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A00183 Summary:

BILL NOA00183
 
SAME ASSAME AS S03029
 
SPONSORRosenthal (MS)
 
COSPNSRBenedetto, Cruz, Rozic, Forrest, Raga, Taylor, Weprin, Seawright, Paulin, Steck, Shimsky, Davila, McMahon, McDonough, Ra, Mikulin
 
MLTSPNSRSimon, Stirpe
 
Add Art 142 §§7050 - 7056, Ed L
 
Provides for the licensing of genetic counselors; creates the state board for genetic counseling.
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A00183 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                           183
 
                               2025-2026 Regular Sessions
 
                   IN ASSEMBLY
 
                                       (Prefiled)
 
                                     January 8, 2025
                                       ___________
 
        Introduced by M. of A. ROSENTHAL, BENEDETTO, CRUZ, ROZIC, FORREST, RAGA,
          TAYLOR,  WEPRIN,  SEAWRIGHT,  PAULIN, STECK, SHIMSKY, DAVILA, McMAHON,
          McDONOUGH, RA, MIKULIN -- Multi-Sponsored by -- M. of A. SIMON, STIRPE
          -- read once and referred to the Committee on Higher Education

        AN ACT to amend the education law, in relation to licensing  of  genetic
          counselors
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Legislative intent and findings. The legislature finds that
     2  while significant steps have been taken through legislation in  response
     3  to  the  COVID-19  crisis  in  New York State, much more must be done to
     4  combat the continued threat to public health  and  safety  presented  by
     5  COVID-19 and future pandemics including identifying risk factors, devel-
     6  oping responses, and increasing access to treatment.
     7    The  legislature intends to build on the initial efforts of the execu-
     8  tive and legislature in responding to the COVID-19 crisis by recognizing
     9  the significant role genetic  counselors  play  in  identifying  genetic
    10  variants  through  predictive  testing, investigating underlying genomic
    11  susceptibilities and deciphering complex testing infrastructures, culmi-
    12  nating in the critical counseling of patients and educating other health
    13  care providers.
    14    The legislature finds that the state's mission to ensure  preparedness
    15  against  future  health  crises  through  data collection, research, and
    16  access to safe care will be advanced through the  licensure  of  genetic
    17  counselors  and  the active engagement of these uniquely trained practi-
    18  tioners and researchers in the making of informed personal  health  care
    19  decisions and the development of effective health care policies.
    20    §  2. The education law is amended by adding a new article 142 to read
    21  as follows:
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00942-01-5

        A. 183                              2
 
     1                                 ARTICLE 142
     2                             GENETIC COUNSELING
     3  Section 7050. Introduction.
     4          7051. Practice  of  genetic  counseling  and  use  of  the title
     5                  "genetic counselor".
     6          7052. State board for genetic counseling.
     7          7053. Requirements for a professional license.
     8          7054. Exempt persons.
     9          7055. Limited permits.
    10          7056. Special provisions.
    11    § 7050. Introduction. This article applies to the licensing of genetic
    12  counselors. The general provisions  for  all  professions  contained  in
    13  article one hundred thirty of this title apply to this article.
    14    §  7051.  Practice of genetic counseling and use of the title "genetic
    15  counselor". 1. The "practice  of  genetic  counseling"  shall  mean  the
    16  communication  to  and education of human clients, their families, other
    17  health care professionals and the general public with regard to  genetic
    18  testing, individual family histories, or other genetic, personal medical
    19  history,  and technical information associated with the occurrence, risk
    20  of occurrence or recurrence, of a genetic  or  hereditary  condition  or
    21  birth  defect.    A  practitioner  of  genetic  counseling shall seek to
    22  promote decision-making for their client  which  respects  the  client's
    23  culture,  language,  tradition, lifestyle, religion, beliefs and values.
    24  Genetic counseling shall include, but not be limited to, the following:
    25    (a) obtain and evaluate personal and family medical history to  deter-
    26  mine genetic risk for genetic conditions and diseases in a human client,
    27  such client's offspring, and other family members;
    28    (b)  educate clients regarding the means to assess and manage risk for
    29  genetic conditions and disease;
    30    (c) identify and order genetic laboratory tests and  coordinate  other
    31  diagnostic studies as appropriate for the genetic assessment;
    32    (d)  integrate  genetic  laboratory  test results and other diagnostic
    33  studies with personal and family medical history to assess and  communi-
    34  cate risk factors for genetic conditions;
    35    (e) explain to a client the clinical implications of genetic laborato-
    36  ry tests and other diagnostic studies and their results; and
    37    (f)  maintain written documentation of the genetic counseling services
    38  performed for clients and health care professionals.
    39    2.  Nothing in this article shall be construed to authorize a licensed
    40  genetic counselor to diagnose or treat any genetic  disease  or  medical
    41  condition, practice psychotherapy, or practice any other profession that
    42  is licensed under this title.  This includes, but may not be limited to,
    43  the following:
    44    (a)  Prescribe  or administer drugs as defined in this chapter or as a
    45  treatment, therapy, or professional services in  the  practice  of  such
    46  genetic counselor's profession;
    47    (b)  Use  invasive procedures as a treatment, therapy, or professional
    48  service in the practice of such genetic counselor's profession. For  the
    49  purposes  of  this subdivision, "invasive procedure" means any procedure
    50  in which human tissue is  cut,  altered,  or  otherwise  infiltrated  by
    51  mechanical  or  other  means. Invasive procedures shall include surgery,
    52  lasers, ionizing radiation, therapeutic ultrasound, or electroconvulsive
    53  therapy; or
    54    (c) Provide psychotherapy as defined in  subdivision  two  of  section
    55  eighty-four hundred one of this title.

        A. 183                              3
 
     1    3.  If  in the course of providing genetic counseling to any client, a
     2  genetic counselor finds any indication of disease or condition that  may
     3  require  medical  assessment,  the  genetic  counselor  shall refer that
     4  client to a licensed physician, or as appropriate, another  health  care
     5  professional licensed pursuant to this title.
     6    4.  Only a person licensed or exempt under this article shall practice
     7  genetic counseling. Only a person licensed under this article shall  use
     8  the  title  "licensed  genetic  counselor"  and use the letters "L.G.C."
     9  after such person's name or  any  words  or  letters,  abbreviations  or
    10  insignia  indicating  or  implying that a person is licensed pursuant to
    11  this article.
    12    5. The provisions of this article  shall  not  prohibit  any  licensed
    13  genetic  counselor employed by any organization or entity who is provid-
    14  ing occasional services from engaging in the practice of  genetic  coun-
    15  seling,  subject  to  the  limitations  prescribed by the department, in
    16  consultation with  the  state  board  for  genetic  counseling  and  the
    17  provision  of  such  occasional  services  shall be deemed not to be the
    18  practice of a profession for purposes  of  all  applicable  partnership,
    19  corporation or limited liability company laws and regulations.
    20    §  7052.  State  board  for  genetic  counseling. 1. A state board for
    21  genetic counseling shall be appointed by the board of regents  upon  the
    22  recommendation  of the commissioner, prior to the effective date of this
    23  article, and shall assist  on  matters  of  professional  licensing  and
    24  professional conduct in accordance with section sixty-five hundred eight
    25  of  this title. Members of the first board need not be licensed prior to
    26  their appointment to such board. An executive  secretary  to  the  board
    27  shall  be  appointed  by  the  board of regents on recommendation of the
    28  commissioner.
    29    2. The board shall consist of seven individuals, to be composed of the
    30  following:
    31    (a) five licensed genetic counselors,
    32    (b) one licensed physician, and
    33    (c) a public representative as defined in paragraph b  of  subdivision
    34  one of section sixty-five hundred eight of this title.
    35    3. Board members shall be appointed for terms of five years. The terms
    36  of  the  first  appointed members shall be staggered so that two members
    37  are appointed for three years, three  members  are  appointed  for  four
    38  years and two members are appointed for five years.
    39    §  7053.  Requirements  for  a  professional license. To qualify for a
    40  license as a "licensed genetic counselor", an  applicant  shall  fulfill
    41  the following requirements:
    42    1. Application: file an application with the department;
    43    2.  Education:  have  received  a master's degree or higher in genetic
    44  counseling or human genetics from a program registered  by  the  depart-
    45  ment,  or determined by the department to be the substantial equivalent,
    46  in accordance with the commissioner's regulations.  Appropriate  course-
    47  work  shall  be  determined  in accordance with the commissioner's regu-
    48  lations on recommendations of the state board for genetic counseling;
    49    3. Experience: experience acceptable to the department;
    50    4. Examination: pass an examination satisfactory to the department and
    51  in accordance with the commissioner's regulations;
    52    5. Age: be at least twenty-one years of age;
    53    6. Character: be of good moral character as determined by the  depart-
    54  ment;

        A. 183                              4

     1    7.  Fees:  pay a fee of three hundred dollars to the department for an
     2  initial license and two hundred dollars for  each  subsequent  triennial
     3  re-registration of a license.
     4    §  7054. Exempt persons. 1.  So long as the person does not hold them-
     5  self out to the public as a genetic counselor, the  provisions  of  this
     6  article shall not apply to:
     7    a.  A  licensed health care professional licensed under this title who
     8  is practicing within the scope of practice as defined in this title;
     9    b. A student or intern enrolled in a master's or higher program regis-
    10  tered or approved by the department  where  the  student  or  intern  is
    11  engaged  in  activities  constituting  the  practice  of a profession as
    12  defined in this title, whose scope of practice  includes  genetic  coun-
    13  seling; provided, however, such activities shall be part of a supervised
    14  training  program  under  a licensed genetic counselor or an appropriate
    15  health care professional licensed pursuant to this title  in  accordance
    16  with the commissioner's regulations; and
    17    c.  An  employee of the state department of health in the provision of
    18  education regarding conditions included on the newborn screening panels.
    19    2. Nothing in this article shall be  construed  as  prohibiting  coun-
    20  seling  services  provided  by  an attorney within such attorney's usual
    21  practice, rape crisis counselor  within  such  rape  crisis  counselor's
    22  usual counseling duties, or pastoral counseling by a clergy member work-
    23  ing within such clergy member's ministerial charge of obligation.
    24    § 7055. Limited permits.  Limited permits may be issued by the depart-
    25  ment to authorize the practice of the profession under a licensed genet-
    26  ic counselor or physician pursuant to the commissioner's regulations:
    27    1. The department may issue a limited permit to an applicant who meets
    28  all  qualifications  for  licensure as a genetic counselor, except those
    29  relating to the examination  and  experience,  in  accordance  with  the
    30  commissioner's regulations.
    31    2. Limited permits shall be for one year. Such permits may be extended
    32  at the discretion of the department, for one additional year.
    33    3.  The  fee  for  each  limited  permit and for each renewal shall be
    34  seventy dollars.
    35    § 7056.  Special provisions. 1. Any individual who meets the  require-
    36  ments for a license established in this article, except for examination,
    37  experience  and education, and who is certified by a national certifying
    38  body having certification standards acceptable to the department, may be
    39  licensed without meeting  additional  requirements  as  to  examination,
    40  experience,  or  education,  provided  that  such  individual submits an
    41  application to the department within two years of the effective date  of
    42  this article.
    43    2. Any individual who meets the requirements for a license established
    44  in  this  article, except for examination, may be licensed without exam-
    45  ination, provided that the person completed  the  education  requirement
    46  prior  to two thousand eight, submits evidence of a minimum of ten years
    47  employment as a genetic counselor, submits experience acceptable to  the
    48  department and submits an application to the department within two years
    49  of the effective date of this article.
    50    § 3. Severability. If any clause, sentence, paragraph, section or part
    51  of  this act shall be adjudged by any court of competent jurisdiction to
    52  be invalid and after exhaustion of  all  further  judicial  review,  the
    53  judgment  shall  not affect, impair or invalidate the remainder thereof,
    54  but shall be confined in its operation to the  clause,  sentence,  para-
    55  graph,  section or part of this act directly involved in the controversy
    56  in which the judgment shall have been rendered.

        A. 183                              5
 
     1    § 4. This act shall take effect two years after it shall have become a
     2  law. Effective immediately, the state education department is authorized
     3  to promulgate any rule or regulation necessary for the implementation of
     4  this act on its effective date,  including,  but  not  limited  to,  the
     5  appointment  of  board members pursuant to section 7052 of the education
     6  law, as added by section two of this act on  or  before  such  effective
     7  date.
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