ContrastConnect has released a guide detailing the implications of Washington House Bill 2113, which takes effect June 11, 2026, and updates state law governing radiologic technologists who perform intravenous contrast procedures. The bill, introduced by Representative Andrew Engell during the 2025-2026 legislative session, permits virtual direct physician supervision using real-time audiovisual communication — a change the company says aligns Washington with federal Centers for Medicare and Medicaid Services (CMS) standards that recognize virtual direct supervision as a permanent model. The guide is intended to help outpatient imaging centers in Washington transition to compliant virtual supervision without requiring infrastructure modifications.
More information is available at https://www.contrast-connect.com/blog-post/washington-hb-2113-for-virtual-contrast-supervision-2026-requirements-changes-explained
Direct physician supervision was historically interpreted as requiring a physician to be physically on-site during contrast administration, a requirement that often limited operational flexibility for outpatient imaging centers as healthcare delivery shifted toward telemedicine. ContrastConnect explains that the expansion of outpatient imaging over the past decade created growing demand for supervision frameworks built around secure communication technology — and exposed a gap between existing regulatory language and modern clinical workflows.
According to the guide and the bill text, HB 2113 mandates live, interactive two-way audiovisual communication between supervising physicians and on-site staff — audio-only communication does not meet statutory requirements. Safety protocols remain in place, requiring imaging facilities to maintain trained clinical personnel on-site to recognize and manage contrast reactions or other adverse events.
ContrastConnect states its platform architecture provides secure audiovisual communication, allowing technologists to connect with supervising physicians during contrast procedures. According to the company, real-time physician availability is maintained throughout each exam, and clinical protocols follow U.S. radiology practice standards established by the American College of Radiology.
ContrastConnect supervises over 1 million contrast exams annually and provides more than 75,000 hours of supervision monthly across a national network of outpatient imaging centers. The company states its experience includes identifying early symptoms of allergic-like and physiologic reactions to contrast agents and directing response protocols in real time, adding that remote physician supervision, when structured within compliant frameworks, can be both clinically safe and operationally sustainable for facilities requiring flexible oversight.
Imaging centers seeking to transition to compliant virtual supervision under HB 2113 can find more information about ContrastConnect's platform and clinical services at https://www.contrast-connect.com/