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S00607 Summary:

BILL NOS00607
 
SAME ASNo Same As
 
SPONSORSTAVISKY
 
COSPNSR
 
MLTSPNSR
 
Rpld §§8004, 8005 & 8006, amd Ed L, generally; amd §§413 & 488, Soc
 
Provides for the licensure of dietitian nutritionists and nutritionists; defines the practice thereof.
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S00607 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                           607
 
                               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
 
        AN ACT to amend the education  law  and  the  social  services  law,  in
          relation  to  the  licensure of dietitian nutritionists and nutrition-
          ists; 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  tian  nutritionists  and nutritionists. A "licensed dietitian nutrition-
     6  ist" shall mean a person duly licensed under this article as meeting the
     7  requirements of subdivision two of section eight thousand four  of  this
     8  article to practice dietetics and nutrition, which includes the practice
     9  of  medical  nutrition  therapy.  A "licensed nutritionist" shall mean a
    10  person duly licensed under this article as meeting the  requirements  of
    11  subdivision  one of section eight thousand four of this article to prac-
    12  tice  nutrition,  which  includes  the  practice  of  medical  nutrition
    13  therapy.  The general provision for all professions contained in article
    14  one hundred thirty of this title shall apply to this article.
    15    § 2. Section 8001 of the education law, as added by chapter 635 of the
    16  laws of 1991, is amended to read as follows:
    17    § 8001. [Definitions] Dietetic and nutrition practice.  [1.  Dietetics
    18  and  nutrition  are herein each defined as  the integration and applica-
    19  tion of principles derived from the sciences of nutrition, biochemistry,
    20  physiology, food  management  and  behavioral  and  social  sciences  to
    21  achieve and maintain people's health.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01594-01-5

        S. 607                              2

     1    2.  Where  the title "certified dietitian" or "certified nutritionist"
     2  is used in this article it shall mean "certified dietitian",  "certified
     3  dietician", or "certified nutritionist".
     4    3.  A certified dietitian or certified nutritionist is one who engages
     5  in the integration  and  application  of  principles  derived  from  the
     6  sciences  of  nutrition,  biochemistry,  physiology, food management and
     7  behavioral and social sciences to achieve and maintain people's  health,
     8  and who is certified as such by the department pursuant to section eight
     9  thousand  four  of  this  article.   The primary function of a certified
    10  dietitian or certified nutritionist is the provision of  nutrition  care
    11  services that shall include:
    12    (a) Assessing nutrition needs and food patterns;
    13    (b)  Planning  for and directing the provision of food appropriate for
    14  physical and nutrition needs; and
    15    (c) Providing nutrition counseling.]  1.  The  practice  of  dietetics
    16  encompasses  the  practice  of nutrition and includes providing advanced
    17  medical nutrition therapy and related support activities  including  the
    18  development and ordering of therapeutic diets via enteral and parenteral
    19  routes;  conducting  swallow screens; placing nasogastric or nasoenteric
    20  feeding tubes; implementing prescription  drug  dose  adjustments  under
    21  medical staff or prescriber-approved disease treatment protocols; order-
    22  ing  or discontinuing use of vitamin, mineral, and other dietary supple-
    23  ments; and developing and  managing  food  service  operations  for  the
    24  management or treatment of disease or medical conditions.
    25    2.  The practice of nutrition involves the provision of nutrition care
    26  services in-person or via telehealth, including medical nutrition thera-
    27  py, to prevent, manage, or treat  diseases  or  medical  conditions  and
    28  promote  wellness.  The practice of nutrition shall include the ordering
    29  of patient diets, including oral  therapeutic  diets;  the  ordering  of
    30  medical  laboratory tests related to nutritional therapeutic treatments;
    31  and the provision of recommendations  on  vitamin,  mineral,  and  other
    32  dietary supplements.
    33    § 3. Section 8002 of the education law, as added by chapter 635 of the
    34  laws of 1991, is amended to read as follows:
    35    § 8002. Use  of  titles.  [Only  a] 1. No person [certified under this
    36  article shall be authorized to  use  the  title  "certified  dietitian",
    37  "certified  dietician",  or  "certified  nutritionist"] may designate or
    38  hold such person out as a dietitian nutritionist or use  or  assume  the
    39  title   "dietitian  nutritionist",  "licensed  dietitian  nutritionist",
    40  "dietician", or any other title indicating that the person is a licensed
    41  dietitian nutritionist or append to or  use  in  conjunction  with  that
    42  person's  name  the letters "LDN" or "LD" unless such person is licensed
    43  as a dietitian nutritionist under this article.
    44    2. No  person  may  use or assume any title indicating that the person
    45  is a licensed nutritionist or append to  or  use  in  conjunction   with
    46  that  person's  name the letters "LN" unless the person is licensed as a
    47  nutritionist under this article.
    48    3. No person may designate or hold such person out as  a  nutritionist
    49  or  use or assume the title "nutritionist" unless the person is licensed
    50  under this article.
    51    § 4. The education law is amended by adding a new  section  8002-a  to
    52  read as follows:
    53    § 8002-a. Definitions. For the purposes of this article, the following
    54  terms shall have the following meanings:
    55    1.  "Medical  nutrition  therapy"  means  the  provision  of nutrition
    56  assessment, nutrition diagnosis, nutrition  intervention,  or  nutrition

        S. 607                              3
 
     1  monitoring  and evaluation for the purpose of management or treatment of
     2  a disease or medical condition. Only  a  person  licensed  or  otherwise
     3  exempt  under  this  article shall practice medical nutrition therapy or
     4  offer to provide such services.
     5    2.  "Nutrition  care  services" means any part or all of the following
     6  services provided within a systematic process:
     7    (a) assessing and evaluating the nutritional needs of individuals  and
     8  groups  and determining resources and constraints in a practice setting,
     9  including  ordering  of  nutrition-related laboratory tests to check and
    10  track nutrition status;
    11    (b) identifying nutrition problems and establishing priorities, goals,
    12  and objectives that meet  nutritional  needs  and  are  consistent  with
    13  available resources and constraints;
    14    (c) creating individualized dietary plans and issuing and implementing
    15  orders  to meet nutritional needs of healthy individuals and individuals
    16  in acute and chronic  disease  states,  including  ordering  therapeutic
    17  diets, and monitoring the effectiveness thereof;
    18    (d)  determining  and providing appropriate nutrition interventions in
    19  health  and  disease,  including  nutrition  counseling  on   food   and
    20  prescription drug interactions;
    21    (e) developing, implementing, and managing nutrition care systems; and
    22    (f)  evaluating, making changes in, and maintaining appropriate stand-
    23  ards of quality in food and nutrition service.
    24    §  5.  Section 8003 of the education law, as amended by chapter 282 of
    25  the laws of 1992, is amended to read as follows:
    26    § 8003. State board for dietetics and nutrition.   A state  board  for
    27  dietetics  and  nutrition shall be appointed by the board of regents, on
    28  recommendation of the commissioner, for the  purpose  of  assisting  the
    29  board of regents and the department on matters of [certification] licen-
    30  sure,  practice,  and  professional  conduct  in accordance with section
    31  sixty-five hundred eight of this [chapter] title.
    32    [The]  All members serving terms on the state board for dietetics  and
    33  nutrition  on the effective date of the chapter of the laws of two thou-
    34  sand twenty-five which amended this section shall continue to serve  out
    35  their  respective  terms of office until their respective successors are
    36  appointed and qualified. Thereafter, the board  shall  consist  of  [not
    37  less  than  thirteen] eleven members, [ten] six of whom shall be [certi-
    38  fied dietitians or certified nutritionists, except that the  members  of
    39  the  first  board  need  not  be  certified but shall be persons who are
    40  eligible for certification under the provisions of this article prior to
    41  their appointment to the board.    The  first  board,  with  respect  to
    42  members  representing  the  profession,  shall  consist  of five members
    43  registered by a national dietetic association having registration stand-
    44  ards acceptable to the department and five members who are members of or
    45  registered by  a  national  nutritional  association  having  membership
    46  and/or  registration standards acceptable to the department. Thereafter,
    47  members of the profession appointed to such  board  shall  be  certified
    48  pursuant  to  this  article] licensed dietitian nutritionists and two of
    49  whom shall be licensed nutritionists pursuant to this  article.  To  the
    50  extent reasonable, the board of regents should insure the state board is
    51  broadly  representative  of  various  professional  interests within the
    52  dietetic and nutritional community.  [Three] Two members shall be repre-
    53  sentatives of the general public and one member  shall  be  a  physician
    54  licensed  under  article  one  hundred  thirty-one of this title.   Such
    55  physician member shall not be a member of or credentialed by a  national
    56  dietetic  or  national  nutrition association. An executive secretary to

        S. 607                              4
 
     1  the board shall be appointed by the board of regents on the  recommenda-
     2  tion of the commissioner.
     3    §  6.  Section 8004 of the education law is REPEALED and a new section
     4  8004 is added to read as follows:
     5    § 8004. Requirements for professional license.  1. Each applicant  for
     6  a  license  as  a  licensed nutritionist shall:   be at least twenty-one
     7  years of age; submit a completed application upon a  form  and  in  such
     8  manner  as  the  board prescribes demonstrating the applicant is capable
     9  and professionally competent, as determined  by  the  board,  to  safely
    10  engage  in the practice of nutrition; submit any fees as required by the
    11  board, and submit proof of all of the following:
    12    (a) Education: Have received a master's or doctoral degree  in  nutri-
    13  tion  or a nutrition-related science leading to competence in nutrition,
    14  including medical nutrition therapy, in accordance with the  commission-
    15  er's regulations;
    16    (b) Experience: Have completed a planned, continuous, supervised prac-
    17  tice  experience  satisfactory  to  the board and in accordance with the
    18  commissioner's regulations, provided that such experience shall  require
    19  demonstration  of  competence  in nutrition, including medical nutrition
    20  therapy and involve at least one thousand hours under direct supervision
    21  in the following practice areas, with a minimum of two hundred hours  in
    22  each  practice  area:  conducting nutrition assessment; nutrition inter-
    23  vention; and nutrition monitoring and evaluation. The  experience  shall
    24  be  determined  by  the  board to have prepared the applicant to provide
    25  nutrition care services for various  populations  of  diverse  cultures,
    26  genders, and across the life cycle, and to be able to competently formu-
    27  late  actionable  medical  nutrition therapies and interventions, educa-
    28  tion, counseling, and ongoing care for the prevention,  modulation,  and
    29  management of a range of acute and chronic medical conditions within the
    30  scope of nutrition; and
    31    (c)  Examination:  Passage  of a nutrition examination satisfactory to
    32  the board and in accordance with the commissioner's regulations.
    33    2. (a) Each applicant for a license as a licensed dietitian nutrition-
    34  ist shall: be at least twenty-one  years  of  age,  submit  a  completed
    35  application  upon  a  form  and  in  such manner as the board prescribes
    36  demonstrating the applicant is capable and professionally competent,  as
    37  determined  by  the board, to safely engage in the practice of dietetics
    38  and nutrition, submit any fees as required  by  the  board,  and  submit
    39  proof of all of the following:
    40    (i)  Education: Have received a master's or doctoral degree and satis-
    41  factorily completed a program of study accredited by a national  dietet-
    42  ics  accrediting  body and approved by the department in accordance with
    43  the commissioner's regulations;
    44    (ii) Experience: Have  completed  a  planned,  continuous,  supervised
    45  practice experience accredited by a national dietetics accrediting body,
    46  satisfactory  to  the  board  and  in accordance with the commissioner's
    47  regulations, provided that such experience shall  require  demonstration
    48  of  competence  in  dietetics and nutrition, including medical nutrition
    49  therapy, and consist of not less  than  one  thousand  hours  under  the
    50  direct  supervision.  The experience shall be determined by the board to
    51  have prepared the applicant to provide nutrition care services for vari-
    52  ous populations of diverse cultures, genders, and across the life cycle,
    53  and to be able to competently  formulate  actionable  medical  nutrition
    54  therapies and interventions, education, counseling, and ongoing care for
    55  the  prevention,  modulation,  and  management  of  a range of acute and

        S. 607                              5
 
     1  chronic medical conditions within the scope of dietetics and  nutrition;
     2  and
     3    (iii)  Examination: Passage of a dietitian examination satisfactory to
     4  the board and in accordance with the commissioner's regulations.
     5    (b) An application for a dietitian nutritionist license  submitted  by
     6  individuals,  who  prior to January first, two thousand twenty-five held
     7  registration as a dietitian by a national dietetic commission  that  has
     8  registration standards acceptable to the department, and currently holds
     9  such  registration, is governed by the provisions of law in effect imme-
    10  diately before the effective date of this section, and the former law is
    11  continued in effect for that purpose.
    12    3. All applicants for licensure as a licensed nutritionist or licensed
    13  dietitian nutritionist shall pay a fee for an initial license, and a fee
    14  for each triennial registration period.
    15    § 7. Section 8005 of the education law is REPEALED.
    16    § 8. Section 8006 of the education law is REPEALED and a  new  section
    17  8006 is added to read as follows:
    18    §  8006. Special conditions. 1. Any person who is licensed as a certi-
    19  fied dietitian or a certified nutritionist on the effective date of  the
    20  chapter  of  the  laws  of  two  thousand twenty-five which amended this
    21  section, shall be licensed as a licensed dietitian nutritionist  without
    22  meeting any additional requirements so long as they hold registration as
    23  a  dietitian  by  a  national  dietetic commission that has registration
    24  standards acceptable to the department or have completed:
    25    (a) a bachelor's or higher degree from a  programmatically  accredited
    26  didactic  program  approved  by  the  department  in accordance with the
    27  commissioner's regulations;
    28    (b) a supervised practice experience acceptable to the  board  and  in
    29  accordance with the commissioner's regulations, provided that such expe-
    30  rience  consisted  of satisfactory completion of a nationally accredited
    31  dietetic and nutrition experience approved by the department of not less
    32  than nine hundred hours; and
    33    (c) passage of a dietician examination satisfactory to the  board  and
    34  in accordance with the commissioner's regulations.
    35    2.  Any person who is licensed as a certified dietitian or a certified
    36  nutritionist and does not meet the requirements provided under  subdivi-
    37  sion  one  of  this  section on the effective date of the chapter of the
    38  laws of two thousand twenty-five which  amend  this  section,  shall  be
    39  licensed  as  a  licensed  nutritionist  without  meeting any additional
    40  requirements.
    41    3. Any non-exempt person practicing the  professions  to  be  licensed
    42  pursuant  to  this  article shall apply for a license within one year of
    43  the effective date of this section.
    44    § 9. The education law is amended by adding two new sections 8007  and
    45  8008 to read as follows:
    46    §  8007.  Exemptions. This article shall not be construed to affect or
    47  prevent:
    48    1. A licensed physician from practicing such physician's profession as
    49  defined under articles one hundred thirty-one and  one  hundred  thirty-
    50  one-B  of  this  title;  a  registered professional nurse or a certified
    51  nurse practitioner practicing such nurse or nurse practitioner's profes-
    52  sion as defined under article one hundred thirty-nine of this  title;  a
    53  licensed  physician assistant from such physician assistant's profession
    54  as defined under article one hundred  thirty-one-B  of  this  title;  or
    55  qualified  members  of  other professions licensed under this title from
    56  performing work incidental to the practice of their professions,  except

        S. 607                              6
 
     1  that such persons may not hold themselves out under the title authorized
     2  by this article.
     3    2.  A  student,  intern  or  resident from engaging in the practice of
     4  dietetics or nutrition while participating in the education  or  experi-
     5  ence  requirements under section eight thousand four of this article, so
     6  long as:
     7    (a) The student or trainee who is completing their supervised practice
     8  experience required under section eight thousand four  of  this  article
     9  practices under this subdivision not more than five years after complet-
    10  ing  education  requirements  under  section eight thousand four of this
    11  article;
    12    (b) The student or trainee practices under this subdivision only while
    13  supervised by a qualified supervisor as approved by  the  department  in
    14  accordance with the commissioner's regulations;
    15    (c)  The  student or trainee does not engage in the unrestricted prac-
    16  tice of medical nutrition therapy; and
    17    (d) While practicing under this subdivision, the  student  or  trainee
    18  uses  a  title that clearly indicates such student trainee's status as a
    19  student, intern, trainee, or supervisee.
    20    3. A dietitian nutritionist or nutritionist  who  is  serving  in  the
    21  armed  forces  of  the  United  States  or any other federal agency from
    22  engaging in the practice of medical nutrition therapy, or using  govern-
    23  ment  issued titles, provided that such practice or title use is related
    24  to service or employment, provided that  such  practice  is  related  to
    25  service or employment.
    26    4.  A person who provides individualized nutrition recommendations for
    27  the wellness and primary prevention of chronic disease, health coaching,
    28  holistic and wellness education, guidance, motivation,  behavior  change
    29  management,  services for non-medical weight control, or other nutrition
    30  care services so long as all of the following apply:
    31    (a) The services do not constitute medical nutrition therapy;
    32    (b) The person does not represent such person using titles  authorized
    33  under this article; and
    34    (c)  The person does not hold such person out as licensed or qualified
    35  to engage in the practice of medical nutrition therapy.
    36    5. A person  who  disseminates  non-individualized,  written,  general
    37  nutrition  information in connection with the marketing and distribution
    38  of dietary supplements, food, herbs, or food materials, including expla-
    39  nations of their federally regulated label claims,  any  known  drug-nu-
    40  trient  interactions, their role in various diets, or suggestions as how
    41  to best use and combine them  so  long  as  such  information  does  not
    42  constitute  medical nutrition therapy and the person does not use titles
    43  authorized under this article or hold such person out  as  qualified  to
    44  engage in the practice of medical nutrition therapy.
    45    6.  A  person  who  provides  medical  weight control for persons with
    46  obesity as part of any of the following:
    47    (a) An instructional program that has been approved in writing by  one
    48  of the following:
    49    (i)  a  dietitian nutritionist or nutritionist licensed in this state;
    50  or
    51    (ii) a health care practitioner licensed or certified  in  this  state
    52  whose scope of practice includes medical nutrition therapy; or
    53    (b)  A plan of care that is overseen by a health professional licensed
    54  in this state whose scope of practice otherwise  authorizes  the  health
    55  professional  to provide and delegate medical nutrition therapy, so long

        S. 607                              7
 
     1  as the medical weight control services are not discretionary and do  not
     2  require the exercise of professional judgment.
     3    7.  An  individual  employed  by a WIC program as a "competent profes-
     4  sional authority" as defined in 7 C.F.R § 246.2  (1895)  from  providing
     5  nutrition  services  within  such  WIC  program. For the purpose of this
     6  subdivision the term "WIC program" shall mean a program authorized by 42
     7  U.S.C. § 1786; and
     8    8. A person who does not utilize titles authorized under this  article
     9  and  assists  the  provision  of medical nutrition therapy if the person
    10  performs only support activities that are not discretionary and that  do
    11  not require the exercise of professional judgment for their performance,
    12  and  the  person  is  directly supervised by a nutritionist or dietitian
    13  nutritionist licensed under this title.
    14    § 8008. Limited permit. 1. The department may issue a  limited  permit
    15  to  practice  as  a provisionally licensed nutritionist or provisionally
    16  licensed dietitian nutritionist to an applicant for  licensure  who  has
    17  met  the education and experience requirements for a licensed nutrition-
    18  ist or licensed dietitian  nutritionist  provided  under  section  eight
    19  thousand four of this article.
    20    2. The duration of a limited permit shall not exceed one year from the
    21  time  of  its  first issue and the department may for good cause renew a
    22  limited permit for an additional one year provided  that  no  individual
    23  shall  practice  under  any  limited permit for more than a total of two
    24  years.
    25    3. All practice under a limited permit shall be under the  supervision
    26  of individuals licensed pursuant to this article.
    27    4. The fee for a limited permit or the renewal thereof shall be seven-
    28  ty-five dollars.
    29    §  10.  Subparagraph  (i)  of  paragraph a of subdivision 1 of section
    30  6503-a of the education law, as amended by chapter 554 of  the  laws  of
    31  2013, is amended to read as follows:
    32    (i)  services  provided  under  article  one  hundred  fifty-four, one
    33  hundred fifty-seven, one hundred sixty-three or one hundred  sixty-seven
    34  of this title for which licensure would be required, or
    35    § 11. Section 6505-b of the education law, as amended by chapter 10 of
    36  the laws of 2018, is amended to read as follows:
    37    § 6505-b. Course  work  or  training  in  infection control practices.
    38  Every dentist, registered nurse, licensed practical  nurse,  podiatrist,
    39  optometrist [and], dental hygienist, licensed nutritionist, and licensed
    40  dietitian  nutritionist practicing in the state shall, on or before July
    41  first, nineteen hundred ninety-four and  every  four  years  thereafter,
    42  complete course work or training appropriate to the professional's prac-
    43  tice approved by the department regarding infection control, which shall
    44  include  sepsis, and barrier precautions, including engineering and work
    45  practice controls, in accordance with regulatory  standards  promulgated
    46  by  the department, in consultation with the department of health, which
    47  shall be consistent, as far as appropriate, with such standards  adopted
    48  by  the department of health pursuant to section two hundred thirty-nine
    49  of the public health law to prevent the transmission of  HIV,  HBV,  HCV
    50  and  infections  that could lead to sepsis in the course of professional
    51  practice. Each such professional shall document to the department at the
    52  time of registration commencing with the first registration  after  July
    53  first,  nineteen hundred ninety-four that the professional has completed
    54  course work or training  in  accordance  with  this  section,  provided,
    55  however  that  a professional subject to the provisions of paragraph (f)
    56  of subdivision one of section twenty-eight hundred five-k of the  public

        S. 607                              8
 
     1  health  law  shall  not be required to so document. The department shall
     2  provide an exemption from this requirement to anyone who  requests  such
     3  an exemption and who (i) clearly demonstrates to the department's satis-
     4  faction  that  there  would  be  no  need for [him or her] such dentist,
     5  registered nurse, licensed  practical  nurse,  podiatrist,  optometrist,
     6  dental  hygienist,  licensed nutritionist, and licensed dietitian nutri-
     7  tionist to complete such course work or training because of  the  nature
     8  of  [his  or  her]  such  dentist,  registered nurse, licensed practical
     9  nurse, podiatrist, optometrist, dental hygienist, licensed nutritionist,
    10  and licensed dietitian nutritionist practice or (ii) that  [he  or  she]
    11  such  dentist,  registered  nurse, licensed practical nurse, podiatrist,
    12  optometrist,  dental  hygienist,  licensed  nutritionist,  and  licensed
    13  dietitian  nutritionist  has completed course work or training deemed by
    14  the department to be equivalent to the course work or training  approved
    15  by the department pursuant to this section. The department shall consult
    16  with organizations representative of professions, institutions and those
    17  with  expertise  in  infection  control and HIV, HBV, HCV and infections
    18  that could lead to sepsis  with  respect  to  the  regulatory  standards
    19  promulgated pursuant to this section.
    20    § 11-a. Section 6505-b of the education law, as amended by chapter 733
    21  of the laws of 2023, is amended to read as follows:
    22    § 6505-b. Course  work  or  training  in  infection control practices.
    23  Every dentist, registered nurse, licensed practical  nurse,  podiatrist,
    24  optometrist,  athletic  trainer,  [and]  dental  hygienist, and licensed
    25  nutritionist, and licensed  dietitian  nutritionist  practicing  in  the
    26  state  shall,  on or before July first, nineteen hundred ninety-four and
    27  every four years thereafter, complete course work or training  appropri-
    28  ate  to the professional's practice approved by the department regarding
    29  infection control, which shall include sepsis, and barrier  precautions,
    30  including  engineering  and  work  practice controls, in accordance with
    31  regulatory standards promulgated by the department, in consultation with
    32  the department of health, which shall be consistent, as far as appropri-
    33  ate, with such standards adopted by the department of health pursuant to
    34  section two hundred thirty-nine of the public health law to prevent  the
    35  transmission  of  HIV, HBV, HCV and infections that could lead to sepsis
    36  in the course of professional practice.  Each  such  professional  shall
    37  document  to  the department at the time of registration commencing with
    38  the first registration after July first,  nineteen  hundred  ninety-four
    39  that  the  professional has completed course work or training in accord-
    40  ance with this section, provided, however that a professional subject to
    41  the provisions of paragraph (f) of subdivision one  of  section  twenty-
    42  eight  hundred  five-k of the public health law shall not be required to
    43  so document.  The  department  shall  provide  an  exemption  from  this
    44  requirement to anyone who requests such an exemption and who (i) clearly
    45  demonstrates  to  the  department's  satisfaction that there would be no
    46  need for [him or her] such dentist, registered nurse, licensed practical
    47  nurse, podiatrist, optometrist, dental hygienist, licensed nutritionist,
    48  and licensed dietitian nutritionist to  complete  such  course  work  or
    49  training  because of the nature of [his or her] such dentist, registered
    50  nurse, licensed practical nurse, podiatrist, optometrist, dental hygien-
    51  ist, licensed nutritionist, and licensed dietitian nutritionist practice
    52  or (ii) that [he or she] such dentist, registered nurse, licensed  prac-
    53  tical  nurse, podiatrist, optometrist, dental hygienist, licensed nutri-
    54  tionist, and licensed dietitian nutritionist has completed  course  work
    55  or training deemed by the department to be equivalent to the course work
    56  or  training  approved  by  the department pursuant to this section. The

        S. 607                              9
 
     1  department  shall   consult   with   organizations   representative   of
     2  professions,  institutions and those with expertise in infection control
     3  and HIV, HBV, HCV and infections that could lead to sepsis with  respect
     4  to the regulatory standards promulgated pursuant to this section.
     5    §  12.  Paragraph  a of subdivision 3 of section 6507 of the education
     6  law, as amended by chapter 479 of the laws of 2022, 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,  [or] certified behavior analyst assistant, licensed nutrition-
    20  ist or licensed dietitian nutritionist 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    §  12-a. Paragraph a of subdivision 3 of section 6507 of the education
    46  law, as amended by chapter 733 of the laws of 2023, is amended  to  read
    47  as follows:
    48    a. Establish standards for preprofessional and professional education,
    49  experience and licensing examinations as required to implement the arti-
    50  cle for each profession. Notwithstanding any other provision of law, the
    51  commissioner shall establish standards requiring that all persons apply-
    52  ing,  on or after January first, nineteen hundred ninety-one, initially,
    53  or for the renewal of, a license, registration or limited permit to be a
    54  physician, chiropractor, dentist, registered nurse, podiatrist,  optome-
    55  trist,   psychiatrist,  psychologist,  licensed  master  social  worker,
    56  licensed clinical  social  worker,  licensed  creative  arts  therapist,

        S. 607                             10
 
     1  licensed  marriage  and family therapist, licensed mental health counse-
     2  lor,  licensed  psychoanalyst,  dental  hygienist,   licensed   behavior
     3  analyst,  certified  behavior  analyst assistant, licensed nutritionist,
     4  licensed  dietitian nutritionist, or athletic trainer shall, in addition
     5  to all the other licensure, certification or permit  requirements,  have
     6  completed  two hours of coursework or training regarding the identifica-
     7  tion and reporting of child abuse and maltreatment.  The  coursework  or
     8  training  shall  be  obtained  from an institution or provider which has
     9  been approved by the department to provide such coursework or  training.
    10  The coursework or training shall include information regarding the phys-
    11  ical  and  behavioral indicators of child abuse and maltreatment and the
    12  statutory reporting requirements set out in sections four hundred  thir-
    13  teen  through  four hundred twenty of the social services law, including
    14  but not limited to, when and how a  report  must  be  made,  what  other
    15  actions  the  reporter  is  mandated  or  authorized  to take, the legal
    16  protections afforded reporters, and  the  consequences  for  failing  to
    17  report. Such coursework or training may also include information regard-
    18  ing  the  physical and behavioral indicators of the abuse of individuals
    19  with developmental disabilities and voluntary  reporting  of  abused  or
    20  neglected  adults  to the office for people with developmental disabili-
    21  ties or the local adult protective services unit.  Each applicant  shall
    22  provide  the department with documentation showing that [he or she] such
    23  applicant has completed the  required  training.  The  department  shall
    24  provide  an  exemption  from  the  child abuse and maltreatment training
    25  requirements to any applicant who requests such  an  exemption  and  who
    26  shows,  to  the  department's  satisfaction, that there would be no need
    27  because of the nature of [his or her] such applicant's practice for [him
    28  or her] such applicant to complete such training;
    29    § 13. Paragraph (a) of subdivision 1 of  section  413  of  the  social
    30  services  law,  as  amended  by section 7 of part C of chapter 57 of the
    31  laws of 2018, is amended to read as follows:
    32    (a) The following persons and officials  are  required  to  report  or
    33  cause  a  report to be made in accordance with this title when they have
    34  reasonable cause to suspect that a child coming  before  them  in  their
    35  professional  or  official capacity is an abused or maltreated child, or
    36  when they have reasonable cause to suspect that a child is an abused  or
    37  maltreated  child  where the parent, guardian, custodian or other person
    38  legally responsible for such child comes before them  in  their  profes-
    39  sional  or  official  capacity and states from personal knowledge facts,
    40  conditions or circumstances which, if correct, would render the child an
    41  abused or maltreated child: any physician; registered physician  assist-
    42  ant;  surgeon;  medical  examiner;  coroner;  dentist; dental hygienist;
    43  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
    44  psychologist; registered nurse; social worker; emergency medical techni-
    45  cian;  licensed  creative  arts  therapist; licensed marriage and family
    46  therapist; licensed mental  health  counselor;  licensed  psychoanalyst;
    47  licensed   behavior   analyst;  certified  behavior  analyst  assistant;
    48  licensed nutritionist; licensed dietitian nutritionist; hospital person-
    49  nel engaged in the admission, examination, care or treatment of persons;
    50  a Christian Science practitioner; school official, which includes but is
    51  not  limited  to  school  teacher,  school  guidance  counselor,  school
    52  psychologist,  school  social worker, school nurse, school administrator
    53  or other school personnel required to hold a teaching or  administrative
    54  license  or  certificate;  full or part-time compensated school employee
    55  required to hold a temporary coaching license or  professional  coaching
    56  certificate; social services worker; employee of a publicly-funded emer-

        S. 607                             11
 
     1  gency shelter for families with children; director of a children's over-
     2  night  camp, summer day camp or traveling summer day camp, as such camps
     3  are defined in section thirteen hundred ninety-two of the public  health
     4  law;  day  care center worker; school-age child care worker; provider of
     5  family or group family day care; employee or volunteer in a  residential
     6  care  facility  for  children that is licensed, certified or operated by
     7  the office of children and family services; or any other child  care  or
     8  foster  care worker; mental health professional; substance abuse counse-
     9  lor; alcoholism counselor; all persons credentialed  by  the  office  of
    10  [alcoholism] addiction services and [substance abuse services] supports;
    11  employees, who are expected to have regular and substantial contact with
    12  children,  of  a  health  home  or  health  home  care management agency
    13  contracting with a health home as designated by the department of health
    14  and authorized under section three hundred sixty-five-l of this  chapter
    15  or  such employees who provide home and community based services under a
    16  demonstration program pursuant to section eleven hundred fifteen of  the
    17  federal  social  security  act  who  are  expected  to  have regular and
    18  substantial  contact  with  children;  peace  officer;  police  officer;
    19  district  attorney or assistant district attorney; investigator employed
    20  in the office of a district attorney; or other law enforcement official.
    21    § 13-a. Paragraph (a) of subdivision 1 of section 413  of  the  social
    22  services  law, as amended by chapter 733 of the laws of 2023, is amended
    23  to read as follows:
    24    (a) The following persons and officials  are  required  to  report  or
    25  cause  a  report to be made in accordance with this title when they have
    26  reasonable cause to suspect that a child coming  before  them  in  their
    27  professional  or  official capacity is an abused or maltreated child, or
    28  when they have reasonable cause to suspect that a child is an abused  or
    29  maltreated  child  where the parent, guardian, custodian or other person
    30  legally responsible for such child comes before them  in  their  profes-
    31  sional  or  official  capacity and states from personal knowledge facts,
    32  conditions or circumstances which, if correct, would render the child an
    33  abused or maltreated child: any physician; registered physician  assist-
    34  ant;  surgeon;  medical  examiner;  coroner;  dentist; dental hygienist;
    35  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
    36  athletic  trainer;  psychologist; registered nurse; social worker; emer-
    37  gency medical technician; licensed  creative  arts  therapist;  licensed
    38  marriage   and  family  therapist;  licensed  mental  health  counselor;
    39  licensed psychoanalyst; licensed behavior  analyst;  certified  behavior
    40  analyst  assistant; licensed nutritionist; licensed dietitian nutrition-
    41  ist; hospital personnel engaged in the admission, examination,  care  or
    42  treatment of persons; a Christian Science practitioner; school official,
    43  which  includes  but  is  not limited to school teacher, school guidance
    44  counselor, school psychologist,  school  social  worker,  school  nurse,
    45  school administrator or other school personnel required to hold a teach-
    46  ing  or administrative license or certificate; full or part-time compen-
    47  sated school employee required to hold a temporary coaching  license  or
    48  professional coaching certificate; social services worker; employee of a
    49  publicly-funded  emergency  shelter for families with children; director
    50  of a children's overnight camp, summer day camp or traveling summer  day
    51  camp,  as  such camps are defined in section thirteen hundred ninety-two
    52  of the public health law; day care center worker; school-age child  care
    53  worker;  provider of family or group family day care; employee or volun-
    54  teer in a residential care  facility  for  children  that  is  licensed,
    55  certified  or operated by the office of children and family services; or
    56  any other child care or foster care worker; mental health  professional;

        S. 607                             12
 
     1  substance  abuse  counselor;  alcoholism  counselor; all persons creden-
     2  tialed by the  office  of  [alcoholism  and  substance  abuse  services]
     3  addiction  services  and  supports;  employees, who are expected to have
     4  regular  and  substantial  contact  with  children,  of a health home or
     5  health home care management agency contracting with  a  health  home  as
     6  designated  by  the  department  of  health and authorized under section
     7  three hundred sixty-five-l of this chapter or such employees who provide
     8  home and community based services under a demonstration program pursuant
     9  to section eleven hundred fifteen of the federal social security act who
    10  are expected to have regular  and  substantial  contact  with  children;
    11  peace  officer;  police officer; district attorney or assistant district
    12  attorney; investigator employed in the office of a district attorney; or
    13  other law enforcement official.
    14    § 14. Subdivision 5-a of section 488 of the social  services  law,  as
    15  amended  by  chapter  205  of  the  laws  of 2014, is amended to read as
    16  follows:
    17    5-a. "Human services professional" shall mean any:  physician;  regis-
    18  tered  physician assistant; surgeon; medical examiner; coroner; dentist;
    19  dental  hygienist;  osteopath;  optometrist;  chiropractor;  podiatrist;
    20  resident;  intern;  psychologist;  registered  nurse; licensed practical
    21  nurse; nurse practitioner; social worker; emergency medical  technician;
    22  licensed  creative  arts  therapist; licensed marriage and family thera-
    23  pist; licensed mental health counselor; licensed psychoanalyst; licensed
    24  behavior  analyst;  certified  behavior  analyst   assistant;   licensed
    25  speech/language pathologist or audiologist; licensed physical therapist;
    26  licensed  occupational therapist; licensed nutritionist; licensed dieti-
    27  tian nutritionist; hospital personnel engaged in the admission, examina-
    28  tion, care or treatment  of  persons;  Christian  Science  practitioner;
    29  school  official,  which  includes but is not limited to school teacher,
    30  school guidance counselor, school psychologist,  school  social  worker,
    31  school nurse, school administrator or other school personnel required to
    32  hold  a teaching or administrative license or certificate; full or part-
    33  time compensated school employee required to hold a  temporary  coaching
    34  license  or  professional  coaching certificate; social services worker;
    35  any other child care or foster care worker; mental health  professional;
    36  person credentialed by the office of [alcoholism] addiction services and
    37  [substance  abuse  services]  supports;  peace  officer; police officer;
    38  district attorney or assistant district attorney; investigator  employed
    39  in the office of a district attorney; or other law enforcement official.
    40    §  15.  This act shall take effect eighteen months after it shall have
    41  become a  law;  provided,  however,  that  the  provisions  of  sections
    42  eleven-a,  twelve-a and thirteen-a  of this act shall take effect on the
    43  same date and in the same manner as chapter 733  of  the  laws  of  2023
    44  takes  effect.    Effective  immediately, the addition, amendment and/or
    45  repeal of any rule or regulation necessary  for  the  implementation  of
    46  this  act  on its effective date are authorized to be made and completed
    47  on or before such effective date.
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