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S00607 Summary:

BILL NOS00607C
 
SAME ASSAME AS A08968-C
 
SPONSORSTAVISKY
 
COSPNSR
 
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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S00607 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         607--C
            Cal. No. 126
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                       (Prefiled)
 
                                     January 8, 2025
                                       ___________
 
        Introduced  by Sen. STAVISKY -- read twice and ordered printed, and when
          printed to be committed  to  the  Committee  on  Higher  Education  --
          reported  favorably  from  said committee, ordered to first and second
          report, ordered to a third reading, passed by Senate and delivered  to
          the  Assembly, recalled, vote reconsidered, restored to third reading,
          amended and ordered reprinted, retaining its place  in  the  order  of
          third  reading  -- recommitted to the Committee on Higher Education in
          accordance with Senate Rule 6, sec. 8 --  committee  discharged,  bill
          amended,  ordered reprinted as amended and recommitted to said commit-
          tee -- reported favorably from said committee, ordered  to  first  and
          second report, ordered to a third reading, passed by Senate and deliv-
          ered  to  the Assembly, recalled, vote reconsidered, restored to third
          reading, amended and ordered reprinted, retaining  its  place  in  the
          order of third reading
 
        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
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01594-06-6

        S. 607--C                           2
 
     1  practice  of  medical nutrition therapy. All persons licensed under this
     2  article shall exercise professional judgment within the scope  of  their
     3  education,  training,  and experience, and shall make referrals to other
     4  qualified  health  care  providers  when  necessary  to  ensure safe and
     5  comprehensive patient care. The general provision  for  all  professions
     6  contained  in  article  one  hundred thirty of this title shall apply to
     7  this article.
     8    § 2. Section 8001 of the education law, as added by chapter 635 of the
     9  laws of 1991, is amended to read as follows:
    10    § 8001. [Definitions] Dietetic and nutrition practice.  1.  [Dietetics
    11  and  nutrition  are herein each defined as  the integration and applica-
    12  tion of principles derived from the sciences of nutrition, biochemistry,
    13  physiology, food  management  and  behavioral  and  social  sciences  to
    14  achieve and maintain people's health.
    15    2.  Where  the title "certified dietitian" or "certified nutritionist"
    16  is used in this article it shall mean "certified dietitian",  "certified
    17  dietician", or "certified nutritionist".
    18    3.  A certified dietitian or certified nutritionist is one who engages
    19  in the integration  and  application  of  principles  derived  from  the
    20  sciences  of  nutrition,  biochemistry,  physiology, food management and
    21  behavioral and social sciences to achieve and maintain people's  health,
    22  and who is certified as such by the department pursuant to section eight
    23  thousand  four  of  this  article.   The primary function of a certified
    24  dietitian or certified nutritionist is the provision of  nutrition  care
    25  services that shall include:
    26    (a) Assessing nutrition needs and food patterns;
    27    (b)  Planning  for and directing the provision of food appropriate for
    28  physical and nutrition needs; and
    29    (c) Providing nutrition counseling.] The practice of dietetics  encom-
    30  passes  the  practice of nutrition and includes providing medical nutri-
    31  tion therapy and advanced medical nutrition therapy delivered  in-person
    32  or  via  telehealth,  to  prevent,  manage,  or  treat chronic and acute
    33  diseases or medical conditions and promote  wellness  in  inpatient  and
    34  outpatient settings.
    35    2.  The practice of nutrition involves the provision of nutrition care
    36  services in-person or via telehealth, including medical nutrition thera-
    37  py, limited to the  prevention,  management,  or  treatment  of  chronic
    38  diseases  or  medical conditions in outpatient settings and treatment of
    39  chronic diseases or medical conditions in outpatient  settings  and  the
    40  promotion  of  wellness.  The  practice  of  nutrition shall include the
    41  ordering of oral therapeutic diets; the ordering of  medical  laboratory
    42  tests  related  to nutritional therapeutic treatments; and the provision
    43  of recommendations on vitamin, mineral, and other dietary supplements.
    44    § 3. Section 8002 of the education law, as added by chapter 635 of the
    45  laws of 1991, is amended to read as follows:
    46    § 8002. Use of titles. [Only a] 1. No  person  [certified  under  this
    47  article  shall  be  authorized  to  use the title "certified dietitian",
    48  "certified dietician", or "certified  nutritionist"]  may  designate  or
    49  hold  such  person out as a dietitian or use or assume the title "dieti-
    50  tian", "licensed dietitian", "dietician", or any other title  indicating
    51  that  the person is a licensed dietitian or append to or use in conjunc-
    52  tion with that person's name the letters  "LD"  unless  such  person  is
    53  licensed as a dietitian under this article.
    54    2. No  person  may  use or assume any title indicating that the person
    55  is  a licensed nutritionist or append to  or  use  in  conjunction  with

        S. 607--C                           3

     1  that person's name the letters "LN" unless the person is licensed  as  a
     2  nutritionist under this article.
     3    3.  No  person may designate or hold such person out as a nutritionist
     4  or use or assume the title "nutritionist" unless the person is  licensed
     5  under this article.
     6    §  4.  The  education law is amended by adding a new section 8002-a to
     7  read as follows:
     8    § 8002-a. Definitions. For the purposes of this article, the following
     9  terms shall have the following meanings:
    10    1. "Advanced medical nutrition therapy"  means  services  provided  by
    11  licensed  dietitians  or qualified providers exempted under this article
    12  and includes, but is not limited to, the  development  and  ordering  of
    13  therapeutic  diets via enteral and parenteral routes; conducting swallow
    14  screens; placing nasogastric or nasoenteric feeding tubes;  implementing
    15  prescription drug dose adjustments under medical staff or prescriber-ap-
    16  proved  disease  treatment  protocols;  ordering or discontinuing use of
    17  vitamin, mineral, and other  dietary  supplements;  and  developing  and
    18  managing  food  service  operations  for  the management or treatment of
    19  diseases or medical conditions.
    20    2. "Medical  nutrition  therapy"  means  the  provision  of  nutrition
    21  assessment,  nutrition  diagnosis,  nutrition intervention, or nutrition
    22  monitoring and evaluation for the purpose of management or treatment  of
    23  a  disease  or  medical  condition.  Only a person licensed or otherwise
    24  exempt under this article shall practice medical  nutrition  therapy  or
    25  offer to provide such services.
    26    3.  "Nutrition  care  services" means any part or all of the following
    27  services provided within a systematic process:
    28    (a) assessing and evaluating the nutritional needs of individuals  and
    29  groups  and determining resources and constraints in a practice setting,
    30  including  ordering  of  nutrition-related laboratory tests to check and
    31  track nutrition status;
    32    (b) identifying nutrition problems and establishing priorities, goals,
    33  and objectives that meet  nutritional  needs  and  are  consistent  with
    34  available resources and constraints;
    35    (c) creating individualized dietary plans and issuing and implementing
    36  orders  to meet nutritional needs of healthy individuals and individuals
    37  in acute and chronic  disease  states,  including  ordering  therapeutic
    38  diets, and monitoring the effectiveness thereof;
    39    (d)  determining  and providing appropriate nutrition interventions in
    40  health  and  disease,  including  nutrition  counseling  on   food   and
    41  prescription drug interactions;
    42    (e) developing, implementing, and managing nutrition care systems; and
    43    (f)  evaluating, making changes in, and maintaining appropriate stand-
    44  ards of quality in food and nutrition service.
    45    4.  "Nutrition  diagnosis" in the context of the practice of dietetics
    46  or the practice of nutrition means identifying  and  labeling  nutrition
    47  problems  managed and treated by a licensed dietitian or licensed nutri-
    48  tionist.  Such diagnostic privilege is distinct from a  medical  diagno-
    49  sis.
    50    5. "Therapeutic diet" means a diet intervention prescribed by a physi-
    51  cian  or  other  authorized provider, including a licensed dietitian or,
    52  for oral  diets  only,  a  licensed  nutritionist.  A  therapeutic  diet
    53  provides  food,  fluids,  or  nutrients  by oral, enteral, or parenteral
    54  routes and is used in the treatment of a disease or  clinical  condition
    55  to  modify, eliminate, decrease, or increase specific macro- or micronu-

        S. 607--C                           4

     1  trients, or to provide mechanically altered food  when  medically  indi-
     2  cated.
     3    §  5.  Section 8003 of the education law, as amended by chapter 282 of
     4  the laws of 1992, is amended to read as follows:
     5    § 8003. State board for dietetics and nutrition.   A state  board  for
     6  dietetics  and  nutrition shall be appointed by the board of regents, on
     7  recommendation of the commissioner, for the  purpose  of  assisting  the
     8  board of regents and the department on matters of [certification] licen-
     9  sure,  practice,  and  professional  conduct  in accordance with section
    10  sixty-five hundred eight of this [chapter] title.
    11    [The] All members serving terms on the state board for  dietetics  and
    12  nutrition  on the effective date of the chapter of the laws of two thou-
    13  sand twenty-six which amended this section shall continue to  serve  out
    14  their  respective  terms of office until their respective successors are
    15  appointed and qualified. Thereafter, the board  shall  consist  of  [not
    16  less  than  thirteen]  eleven members, [ten] of whom shall [be certified
    17  dietitians or certified nutritionists, except that the  members  of  the
    18  first  board need not be certified but shall be persons who are eligible
    19  for certification under the provisions of this article  prior  to  their
    20  appointment  to  the  board.    The first board, with respect to members
    21  representing the profession, shall consist of five members registered by
    22  a national dietetic association having registration standards acceptable
    23  to the department and five members who are members of or registered by a
    24  national nutritional association having membership  and/or  registration
    25  standards  acceptable  to  the  department.  Thereafter,  members of the
    26  profession appointed to such board shall be certified pursuant  to  this
    27  article]  include  four licensed dietitians and four licensed nutrition-
    28  ists or licensed dietitians pursuant to this article; provided, however,
    29  that no more than six members of the board shall be licensed dietitians.
    30  To the extent reasonable, the board of regents should insure  the  state
    31  board is broadly representative of various professional interests within
    32  the  dietetic  and nutritional community.   [Three] Two members shall be
    33  representatives of the general public and one member shall be  a  physi-
    34  cian  licensed under article one hundred thirty-one of this title.  Such
    35  physician member shall not be a member of or credentialed by a  national
    36  dietetic  or  national  nutrition association. An executive secretary to
    37  the board shall be appointed by the board of regents on the  recommenda-
    38  tion of the commissioner.
    39    §  6.  Section 8004 of the education law is REPEALED and a new section
    40  8004 is added to read as follows:
    41    § 8004. Requirements for professional license.  1. Each applicant  for
    42  a  license  as  a  licensed nutritionist shall:   be at least twenty-one
    43  years of age; be of good moral character, acceptable to  the department;
    44  submit a completed application upon a form and in  such  manner  as  the
    45  board  prescribes  demonstrating  the  applicant  is capable and profes-
    46  sionally competent, as determined by the board, to safely engage in  the
    47  practice  of  nutrition;  submit  any fees as required by the board, and
    48  submit proof of all of the following:
    49    (a) Education: Have received a master's or doctoral degree  in  nutri-
    50  tion  or a nutrition-related science leading to competence in nutrition,
    51  including medical nutrition therapy, in accordance with the  commission-
    52  er's regulations, or in the equivalent as determined by the department;
    53    (b) Experience: Have completed a planned, continuous, supervised prac-
    54  tice  experience  satisfactory  to  the board and in accordance with the
    55  commissioner's regulations, provided that such experience shall  require
    56  demonstration  of  competence  in nutrition, including medical nutrition

        S. 607--C                           5
 
     1  therapy and involve at least one thousand hours under direct supervision
     2  in the following  practice  areas:    conducting  nutrition  assessment;
     3  nutrition  intervention;  and  nutrition  monitoring and evaluation. The
     4  experience  shall be determined by the board to have prepared the appli-
     5  cant to provide nutrition  care  services  for  various  populations  of
     6  diverse  cultures, genders, and across the life cycle, and to be able to
     7  competently formulate actionable medical nutrition therapies and  inter-
     8  ventions,  education,  counseling,  and ongoing care for the prevention,
     9  modulation, and management of a  range  of  chronic  medical  conditions
    10  within the scope of nutrition; and
    11    (c)  Examination:  Passage  of a nutrition examination satisfactory to
    12  the board and in accordance with the commissioner's regulations.
    13    2. Each applicant for a license as a licensed dietitian shall:  be  at
    14  least twenty-one years of age; be of good moral character, acceptable to
    15  the  department;  submit  a  completed application to the department for
    16  approval upon a form and in such manner as the board  prescribes  demon-
    17  strating  the  applicant  is  capable  and  professionally competent, as
    18  determined by the board, to safely engage in the practice  of  dietetics
    19  and  nutrition; submit any licensure fee; and submit proof of all of the
    20  following:
    21    (a) Education: Have received a  master's  or  doctoral  degree  or  an
    22  equivalent  as determined by the department and satisfactorily completed
    23  a program of study accredited by a national dietetics  accrediting  body
    24  and  approved  by  the  department in accordance with the commissioner's
    25  regulations;
    26    (b) Experience: Have satisfactorily completed a  planned,  continuous,
    27  and  supervised  practice  experience accredited by a national dietetics
    28  accreditation body and approved by the department in accordance with the
    29  commissioner's regulations, provided that such experience shall  require
    30  demonstration  of  competence  in  dietetics  and  nutrition,  including
    31  medical nutrition therapy, and consist of not  less  than  one  thousand
    32  hours  under  direct supervision.  The experience shall be determined by
    33  the board to have prepared  the  applicant  to  provide  nutrition  care
    34  services  for  various  populations  of  diverse  cultures, genders, and
    35  across the life cycle, and to be able to competently formulate  actiona-
    36  ble  medical  nutrition  therapies  and  interventions, education, coun-
    37  seling, and ongoing care for the prevention, modulation, and  management
    38  of  a  range of acute and chronic medical conditions within the scope of
    39  dietetics and nutrition; and
    40    (c) Examination: Passage of a dietitian  examination  satisfactory  to
    41  the board and in accordance with the commissioner's regulations.
    42    3. All applicants for licensure as a licensed nutritionist or licensed
    43  dietitian  shall pay a fee of one hundred fifteen dollars for an initial
    44  license, and a fee of one hundred fifty-five dollars for each  triennial
    45  registration period.
    46    § 7. Section 8005 of the education law, as added by chapter 635 of the
    47  laws of 1991, is amended to read as follows:
    48    § 8005. Special provisions. Nothing contained in this article shall be
    49  deemed  to alter, modify or impair any conditions of employment relating
    50  to service in the federal government, the state of New York,  its  poli-
    51  tical subdivisions, including school districts, or special districts and
    52  authorities  or any facilities or institutions under the jurisdiction of
    53  or subject to the certification of any agency of the state of  New  York
    54  or  its  political  subdivisions.  Nothing  in  this  section  shall  be
    55  construed to authorize an individual to provide medical nutrition thera-
    56  py services requiring licensure under this article unless such  individ-

        S. 607--C                           6
 
     1  ual  is  licensed  or  otherwise authorized under this article or exempt
     2  under this article.
     3    §  8.  Section 8006 of the education law is REPEALED and a new section
     4  8006 is added to read as follows:
     5    § 8006. Special conditions. 1. Any person who is licensed as a  certi-
     6  fied dietitian or a certified nutritionist on the effective date of this
     7  section  shall  be  licensed as a licensed dietitian without meeting any
     8  additional requirements, provided that such person:
     9    (a) holds registration as a dietitian by a national  dietetic  commis-
    10  sion that has registration standards acceptable to the department; or
    11    (b) has completed:
    12    (i)  a  bachelor's or higher degree from a programmatically accredited
    13  didactic program approved by  the  department  in  accordance  with  the
    14  commissioner's regulations;
    15    (ii)  a  supervised practice experience acceptable to the board and in
    16  accordance with the commissioner's regulations, provided that such expe-
    17  rience consisted of satisfactory completion of a  nationally  accredited
    18  dietetic and nutrition experience approved by the department of not less
    19  than nine hundred hours; and
    20    (iii) passage of a dietitian examination satisfactory to the board and
    21  in accordance with the commissioner's regulations.
    22    2. Notwithstanding any master's degree requirement established by this
    23  article  or  the  commissioner's  regulations,  an applicant who was not
    24  licensed as a certified dietitian  or  certified  nutritionist  in  this
    25  state on the effective date of this section shall be eligible for licen-
    26  sure  as a licensed dietitian if such applicant, prior to January first,
    27  two thousand twenty-four, held registration as a dietitian by a national
    28  dietetic commission that has registration standards  acceptable  to  the
    29  department, and currently holds such registration.
    30    3.  Any person who is licensed as a certified dietitian or a certified
    31  nutritionist and does not meet the requirements provided under  subdivi-
    32  sion one of this section on the effective date of this section, shall be
    33  licensed  as  a licensed nutritionist so long as they hold certification
    34  as a nutrition specialist by a national nutrition specialist credential-
    35  ing board that has certifying standards acceptable to the department.
    36    § 9. The education law is amended by adding two new sections 8007  and
    37  8008 to read as follows:
    38    §  8007.  Exemptions. This article shall not be construed to affect or
    39  prevent:
    40    1. A licensed physician from practicing such physician's profession as
    41  defined under articles one hundred thirty-one and  one  hundred  thirty-
    42  one-B  of  this  title;  a  registered professional nurse or a certified
    43  nurse practitioner practicing such nurse or nurse practitioner's profes-
    44  sion as defined under article one hundred thirty-nine of this  title;  a
    45  licensed  physician assistant from such physician assistant's profession
    46  as defined under article one hundred  thirty-one-B  of  this  title;  or
    47  qualified  members  of  other professions licensed under this title from
    48  performing work incidental to the practice of their professions,  except
    49  that such persons may not hold themselves out under the title authorized
    50  by this article;
    51    2.  A  student,  intern  or  resident from engaging in the practice of
    52  dietetics or nutrition while participating in the education  or  experi-
    53  ence  requirements under section eight thousand four of this article, so
    54  long as:
    55    (a) The student or trainee who is completing their supervised practice
    56  experience required under section eight thousand four  of  this  article

        S. 607--C                           7
 
     1  practices under this subdivision not more than five years after complet-
     2  ing  education  requirements  under  section eight thousand four of this
     3  article;
     4    (b) The student or trainee practices under this subdivision only while
     5  supervised  by  a  qualified supervisor as approved by the department in
     6  accordance with the commissioner's regulations;
     7    (c) The student or trainee does not engage in the  unrestricted  prac-
     8  tice of medical nutrition therapy; and
     9    (d)  While  practicing  under this subdivision, the student or trainee
    10  uses a title that clearly indicates such student trainee's status  as  a
    11  student, intern, trainee, or supervisee;
    12    3.  A person who provides individualized nutrition recommendations for
    13  the wellness and primary prevention of chronic disease, health coaching,
    14  holistic  and  wellness education, guidance, motivation, behavior change
    15  management, services for non-medical weight control, or other  nutrition
    16  care services so long as all of the following apply:
    17    (a) The services do not constitute medical nutrition therapy;
    18    (b)  The person does not represent such person using titles authorized
    19  under this article; and
    20    (c) The person does not hold such person out as licensed or  qualified
    21  to engage in the practice of medical nutrition therapy;
    22    4.  A  person  who  disseminates  non-individualized, written, general
    23  nutrition information in connection with the marketing and  distribution
    24  of dietary supplements, food, herbs, or food materials, including expla-
    25  nations  of  their  federally regulated label claims, any known drug-nu-
    26  trient interactions, their role in various diets, or suggestions as  how
    27  to  best  use  and  combine  them  so  long as such information does not
    28  constitute medical nutrition therapy and the person does not use  titles
    29  authorized  under  this  article or hold such person out as qualified to
    30  engage in the practice of medical nutrition therapy;
    31    5. A person who provides  medical  weight  control  for  persons  with
    32  obesity as part of any of the following:
    33    (a)  An instructional program that has been approved in writing by one
    34  of the following:
    35    (i) a dietitian or nutritionist licensed in this state; or
    36    (ii) a health care practitioner licensed or certified  in  this  state
    37  whose scope of practice includes medical nutrition therapy; or
    38    (b)  A plan of care that is overseen by a health professional licensed
    39  in this state whose scope of practice otherwise  authorizes  the  health
    40  professional  to provide and delegate medical nutrition therapy, so long
    41  as the medical weight control services are not discretionary and do  not
    42  require the exercise of professional judgment;
    43    6.  An  individual  employed  by a WIC program as a "competent profes-
    44  sional authority" as defined in 7 C.F.R § 246.2  (1895)  from  providing
    45  nutrition  services  within  such  WIC  program. For the purpose of this
    46  subdivision the term "WIC program" shall mean a program authorized by 42
    47  U.S.C. § 1786;
    48    7. A person who does not utilize titles authorized under this  article
    49  and  assists  the  provision  of medical nutrition therapy if the person
    50  performs only support activities that are not discretionary and that  do
    51  not require the exercise of professional judgment for their performance,
    52  and  the  person  is  directly supervised by a nutritionist or dietitian
    53  licensed under this title; and
    54    8. The practice of dietetics or nutrition by a  corporation,  provided
    55  that  such  practice  is  carried  on  by a licensed dietitian, licensed
    56  nutritionist, or a person or persons exempt under this article; and

        S. 607--C                           8
 
     1    9. Any person or firm offering services of a dietitian  or  nutrition-
     2  ist,  provided  that  such  person or firm shall employ or contract only
     3  persons licensed or otherwise exempt under this article.
     4    §  8008.  Limited permit. 1. The department may issue a limited permit
     5  to practice as a provisionally licensed  nutritionist  or  provisionally
     6  licensed  dietitian to an applicant for licensure who has met the educa-
     7  tion and experience requirements for a licensed nutritionist or licensed
     8  dietitian provided under section eight thousand four of this article.
     9    2. The duration of a limited permit shall not exceed one year from the
    10  time of its first issue and the department may for good  cause  renew  a
    11  limited  permit  for  an additional one year provided that no individual
    12  shall practice under any limited permit for more than  a  total  of  two
    13  years.
    14    3.  All practice under a limited permit shall be under the supervision
    15  of a dietitian licensed pursuant to this article.
    16    4. All practice under a limited nutritionist permit shall be under the
    17  supervision of a nutritionist or dietitian  licensed  pursuant  to  this
    18  article.
    19    5. The fee for a limited permit or the renewal thereof shall be seven-
    20  ty-five dollars.
    21    §  10.  Subparagraph  (i)  of  paragraph a of subdivision 1 of section
    22  6503-a of the education law, as amended by chapter 554 of  the  laws  of
    23  2013, is amended to read as follows:
    24    (i)  services  provided  under  article  one  hundred  fifty-four, one
    25  hundred fifty-seven, one hundred sixty-three or one hundred  sixty-seven
    26  of this title for which licensure would be required, or
    27    §  11.  Section 6505-b of the education law, as amended by chapter 733
    28  of the laws of 2023, is amended to read as follows:
    29    § 6505-b. Course work or  training  in  infection  control  practices.
    30  Every  dentist,  registered nurse, licensed practical nurse, podiatrist,
    31  optometrist, athletic trainer,  [and]  dental  hygienist,  and  licensed
    32  nutritionist,  and  licensed dietitian practicing in the state shall, on
    33  or before July first, nineteen hundred ninety-four and every four  years
    34  thereafter,  complete course work or training appropriate to the profes-
    35  sional's  practice  approved  by  the  department  regarding   infection
    36  control,  which shall include sepsis, and barrier precautions, including
    37  engineering and work practice controls, in  accordance  with  regulatory
    38  standards  promulgated  by  the  department,  in  consultation  with the
    39  department of health, which shall be consistent, as far as  appropriate,
    40  with  such  standards  adopted  by  the department of health pursuant to
    41  section two hundred thirty-nine of the public health law to prevent  the
    42  transmission  of  HIV, HBV, HCV and infections that could lead to sepsis
    43  in the course of professional practice.  Each  such  professional  shall
    44  document  to  the department at the time of registration commencing with
    45  the first registration after July first,  nineteen  hundred  ninety-four
    46  that  the  professional has completed course work or training in accord-
    47  ance with this section, provided, however that a professional subject to
    48  the provisions of paragraph (f) of subdivision one  of  section  twenty-
    49  eight  hundred  five-k of the public health law shall not be required to
    50  so document.  The  department  shall  provide  an  exemption  from  this
    51  requirement to anyone who requests such an exemption and who (i) clearly
    52  demonstrates  to  the  department's  satisfaction that there would be no
    53  need for [him or her] such dentist, registered nurse, licensed practical
    54  nurse, podiatrist,  optometrist,  athletic  trainer,  dental  hygienist,
    55  licensed  nutritionist,  and  licensed dietitian to complete such course
    56  work or training because of the nature of [his  or  her]  such  dentist,

        S. 607--C                           9
 
     1  registered  nurse,  licensed  practical  nurse, podiatrist, optometrist,
     2  athletic trainer, dental hygienist, licensed nutritionist, and  licensed
     3  dietitian  practice  or  (ii)  that [he or she] such dentist, registered
     4  nurse,  licensed  practical  nurse,  podiatrist,  optometrist,  athletic
     5  trainer, dental hygienist, licensed nutritionist, and licensed dietitian
     6  has completed course work or training deemed by  the  department  to  be
     7  equivalent  to  the  course  work or training approved by the department
     8  pursuant to this section. The department shall  consult  with  organiza-
     9  tions  representative of professions, institutions and those with exper-
    10  tise in infection control and HIV, HBV, HCV and  infections  that  could
    11  lead  to  sepsis  with  respect  to the regulatory standards promulgated
    12  pursuant to this section.
    13    § 12. Paragraph a of subdivision 3 of section 6507  of  the  education
    14  law,  as  amended by chapter 733 of the laws of 2023, is amended to read
    15  as follows:
    16    a. Establish standards for preprofessional and professional education,
    17  experience and licensing examinations as required to implement the arti-
    18  cle for each profession. Notwithstanding any other provision of law, the
    19  commissioner shall establish standards requiring that all persons apply-
    20  ing, on or after January first, nineteen hundred ninety-one,  initially,
    21  or for the renewal of, a license, registration or limited permit to be a
    22  physician,  chiropractor, dentist, registered nurse, podiatrist, optome-
    23  trist,  psychiatrist,  psychologist,  licensed  master  social   worker,
    24  licensed  clinical  social  worker,  licensed  creative  arts therapist,
    25  licensed marriage and family therapist, licensed mental  health  counse-
    26  lor,   licensed   psychoanalyst,  dental  hygienist,  licensed  behavior
    27  analyst, certified behavior analyst  assistant,  licensed  nutritionist,
    28  licensed  dietitian,  or  athletic trainer shall, in addition to all the
    29  other licensure, certification or permit  requirements,  have  completed
    30  two  hours  of  coursework  or training regarding the identification and
    31  reporting of child abuse and maltreatment. The  coursework  or  training
    32  shall  be  obtained  from  an  institution  or  provider  which has been
    33  approved by the department to provide such coursework or  training.  The
    34  coursework  or training shall include information regarding the physical
    35  and behavioral indicators of child abuse and maltreatment and the statu-
    36  tory reporting requirements set out in sections  four  hundred  thirteen
    37  through  four  hundred  twenty of the social services law, including but
    38  not limited to, when and how a report must be made, what  other  actions
    39  the  reporter  is  mandated or authorized to take, the legal protections
    40  afforded reporters, and the consequences for  failing  to  report.  Such
    41  coursework  or training may also include information regarding the phys-
    42  ical and behavioral indicators of the abuse of individuals with develop-
    43  mental disabilities and  voluntary  reporting  of  abused  or  neglected
    44  adults  to  the office for people with developmental disabilities or the
    45  local adult protective services unit.  Each applicant shall provide  the
    46  department  with  documentation  showing that [he or she] such applicant
    47  has completed the required training. The  department  shall  provide  an
    48  exemption from the child abuse and maltreatment training requirements to
    49  any  applicant  who  requests  such  an  exemption and who shows, to the
    50  department's satisfaction, that there would be no need  because  of  the
    51  nature  of  [his or her] such applicant's practice for [him or her] such
    52  applicant to complete such training;
    53    § 13. Paragraph (a) of subdivision 1 of  section  413  of  the  social
    54  services  law, as amended by chapter 733 of the laws of 2023, is amended
    55  to read as follows:

        S. 607--C                          10
 
     1    (a) The following persons and officials  are  required  to  report  or
     2  cause  a  report to be made in accordance with this title when they have
     3  reasonable cause to suspect that a child coming  before  them  in  their
     4  professional  or  official capacity is an abused or maltreated child, or
     5  when  they have reasonable cause to suspect that a child is an abused or
     6  maltreated child where the parent, guardian, custodian or  other  person
     7  legally  responsible  for  such child comes before them in their profes-
     8  sional or official capacity and states from  personal  knowledge  facts,
     9  conditions or circumstances which, if correct, would render the child an
    10  abused  or maltreated child: any physician; registered physician assist-
    11  ant; surgeon; medical  examiner;  coroner;  dentist;  dental  hygienist;
    12  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
    13  athletic trainer; psychologist; registered nurse; social  worker;  emer-
    14  gency  medical  technician;  licensed  creative arts therapist; licensed
    15  marriage  and  family  therapist;  licensed  mental  health   counselor;
    16  licensed  psychoanalyst;  licensed  behavior analyst; certified behavior
    17  analyst assistant; licensed nutritionist; licensed  dietitian;  hospital
    18  personnel  engaged  in  the admission, examination, care or treatment of
    19  persons;  a  Christian  Science  practitioner;  school  official,  which
    20  includes  but  is not limited to school teacher, school guidance counse-
    21  lor, school psychologist, school social  worker,  school  nurse,  school
    22  administrator  or  other school personnel required to hold a teaching or
    23  administrative license or certificate;  full  or  part-time  compensated
    24  school employee required to hold a temporary coaching license or profes-
    25  sional coaching certificate; social services worker; employee of a publ-
    26  icly-funded  emergency shelter for families with children; director of a
    27  children's overnight camp, summer day camp or traveling summer day camp,
    28  as such camps are defined in section thirteen hundred ninety-two of  the
    29  public health law; day care center worker; school-age child care worker;
    30  provider  of family or group family day care; employee or volunteer in a
    31  residential care facility for children that is  licensed,  certified  or
    32  operated  by  the  office  of children and family services; or any other
    33  child care or foster care worker; mental health professional;  substance
    34  abuse  counselor;  alcoholism counselor; all persons credentialed by the
    35  office of [alcoholism and substance abuse services]  addiction  services
    36  and  supports;  employees, who are expected to have regular and substan-
    37  tial contact with children, of a health home or health home care manage-
    38  ment agency contracting with a health home as designated by the  depart-
    39  ment  of  health and authorized under section three hundred sixty-five-l
    40  of this chapter or such employees who provide home and  community  based
    41  services  under  a  demonstration  program  pursuant  to  section eleven
    42  hundred fifteen of the federal social security act who are  expected  to
    43  have  regular  and  substantial  contact  with  children; peace officer;
    44  police officer; district attorney or assistant district attorney; inves-
    45  tigator employed in the office of a  district  attorney;  or  other  law
    46  enforcement official.
    47    §  14.  Subdivision  5-a of section 488 of the social services law, as
    48  amended by chapter 205 of the laws  of  2014,  is  amended  to  read  as
    49  follows:
    50    5-a.  "Human  services professional" shall mean any: physician; regis-
    51  tered physician assistant; surgeon; medical examiner; coroner;  dentist;
    52  dental  hygienist;  osteopath;  optometrist;  chiropractor;  podiatrist;
    53  resident; intern; psychologist;  registered  nurse;  licensed  practical
    54  nurse;  nurse practitioner; social worker; emergency medical technician;
    55  licensed creative arts therapist; licensed marriage  and  family  thera-
    56  pist; licensed mental health counselor; licensed psychoanalyst; licensed

        S. 607--C                          11
 
     1  behavior   analyst;   certified  behavior  analyst  assistant;  licensed
     2  speech/language pathologist or audiologist; licensed physical therapist;
     3  licensed occupational therapist; licensed nutritionist; licensed  dieti-
     4  tian;  hospital personnel engaged in the admission, examination, care or
     5  treatment of persons; Christian Science practitioner;  school  official,
     6  which  includes  but  is  not limited to school teacher, school guidance
     7  counselor, school psychologist,  school  social  worker,  school  nurse,
     8  school administrator or other school personnel required to hold a teach-
     9  ing  or administrative license or certificate; full or part-time compen-
    10  sated school employee required to hold a temporary coaching  license  or
    11  professional  coaching  certificate;  social  services worker; any other
    12  child care or foster care worker;  mental  health  professional;  person
    13  credentialed  by  the  office  of  [alcoholism]  addiction  services and
    14  [substance abuse services]  supports;  peace  officer;  police  officer;
    15  district  attorney or assistant district attorney; investigator employed
    16  in the office of a district attorney; or other law enforcement official.
    17    § 15. This act shall take effect eighteen months after it  shall  have
    18  become  a  law.  Effective  immediately,  the addition, amendment and/or
    19  repeal of any rule or regulation necessary  for  the  implementation  of
    20  this  act  on its effective date are authorized to be made and completed
    21  on or before such effective date.
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