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S00607 Summary:

BILL NOS00607A
 
SAME ASNo Same As
 
SPONSORSTAVISKY
 
COSPNSR
 
MLTSPNSR
 
Rpld 8004, 8005 & 8006, amd Ed L, generally; amd 413 & 488, Soc
 
Provides for the licensure of dietitians and nutritionists; defines the practice thereof.
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S00607 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         607--A
            Cal. No. 899
 
                               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
 
        AN  ACT  to  amend  the  education  law  and the social services law, in
          relation to the licensure of  dietitians  and  nutritionists;  and  to
          repeal certain provisions of the education law relating thereto
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Section 8000 of the education law, as added by chapter  635
     2  of the laws of 1991, is amended to read as follows:
     3    § 8000. Introduction.   This article applies to the [use of the titles
     4  "certified dietitian" and "certified nutritionist"] licensing of  dieti-
     5  tians and nutritionists. A "licensed dietitian" shall mean a person duly
     6  licensed  under  this article as meeting the requirements of subdivision
     7  two of section eight thousand four of this article to practice dietetics
     8  and nutrition, which includes the practice of medical nutrition therapy.
     9  A "licensed nutritionist" shall mean a person duly licensed  under  this
    10  article  as meeting the requirements of subdivision one of section eight
    11  thousand four of this article to practice nutrition, which includes  the
    12  practice  of  medical nutrition therapy. All persons licensed under this
    13  article shall exercise professional judgment within the scope  of  their
    14  education,  training,  and experience, and shall make referrals to other
    15  qualified health care  providers  when  necessary  to  ensure  safe  and
    16  comprehensive  patient  care.  The general provision for all professions
    17  contained in article one hundred thirty of this  title  shall  apply  to
    18  this article.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD01594-02-5

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

        S. 607--A                           3
 
     1    § 8002-a. Definitions. For the purposes of this article, the following
     2  terms shall have the following meanings:
     3    1.  "Advanced  medical  nutrition  therapy" means services provided by
     4  licensed dietitians or qualified providers exempted under  this  article
     5  and  includes,  but  is  not limited to, the development and ordering of
     6  therapeutic diets via enteral and parenteral routes; conducting  swallow
     7  screens;  placing nasogastric or nasoenteric feeding tubes; implementing
     8  prescription drug dose adjustments under medical staff or prescriber-ap-
     9  proved disease treatment protocols; ordering  or  discontinuing  use  of
    10  vitamin,  mineral,  and  other  dietary  supplements; and developing and
    11  managing food service operations for  the  management  or  treatment  of
    12  diseases or medical conditions.
    13    2.  "Medical  nutrition  therapy"  means  the  provision  of nutrition
    14  assessment, nutrition diagnosis, nutrition  intervention,  or  nutrition
    15  monitoring  and evaluation for the purpose of management or treatment of
    16  a disease or medical condition. Only  a  person  licensed  or  otherwise
    17  exempt  under  this  article shall practice medical nutrition therapy or
    18  offer to provide such services.
    19    3. "Nutrition care services" means any part or all  of  the  following
    20  services provided within a systematic process:
    21    (a)  assessing and evaluating the nutritional needs of individuals and
    22  groups and determining resources and constraints in a practice  setting,
    23  including  ordering  of  nutrition-related laboratory tests to check and
    24  track nutrition status;
    25    (b) identifying nutrition problems and establishing priorities, goals,
    26  and  objectives  that  meet  nutritional  needs  and are consistent with
    27  available resources and constraints;
    28    (c) creating individualized dietary plans and issuing and implementing
    29  orders to meet nutritional needs of healthy individuals and  individuals
    30  in  acute  and  chronic  disease  states, including ordering therapeutic
    31  diets, and monitoring the effectiveness thereof;
    32    (d) determining and providing appropriate nutrition  interventions  in
    33  health   and   disease,  including  nutrition  counseling  on  food  and
    34  prescription drug interactions;
    35    (e) developing, implementing, and managing nutrition care systems; and
    36    (f)  evaluating, making changes in, and maintaining appropriate stand-
    37  ards of quality in food and nutrition service.
    38    4. "Nutrition diagnosis" in the context of the practice  of  dietetics
    39  or  the  practice  of nutrition means identifying and labeling nutrition
    40  problems managed and treated by a licensed dietitian or licensed  nutri-
    41  tionist.    Such diagnostic privilege is distinct from a medical diagno-
    42  sis.
    43    5. "Therapeutic diet" means a diet intervention prescribed by a physi-
    44  cian or other authorized provider, including a  licensed  dietitian  or,
    45  for  oral  diets  only,  a  licensed  nutritionist.  A  therapeutic diet
    46  provides food, fluids, or nutrients  by  oral,  enteral,  or  parenteral
    47  routes  and  is used in the treatment of a disease or clinical condition
    48  to modify, eliminate, decrease, or increase specific macro- or  micronu-
    49  trients,  or  to  provide mechanically altered food when medically indi-
    50  cated.
    51    § 5. Section 8003 of the education law, as amended by chapter  282  of
    52  the laws of 1992, is amended to read as follows:
    53    § 8003. State  board  for  dietetics and nutrition.  A state board for
    54  dietetics and nutrition shall be appointed by the board of  regents,  on
    55  recommendation  of  the  commissioner,  for the purpose of assisting the
    56  board of regents and the department on matters of [certification] licen-

        S. 607--A                           4
 
     1  sure, practice, and professional  conduct  in  accordance  with  section
     2  sixty-five hundred eight of this [chapter] title.
     3    [The]   All members serving terms on the state board for dietetics and
     4  nutrition on the effective date of the chapter of the laws of two  thou-
     5  sand  twenty-five which amended this section shall continue to serve out
     6  their respective terms of office until their respective  successors  are
     7  appointed  and  qualified.  Thereafter,  the board shall consist of [not
     8  less than thirteen] eleven members, [ten] six of whom shall  be  [certi-
     9  fied  dietitians  or certified nutritionists, except that the members of
    10  the first board need not be certified  but  shall  be  persons  who  are
    11  eligible for certification under the provisions of this article prior to
    12  their  appointment  to  the  board.    The  first board, with respect to
    13  members representing the  profession,  shall  consist  of  five  members
    14  registered by a national dietetic association having registration stand-
    15  ards acceptable to the department and five members who are members of or
    16  registered  by  a  national  nutritional  association  having membership
    17  and/or registration standards acceptable to the department.  Thereafter,
    18  members  of  the  profession  appointed to such board shall be certified
    19  pursuant to this article] licensed dietitians and two of whom  shall  be
    20  licensed  nutritionists  pursuant to this article. To the extent reason-
    21  able, the board of regents should insure  the  state  board  is  broadly
    22  representative of various professional interests within the dietetic and
    23  nutritional  community.  [Three] Two members shall be representatives of
    24  the general public and one member shall be a  physician  licensed  under
    25  article  one  hundred  thirty-one of this title.   Such physician member
    26  shall not be a member of or  credentialed  by  a  national  dietetic  or
    27  national  nutrition  association.  An  executive  secretary to the board
    28  shall be appointed by the board of regents on the recommendation of  the
    29  commissioner.
    30    §  6.  Section 8004 of the education law is REPEALED and a new section
    31  8004 is added to read as follows:
    32    § 8004. Requirements for professional license.  1. Each applicant  for
    33  a  license  as  a  licensed nutritionist shall:   be at least twenty-one
    34  years of age; be of good moral character, acceptable to  the department;
    35  submit a completed application upon a form and in  such  manner  as  the
    36  board  prescribes  demonstrating  the  applicant  is capable and profes-
    37  sionally competent, as determined by the board, to safely engage in  the
    38  practice  of  nutrition;  submit  any fees as required by the board, and
    39  submit proof of all of the following:
    40    (a) Education: Have received a master's or doctoral degree  in  nutri-
    41  tion  or a nutrition-related science leading to competence in nutrition,
    42  including medical nutrition therapy, in accordance with the  commission-
    43  er's regulations;
    44    (b) Experience: Have completed a planned, continuous, supervised prac-
    45  tice  experience  satisfactory  to  the board and in accordance with the
    46  commissioner's regulations, provided that such experience shall  require
    47  demonstration  of  competence  in nutrition, including medical nutrition
    48  therapy and involve at least one thousand hours under direct supervision
    49  in the following practice areas, with a minimum of two hundred hours  in
    50  each  practice  area:  conducting nutrition assessment; nutrition inter-
    51  vention; and nutrition monitoring and evaluation. The  experience  shall
    52  be  determined  by  the  board to have prepared the applicant to provide
    53  nutrition care services for various  populations  of  diverse  cultures,
    54  genders, and across the life cycle, and to be able to competently formu-
    55  late  actionable  medical  nutrition therapies and interventions, educa-
    56  tion, counseling, and ongoing care for the prevention,  modulation,  and

        S. 607--A                           5
 
     1  management  of a range of chronic medical conditions within the scope of
     2  nutrition; and
     3    (c)  Examination:  Passage  of a nutrition examination satisfactory to
     4  the board and in accordance with the commissioner's regulations.
     5    2. (a) Each applicant for a license as a licensed dietitian shall:  be
     6  at least twenty-one years of age; be of good moral character, acceptable
     7  to  the  department;  submit  a completed application upon a form and in
     8  such manner as the board prescribes demonstrating the applicant is capa-
     9  ble and professionally competent, as determined by the board, to  safely
    10  engage  in  the  practice of dietetics and nutrition; submit any fees as
    11  required by the board; and submit proof of all of the following:
    12    (i) Education: Have received a master's or doctoral degree and  satis-
    13  factorily  completed a program of study accredited by a national dietet-
    14  ics accrediting body and approved by the department in  accordance  with
    15  the commissioner's regulations;
    16    (ii)  Experience:  Have  received  a master's or doctoral degree or an
    17  equivalent as determined by the department and satisfactorily  completed
    18  a program of study accredited by a national dietetics accreditation body
    19  and  approved  by  the  department in accordance with the commissioner's
    20  regulations, provided that such experience shall  require  demonstration
    21  of  competence  in  dietetics and nutrition, including medical nutrition
    22  therapy, and consist of not less than one thousand  hours  under  direct
    23  supervision.    The  experience shall be determined by the board to have
    24  prepared the applicant to provide nutrition care  services  for  various
    25  populations of diverse cultures, genders, and across the life cycle, and
    26  to  be able to competently formulate actionable medical nutrition thera-
    27  pies and interventions, education, counseling, and ongoing care for  the
    28  prevention,  modulation,  and management of a range of acute and chronic
    29  medical conditions within the scope of dietetics and nutrition; and
    30    (iii) Examination: Passage of a dietitian examination satisfactory  to
    31  the board and in accordance with the commissioner's regulations.
    32    (b)  An  application for a dietitian license submitted by individuals,
    33  who prior to January first, two thousand twenty-five  held  registration
    34  as  a  dietitian by a national dietetic commission that has registration
    35  standards acceptable to the department, and currently holds such  regis-
    36  tration,  is  governed  by  the  provisions of law in effect immediately
    37  before the effective date of this section, and the former law is contin-
    38  ued in effect for that purpose.
    39    3. All applicants for licensure as a licensed nutritionist or licensed
    40  dietitian shall pay a fee for an initial license, and  a  fee  for  each
    41  triennial registration period.
    42    § 7. Section 8005 of the education law is REPEALED.
    43    §  8.  Section 8006 of the education law is REPEALED and a new section
    44  8006 is added to read as follows:
    45    § 8006. Special conditions. 1. Any person who is licensed as a  certi-
    46  fied  dietitian or a certified nutritionist on the effective date of the
    47  chapter of the  laws  of  two  thousand  twenty-five  which  added  this
    48  section,  shall  be licensed as a licensed dietitian without meeting any
    49  additional requirements so long as they hold registration as a dietitian
    50  by a  national  dietetic  commission  that  has  registration  standards
    51  acceptable to the department or have completed:
    52    (a)  a  bachelor's or higher degree from a programmatically accredited
    53  didactic program approved by  the  department  in  accordance  with  the
    54  commissioner's regulations;
    55    (b)  a  supervised  practice experience acceptable to the board and in
    56  accordance with the commissioner's regulations, provided that such expe-

        S. 607--A                           6
 
     1  rience consisted of satisfactory completion of a  nationally  accredited
     2  dietetic and nutrition experience approved by the department of not less
     3  than nine hundred hours; and
     4    (c)  passage  of a dietitian examination satisfactory to the board and
     5  in accordance with the commissioner's regulations.
     6    2. Any person who is licensed as a certified dietitian or a  certified
     7  nutritionist  and does not meet the requirements provided under subdivi-
     8  sion one of this section on the effective date of  the  chapter  of  the
     9  laws  of  two  thousand  twenty-five  which added this section, shall be
    10  licensed as a  licensed  nutritionist  without  meeting  any  additional
    11  requirements.
    12    §  9. The education law is amended by adding two new sections 8007 and
    13  8008 to read as follows:
    14    § 8007. Exemptions. This article shall not be construed to  affect  or
    15  prevent:
    16    1. A licensed physician from practicing such physician's profession as
    17  defined  under  articles  one hundred thirty-one and one hundred thirty-
    18  one-B of this title; a registered  professional  nurse  or  a  certified
    19  nurse practitioner practicing such nurse or nurse practitioner's profes-
    20  sion  as  defined under article one hundred thirty-nine of this title; a
    21  licensed physician assistant from such physician assistant's  profession
    22  as  defined  under  article  one  hundred thirty-one-B of this title; or
    23  qualified members of other professions licensed under  this  title  from
    24  performing  work incidental to the practice of their professions, except
    25  that such persons may not hold themselves out under the title authorized
    26  by this article;
    27    2. A student, intern or resident from  engaging  in  the  practice  of
    28  dietetics  or  nutrition while participating in the education or experi-
    29  ence requirements under section eight thousand four of this article,  so
    30  long as:
    31    (a) The student or trainee who is completing their supervised practice
    32  experience  required  under  section eight thousand four of this article
    33  practices under this subdivision not more than five years after complet-
    34  ing education requirements under section eight  thousand  four  of  this
    35  article;
    36    (b) The student or trainee practices under this subdivision only while
    37  supervised  by  a  qualified supervisor as approved by the department in
    38  accordance with the commissioner's regulations;
    39    (c) The student or trainee does not engage in the  unrestricted  prac-
    40  tice of medical nutrition therapy; and
    41    (d)  While  practicing  under this subdivision, the student or trainee
    42  uses a title that clearly indicates such student trainee's status  as  a
    43  student, intern, trainee, or supervisee;
    44    3.  A  dietitian or nutritionist who is serving in the armed forces of
    45  the United States or any other federal agency from engaging in the prac-
    46  tice of dietetics or  nutrition,  or  using  government  issued  titles,
    47  provided  that  such  practice  or  title  use  is related to service or
    48  employment;
    49    4. A person who provides individualized nutrition recommendations  for
    50  the wellness and primary prevention of chronic disease, health coaching,
    51  holistic  and  wellness education, guidance, motivation, behavior change
    52  management, services for non-medical weight control, or other  nutrition
    53  care services so long as all of the following apply:
    54    (a) The services do not constitute medical nutrition therapy;
    55    (b)  The person does not represent such person using titles authorized
    56  under this article; and

        S. 607--A                           7
 
     1    (c) The person does not hold such person out as licensed or  qualified
     2  to engage in the practice of medical nutrition therapy;
     3    5.  A  person  who  disseminates  non-individualized, written, general
     4  nutrition information in connection with the marketing and  distribution
     5  of dietary supplements, food, herbs, or food materials, including expla-
     6  nations  of  their  federally regulated label claims, any known drug-nu-
     7  trient interactions, their role in various diets, or suggestions as  how
     8  to  best  use  and  combine  them  so  long as such information does not
     9  constitute medical nutrition therapy and the person does not use  titles
    10  authorized  under  this  article or hold such person out as qualified to
    11  engage in the practice of medical nutrition therapy;
    12    6. A person who provides  medical  weight  control  for  persons  with
    13  obesity as part of any of the following:
    14    (a)  An instructional program that has been approved in writing by one
    15  of the following:
    16    (i) a dietitian or nutritionist licensed in this state; or
    17    (ii) a health care practitioner licensed or certified  in  this  state
    18  whose scope of practice includes medical nutrition therapy; or
    19    (b)  A plan of care that is overseen by a health professional licensed
    20  in this state whose scope of practice otherwise  authorizes  the  health
    21  professional  to provide and delegate medical nutrition therapy, so long
    22  as the medical weight control services are not discretionary and do  not
    23  require the exercise of professional judgment;
    24    7.  An  individual  employed  by a WIC program as a "competent profes-
    25  sional authority" as defined in 7 C.F.R § 246.2  (1895)  from  providing
    26  nutrition  services  within  such  WIC  program. For the purpose of this
    27  subdivision the term "WIC program" shall mean a program authorized by 42
    28  U.S.C. § 1786;
    29    8. A person who does not utilize titles authorized under this  article
    30  and  assists  the  provision  of medical nutrition therapy if the person
    31  performs only support activities that are not discretionary and that  do
    32  not require the exercise of professional judgment for their performance,
    33  and  the  person  is  directly supervised by a nutritionist or dietitian
    34  licensed under this title; and
    35    9. A person from practicing  dietetics  or  nutrition  to  the  extent
    36  permissible  within  the  scope  of practice of such professions, by any
    37  not-for-profit corporation or education corporation  providing  services
    38  within  the  state  of New York and operating under a waiver pursuant to
    39  section sixty-five hundred three-a of this  title,  provided  that  such
    40  entities  offering  dietetics  or  nutrition services shall only provide
    41  such services through an individual appropriately licensed or  otherwise
    42  authorized  to provide such services or a professional entity authorized
    43  by law to provide such services.
    44    § 8008. Limited permit. 1. The department may issue a  limited  permit
    45  to  practice  as  a provisionally licensed nutritionist or provisionally
    46  licensed dietitian to an applicant for licensure who has met the  educa-
    47  tion and experience requirements for a licensed nutritionist or licensed
    48  dietitian provided under section eight thousand four of this article.
    49    2. The duration of a limited permit shall not exceed one year from the
    50  time  of  its  first issue and the department may for good cause renew a
    51  limited permit for an additional one year provided  that  no  individual
    52  shall  practice  under  any  limited permit for more than a total of two
    53  years.
    54    3. All practice under a limited permit shall be under the  supervision
    55  of a dietitian licensed pursuant to this article.

        S. 607--A                           8
 
     1    4. All practice under a limited nutritionist permit shall be under the
     2  supervision  of  a  nutritionist  or dietitian licensed pursuant to this
     3  article.
     4    5. The fee for a limited permit or the renewal thereof shall be seven-
     5  ty-five dollars.
     6    §  10.  Subparagraph  (i)  of  paragraph a of subdivision 1 of section
     7  6503-a of the education law, as amended by chapter 554 of  the  laws  of
     8  2013, is amended to read as follows:
     9    (i)  services  provided  under  article  one  hundred  fifty-four, one
    10  hundred fifty-seven, one hundred sixty-three or one hundred  sixty-seven
    11  of this title for which licensure would be required, or
    12    § 11. Section 6505-b of the education law, as amended by chapter 10 of
    13  the laws of 2018, is amended to read as follows:
    14    § 6505-b. Course  work  or  training  in  infection control practices.
    15  Every dentist, registered nurse, licensed practical  nurse,  podiatrist,
    16  optometrist [and], dental hygienist, licensed nutritionist, and licensed
    17  dietitian  practicing in the state shall, on or before July first, nine-
    18  teen hundred ninety-four  and  every  four  years  thereafter,  complete
    19  course  work  or  training  appropriate  to  the professional's practice
    20  approved by the department  regarding  infection  control,  which  shall
    21  include  sepsis, and barrier precautions, including engineering and work
    22  practice controls, in accordance with regulatory  standards  promulgated
    23  by  the department, in consultation with the department of health, which
    24  shall be consistent, as far as appropriate, with such standards  adopted
    25  by  the department of health pursuant to section two hundred thirty-nine
    26  of the public health law to prevent the transmission of  HIV,  HBV,  HCV
    27  and  infections  that could lead to sepsis in the course of professional
    28  practice. Each such professional shall document to the department at the
    29  time of registration commencing with the first registration  after  July
    30  first,  nineteen hundred ninety-four that the professional has completed
    31  course work or training  in  accordance  with  this  section,  provided,
    32  however  that  a professional subject to the provisions of paragraph (f)
    33  of subdivision one of section twenty-eight hundred five-k of the  public
    34  health  law  shall  not be required to so document. The department shall
    35  provide an exemption from this requirement to anyone who  requests  such
    36  an exemption and who (i) clearly demonstrates to the department's satis-
    37  faction  that  there  would  be  no  need for [him or her] such dentist,
    38  registered nurse, licensed  practical  nurse,  podiatrist,  optometrist,
    39  dental  hygienist,  licensed  nutritionist,  and  licensed  dietitian to
    40  complete such course work or training because of the nature of  [his  or
    41  her]  such  dentist,  registered nurse, licensed practical nurse, podia-
    42  trist,  optometrist,  dental  hygienist,  licensed   nutritionist,   and
    43  licensed  dietitian  practice  or  (ii)  that  [he or she] such dentist,
    44  registered nurse, licensed  practical  nurse,  podiatrist,  optometrist,
    45  dental  hygienist,  licensed  nutritionist,  and  licensed dietitian has
    46  completed course work or training deemed by the department to be  equiv-
    47  alent to the course work or training approved by the department pursuant
    48  to  this section. The department shall consult with organizations repre-
    49  sentative of professions,  institutions  and  those  with  expertise  in
    50  infection  control  and  HIV, HBV, HCV and infections that could lead to
    51  sepsis with respect to the regulatory standards promulgated pursuant  to
    52  this section.
    53    § 11-a. Section 6505-b of the education law, as amended by chapter 733
    54  of the laws of 2023, is amended to read as follows:
    55    § 6505-b. Course  work  or  training  in  infection control practices.
    56  Every dentist, registered nurse, licensed practical  nurse,  podiatrist,

        S. 607--A                           9
 
     1  optometrist,  athletic  trainer,  [and]  dental  hygienist, and licensed
     2  nutritionist, and licensed dietitian practicing in the state  shall,  on
     3  or  before July first, nineteen hundred ninety-four and every four years
     4  thereafter,  complete course work or training appropriate to the profes-
     5  sional's  practice  approved  by  the  department  regarding   infection
     6  control,  which shall include sepsis, and barrier precautions, including
     7  engineering and work practice controls, in  accordance  with  regulatory
     8  standards  promulgated  by  the  department,  in  consultation  with the
     9  department of health, which shall be consistent, as far as  appropriate,
    10  with  such  standards  adopted  by  the department of health pursuant to
    11  section two hundred thirty-nine of the public health law to prevent  the
    12  transmission  of  HIV, HBV, HCV and infections that could lead to sepsis
    13  in the course of professional practice.  Each  such  professional  shall
    14  document  to  the department at the time of registration commencing with
    15  the first registration after July first,  nineteen  hundred  ninety-four
    16  that  the  professional has completed course work or training in accord-
    17  ance with this section, provided, however that a professional subject to
    18  the provisions of paragraph (f) of subdivision one  of  section  twenty-
    19  eight  hundred  five-k of the public health law shall not be required to
    20  so document.  The  department  shall  provide  an  exemption  from  this
    21  requirement to anyone who requests such an exemption and who (i) clearly
    22  demonstrates  to  the  department's  satisfaction that there would be no
    23  need for [him or her] such dentist, registered nurse, licensed practical
    24  nurse, podiatrist, optometrist, dental hygienist, licensed nutritionist,
    25  and licensed dietitian to complete such course work or training  because
    26  of  the  nature of [his or her] such dentist, registered nurse, licensed
    27  practical nurse, podiatrist,  optometrist,  dental  hygienist,  licensed
    28  nutritionist,  and  licensed dietitian practice or (ii) that [he or she]
    29  such dentist, registered nurse, licensed  practical  nurse,  podiatrist,
    30  optometrist,  dental  hygienist,  licensed  nutritionist,  and  licensed
    31  dietitian has completed course work or training deemed by the department
    32  to be equivalent to the course work or training approved by the  depart-
    33  ment  pursuant to this section. The department shall consult with organ-
    34  izations representative of  professions,  institutions  and  those  with
    35  expertise  in  infection  control  and HIV, HBV, HCV and infections that
    36  could lead to sepsis with respect to the regulatory standards promulgat-
    37  ed pursuant to this section.
    38    § 12. Paragraph a of subdivision 3 of section 6507  of  the  education
    39  law,  as  amended by chapter 479 of the laws of 2022, is amended to read
    40  as follows:
    41    a. Establish standards for preprofessional and professional education,
    42  experience and licensing examinations as required to implement the arti-
    43  cle for each profession. Notwithstanding any other provision of law, the
    44  commissioner shall establish standards requiring that all persons apply-
    45  ing, on or after January first, nineteen hundred ninety-one,  initially,
    46  or for the renewal of, a license, registration or limited permit to be a
    47  physician,  chiropractor, dentist, registered nurse, podiatrist, optome-
    48  trist,  psychiatrist,  psychologist,  licensed  master  social   worker,
    49  licensed  clinical  social  worker,  licensed  creative  arts therapist,
    50  licensed marriage and family therapist, licensed mental  health  counse-
    51  lor,   licensed   psychoanalyst,  dental  hygienist,  licensed  behavior
    52  analyst, [or] certified behavior analyst assistant, licensed  nutrition-
    53  ist or licensed dietitian shall, in addition to all the other licensure,
    54  certification  or  permit  requirements,  have  completed  two  hours of
    55  coursework or training regarding the  identification  and  reporting  of
    56  child  abuse  and  maltreatment.  The  coursework  or  training shall be

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

        S. 607--A                          11
 
     1  exemption from the child abuse and maltreatment training requirements to
     2  any  applicant  who  requests  such  an  exemption and who shows, to the
     3  department's satisfaction, that there would be no need  because  of  the
     4  nature  of  [his or her] such applicant's practice for [him or her] such
     5  applicant to complete such training;
     6    § 13. Paragraph (a) of subdivision 1 of  section  413  of  the  social
     7  services  law,  as  amended  by section 7 of part C of chapter 57 of the
     8  laws of 2018, is amended to read as follows:
     9    (a) The following persons and officials  are  required  to  report  or
    10  cause  a  report to be made in accordance with this title when they have
    11  reasonable cause to suspect that a child coming  before  them  in  their
    12  professional  or  official capacity is an abused or maltreated child, or
    13  when they have reasonable cause to suspect that a child is an abused  or
    14  maltreated  child  where the parent, guardian, custodian or other person
    15  legally responsible for such child comes before them  in  their  profes-
    16  sional  or  official  capacity and states from personal knowledge facts,
    17  conditions or circumstances which, if correct, would render the child an
    18  abused or maltreated child: any physician; registered physician  assist-
    19  ant;  surgeon;  medical  examiner;  coroner;  dentist; dental hygienist;
    20  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
    21  psychologist; registered nurse; social worker; emergency medical techni-
    22  cian;  licensed  creative  arts  therapist; licensed marriage and family
    23  therapist; licensed mental  health  counselor;  licensed  psychoanalyst;
    24  licensed   behavior   analyst;  certified  behavior  analyst  assistant;
    25  licensed nutritionist; licensed dietitian; hospital personnel engaged in
    26  the admission, examination, care or treatment of  persons;  a  Christian
    27  Science practitioner; school official, which includes but is not limited
    28  to  school  teacher,  school  guidance  counselor,  school psychologist,
    29  school social worker, school nurse, school administrator or other school
    30  personnel required to hold  a  teaching  or  administrative  license  or
    31  certificate;  full  or part-time compensated school employee required to
    32  hold a temporary coaching license or professional coaching  certificate;
    33  social  services worker; employee of a publicly-funded emergency shelter
    34  for families with children; director of  a  children's  overnight  camp,
    35  summer  day camp or traveling summer day camp, as such camps are defined
    36  in section thirteen hundred ninety-two of the  public  health  law;  day
    37  care  center worker; school-age child care worker; provider of family or
    38  group family day care; employee  or  volunteer  in  a  residential  care
    39  facility  for  children  that  is licensed, certified or operated by the
    40  office of children and family services;  or  any  other  child  care  or
    41  foster  care worker; mental health professional; substance abuse counse-
    42  lor; alcoholism counselor; all persons credentialed  by  the  office  of
    43  [alcoholism] addiction services and [substance abuse services] supports;
    44  employees, who are expected to have regular and substantial contact with
    45  children,  of  a  health  home  or  health  home  care management agency
    46  contracting with a health home as designated by the department of health
    47  and authorized under section three hundred sixty-five-l of this  chapter
    48  or  such employees who provide home and community based services under a
    49  demonstration program pursuant to section eleven hundred fifteen of  the
    50  federal  social  security  act  who  are  expected  to  have regular and
    51  substantial  contact  with  children;  peace  officer;  police  officer;
    52  district  attorney or assistant district attorney; investigator employed
    53  in the office of a district attorney; or other law enforcement official.
    54    § 13-a. Paragraph (a) of subdivision 1 of section 413  of  the  social
    55  services  law, as amended by chapter 733 of the laws of 2023, is amended
    56  to read as follows:

        S. 607--A                          12
 
     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--A                          13
 
     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;  provided,  however,  that  the  provisions  of sections
    19  eleven-a, twelve-a and thirteen-a  of this act shall take effect on  the
    20  same  date  and  in  the  same manner as chapter 733 of the laws of 2023
    21  takes effect.   Effective immediately, the  addition,  amendment  and/or
    22  repeal  of  any  rule  or regulation necessary for the implementation of
    23  this act on its effective date are authorized to be made  and  completed
    24  on or before such effective date.
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