensing bureau:

 

          (a)  A completed “Universal Application for License Renewal” dated March 2023, as tailored for MIRT licenses, that provides the information required by Plc 308.06 and Plc 1309.04 and is signed and certified as specified in Plc 308.08;

 

          (b)  The information and documentation required by Plc 308.07, as applicable;

 

          (c)  For other than limited x-ray machine operator license renewal, documentation of current certification and registration as required by the applicable provision in Plc 1304.02 through Plc 1304.10;

 

          (d)  Evidence of good character in the form of answers to the background and character questions listed in Plc 308.06(e);

 

          (e)  For limited x-ray machine operators, the information and certification relative to meeting continuing education requirements specified in Plc 1309.05;

 

          (f)  For applicants to renew a radiologist assistant license, updated clinical protocols that meet the requirements of Plc 1304.06(c); and

 

          (g)  The application processing and licensing fee specified in Plc 1002, provided that an applicant applying to renew as active military or a military spouse shall not pay the fee.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.04  Information Required for Renewal Application.  An applicant for renewal of a license to practice a regulated MIRT profession shall provide the information required by Plc 308.06, provided that when identifying the profession for which application is being filed, the applicant shall identify the specific regulated MIRT profession in which the applicant is seeking license renewal.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.05  Information and Attestation Relative to Continuing Competence.

 

          (a)  An applicant for renewal of a limited x-ray machine operator license shall provide the following information relative to continuing competence:

 

(1)  The total number of hours achieved by the applicant in continuing education courses or other activities since the beginning of the current license term; and

 

(2)  The following information for each continuing education course and activity for which credit is claimed:

 

a.  The name of the course or activity;

 

b.  The beginning and ending date(s) of the course or activity;

 

c.  The name of the sponsor or provider of the course or activity; and

 

d.  The total number of hours attributable to the course or activity.

 

          (b)  Submission of the information shall constitute the applicant’s attestation that the applicant has met all continuing education requirements.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.06  Initial Review of Renewal Applications.  Within 30 days of receipt of an application submitted pursuant to Plc 1309.03, the licensing bureau shall process the application as provided in Plc 308.09.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.07  Withdrawal or Abandonment of Renewal Application.

 

          (a)  An applicant may withdraw an application to renew a license at any time prior to being notified of a decision under Plc 1309.08, by complying with Plc 308.10.

 

          (b)  A renewal application shall be deemed to be abandoned if the applicant files an incomplete application and does not provide all information necessary to complete the application when directed to do so pursuant to Plc 308.09.

 

          (c)  If the application is withdrawn or abandoned, the application processing and licensing fee shall not be refunded.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.08  Review of Complete Renewal Applications; Decisions.

 

          (a)  The licensing bureau shall review complete applications as provided in Plc 308.11.

 

          (b)  The licensing bureau shall renew the license of any applicant who meets the eligibility criteria specified in Plc 1309.01.

 

          (c)  The licensing bureau shall notify the applicant of the decision on the application in writing sent to the applicant’s designated email address.

 

          (d)  If the licensing bureau determines that the applicant has not demonstrated that requirements to obtain a license are met, then:

 

(1)  The licensing bureau shall deny the application; and

 

(2)  The notice sent pursuant to (c), above, shall inform the applicant that the denial shall become final in 30 days unless the applicant requests a hearing in writing within 30 days.

 

          (e)  If the application is denied, the application processing and licensing fee shall not be refunded.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.09  Challenging a Denial of License Renewal.  An applicant who wishes to challenge the denial of an application for license renewal shall do so as provided in Plc 308.12.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.10  Renewal Licenses: Issuance and Duration.

 

          (a)  Each renewal license to practice a regulated MIRT profession issued by the OPLC shall specify:

 

(1)  The name of the licensee;

 

(2)  The effective dates of the license;

 

(3)  The license number; and

 

(4)  The regulated MIRT profession the licensee is authorized to practice.

 

          (b)  Renewal licenses shall:

 

(1)  Expire 2 years from the date the license was issued unless a timely and complete renewal application is filed or the license is sooner suspended or revoked pursuant to Plc 1311; and

 

(2)  Be subject to renewal biennially.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.11  Reinstatement of a License After Expiration.

 

          (a)  An individual whose license has expired shall not practice in New Hampshire unless and until the individual has obtained a license in accordance with RSA 328-J and Plc 1300.

 

          (b)  An individual whose license has expired who wishes to obtain a license in New Hampshire shall:

 

(1)  Apply for a renewal license in accordance with Plc 1309.03, including demonstrating that the applicant is certified by the applicable credentialing organization and has met the continuing competence requirements specified in Plc 1308.06; and

 

(2)  As required by RSA 328-J:7-a, I, obtain a criminal records check using the process established by the NHDOS for requesting a criminal records check, accessible via the NHDOS website at https://www.nh.gov/safety/ or directly at https://services.dos.nh.gov/chri/cpo/, including paying any required fee and directing that the results be sent to the OPLC.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1309.12  Reinstatement of a License Previously Suspended or Revoked.

 

          (a)  An individual whose license was suspended pursuant to Plc 1311, or whose license was suspended by the New Hampshire board of medical imaging and radiation therapy prior to July 19, 2022, who wishes to have the license reinstated shall:

 

(1)  If the request is made before the expiration date of the suspended license, submit a written request to the licensing bureau that demonstrates compliance with all conditions of the suspension order and plan of correction, including completing any additional continuing competence activities and paying any monetary penalties imposed, but not paying an additional application or reinstatement fee; or

 

(2)  If the request is made after the expiration date of the suspended license:

 

a.  Submit an application for renewal, including paying the application processing and licensing fee and demonstrating all requirements for renewal have been met;

 

b.  Pay all monetary penalties imposed, if any;

 

c.  Pay the costs associated with the suspension, if imposed pursuant to RSA 310:12, V or other applicable law; and

 

d.  Demonstrate that all conditions imposed in the suspension order have been met.

 

          (b)  An individual whose license was revoked pursuant to Plc 1311, or whose license was revoked by the New Hampshire board of medical imaging and radiation therapy prior to July 19, 2022, who wishes to have the license reinstated shall:

 

(1)  Submit an application for renewal licensure in accordance with Plc 1309.03, including demonstrating that the applicant is certified by the applicable credentialing organization and has met the continuing competence requirements specified in Plc 1308.06;

 

(2)  As required by RSA 328-J:7-a, I, obtain a criminal records check using the process established by the NHDOS for requesting a criminal records check, accessible via the NHDOS website at https://www.nh.gov/safety/ or directly at https://services.dos.nh.gov/chri/cpo/, including paying any required fee and directing that the results be sent to the OPLC; and

 

(3)  Demonstrate that:

 

a.  All conditions imposed in the revocation order have been met;

 

b.  All monetary penalties imposed have been paid; and

 

c.  The revocation has been in effect for at least 2 years after the date of the order revoking the license, as required by RSA 328-J:19, III.

 

          (c)  If the licensing bureau makes a preliminary determination based on the information submitted by the applicant that the applicant does not qualify for a license or does not qualify for an unrestricted license, the licensing bureau shall refer the matter to the executive director, who shall initiate an adjudicative proceeding pursuant to Plc 200 to determine whether to deny the application or to reinstate the license with conditions.

 

          (d)  A license shall not be granted to an individual who previously held a license whose license was suspended or revoked unless and until the individual has:

 

(1)  Complied with any requirements that are part of the suspension or revocation order;

 

(2)  Paid all monetary penalties imposed, if any;

 

(3)  Paid the costs associated with the suspension or revocation, if imposed pursuant to RSA 310:12, V or other applicable law; and

 

(4)  Demonstrated that the individual meets all other requirements for a renewal license.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1310  ETHICAL AND PROFESSIONAL STANDARDS

 

          Plc 1310.01  Purpose and Applicability.

 

          (a)  The purpose of this part is to establish ethical and professional standards to maintain a high standard of integrity, skills, and practice in the regulated MIRT professions.

 

          (b)  These rules shall be binding upon each individual who is licensed in any of the regulated MIRT professions in New Hampshire.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1310.02  National Codes of Ethics as Binding Ethical Standards.

 

          (a)  Limited x-ray machine operators shall comply with the “ARRT Standards of Ethics,” effective September 1, 2021, available at https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12 and as noted in Appendix B.

 

          (b)  Magnetic resonance technologists shall comply with the following codes of ethics, as applicable:

 

(1)  If certified by the American Registry of Radiologic Technologists, the “ARRT Standards of Ethics,” effective September 1, 2021, available at https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12 and as noted in Appendix B; or

 

(2)  If certified by the American Registry of Magnetic Resonance Imaging Technologists, the “ARMRIT Code of Ethics”, available as noted in Appendix B or as accessed and reprinted in Appendix D on March 23, 2023;

 

          (c)  Nuclear medicine technologists shall comply with the Code of Ethics at lines 98-137 of the “Nuclear Medicine Technologist Scope of Practice and Performance Standards,” 2nd Ed., approved June 9, 2022 by the Society of Nuclear Medicine and Molecular Imaging Technologist Section, available at http://www.snmmi.org/IssuesAdvocacy/content.aspx?ItemNumber=6416&navItemNumber=592 and as noted in Appendix B;

 

          (d)  Radiation therapists shall comply with the “ARRT Standards of Ethics,” effective September 1, 2021, available at https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12 and as noted in Appendix B.

 

          (e)  Radiographers shall comply with the following codes of ethics, as applicable:

 

(1)  If certified by the American Registry of Radiologic Technologists, the “ARRT Standards of Ethics,” effective September 1, 2021, available at https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12 and as noted in Appendix B; or

 

(2)  If certified by Cardiovascular Credentialing International (CCI), the CCI “Policy 10A, Code of Ethics”, last revised 1/16, available at https://cci-online.org/why-cci/bylaws-policies/, scroll down to Policy – Ethics-Disciplinary Policy and Committee.pdf and as noted in Appendix B.

 

          (f)  Radiologist assistants shall comply with the “ARRT Standards of Ethics,” effective September 1, 2021, available at https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12 and as noted in Appendix B; and

 

          (g)  Sonographers shall comply with the following codes of ethics, as appropriate:

 

(1)  If certified by the American Registry of Diagnostic Medical Sonography, the Society of Diagnostic Medical Sonography’s “Code of Ethics for the Profession of Diagnostic Medical Sonography” as reapproved by the board of directors of the Society for Diagnostic Medical Sonography February 8, 2017, http://www.sdms.org/about/who-we-are/code-of-ethics, available as noted in Appendix B;

 

(2)  If certified by the American Registry of Radiologic Technologists, the “ARRT Standards of Ethics,” effective September 1, 2022, https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12, available as noted in Appendix B; or

 

(3)  If certified by Cardiovascular Credentialing International, the CCI “Policy 10A, Code of Ethics”, https://cci-online.org/why-cci/bylaws-policies/, scroll down to Policy – Ethics-Disciplinary Policy and Committee.pdf, last revised 1/16, available as noted in Appendix B.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1310.03  Additional Licensee Obligations.  Each person to whom these standards apply also shall:

 

          (a)  Comply with RSA 328-J, Plc 307.04 as effective May 1, 2023, as reprinted in Appendix F, and Plc 1300;

 

          (b)  Comply with any disciplinary or remedial orders issued by the executive director within the time periods specified;

 

          (c)  Interact with colleagues and clients with honesty and integrity;

 

          (d)  Not misrepresent professional qualifications or credentials;

 

          (e)  Cooperate with lawful investigations by the OPLC, and be candid and truthful when providing information;

 

          (f)  Be candid and truthful when making oral and written statements about medical imaging to the public;

 

          (g)  Treat all individuals with whom the person interacts in a professional capacity with respect and civility;

 

          (h)  Maintain sexual boundaries by:

 

(1)  Refraining from any behavior that exploits the practitioner-patient relationship in a sexual way; and

 

(2)  Avoiding any behavior that is sexual or sexually demeaning, or that could be reasonably interpreted as such, even when initiated by or consented to by a patient or a colleague;

 

          (i)  Not engage in hazing or sexual, verbal, or physical harassment of any individual when interacting in a professional capacity; and

 

          (j)  Not discriminate based on age, sex, gender identity, race, creed, color, marital status, familial status, physical or mental disability, or national origin.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

PART Plc 1311  PROCEDURES; DISCIPLINARY ACTIONS

 

          Plc 1311.01  Rules of Practice and Procedure.  The rules in Plc 200 shall govern procedures for any of the following that are not subject to specific provisions in RSA 328-J:

 

          (a)  The receipt of misconduct complaints and the investigation thereof;

 

          (b)  The conduct of disciplinary proceedings, including emergency proceedings;

 

          (c)  Waivers;

 

          (d)  Voluntary surrender of licenses; and

 

          (e)  Any other procedures not included in this chapter.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.02  Definitions.  For purposes of this part, the following definitions shall apply:

 

          (a)  “Respondent” means the person against whom a disciplinary sanction is proposed to be imposed; and

 

          (b)  “Sexual misconduct” means engaging in one or more of the following activities with respect to a current patient who is not a spouse or domestic partner:

 

(1)  Engaging in sexual relations, whether consensual or non-consensual;

 

(2)  Making verbal or physical sexual advances;

 

(3)  Using sexual language or phrases;

 

(4)  Requesting sexual favors; or

 

(5)  Engaging in physical contact of a sexual nature.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.03  Misconduct.  Misconduct shall be:

 

          (a)  Any conduct listed in RSA 328-J:19, I, reprinted in Appendix E;

 

          (b)  Knowingly, recklessly, or negligently providing inaccurate material information to the OPLC or failing to provide complete and truthful material information upon inquiry by an authorized representative of the OPLC, including during the process of applying for an initial license, a license renewal, or the reinstatement of a license;

 

          (c)  Conviction without annulment in any jurisdiction of any criminal offense that:

 

(1)  Constitutes a sexual offense;

 

(2)  Constitutes a violation of controlled substance law; or

 

(3)  Involves:

 

a.  Injury or the potential for injury to a victim; or

 

b.  Dishonesty;

 

          (d)  Failing to report a conviction described in (b), above, within 30 days as required by Plc 1308.03;

 

          (e)  Violating any applicable ethical or professional standard specified in Plc 1310;

 

          (f)  Engaging in sexual misconduct;

 

          (g)  Engaging in the practice of a regulated MIRT profession despite actual or potential inability to render care with reasonable skill and safety by reason of any impairment, including but not limited to physical or mental illness or use of alcohol, drugs, or any other substance that adversely affects human health;

 

          (h)  Being subject to final disciplinary action by:

 

(1)  A regulatory authority in another domestic or foreign jurisdiction; or

 

(2)  The applicable credentialing organization;

 

          (i)  Failing to take appropriate action to safeguard individuals from incompetent counselors and health care practitioners, whether or not they are licensed in this state;

 

          (j)  Practicing a regulated MIRT profession without a current license; and

 

          (k)  Violating:

 

(1)  Any provision of RSA 328-J;

 

(2)  Any provision of the rules in title Mirt if the violation occurred prior to July 26, 2022;

 

(3)  Any provision of Plc 1300; or

 

(4)  Any state or federal law reasonably related to the licensee’s authority to practice or the licensee’s ability to practice safely.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.04  Sanctions.  Pursuant to RSA 328-J:19, II, disciplinary actions available to the executive director to sanction misconduct shall be:

 

          (a)  Requiring the respondent to participate in continuing education in the area(s) in which the respondent has been found deficient;

 

          (b)  Issuing a written reprimand;

 

          (c)  Imposing limitations or restrictions on the respondent, including but not limited to practicing under the direct supervision of a medical imaging professional or radiation therapist for a period of time determined to be reasonable based on the nature and severity of the misconduct;

 

          (d)  Putting the respondent on probation for a period of time determined to be reasonable based on the nature and severity of the misconduct;

 

          (e)  Suspending the respondent’s license;

 

          (f)  Revoking or refusing to renew the respondent’s license; and

 

          (g)  Assessing a monetary penalty in the amount established pursuant to Plc 1311.10.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.05  Procedures for Imposing Sanctions.

 

          (a)  Other than immediate license suspension authorized by RSA 328-J:9 or RSA 541-A:30, III, the executive director shall impose disciplinary sanctions only:

 

(1)  After prior notice to the licensee in accordance with Plc 206 and the opportunity for the licensee to be heard; or

 

(2)  By agreement between the executive director and the licensee that is reflected in a consent order.

 

          (b)  Copies of orders imposing disciplinary sanctions and copies of all settlement agreements or consent decrees shall be sent to the licensing body of each jurisdiction in which the respondent is licensed, to the respondent’s credentialing organization, and to such other entities, organizations, associations, or boards as are required to be notified under applicable state or federal law.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.06  Method for Determining Sanctions.

 

          (a)  To determine which sanction or combination of sanctions to impose, the executive director shall:

 

(1)  Refer to the list in Plc 1311.03 to determine the nature of the act(s) or omission(s) constituting the misconduct committed by the licensee;

 

(2)  Determine whether any aggravating or mitigating circumstances are present, as provided in (b) and (c), below; and

 

(3)  Apply the standards in Plc 1311.07.

 

          (b)  The following shall be considered aggravating circumstances:

 

(1)  The rule or statute violated was clear as to what was required or prohibited;

 

(2)  The respondent has a record of disciplinary sanctions being imposed;

 

(3)  The respondent committed the misconduct intentionally or recklessly;

 

(4)  The respondent did not cooperate during the investigation and adjudicative proceeding; and

 

(5)  The misconduct caused actual harm or posed a material threat of harm to patients, colleagues, or the public.

 

          (c)  The following shall be considered mitigating circumstances:

 

(1)  The respondent does not have a record of prior discipline;

 

(2)  The respondent committed the misconduct negligently or inadvertently;

 

(3)  The respondent cooperated fully during the investigation and adjudicative proceeding;

 

(4)  The respondent acknowledged that the identified actions constituted violations; and

 

(5)  The rule or statute violated was arguably unclear.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.07  Standards for the Selection of Sanctions.  The executive director shall select appropriate sanction(s):

 

          (a)  From the list in Plc 1311.04; and

 

          (b)  By choosing, in light of the characteristics or lack of characteristics determined pursuant to Plc 1311.06(b), the sanction(s) most likely to:

 

(1)  Protect public health and safety;

 

(2)  Prevent future misconduct by the respondent;

 

(3)  Take into account any acknowledgement of fault by the respondent and any cooperation by the respondent with the investigation of misconduct; 

 

(4)  Correct any attitudinal, educational, or other deficiencies that contributed to the misconduct;

 

(5)  Encourage the responsible practice of the regulated MIRT profession; and

 

(6)  Demonstrate to the respondent, other licensees in the regulated MIRT profession, and the public the executive director’s intent to ensure that licensees in a regulated MIRT profession practice in accordance with applicable law to support and protect public safety and welfare.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.08  Unauthorized Practice.  When the executive director determines that one of the following measures is likely to be the most effective way to stop unlicensed practice as described in RSA 328-J:10, the executive director shall:

 

          (a)  Issue a cease and desist order against the person or entity engaged in the unauthorized practice; or

 

          (b)  Seek an injunction against such person or entity as authorized by RSA 328-J:21.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.09  Conditions of License Suspension or Revocation.

 

          (a)  If a license is suspended, the licensee shall prepare and submit a plan of correction to address each violation that provided a basis for the disciplinary proceeding.

 

          (b)  The executive director shall review the submitted plan of correction and:

 

(1)  Approve the plan, if it:

 

a.  Addresses each violation that provided a basis for the disciplinary proceeding; and

 

b.  Identifies one or more specific actions that the license shall take and specifies a deadline for taking each action that is reasonable based on the nature of the action to be taken; or

 

(2)  Return the plan to the licensee for revision and resubmission if the plan does not meet the requirements for approval specified in (1), above.

 

          (c)  A licensee whose license was suspended may request the license to be reactivated after the conditions specified in the suspension order have been met in accordance with Plc 1309.12(a).

 

          (d)  If a license is revoked, any subsequent application for licensure shall include a plan of correction that addresses each violation that provided a basis for the disciplinary proceeding.

 

          (e)  An individual whose license has been revoked and who wishes to reapply for a license shall apply as for license reinstatement in accordance with Plc 1309.12(b).

 

          (f)  A license shall not be granted to an individual who previously held a license but whose license was revoked unless and until the individual has complied with the requirements on which the revocation was based and has paid the costs associated with the revocation, if imposed pursuant to RSA 310:12, V or other applicable law.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 

          Plc 1311.10  Determination of Monetary Penalties.

 

          (a)  Monetary penalties for violations as specified in Plc 1311.03 shall not exceed the following amounts, and in no event shall exceed $2,500 per violation:

 

(1)  When no violation of any type has occurred during a period of licensure within the 5 years prior to the executive director’s notice to the respondent, the fine assessed shall not exceed the greater of $100 per day or $1,000 per violation;

 

(2)  When a violation other than a violation of the same type has occurred during a period of licensure within the 5 years prior to the executive director’s notice to the respondent, the fine assessed shall not exceed the greater of $200 per day or $1,500 per violation;

 

(3)  When a single violation of the same type has occurred during a period of licensure within the 5 years prior to the executive director’s notice to the respondent, the fine assessed shall not exceed the greater of $250 per day or $2,000 per violation; and

 

(4)  When more than one violation of the same type has occurred during a period of licensure within the 5 years preceding the executive director’s notice to the respondent, the fine assessed shall not exceed the greater of $300 per day or $2,500.

 

          (b)  If a respondent has committed more than one violation of the same requirement or standard, a separate fine shall be assessed for each occurrence, but the total amount of the fine and the respondent’s promptness and cooperativeness in ceasing the prohibited conduct in question shall be considered in assessing the fines.

 

          (c)  A course of continuous conduct shall be treated as a single violation for purposes of (a), above.

 

Source.  (See Revision Note at chapter heading for Plc 1300) #13701, eff 8-1-23

 


 

 

 

Appendix A:  State Statutes Implemented

 

Rule

State Statute(s) Implemented

Plc 1300 (see below for more specific

and additional statutes)

RSA 328-J

Plc 1303

RSA 328-J:3

Plc 1304

RSA 328-J:11

Plc 1305

RSA 328-J:7-a; RSA 328-J:10; RSA 328-J:13

Plc 1306

RSA 328-J:13, II

Plc 1307

RSA 328-J:12

Plc 1308

RSA 328-J:17; RSA 328-J:15

Plc 1309

RSA 328-J:15

Plc 1310

RSA 328-J:7, IV

Plc 1311

RSA 328-J:19; RSA 328-J:20

 

 


 

Appendix B:  Incorporated Documents

 

Rule(s)

Incorporated Reference

Obtain at:

Plc 1307.03(a)

Plc 1307.11

“Magnetic Resonance Practice Standards”, found in “The ASRT Practice Standards for Medical Imaging and Radiation Therapy”

dated June 26, 2022

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards; click on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Magnetic Resonance

Practice Standards”

Plc 1307.04(a)

“Nuclear Medicine Practice Standards”, found in “The ASRT Practice Standards for Medical Imaging and Radiation Therapy”

 dated June 26, 2022

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards; click on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Nuclear Medicine Practice Standards”

Plc 1307.04(b)

“Nuclear Medicine Technologist Scope of Practice and Performance Standards”, 2nd Edition, approved

June 9, 2022

Society of Nuclear Medicine & Molecular Imaging; go to http://www.snmmi.org/ClinicalPractice/content.aspx?
ItemNumber=5532
, then click on Scope of Practice & Performance Standards 2022

Plc 1307.05

“Radiation Therapy Practice Standards”, part of “The ASRT Practice Standards for Medical Imaging and Radiation Therapy”

dated June 26, 2022

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards; click on “Read The ASRT Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Radiation Therapy Practice Standards”

Plc 1307.06

ASRT’s “Radiography Practice Standards”, part of “The ASRT Practice Standards for Medical Imaging and Radiation Therapy”

dated June 26, 2022

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards click on “Read The ASRT

Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Radiography Practice Standards”

Plc 1307.07(a)

“Radiologist Assistant Practice Standards”, part of “The ASRT Practice Standards for Medical Imaging and Radiation Therapy”

dated June 26, 2022  

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards click on “Read The ASRT

Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Radiologist Assistant

Practice Standards”

Plc 1307.08(a)

Plc 1307.08(c)

“Scope of Practice and Clinical Standards for the Diagnostic

Medical Sonographer” dated

04-13-15

Society of Diagnostic Medical Sonography

 

Available at http://www.sdms.org/about/who-we-
are/scope-of-practice
 

Plc 1307.08(b)

“Sonography Practice Standards”,

part of “The ASRT Practice

Standards for Medical Imaging

and Radiation Therapy” dated

June 26, 2022

American Society of Radiologic Technologists; go to https://www.asrt.org/main/standards-regulations/practice-standards/practice-standards click on “Read The ASRT

Practice Standards for Medical Imaging and Radiation Therapy”, then scroll down to “Sonography Practice

Standards”

Plc 1307.09(a)

“Scope of Practice for the

Registered Cardiovascular Electrophysiology Specialist

(RCES)”, 2017

Alliance of Cardiovascular Professionals

https://www.acp-online.org/advocacy/scopes-of-practice/

Plc 1307.10(a)

“Scope of Practice for the

Registered Cardiovascular

Invasive Specialist (RCIS)”,

2018

https://www.acp-online.org/advocacy/scopes-of-practice/

Plc 1310.02(a),

(b)(1), (d), (e)(1),

(f), & (g)(2)

“ARRT Standards of Ethics,”

effective September 1, 2021

American Registry of Radiologic Technologists; go to https://www.arrt.org/docs/default-source/Governing-Documents/arrt-standards-of-ethics.pdf?sfvrsn=12

Plc 1310.02(b)(2)

“ARMRIT Code of Ethics”

(undated)

American Registry of Magnetic Resonance Imaging Technologists; go to https://www.armrit.org/index.php, then scroll to the bottom of the page and click on “Code of

Ethics” or see Appendix D

Plc 1310.02(c)

“Nuclear Medicine Technologist Scope of Practice and Performance Standards,” 2nd Ed., 06-09-22,

lines 98-137

Society of Nuclear Medicine and Molecular Imaging Technologist Section; found at http://www.snmmi.org/IssuesAdvocacy/content.aspx?
ItemNumber=6416&navItemNumber=592

Plc 1310.02(e)(2)

& (g)(3)

CCI “Policy 10A, Code of Ethics”

last revised 1/16

Cardiovascular Credentialing International; go to

https://cci-online.org/why-cci/bylaws-policies/ then scroll

down to Policy – Ethics-Disciplinary Policy and
Committee.pdf

Plc 1310.02(g)(1)

Code of Ethics for the Profession

of Diagnostic Medical Sonography”,

re-approved by SDMS Board of Directors, effective 02/08/2017

Society of Diagnostic Medical Sonography; http://www.sdms.org/about/who-we-are/code-of-ethics

 


 

 

Appendix C:  O*NET Online Tasks for ARMRIT-Certified Licensed Magnetic Resonance Technologists

Tasks

·  Operate magnetic resonance imaging (MRI) scanners.

·  Select appropriate imaging techniques or coils to produce required images.

·  Intravenously inject contrast dyes, such as gadolinium contrast, in accordance with scope of practice.

·  Position patients on cradle, attaching immobilization devices, if needed, to ensure appropriate placement for imaging.

·  Conduct screening interviews of patients to identify contraindications, such as ferrous objects, pregnancy, prosthetic heart valves, cardiac pacemakers, or tattoos.

·  Explain magnetic resonance imaging (MRI) procedures to patients, patient representatives, or family members.

·  Provide headphones or earplugs to patients to improve comfort and reduce unpleasant noise.

·  Take brief medical histories from patients.

·  Inspect images for quality, using magnetic resonance scanner equipment and laser camera.

·  Create backup copies of images by transferring images from disk to storage media or workstation.

·  Troubleshoot technical issues related to magnetic resonance imaging (MRI) scanner or peripheral equipment, such as monitors or coils.

·  Write reports or notes to summarize testing procedures or outcomes for physicians or other medical professionals.

·  Test magnetic resonance imaging (MRI) equipment to ensure proper functioning and performance in accordance with specifications.

·  Calibrate magnetic resonance imaging (MRI) console or peripheral hardware.

·  Instruct medical staff or students in magnetic resonance imaging (MRI) procedures or equipment operation.

·  Attach physiological monitoring leads to patient's finger, chest, waist, or other body parts.

·  Conduct inventories to maintain stock of clinical supplies.

·  Operate optical systems to capture dynamic magnetic resonance imaging (MRI) images, such as functional brain imaging, real-time organ motion tracking, or musculoskeletal anatomy and trajectory visualization.

·  Request sedatives or other medication from physicians for patients with anxiety or claustrophobia.

·  Connect physiological leads to physiological acquisition control (PAC) units.

·  Schedule appointments for research subjects or clinical patients.

·  Develop or otherwise produce film records of magnetic resonance images.

·  Place and secure small, portable magnetic resonance imaging (MRI) scanners on body part to be imaged, such as arm, leg, or head.

 


 

Appendix D:  ARMRIT Code of Ethics and Mission Statement

Magnetic Resonance Imaging Technologists, as Certified Technologists of an allied health care profession, must endeavor to always practice their specialty with the highest ethical standards in mind. The American Registry of Magnetic Resonance Imaging Technologists’ Board of Directors adopted and enacted the following Guidelines:

1) The MRI technologist shall provide quality service and patient care with empathy, respect and concern for the rights, privacy and safety of the patient.

2) The MRI technologist shall always be aware of the precautions necessary and available to anyone in the MRI environment in order to safeguard the patient and others.

3) The MRI technologist shall respect the confidentiality and never divulge patient information to anyone not directly related to the care of the patient as allowed by law.

4) The MRI technologist shall adhere and comply with statutes, laws, regulations or specifications that govern the medical imaging modality of magnetic resonance imaging technology under federal, state and local law.

5) The MRI technologist shall perform their assigned duties responsibly, accurately and competently, and professionally.

6) The MRI technologist shall always endeavor to enhance and improve their knowledge of the specialty and skills annually through formal and informal continuing education.

7) The MRI technologist shall not violate any laws.

8) The MRI technologist shall promote community awareness of the importance of quality health care and participate in related activities, whenever possible.

 

ARMRIT Mission Statement

 

The mission of the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) is to recognize individuals qualified as specialists in the use of Magnetic Resonance Imaging (MRI) Technology which employs non-ionizing radiation to promote high standards of patient care and safety in the diagnostic medical imaging modality of MRI Technology including interventional MRI, cardiovascular MRI, functional MRI, and MRI breast imaging. The Registry is open to all qualified technologists in all imaging fields provided a formal education has been completed through bonafide established schools dedicated to MRI technologists.

 


 

Appendix E:  Referenced Statutory Provisions

 

328-J:19 Penalties. –

I. The executive director may deny, suspend, revoke, or refuse to renew a license or impose probationary conditions on a license if the licensee or applicant for licensure has engaged in any of the following conduct:

(a) Obtaining a license by means of fraud, misrepresentation, or concealment of material facts.

(b) Engaging in unprofessional conduct pursuant to rules adopted by the executive director.

(c) Having been convicted of or pleaded guilty or nolo contendere to a crime involving moral turpitude or any crime which indicates that the licensee or applicant is unfit or incompetent to administer medical imaging or radiation therapy procedures or that the licensee or applicant has deceived or defrauded the public.

(d) Engaging in any act or practice in violation of any of the provisions of this chapter or any rule adopted by the executive director or aiding, abetting, or assisting any person in such a violation.

(e) Committing an act or acts of malpractice, gross negligence, or incompetence in administering medical imaging or radiation therapy procedures.

(f) Practicing as a person licensed to administer medical imaging or radiation therapy procedures without a current license.

(g) Engaging in conduct that could result in harm or injury to the public.

(h) Having a license issued under this chapter revoked or suspended or other disciplinary action taken, whether in this state or another jurisdiction.

(i) Being unfit or incompetent to administer medical imaging or radiation therapy services by reason of deliberate or negligent acts or omissions, regardless of whether actual injury to a patient is established.

II. The executive director, upon making an affirmative finding under paragraph I, may take disciplinary action in any one or more of the following ways:

(a) By written reprimand.

(b) By suspension, refusal to renew, limitation or restriction of a license, or probation for a period of time determined to be reasonable by the executive director.

(c) By revocation of a license.

(d) By requiring the person to participate in a program of continuing education in the area or areas in which the person has been found deficient.

(e) By requiring the person to practice under the direct supervision of a medical imaging professional or radiation therapist for a period of time specified by the executive director.

(f) By assessing civil penalties, after notification and due process, in amounts established by the executive director which shall not exceed $2,500 per offense or, in the case of continuing offenses, $250 for each day the violation continues, whichever is greater.

III. The denial, refusal to renew, suspension, revocation, or imposition of probationary conditions upon a license may be ordered by the executive director after a hearing held in accordance with RSA 328-J:18 and rules adopted by the executive director. An application may be made to the executive director for reinstatement of a revoked license if the revocation has been in effect for at least 2 years after the date of the executive director’s order revoking the license.

Source. 2016, 54:2, eff. July 1, 2016. 2022, 104:6, eff. July 26, 2022.

 

328-J:25 Exemptions. – Nothing in this chapter shall be construed to prevent or affect:

I. A licensed practitioner performing medical imaging or radiation therapy procedures within his or her scope of practice, education, training, and competence.

II. A registered dental hygienist licensed under the laws of the state of New Hampshire performing dental imaging procedures within his or her scope of practice, education, training, and competence and under the supervision of a dentist licensed under the laws of the state of New Hampshire.

III. A dental assistant licensed or holding a certificate under the laws of the state of New Hampshire performing dental imaging procedures within his or her scope of practice, education, training, and competence and under the supervision of a dentist licensed under the laws of the state of New Hampshire.

IV. A resident physician or a student enrolled in and attending a school or college of medicine, dentistry, osteopathy, chiropractic, podiatry, limited x-ray machine operator, medical imaging, or radiation therapy who performs medical imaging or radiation therapy procedures on humans while under the supervision of a licensed practitioner or a person holding a license under this chapter in the supervised modality.

V. A person administering medical imaging or radiation procedures who is employed by the United States government when performing duties associated with that employment.

VI. A person licensed under the laws of the state of New Hampshire performing a sonography procedure within his or her scope of practice, education, training, and competence, that is used to assess specific and limited information about a patient's immediate medical condition, is limited to a focused imaging target and does not generate a recorded diagnostic medical image. A focused imaging target includes, but is not limited to:

(a) Assessment of fetal presentation or heartbeat;

(b) Assessment of fluid in a body cavity;

(c) Assessment of foreign body position or location;

(d) Fetal monitoring during active labor; or

(e) Identification of an anatomical landmark or blood vessel for vascular access or administration of anesthesia.

VII. A person performing medical procedures or therapy on non-human subjects or cadavers.

VIII. A person licensed under the laws of the state of New Hampshire performing a medical procedure using ultrasound for a non-imaging purpose that is within his or her scope of practice, education, training, and competence.

IX. A person licensed to perform a medical imaging or radiation therapy modality, who is performing clinical procedures under the supervision of a licensed practitioner or a person holding a license under this chapter in the supervised modality, in preparation for certification in an additional medical imaging or radiation therapy modality. To receive this exemption, the person shall register with the executive director and meet the requirements as specified in this chapter and under the rules adopted by the board. The executive director may grant this exemption for a period not to exceed 3 years and the exemption may be renewed by the executive director.

Source. 2016, 54:2, eff. July 1, 2016. 2017, 217:1, eff. Sept. 8, 2017. 2022, 104:8, eff. July 26, 2022.

 


 

Appendix F:  Plc 307.04 as effective May 1, 2023

 

          Plc 307.04  Obligations of Persons Subject to These Rules.

 

          (a)  Each person subject to these rules shall comply with all applicable law.

 

          (b)  In any application or other document filed with, or statement made to, the licensing bureau or the applicable board, each person subject to these rules shall provide information that, to the best of the person’s knowledge and belief, is true, complete, and not misleading.

 

          (c)  Each person subject to these rules shall cooperate with investigations and requests for information from the OPLC and the applicable board, wherein “cooperate” means to provide the information requested, answer any questions posed, and allow inspections in order to enable the OPLC or applicable board to determine compliance with applicable law.

 

          (d)  Each person subject to these rules shall provide honest and accurate information in reports prepared as part of practicing the profession in which the person is authorized to practice.

 

          (e)  Each person subject to these rules shall report evidence of professional misconduct on the part of another licensee when that conduct poses a potential threat to life, health, or safety.

 

          (f)  Each person subject to these rules shall maintain sexual boundaries by:

 

(1)  Refraining from any behavior that exploits the professional-client or professional-patient relationship in a sexual way; and

 

(2)  Avoiding any behavior that is sexual, seductive, suggestive, or sexually demeaning, or could be reasonably interpreted as such, even when initiated by or consented to by the target of the behavior.

 

          (g)  Each person subject to these rules shall be truthful in publicly representing or advertising himself or herself by avoiding the following:

 

(1)  False, deceptive, or misleading statements;

 

(2)  Unreasonable or exaggerated claims of success;

 

(3)  Guarantees of success;

 

(4)  Claims or implications of professional superiority or of training that cannot be substantiated; and

 

(5)  Unsubstantiated claims of expertise or certification of such in any specific areas of the scope of practice set forth in applicable law.

 

          (h)  Each person subject to these rules shall interact with colleagues and clients with honesty and integrity.

 

          (i)  No person subject to these rules shall misrepresent professional qualifications or credentials.

 

          (j)  Each person subject to these rules shall treat all individuals with whom the person interacts in a professional capacity with respect and civility.

 

          (k)  No person subject to these rules shall engage in hazing or sexual, verbal, or physical harassment of any individual when interacting in a professional capacity.

 

          (l)  No person subject to these rules shall discriminate based on age, sex, gender identity, race, creed, color, marital status, familial status, physical or mental disability, or national origin, or any additional class protected by law.