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S03029 Summary:

BILL NOS03029
 
SAME ASSAME AS A00183
 
SPONSORSTAVISKY
 
COSPNSR
 
MLTSPNSR
 
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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S03029 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          3029
 
                               2025-2026 Regular Sessions
 
                    IN SENATE
 
                                    January 23, 2025
                                       ___________
 
        Introduced  by Sen. STAVISKY -- read twice and ordered printed, and when
          printed to be committed 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:
    22                                 ARTICLE 142
    23                             GENETIC COUNSELING
    24  Section 7050. Introduction.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD00942-01-5

        S. 3029                             2
 
     1          7051. Practice of  genetic  counseling  and  use  of  the  title
     2                  "genetic counselor".
     3          7052. State board for genetic counseling.
     4          7053. Requirements for a professional license.
     5          7054. Exempt persons.
     6          7055. Limited permits.
     7          7056. Special provisions.
     8    § 7050. Introduction. This article applies to the licensing of genetic
     9  counselors.  The  general  provisions  for  all professions contained in
    10  article one hundred thirty of this title apply to this article.
    11    § 7051. Practice of genetic counseling and use of the  title  "genetic
    12  counselor".  1.  The  "practice  of  genetic  counseling" shall mean the
    13  communication to and education of human clients, their  families,  other
    14  health  care professionals and the general public with regard to genetic
    15  testing, individual family histories, or other genetic, personal medical
    16  history, and technical information associated with the occurrence,  risk
    17  of  occurrence  or  recurrence,  of a genetic or hereditary condition or
    18  birth defect.   A practitioner  of  genetic  counseling  shall  seek  to
    19  promote  decision-making  for  their  client which respects the client's
    20  culture, language, tradition, lifestyle, religion, beliefs  and  values.
    21  Genetic counseling shall include, but not be limited to, the following:
    22    (a)  obtain and evaluate personal and family medical history to deter-
    23  mine genetic risk for genetic conditions and diseases in a human client,
    24  such client's offspring, and other family members;
    25    (b) educate clients regarding the means to assess and manage risk  for
    26  genetic conditions and disease;
    27    (c)  identify  and order genetic laboratory tests and coordinate other
    28  diagnostic studies as appropriate for the genetic assessment;
    29    (d) integrate genetic laboratory test  results  and  other  diagnostic
    30  studies  with personal and family medical history to assess and communi-
    31  cate risk factors for genetic conditions;
    32    (e) explain to a client the clinical implications of genetic laborato-
    33  ry tests and other diagnostic studies and their results; and
    34    (f) maintain written documentation of the genetic counseling  services
    35  performed for clients and health care professionals.
    36    2.  Nothing in this article shall be construed to authorize a licensed
    37  genetic  counselor  to  diagnose or treat any genetic disease or medical
    38  condition, practice psychotherapy, or practice any other profession that
    39  is licensed under this title.  This includes, but may not be limited to,
    40  the following:
    41    (a) Prescribe or administer drugs as defined in this chapter or  as  a
    42  treatment,  therapy,  or  professional  services in the practice of such
    43  genetic counselor's profession;
    44    (b) Use invasive procedures as a treatment, therapy,  or  professional
    45  service  in the practice of such genetic counselor's profession. For the
    46  purposes of this subdivision, "invasive procedure" means  any  procedure
    47  in  which  human  tissue  is  cut,  altered, or otherwise infiltrated by
    48  mechanical or other means. Invasive procedures  shall  include  surgery,
    49  lasers, ionizing radiation, therapeutic ultrasound, or electroconvulsive
    50  therapy; or
    51    (c)  Provide  psychotherapy  as  defined in subdivision two of section
    52  eighty-four hundred one of this title.
    53    3. If in the course of providing genetic counseling to any  client,  a
    54  genetic  counselor finds any indication of disease or condition that may
    55  require medical assessment,  the  genetic  counselor  shall  refer  that

        S. 3029                             3
 
     1  client  to  a licensed physician, or as appropriate, another health care
     2  professional licensed pursuant to this title.
     3    4.  Only a person licensed or exempt under this article shall practice
     4  genetic counseling. Only a person licensed under this article shall  use
     5  the  title  "licensed  genetic  counselor"  and use the letters "L.G.C."
     6  after such person's name or  any  words  or  letters,  abbreviations  or
     7  insignia  indicating  or  implying that a person is licensed pursuant to
     8  this article.
     9    5. The provisions of this article  shall  not  prohibit  any  licensed
    10  genetic  counselor employed by any organization or entity who is provid-
    11  ing occasional services from engaging in the practice of  genetic  coun-
    12  seling,  subject  to  the  limitations  prescribed by the department, in
    13  consultation with  the  state  board  for  genetic  counseling  and  the
    14  provision  of  such  occasional  services  shall be deemed not to be the
    15  practice of a profession for purposes  of  all  applicable  partnership,
    16  corporation or limited liability company laws and regulations.
    17    §  7052.  State  board  for  genetic  counseling. 1. A state board for
    18  genetic counseling shall be appointed by the board of regents  upon  the
    19  recommendation  of the commissioner, prior to the effective date of this
    20  article, and shall assist  on  matters  of  professional  licensing  and
    21  professional conduct in accordance with section sixty-five hundred eight
    22  of  this title. Members of the first board need not be licensed prior to
    23  their appointment to such board. An executive  secretary  to  the  board
    24  shall  be  appointed  by  the  board of regents on recommendation of the
    25  commissioner.
    26    2. The board shall consist of seven individuals, to be composed of the
    27  following:
    28    (a) five licensed genetic counselors,
    29    (b) one licensed physician, and
    30    (c) a public representative as defined in paragraph b  of  subdivision
    31  one of section sixty-five hundred eight of this title.
    32    3. Board members shall be appointed for terms of five years. The terms
    33  of  the  first  appointed members shall be staggered so that two members
    34  are appointed for three years, three  members  are  appointed  for  four
    35  years and two members are appointed for five years.
    36    §  7053.  Requirements  for  a  professional license. To qualify for a
    37  license as a "licensed genetic counselor", an  applicant  shall  fulfill
    38  the following requirements:
    39    1. Application: file an application with the department;
    40    2.  Education:  have  received  a master's degree or higher in genetic
    41  counseling or human genetics from a program registered  by  the  depart-
    42  ment,  or determined by the department to be the substantial equivalent,
    43  in accordance with the commissioner's regulations.  Appropriate  course-
    44  work  shall  be  determined  in accordance with the commissioner's regu-
    45  lations on recommendations of the state board for genetic counseling;
    46    3. Experience: experience acceptable to the department;
    47    4. Examination: pass an examination satisfactory to the department and
    48  in accordance with the commissioner's regulations;
    49    5. Age: be at least twenty-one years of age;
    50    6. Character: be of good moral character as determined by the  depart-
    51  ment;
    52    7.  Fees:  pay a fee of three hundred dollars to the department for an
    53  initial license and two hundred dollars for  each  subsequent  triennial
    54  re-registration of a license.

        S. 3029                             4
 
     1    §  7054. Exempt persons. 1.  So long as the person does not hold them-
     2  self out to the public as a genetic counselor, the  provisions  of  this
     3  article shall not apply to:
     4    a.  A  licensed health care professional licensed under this title who
     5  is practicing within the scope of practice as defined in this title;
     6    b. A student or intern enrolled in a master's or higher program regis-
     7  tered or approved by the department  where  the  student  or  intern  is
     8  engaged  in  activities  constituting  the  practice  of a profession as
     9  defined in this title, whose scope of practice  includes  genetic  coun-
    10  seling; provided, however, such activities shall be part of a supervised
    11  training  program  under  a licensed genetic counselor or an appropriate
    12  health care professional licensed pursuant to this title  in  accordance
    13  with the commissioner's regulations; and
    14    c.  An  employee of the state department of health in the provision of
    15  education regarding conditions included on the newborn screening panels.
    16    2. Nothing in this article shall be  construed  as  prohibiting  coun-
    17  seling  services  provided  by  an attorney within such attorney's usual
    18  practice, rape crisis counselor  within  such  rape  crisis  counselor's
    19  usual counseling duties, or pastoral counseling by a clergy member work-
    20  ing within such clergy member's ministerial charge of obligation.
    21    § 7055. Limited permits.  Limited permits may be issued by the depart-
    22  ment to authorize the practice of the profession under a licensed genet-
    23  ic counselor or physician pursuant to the commissioner's regulations:
    24    1. The department may issue a limited permit to an applicant who meets
    25  all  qualifications  for  licensure as a genetic counselor, except those
    26  relating to the examination  and  experience,  in  accordance  with  the
    27  commissioner's regulations.
    28    2. Limited permits shall be for one year. Such permits may be extended
    29  at the discretion of the department, for one additional year.
    30    3.  The  fee  for  each  limited  permit and for each renewal shall be
    31  seventy dollars.
    32    § 7056.  Special provisions. 1. Any individual who meets the  require-
    33  ments for a license established in this article, except for examination,
    34  experience  and education, and who is certified by a national certifying
    35  body having certification standards acceptable to the department, may be
    36  licensed without meeting  additional  requirements  as  to  examination,
    37  experience,  or  education,  provided  that  such  individual submits an
    38  application to the department within two years of the effective date  of
    39  this article.
    40    2. Any individual who meets the requirements for a license established
    41  in  this  article, except for examination, may be licensed without exam-
    42  ination, provided that the person completed  the  education  requirement
    43  prior  to two thousand eight, submits evidence of a minimum of ten years
    44  employment as a genetic counselor, submits experience acceptable to  the
    45  department and submits an application to the department within two years
    46  of the effective date of this article.
    47    § 3. Severability. If any clause, sentence, paragraph, section or part
    48  of  this act shall be adjudged by any court of competent jurisdiction to
    49  be invalid and after exhaustion of  all  further  judicial  review,  the
    50  judgment  shall  not affect, impair or invalidate the remainder thereof,
    51  but shall be confined in its operation to the  clause,  sentence,  para-
    52  graph,  section or part of this act directly involved in the controversy
    53  in which the judgment shall have been rendered.
    54    § 4. This act shall take effect two years after it shall have become a
    55  law. Effective immediately, the state education department is authorized
    56  to promulgate any rule or regulation necessary for the implementation of

        S. 3029                             5
 
     1  this act on its effective date,  including,  but  not  limited  to,  the
     2  appointment  of  board members pursuant to section 7052 of the education
     3  law, as added by section two of this act on  or  before  such  effective
     4  date.
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