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A08968 Summary:

BILL NOA08968C
 
SAME ASSAME AS S00607-C
 
SPONSORHyndman
 
COSPNSRSchiavoni, Williams
 
MLTSPNSR
 
Rpld §§8004 & 8006, amd Ed L, generally; amd §§413 & 488, Soc Serv L
 
Provides for the licensure of dietitians and nutritionists; defines the practice thereof.
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A08968 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         8968--C
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                     August 13, 2025
                                       ___________
 
        Introduced  by  M.  of  A. HYNDMAN, SCHIAVONI, WILLIAMS -- read once and
          referred to the Committee on Higher Education -- committee discharged,
          bill amended, ordered reprinted as amended  and  recommitted  to  said
          committee  --  recommitted  to  the  Committee  on Higher Education in
          accordance with Assembly Rule 3, sec. 2 -- committee discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee -- again reported from said  committee  with  amendments,  ordered
          reprinted as amended and recommitted to said committee
 
        AN  ACT  to  amend  the  education  law  and the social services law, in
          relation to the licensure of  dietitians  and  nutritionists;  and  to
          repeal certain provisions of the education law relating thereto
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 8000 of the education law, as added by chapter  635
     2  of the laws of 1991, is amended to read as follows:
     3    § 8000. Introduction.   This article applies to the [use of the titles
     4  "certified dietitian" and "certified nutritionist"] licensing of  dieti-
     5  tians and nutritionists. A "licensed dietitian" shall mean a person duly
     6  licensed  under  this article as meeting the requirements of subdivision
     7  two of section eight thousand four of this article to practice dietetics
     8  and nutrition, which includes the practice of medical nutrition therapy.
     9  A "licensed nutritionist" shall mean a person duly licensed  under  this
    10  article  as meeting the requirements of subdivision one of section eight
    11  thousand four of this article to practice nutrition, which includes  the
    12  practice  of  medical nutrition therapy. All persons licensed under this
    13  article shall exercise professional judgment within the scope  of  their
    14  education,  training,  and experience, and shall make referrals to other
    15  qualified health care  providers  when  necessary  to  ensure  safe  and
    16  comprehensive  patient  care.  The general provision for all professions
    17  contained in article one hundred thirty of this  title  shall  apply  to
    18  this article.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01594-07-6

        A. 8968--C                          2
 
     1    § 2. Section 8001 of the education law, as added by chapter 635 of the
     2  laws of 1991, is amended to read as follows:
     3    § 8001. [Definitions]  Dietetic and nutrition practice.  1. [Dietetics
     4  and nutrition are herein each defined as  the integration  and  applica-
     5  tion of principles derived from the sciences of nutrition, biochemistry,
     6  physiology,  food  management  and  behavioral  and  social  sciences to
     7  achieve and maintain people's health.
     8    2. Where the title "certified dietitian" or  "certified  nutritionist"
     9  is  used in this article it shall mean "certified dietitian", "certified
    10  dietician", or "certified nutritionist".
    11    3. A certified dietitian or certified nutritionist is one who  engages
    12  in  the  integration  and  application  of  principles  derived from the
    13  sciences of nutrition, biochemistry,  physiology,  food  management  and
    14  behavioral  and social sciences to achieve and maintain people's health,
    15  and who is certified as such by the department pursuant to section eight
    16  thousand four of this article.   The primary  function  of  a  certified
    17  dietitian  or  certified nutritionist is the provision of nutrition care
    18  services that shall include:
    19    (a) Assessing nutrition needs and food patterns;
    20    (b) Planning for and directing the provision of food  appropriate  for
    21  physical and nutrition needs; and
    22    (c)  Providing nutrition counseling.] The practice of dietetics encom-
    23  passes the practice of nutrition and includes providing  medical  nutri-
    24  tion  therapy and advanced medical nutrition therapy delivered in-person
    25  or via telehealth, to  prevent,  manage,  or  treat  chronic  and  acute
    26  diseases  or  medical  conditions  and promote wellness in inpatient and
    27  outpatient settings.
    28    2. The practice of nutrition involves the provision of nutrition  care
    29  services in-person or via telehealth, including medical nutrition thera-
    30  py,  limited  to  the  prevention,  management,  or treatment of chronic
    31  diseases or medical conditions in outpatient settings and  treatment  of
    32  chronic  diseases  or  medical conditions in outpatient settings and the
    33  promotion of wellness. The  practice  of  nutrition  shall  include  the
    34  ordering  of  oral therapeutic diets; the ordering of medical laboratory
    35  tests related to nutritional therapeutic treatments; and  the  provision
    36  of recommendations on vitamin, mineral, and other dietary supplements.
    37    § 3. Section 8002 of the education law, as added by chapter 635 of the
    38  laws of 1991, is amended to read as follows:
    39    § 8002. Use  of  titles.  [Only  a] 1. No person [certified under this
    40  article shall be authorized to  use  the  title  "certified  dietitian",
    41  "certified  dietician",  or  "certified  nutritionist"] may designate or
    42  hold such person out as a dietitian or use or assume the  title  "dieti-
    43  tian",  "licensed dietitian", "dietician", or any other title indicating
    44  that the person is a licensed dietitian or append to or use in  conjunc-
    45  tion  with  that  person's  name  the letters "LD" unless such person is
    46  licensed as a dietitian under this article.
    47    2. No  person  may  use or assume any title indicating that the person
    48  is a licensed nutritionist or append to  or  use  in  conjunction   with
    49  that  person's  name the letters "LN" unless the person is licensed as a
    50  nutritionist under this article.
    51    3. No person may designate or hold such person out as  a  nutritionist
    52  or  use or assume the title "nutritionist" unless the person is licensed
    53  under this article.
    54    § 4. The education law is amended by adding a new  section  8002-a  to
    55  read as follows:

        A. 8968--C                          3
 
     1    § 8002-a. Definitions. For the purposes of this article, the following
     2  terms shall have the following meanings:
     3    1.  "Advanced  medical  nutrition  therapy" means services provided by
     4  licensed dietitians or qualified providers exempted under  this  article
     5  and  includes,  but  is  not limited to, the development and ordering of
     6  therapeutic diets via enteral and parenteral routes; conducting  swallow
     7  screens;  placing nasogastric or nasoenteric feeding tubes; implementing
     8  prescription drug dose adjustments under medical staff or prescriber-ap-
     9  proved disease treatment protocols; ordering  or  discontinuing  use  of
    10  vitamin,  mineral,  and  other  dietary  supplements; and developing and
    11  managing food service operations for  the  management  or  treatment  of
    12  diseases or medical conditions.
    13    2.  "Medical  nutrition  therapy"  means  the  provision  of nutrition
    14  assessment, nutrition diagnosis, nutrition  intervention,  or  nutrition
    15  monitoring  and evaluation for the purpose of management or treatment of
    16  a disease or medical condition. Only  a  person  licensed  or  otherwise
    17  exempt  under  this  article shall practice medical nutrition therapy or
    18  offer to provide such services.
    19    3. "Nutrition care services" means any part or all  of  the  following
    20  services provided within a systematic process:
    21    (a)  assessing and evaluating the nutritional needs of individuals and
    22  groups and determining resources and constraints in a practice  setting,
    23  including  ordering  of  nutrition-related laboratory tests to check and
    24  track nutrition status;
    25    (b) identifying nutrition problems and establishing priorities, goals,
    26  and  objectives  that  meet  nutritional  needs  and are consistent with
    27  available resources and constraints;
    28    (c) creating individualized dietary plans and issuing and implementing
    29  orders to meet nutritional needs of healthy individuals and  individuals
    30  in  acute  and  chronic  disease  states, including ordering therapeutic
    31  diets, and monitoring the effectiveness thereof;
    32    (d) determining and providing appropriate nutrition  interventions  in
    33  health   and   disease,  including  nutrition  counseling  on  food  and
    34  prescription drug interactions;
    35    (e) developing, implementing, and managing nutrition care systems; and
    36    (f)  evaluating, making changes in, and maintaining appropriate stand-
    37  ards of quality in food and nutrition service.
    38    4. "Nutrition diagnosis" in the context of the practice  of  dietetics
    39  or  the  practice  of nutrition means identifying and labeling nutrition
    40  problems managed and treated by a licensed dietitian or licensed  nutri-
    41  tionist.    Such diagnostic privilege is distinct from a medical diagno-
    42  sis.
    43    5. "Therapeutic diet" means a diet intervention prescribed by a physi-
    44  cian or other authorized provider, including a  licensed  dietitian  or,
    45  for  oral  diets  only,  a  licensed  nutritionist.  A  therapeutic diet
    46  provides food, fluids, or nutrients  by  oral,  enteral,  or  parenteral
    47  routes  and  is used in the treatment of a disease or clinical condition
    48  to modify, eliminate, decrease, or increase specific macro- or  micronu-
    49  trients,  or  to  provide mechanically altered food when medically indi-
    50  cated.
    51    § 5. Section 8003 of the education law, as amended by chapter  282  of
    52  the laws of 1992, is amended to read as follows:
    53    § 8003. State  board  for  dietetics and nutrition.  A state board for
    54  dietetics and nutrition shall be appointed by the board of  regents,  on
    55  recommendation  of  the  commissioner,  for the purpose of assisting the
    56  board of regents and the department on matters of [certification] licen-

        A. 8968--C                          4
 
     1  sure, practice, and professional  conduct  in  accordance  with  section
     2  sixty-five hundred eight of this [chapter] title.
     3    [The]  All  members serving terms on the state board for dietetics and
     4  nutrition on the effective date of the chapter of the laws of two  thou-
     5  sand  twenty-six  which amended this section shall continue to serve out
     6  their respective terms of office until their respective  successors  are
     7  appointed  and  qualified.  Thereafter,  the board shall consist of [not
     8  less than thirteen] eleven members, [ten] of whom  shall  [be  certified
     9  dietitians  or  certified  nutritionists, except that the members of the
    10  first board need not be certified but shall be persons who are  eligible
    11  for  certification  under  the provisions of this article prior to their
    12  appointment to the board.   The first board,  with  respect  to  members
    13  representing the profession, shall consist of five members registered by
    14  a national dietetic association having registration standards acceptable
    15  to the department and five members who are members of or registered by a
    16  national  nutritional  association having membership and/or registration
    17  standards acceptable to  the  department.  Thereafter,  members  of  the
    18  profession  appointed  to such board shall be certified pursuant to this
    19  article] include four licensed dietitians and four  licensed  nutrition-
    20  ists or licensed dietitians pursuant to this article; provided, however,
    21  that no more than six members of the board shall be licensed dietitians.
    22  To  the  extent reasonable, the board of regents should insure the state
    23  board is broadly representative of various professional interests within
    24  the dietetic and nutritional community.   [Three] Two members  shall  be
    25  representatives  of  the general public and one member shall be a physi-
    26  cian licensed under article one hundred thirty-one of this title.   Such
    27  physician  member shall not be a member of or credentialed by a national
    28  dietetic or national nutrition association. An  executive  secretary  to
    29  the  board shall be appointed by the board of regents on the recommenda-
    30  tion of the commissioner.
    31    § 6. Section 8004 of the education law is REPEALED and a  new  section
    32  8004 is added to read as follows:
    33    §  8004. Requirements for professional license.  1. Each applicant for
    34  a license as a licensed nutritionist shall:    be  at  least  twenty-one
    35  years of age; be of good moral character, acceptable to  the department;
    36  submit  a  completed  application  upon a form and in such manner as the
    37  board prescribes demonstrating the  applicant  is  capable  and  profes-
    38  sionally  competent, as determined by the board, to safely engage in the
    39  practice of nutrition; submit any fees as required  by  the  board,  and
    40  submit proof of all of the following:
    41    (a)  Education:  Have received a master's or doctoral degree in nutri-
    42  tion or a nutrition-related science leading to competence in  nutrition,
    43  including  medical nutrition therapy, in accordance with the commission-
    44  er's regulations, or in the equivalent as determined by the department;
    45    (b) Experience: Have completed a planned, continuous, supervised prac-
    46  tice experience satisfactory to the board and  in  accordance  with  the
    47  commissioner's  regulations, provided that such experience shall require
    48  demonstration of competence in nutrition,  including  medical  nutrition
    49  therapy and involve at least one thousand hours under direct supervision
    50  in  the  following  practice  areas:    conducting nutrition assessment;
    51  nutrition intervention; and nutrition  monitoring  and  evaluation.  The
    52  experience  shall be determined by the board to have prepared the appli-
    53  cant to provide nutrition  care  services  for  various  populations  of
    54  diverse  cultures, genders, and across the life cycle, and to be able to
    55  competently formulate actionable medical nutrition therapies and  inter-
    56  ventions,  education,  counseling,  and ongoing care for the prevention,

        A. 8968--C                          5
 
     1  modulation, and management of a  range  of  chronic  medical  conditions
     2  within the scope of nutrition; and
     3    (c)  Examination:  Passage  of a nutrition examination satisfactory to
     4  the board and in accordance with the commissioner's regulations.
     5    2. Each applicant for a license as a licensed dietitian shall:  be  at
     6  least twenty-one years of age; be of good moral character, acceptable to
     7  the  department;  submit  a  completed application to the department for
     8  approval upon a form and in such manner as the board  prescribes  demon-
     9  strating  the  applicant  is  capable  and  professionally competent, as
    10  determined by the board, to safely engage in the practice  of  dietetics
    11  and  nutrition; submit any licensure fee; and submit proof of all of the
    12  following:
    13    (a) Education: Have received a  master's  or  doctoral  degree  or  an
    14  equivalent  as determined by the department and satisfactorily completed
    15  a program of study accredited by a national dietetics  accrediting  body
    16  and  approved  by  the  department in accordance with the commissioner's
    17  regulations;
    18    (b) Experience: Have satisfactorily completed a  planned,  continuous,
    19  and  supervised  practice  experience accredited by a national dietetics
    20  accreditation body and approved by the department in accordance with the
    21  commissioner's regulations, provided that such experience shall  require
    22  demonstration  of  competence  in  dietetics  and  nutrition,  including
    23  medical nutrition therapy, and consist of not  less  than  one  thousand
    24  hours  under  direct supervision.  The experience shall be determined by
    25  the board to have prepared  the  applicant  to  provide  nutrition  care
    26  services  for  various  populations  of  diverse  cultures, genders, and
    27  across the life cycle, and to be able to competently formulate  actiona-
    28  ble  medical  nutrition  therapies  and  interventions, education, coun-
    29  seling, and ongoing care for the prevention, modulation, and  management
    30  of  a  range of acute and chronic medical conditions within the scope of
    31  dietetics and nutrition; and
    32    (c) Examination: Passage of a dietitian  examination  satisfactory  to
    33  the board and in accordance with the commissioner's regulations.
    34    3. All applicants for licensure as a licensed nutritionist or licensed
    35  dietitian  shall pay a fee of one hundred fifteen dollars for an initial
    36  license, and a fee of one hundred fifty-five dollars for each  triennial
    37  registration period.
    38    § 7. Section 8005 of the education law, as added by chapter 635 of the
    39  laws of 1991, is amended to read as follows:
    40    § 8005. Special provisions. Nothing contained in this article shall be
    41  deemed  to alter, modify or impair any conditions of employment relating
    42  to service in the federal government, the state of New York,  its  poli-
    43  tical subdivisions, including school districts, or special districts and
    44  authorities  or any facilities or institutions under the jurisdiction of
    45  or subject to the certification of any agency of the state of  New  York
    46  or  its  political  subdivisions.  Nothing  in  this  section  shall  be
    47  construed to authorize an individual to provide medical nutrition thera-
    48  py services requiring licensure under this article unless such  individ-
    49  ual  is  licensed  or  otherwise authorized under this article or exempt
    50  under this article.
    51    § 8. Section 8006 of the education law is REPEALED and a  new  section
    52  8006 is added to read as follows:
    53    §  8006. Special conditions. 1. Any person who is licensed as a certi-
    54  fied dietitian or a certified nutritionist on the effective date of this
    55  section shall be licensed as a licensed dietitian  without  meeting  any
    56  additional requirements, provided that such person:

        A. 8968--C                          6
 
     1    (a)  holds  registration as a dietitian by a national dietetic commis-
     2  sion that has registration standards acceptable to the department; or
     3    (b) has completed:
     4    (i)  a  bachelor's or higher degree from a programmatically accredited
     5  didactic program approved by  the  department  in  accordance  with  the
     6  commissioner's regulations;
     7    (ii)  a  supervised practice experience acceptable to the board and in
     8  accordance with the commissioner's regulations, provided that such expe-
     9  rience consisted of satisfactory completion of a  nationally  accredited
    10  dietetic and nutrition experience approved by the department of not less
    11  than nine hundred hours; and
    12    (iii) passage of a dietitian examination satisfactory to the board and
    13  in accordance with the commissioner's regulations.
    14    2. Notwithstanding any master's degree requirement established by this
    15  article  or  the  commissioner's  regulations,  an applicant who was not
    16  licensed as a certified dietitian  or  certified  nutritionist  in  this
    17  state on the effective date of this section shall be eligible for licen-
    18  sure  as a licensed dietitian if such applicant, prior to January first,
    19  two thousand twenty-four, held registration as a dietitian by a national
    20  dietetic commission that has registration standards  acceptable  to  the
    21  department, and currently holds such registration.
    22    3.  Any person who is licensed as a certified dietitian or a certified
    23  nutritionist and does not meet the requirements provided under  subdivi-
    24  sion one of this section on the effective date of this section, shall be
    25  licensed  as  a licensed nutritionist so long as they hold certification
    26  as a nutrition specialist by a national nutrition specialist credential-
    27  ing board that has certifying standards acceptable to the department.
    28    § 9. The education law is amended by adding two new sections 8007  and
    29  8008 to read as follows:
    30    §  8007.  Exemptions. This article shall not be construed to affect or
    31  prevent:
    32    1. A licensed physician from practicing such physician's profession as
    33  defined under articles one hundred thirty-one and  one  hundred  thirty-
    34  one-B  of  this  title;  a  registered professional nurse or a certified
    35  nurse practitioner practicing such nurse or nurse practitioner's profes-
    36  sion as defined under article one hundred thirty-nine of this  title;  a
    37  licensed  physician assistant from such physician assistant's profession
    38  as defined under article one hundred  thirty-one-B  of  this  title;  or
    39  qualified  members  of  other professions licensed under this title from
    40  performing work incidental to the practice of their professions,  except
    41  that such persons may not hold themselves out under the title authorized
    42  by this article;
    43    2.  A  student,  intern  or  resident from engaging in the practice of
    44  dietetics or nutrition while participating in the education  or  experi-
    45  ence  requirements under section eight thousand four of this article, so
    46  long as:
    47    (a) The student or trainee who is completing their supervised practice
    48  experience required under section eight thousand four  of  this  article
    49  practices under this subdivision not more than five years after complet-
    50  ing  education  requirements  under  section eight thousand four of this
    51  article;
    52    (b) The student or trainee practices under this subdivision only while
    53  supervised by a qualified supervisor as approved by  the  department  in
    54  accordance with the commissioner's regulations;
    55    (c)  The  student or trainee does not engage in the unrestricted prac-
    56  tice of medical nutrition therapy; and

        A. 8968--C                          7
 
     1    (d) While practicing under this subdivision, the  student  or  trainee
     2  uses  a  title that clearly indicates such student trainee's status as a
     3  student, intern, trainee, or supervisee;
     4    3.  A person who provides individualized nutrition recommendations for
     5  the wellness and primary prevention of chronic disease, health coaching,
     6  holistic  and  wellness education, guidance, motivation, behavior change
     7  management, services for non-medical weight control, or other  nutrition
     8  care services so long as all of the following apply:
     9    (a) The services do not constitute medical nutrition therapy;
    10    (b)  The person does not represent such person using titles authorized
    11  under this article; and
    12    (c) The person does not hold such person out as licensed or  qualified
    13  to engage in the practice of medical nutrition therapy;
    14    4.  A  person  who  disseminates  non-individualized, written, general
    15  nutrition information in connection with the marketing and  distribution
    16  of dietary supplements, food, herbs, or food materials, including expla-
    17  nations  of  their  federally regulated label claims, any known drug-nu-
    18  trient interactions, their role in various diets, or suggestions as  how
    19  to  best  use  and  combine  them  so  long as such information does not
    20  constitute medical nutrition therapy and the person does not use  titles
    21  authorized  under  this  article or hold such person out as qualified to
    22  engage in the practice of medical nutrition therapy;
    23    5. A person who provides  medical  weight  control  for  persons  with
    24  obesity as part of any of the following:
    25    (a)  An instructional program that has been approved in writing by one
    26  of the following:
    27    (i) a dietitian or nutritionist licensed in this state; or
    28    (ii) a health care practitioner licensed or certified  in  this  state
    29  whose scope of practice includes medical nutrition therapy; or
    30    (b)  A plan of care that is overseen by a health professional licensed
    31  in this state whose scope of practice otherwise  authorizes  the  health
    32  professional  to provide and delegate medical nutrition therapy, so long
    33  as the medical weight control services are not discretionary and do  not
    34  require the exercise of professional judgment;
    35    6.  An  individual  employed  by a WIC program as a "competent profes-
    36  sional authority" as defined in 7 C.F.R § 246.2  (1895)  from  providing
    37  nutrition  services  within  such  WIC  program. For the purpose of this
    38  subdivision the term "WIC program" shall mean a program authorized by 42
    39  U.S.C. § 1786;
    40    7. A person who does not utilize titles authorized under this  article
    41  and  assists  the  provision  of medical nutrition therapy if the person
    42  performs only support activities that are not discretionary and that  do
    43  not require the exercise of professional judgment for their performance,
    44  and  the  person  is  directly supervised by a nutritionist or dietitian
    45  licensed under this title; and
    46    8. The practice of dietetics or nutrition by a  corporation,  provided
    47  that  such  practice  is  carried  on  by a licensed dietitian, licensed
    48  nutritionist, or a person or persons exempt under this article; and
    49    9. Any person or firm offering services of a dietitian  or  nutrition-
    50  ist,  provided  that  such  person or firm shall employ or contract only
    51  persons licensed or otherwise exempt under this article.
    52    § 8008. Limited permit. 1. The department may issue a  limited  permit
    53  to  practice  as  a provisionally licensed nutritionist or provisionally
    54  licensed dietitian to an applicant for licensure who has met the  educa-
    55  tion and experience requirements for a licensed nutritionist or licensed
    56  dietitian provided under section eight thousand four of this article.

        A. 8968--C                          8

     1    2. The duration of a limited permit shall not exceed one year from the
     2  time  of  its  first issue and the department may for good cause renew a
     3  limited permit for an additional one year provided  that  no  individual
     4  shall  practice  under  any  limited permit for more than a total of two
     5  years.
     6    3.  All practice under a limited permit shall be under the supervision
     7  of a dietitian licensed pursuant to this article.
     8    4. All practice under a limited nutritionist permit shall be under the
     9  supervision of a nutritionist or dietitian  licensed  pursuant  to  this
    10  article.
    11    5. The fee for a limited permit or the renewal thereof shall be seven-
    12  ty-five dollars.
    13    §  10.  Subparagraph  (i)  of  paragraph a of subdivision 1 of section
    14  6503-a of the education law, as amended by chapter 554 of  the  laws  of
    15  2013, is amended to read as follows:
    16    (i)  services  provided  under  article  one  hundred  fifty-four, one
    17  hundred fifty-seven, one hundred sixty-three or one hundred  sixty-seven
    18  of this title for which licensure would be required, or
    19    §  11.  Section 6505-b of the education law, as amended by chapter 733
    20  of the laws of 2023, is amended to read as follows:
    21    § 6505-b. Course work or  training  in  infection  control  practices.
    22  Every  dentist,  registered nurse, licensed practical nurse, podiatrist,
    23  optometrist, athletic trainer,  [and]  dental  hygienist,  and  licensed
    24  nutritionist,  and  licensed dietitian practicing in the state shall, on
    25  or before July first, nineteen hundred ninety-four and every four  years
    26  thereafter,  complete course work or training appropriate to the profes-
    27  sional's  practice  approved  by  the  department  regarding   infection
    28  control,  which shall include sepsis, and barrier precautions, including
    29  engineering and work practice controls, in  accordance  with  regulatory
    30  standards  promulgated  by  the  department,  in  consultation  with the
    31  department of health, which shall be consistent, as far as  appropriate,
    32  with  such  standards  adopted  by  the department of health pursuant to
    33  section two hundred thirty-nine of the public health law to prevent  the
    34  transmission  of  HIV, HBV, HCV and infections that could lead to sepsis
    35  in the course of professional practice.  Each  such  professional  shall
    36  document  to  the department at the time of registration commencing with
    37  the first registration after July first,  nineteen  hundred  ninety-four
    38  that  the  professional has completed course work or training in accord-
    39  ance with this section, provided, however that a professional subject to
    40  the provisions of paragraph (f) of subdivision one  of  section  twenty-
    41  eight  hundred  five-k of the public health law shall not be required to
    42  so document.  The  department  shall  provide  an  exemption  from  this
    43  requirement to anyone who requests such an exemption and who (i) clearly
    44  demonstrates  to  the  department's  satisfaction that there would be no
    45  need for [him or her] such dentist, registered nurse, licensed practical
    46  nurse, podiatrist,  optometrist,  athletic  trainer,  dental  hygienist,
    47  licensed  nutritionist,  and  licensed dietitian to complete such course
    48  work or training because of the nature of [his  or  her]  such  dentist,
    49  registered  nurse,  licensed  practical  nurse, podiatrist, optometrist,
    50  athletic trainer, dental hygienist, licensed nutritionist, and  licensed
    51  dietitian  practice  or  (ii)  that [he or she] such dentist, registered
    52  nurse,  licensed  practical  nurse,  podiatrist,  optometrist,  athletic
    53  trainer, dental hygienist, licensed nutritionist, and licensed dietitian
    54  has  completed  course  work  or training deemed by the department to be
    55  equivalent to the course work or training  approved  by  the  department
    56  pursuant  to  this  section. The department shall consult with organiza-

        A. 8968--C                          9

     1  tions representative of professions, institutions and those with  exper-
     2  tise  in  infection  control and HIV, HBV, HCV and infections that could
     3  lead to sepsis with respect  to  the  regulatory  standards  promulgated
     4  pursuant to this section.
     5    §  12.  Paragraph  a of subdivision 3 of section 6507 of the education
     6  law, as amended by chapter 733 of the laws of 2023, is amended  to  read
     7  as follows:
     8    a. Establish standards for preprofessional and professional education,
     9  experience and licensing examinations as required to implement the arti-
    10  cle for each profession. Notwithstanding any other provision of law, the
    11  commissioner shall establish standards requiring that all persons apply-
    12  ing,  on or after January first, nineteen hundred ninety-one, initially,
    13  or for the renewal of, a license, registration or limited permit to be a
    14  physician, chiropractor, dentist, registered nurse, podiatrist,  optome-
    15  trist,   psychiatrist,  psychologist,  licensed  master  social  worker,
    16  licensed clinical  social  worker,  licensed  creative  arts  therapist,
    17  licensed  marriage  and family therapist, licensed mental health counse-
    18  lor,  licensed  psychoanalyst,  dental  hygienist,   licensed   behavior
    19  analyst,  certified  behavior  analyst assistant, licensed nutritionist,
    20  licensed dietitian, or athletic trainer shall, in addition  to  all  the
    21  other  licensure,  certification  or permit requirements, have completed
    22  two hours of coursework or training  regarding  the  identification  and
    23  reporting  of  child  abuse and maltreatment. The coursework or training
    24  shall be obtained  from  an  institution  or  provider  which  has  been
    25  approved  by  the department to provide such coursework or training. The
    26  coursework or training shall include information regarding the  physical
    27  and behavioral indicators of child abuse and maltreatment and the statu-
    28  tory  reporting  requirements  set out in sections four hundred thirteen
    29  through four hundred twenty of the social services  law,  including  but
    30  not  limited  to, when and how a report must be made, what other actions
    31  the reporter is mandated or authorized to take,  the  legal  protections
    32  afforded  reporters,  and  the  consequences for failing to report. Such
    33  coursework or training may also include information regarding the  phys-
    34  ical and behavioral indicators of the abuse of individuals with develop-
    35  mental  disabilities  and  voluntary  reporting  of  abused or neglected
    36  adults to the office for people with developmental disabilities  or  the
    37  local  adult protective services unit.  Each applicant shall provide the
    38  department with documentation showing that [he or  she]  such  applicant
    39  has  completed  the  required  training. The department shall provide an
    40  exemption from the child abuse and maltreatment training requirements to
    41  any applicant who requests such an  exemption  and  who  shows,  to  the
    42  department's  satisfaction,  that  there would be no need because of the
    43  nature of [his or her] such applicant's practice for [him or  her]  such
    44  applicant to complete such training;
    45    §  13.  Paragraph  (a)  of  subdivision 1 of section 413 of the social
    46  services law, as amended by chapter 733 of the laws of 2023, is  amended
    47  to read as follows:
    48    (a)  The  following  persons  and  officials are required to report or
    49  cause a report to be made in accordance with this title when  they  have
    50  reasonable  cause  to  suspect  that a child coming before them in their
    51  professional or official capacity is an abused or maltreated  child,  or
    52  when  they have reasonable cause to suspect that a child is an abused or
    53  maltreated child where the parent, guardian, custodian or  other  person
    54  legally  responsible  for  such child comes before them in their profes-
    55  sional or official capacity and states from  personal  knowledge  facts,
    56  conditions or circumstances which, if correct, would render the child an

        A. 8968--C                         10
 
     1  abused  or maltreated child: any physician; registered physician assist-
     2  ant; surgeon; medical  examiner;  coroner;  dentist;  dental  hygienist;
     3  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
     4  athletic  trainer;  psychologist; registered nurse; social worker; emer-
     5  gency medical technician; licensed  creative  arts  therapist;  licensed
     6  marriage   and  family  therapist;  licensed  mental  health  counselor;
     7  licensed psychoanalyst; licensed behavior  analyst;  certified  behavior
     8  analyst  assistant;  licensed nutritionist; licensed dietitian; hospital
     9  personnel engaged in the admission, examination, care  or  treatment  of
    10  persons;  a  Christian  Science  practitioner;  school  official,  which
    11  includes but is not limited to school teacher, school  guidance  counse-
    12  lor,  school  psychologist,  school  social worker, school nurse, school
    13  administrator or other school personnel required to hold a  teaching  or
    14  administrative  license  or  certificate;  full or part-time compensated
    15  school employee required to hold a temporary coaching license or profes-
    16  sional coaching certificate; social services worker; employee of a publ-
    17  icly-funded emergency shelter for families with children; director of  a
    18  children's overnight camp, summer day camp or traveling summer day camp,
    19  as  such camps are defined in section thirteen hundred ninety-two of the
    20  public health law; day care center worker; school-age child care worker;
    21  provider of family or group family day care; employee or volunteer in  a
    22  residential  care  facility  for children that is licensed, certified or
    23  operated by the office of children and family  services;  or  any  other
    24  child  care or foster care worker; mental health professional; substance
    25  abuse counselor; alcoholism counselor; all persons credentialed  by  the
    26  office  of  [alcoholism and substance abuse services] addiction services
    27  and supports; employees, who are expected to have regular  and  substan-
    28  tial contact with children, of a health home or health home care manage-
    29  ment  agency contracting with a health home as designated by the depart-
    30  ment of health and authorized under section three  hundred  sixty-five-l
    31  of  this  chapter or such employees who provide home and community based
    32  services under  a  demonstration  program  pursuant  to  section  eleven
    33  hundred  fifteen  of the federal social security act who are expected to
    34  have regular and  substantial  contact  with  children;  peace  officer;
    35  police officer; district attorney or assistant district attorney; inves-
    36  tigator  employed  in  the  office  of a district attorney; or other law
    37  enforcement official.
    38    § 14. Subdivision 5-a of section 488 of the social  services  law,  as
    39  amended  by  chapter  205  of  the  laws  of 2014, is amended to read as
    40  follows:
    41    5-a. "Human services professional" shall mean any:  physician;  regis-
    42  tered  physician assistant; surgeon; medical examiner; coroner; dentist;
    43  dental  hygienist;  osteopath;  optometrist;  chiropractor;  podiatrist;
    44  resident;  intern;  psychologist;  registered  nurse; licensed practical
    45  nurse; nurse practitioner; social worker; emergency medical  technician;
    46  licensed  creative  arts  therapist; licensed marriage and family thera-
    47  pist; licensed mental health counselor; licensed psychoanalyst; licensed
    48  behavior  analyst;  certified  behavior  analyst   assistant;   licensed
    49  speech/language pathologist or audiologist; licensed physical therapist;
    50  licensed  occupational therapist; licensed nutritionist; licensed dieti-
    51  tian; hospital personnel engaged in the admission, examination, care  or
    52  treatment  of  persons; Christian Science practitioner; school official,
    53  which includes but is not limited to  school  teacher,  school  guidance
    54  counselor,  school  psychologist,  school  social  worker, school nurse,
    55  school administrator or other school personnel required to hold a teach-
    56  ing or administrative license or certificate; full or part-time  compen-

        A. 8968--C                         11
 
     1  sated  school  employee required to hold a temporary coaching license or
     2  professional coaching certificate; social  services  worker;  any  other
     3  child  care  or  foster  care worker; mental health professional; person
     4  credentialed  by  the  office  of  [alcoholism]  addiction  services and
     5  [substance abuse services]  supports;  peace  officer;  police  officer;
     6  district  attorney or assistant district attorney; investigator employed
     7  in the office of a district attorney; or other law enforcement official.
     8    § 15. This act shall take effect eighteen months after it  shall  have
     9  become  a  law.  Effective  immediately,  the addition, amendment and/or
    10  repeal of any rule or regulation necessary  for  the  implementation  of
    11  this  act  on its effective date are authorized to be made and completed
    12  on or before such effective date.
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