Radiologic technologists: venipuncture: direct supervision.

Header changed from enrolled bill format (with assembly/senate passage dates, clerk signatures, and governor receipt line) to chaptered law format with 'STATE OF CALIFORNIA AUTHENTICATED ELECTRONIC LEGAL MATERIAL,' chapter number 435, and approval date of October 7, 2025.

Page headers and footers changed from 'AB 460' to 'Ch. 435' with updated page numbering consistent with the chaptered law layout.

Line wrapping and indentation adjusted throughout to match the narrower column width of the chaptered law format; no words were added or removed from the statutory text.

Section 2 corrected 'Article XIIIB' to 'Article XIII B' (added a space), a minor formatting fix in the constitutional citation.

The definition of 'direct supervision' (remote option) now requires the physician to have access to the patient's 'medical imaging records' rather than specifically 'electronic medical imaging records,' broadening what types of records qualify.

The remote physician's intervention mechanism changed from acting 'through standing orders or protocols' to acting 'by directing other onsite personnel,' requiring more active, real-time direction rather than reliance on pre-established protocols.

The remote physician's required access was narrowed from 'the patient's electronic medical records' to 'the patient's electronic medical imaging records,' reducing the scope of data the remote physician must be able to view.

A new intervention method was added for remotely supervising physicians: they may intervene 'by directing other onsite personnel' in addition to standing orders or protocols.

Subdivision (i) was restructured to specify that onsite personnel responding to adverse events must be licensed or certified as a physician and surgeon, registered nurse, nurse practitioner, clinical nurse specialist, or physician assistant. Previously the bill only required personnel with 'the appropriate license' without listing specific credentials.

A new exemption was added: facilities that only allow direct supervision by a physically present physician (subparagraph (A)) need only have safety protocols and are not required to have specifically licensed onsite personnel, unlike facilities using remote supervision.

The definition of 'direct supervision' no longer permits a physician to supervise via telephone or other real-time communication. The physician must now be available immediately via audio and video communication (not just audio/telephone) with access to the patient's electronic medical records.

Facilities must now have onsite personnel who hold the appropriate license to respond to adverse events, not just personnel who are 'capable of responding.' This adds a licensing requirement for the safety response staff.

The definition of 'direct supervision' for remote physician oversight was changed from requiring 'real-time audio communication' to 'real-time audio and video communication,' meaning the physician must now be able to see the patient via video, not just hear them.

A new subdivision (i) requires the facility to have safety protocols and personnel onsite capable of responding to adverse events at the physician's direction. This ensures that even when the physician is remote, there are trained staff on-site who can act immediately if a patient has a reaction.

Corrected the typo 'Radiologistic' to 'Radiologic' in the bill title and legislative counsel's digest.