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HB 4399 & SB 268: A Direct Threat to Patient Safety in Radiology

HB 4399 and SB 268 are dangerous pieces of legislation that seek to expand the scope of practice for non-physician providers—specifically nurse practitioners—granting them the authority to interpret and manage diagnostic imaging studies without the direct oversight of a radiologist. This is not about teamwork. It's about replacing physician expertise with less training and less accountability.

Radiologists complete over a decade of specialized medical education, including medical school, residency, and often fellowship training, to ensure the highest standards of image interpretation, diagnosis, and patient care. HB 4399 & SB 268 undermine that standard by allowing individuals without this rigorous training to perform tasks traditionally—and safely—done by radiologists.

Radiology is not just about reading images. It’s about integrating clinical context, understanding complex pathology, and making life-altering decisions based on nuanced findings. Misinterpretations can lead to delayed diagnoses, unnecessary treatments, or missed critical findings.
We support collaborative care. But HB 4399 is not collaboration—it is substitution.

Protect Michigan patients. Oppose HB 4399 & SB 268.

Key legislators to contact:

Radiology Advocacy Network Action Center:

Clink the link below to go to the Radiology Advocacy Network's Action Center to send letters to your legislators.

Link to Radiology Advocacy Netwrok Action Center

Sample Letters to Your State Legislators:

Download any of the below sample letters to write or email your state legislators to inform them of the risk to patient care and healthcare standards that HB 4399 & SB 268 pose.

SB 279 and HB 6167 Sample Letters

Sample #5: For the patient or healthcare professional 

Download Senate LetterDownload House Letter

SB 1158 - 1159 and HB 6085 - 6086 Sample Letters

Sample #1: For a Physician 

Download Sample House Letter

Sample #2: For a Radiologist

Sample #3: For a Citizen 

Download Sample House Letter

Sample #4: For a Radiologist

Download Sample House Letter

Sample #5: For any Healthcare Professional 

Download Sample House Letter

SB 279 and HB 6167 Sample Letters

Sample #5: For the patient or healthcare professional 

Download Senate LetterDownload House Letter

SB 1158 - 1159 and HB 6085 - 6086 Sample Letters

Sample #1: For a Physician 

Download Sample House Letter

Sample #2: For a Radiologist

Sample #3: For a Citizen 

Download Sample House Letter

Sample #4: For a Radiologist

Download Sample House Letter

Sample #5: For any Healthcare Professional 

Download Sample House Letter