ContrastConnect has updated its outlook on virtual contrast supervision following the signing of California Assembly Bill 460. The law permits virtual contrast supervision via real-time audio and video starting January 1, 2026, provided on-site licensed practitioners are present during remote oversight.
-- California Assembly Bill 460 was signed into law on October 7, 2025, and takes effect January 1, 2026. The legislation redefines direct supervision for contrast media administration by permitting remote oversight via real-time audio and video communication. This shift departs from prior requirements under Health & Safety Code §106985, which mandated the physical presence of a supervising physician within the facility. ContrastConnect has released an updated impact report to help California healthcare providers address this transition as the state's radiology sector adopts these new standards.
More information is available at https://www.contrast-connect.com/blog-post/why-ab-460-marks-progress-for-the-future-of-imaging-in-california
In its report, ContrastConnect discusses how this change aligns California with Centers for Medicare & Medicaid Services (CMS) guidelines. CMS recently established a permanent rule for virtual direct supervision, taking effect January 1, 2026. Beyond staffing flexibility, AB 460 requires that the remote physician have simultaneous access to the patient's medical imaging records during the procedure. Industry data underscores the operational gains of this model: a survey by the Radiology Business Management Association found that approximately 30 percent of centers reported faster response times with remote supervision.
While AB 460 permits remote oversight, a critical amendment requires a licensed practitioner—such as a registered nurse, nurse practitioner, clinical nurse specialist, physician assistant, or physician—to be physically present on-site. Furthermore, facilities must maintain written safety protocols and established standing orders to govern these interactions. This safeguard addresses patient safety and clinical accountability. The ContrastConnect team notes that this requirement is a cornerstone of the new regulatory framework. Administrators planning for the January 2026 effective date must integrate these on-site staffing and documentation mandates into their operational frameworks.
ContrastConnect physicians supervise over 55,000 contrast exams monthly and manage an average of 5 to 10 contrast-related reactions daily. This scale provides the expertise needed to manage clinical incidents and high-volume operations as California facilities adopt virtual supervision.
The updated Impact Report addresses compliance pathways and operational changes, detailing how centers can integrate remote supervision while meeting the on-site practitioner and medical record access requirements. The report offers strategies for optimizing staffing models and bridging the gap between legislative requirements and day-to-day practice.
Headed by Dor Shoshan, MD, ContrastConnect is a nationwide provider of virtual contrast management and technologist training services, partnering with hundreds of imaging centers across the country.
For more details, visit https://www.contrast-connect.com/
Contact Info:
Name: Dor Shoshan
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Organization: ContrastConnect
Address: 309 Queens Gate Ct, Las Vegas, NV 89145, United States
Website: https://www.contrast-connect.com/
Source: PressCable
Release ID: 89180731
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