The document discusses various legislative initiatives regarding certification and licensure requirements for medical imaging providers, including ultrasound technicians. It outlines current bills in New Mexico and Oregon that would require certification or licensure to perform medical ultrasound. Concerns are raised that the bills could restrict non-prescriptive providers like nurses from using ultrasound. The document advocates working with relevant societies to address these issues and ensure ultrasound remains within the scope of practice for vascular access professionals.