A05499 Summary:

BILL NOA05499B
 
SAME ASSAME AS S05127-A
 
SPONSORSolages
 
COSPNSREpstein, Griffin, McDonald, Hunter, Palumbo, Garbarino, Ortiz, Mosley, Montesano, Lifton, LiPetri, Fahy, Santabarbara
 
MLTSPNSRBronson, Steck
 
Amd Ed L, generally; amd 413, Soc Serv L
 
Relates to the licensure of athletic trainers; adds athletic trainers to the list of persons and officials required to report cases of suspected child abuse or maltreatment.
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A05499 Actions:

BILL NOA05499B
 
02/12/2019referred to higher education
07/08/2019amend and recommit to higher education
07/08/2019print number 5499a
01/08/2020referred to higher education
05/11/2020amend and recommit to higher education
05/11/2020print number 5499b
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A05499 Committee Votes:

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A05499 Floor Votes:

There are no votes for this bill in this legislative session.
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A05499 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                         5499--B
 
                               2019-2020 Regular Sessions
 
                   IN ASSEMBLY
 
                                    February 12, 2019
                                       ___________
 
        Introduced  by  M.  of  A.  SOLAGES, EPSTEIN, GRIFFIN, McDONALD, HUNTER,
          PALUMBO, GARBARINO, ORTIZ, MOSLEY, MONTESANO, LIFTON, LiPETRI, FAHY --
          Multi-Sponsored by -- M.  of  A.  BRONSON,  STECK  --  read  once  and
          referred to the Committee on Higher Education -- committee discharged,
          bill  amended,  ordered  reprinted  as amended and recommitted to said
          committee -- recommitted to  the  Committee  on  Higher  Education  in
          accordance  with Assembly Rule 3, sec. 2 -- committee discharged, bill
          amended, ordered reprinted as amended and recommitted to said  commit-
          tee
 
        AN  ACT  to  amend  the  education  law, in relation to the licensure of
          athletic trainers; and to amend the social services law,  in  relation
          to  adding  athletic  trainers  to  the  list of persons and officials
          required to report cases of suspected child abuse or maltreatment
 
          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section  1.  Section  8351 of the education law, as amended by chapter
     2  658 of the laws of 1993, is amended to read as follows:
     3    § 8351. Definition of the practice of athletic training.  [As used  in
     4  this article
     5    "athletic  trainer"  means any person who is duly certified in accord-
     6  ance with this article to perform athletic  training  under  the  super-
     7  vision  of  a  physician  [and  limits  his or her practice to secondary
     8  schools, institutions of postsecondary education, professional  athletic
     9  organizations,  or  a  person who, under the supervision of a physician,
    10  carries  out  comparable  functions  on  orthopedic  athletic  injuries,
    11  excluding  spinal  cord  injuries, in a health care organization. Super-
    12  vision of an athletic trainer by a physician  shall  be  continuous  but
    13  shall  not be construed as requiring the physical presence of the super-
    14  vising  physician  at  the  time  and  place  where  such  services  are
    15  performed.]  1.  Definition.  The practice of the profession of athletic
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09434-04-0

        A. 5499--B                          2
 
     1  training is performed by athletic trainers who  are  defined  as  health
     2  care professionals, and is defined as:
     3    (a)  The prevention, recognition, examination, evaluation, assessment,
     4  management, treatment and rehabilitation of athletic injuries that occur
     5  in active individuals.   Athletic  training  involves  the  recognition,
     6  evaluation,  and assistance in the management of sport-related illnesses
     7  and medical conditions, pursuant to the  athletic  trainer's  education,
     8  experience, and competencies.
     9    (b)  The  work of athletic training is performed under the supervision
    10  of a physician pursuant to a  standard  written  protocol  for  athletic
    11  training  services.  Supervision  by a physician shall be continuous but
    12  shall not be construed as requiring the physical presence of the  super-
    13  vising  physician  at  the  time  and  place  where  such  services  are
    14  performed.
    15    (c) The practice of athletic training may include use of various clin-
    16  ically appropriate therapeutic modalites and techniques.
    17    (d) The scope of work described [herein  shall  not  be  construed  as
    18  authorizing  the  reconditioning  of  neurologic injuries, conditions or
    19  disease] in this section shall  not  be  construed  as  authorizing  the
    20  management  and  treatment  of  acute, subacute, or chronic neurological
    21  pathologies and comorbidities or neurological disease processes with the
    22  exception of initial evaluation  and  triage  of  emergent  neurological
    23  conditions  such as potential concussions, spinal cord injuries or nerve
    24  injuries resulting from participation in  an  athletic  endeavor,  while
    25  training,  or  engaged  in performing arts, public protection, emergency
    26  services, or military service, or during adaptive athletics.   Once  the
    27  individual has been cleared by a supervising physician, after sustaining
    28  such  an  injury,  the  athletic  trainer shall work with the individual
    29  pursuant to standard written protocol to manage, monitor and treat  such
    30  injuries  for  participation in rehabilitation for an athletic endeavor,
    31  while training, engaging in performing arts, public protection, emergen-
    32  cy services, military services or during adaptive athletics.    Athletic
    33  trainers shall work with individuals pursuant to standard written proto-
    34  col  to  manage,  monitor  and  treat such injuries for participation in
    35  rehabilitation for an athletic endeavor,  while  training,  engaging  in
    36  performing   arts,   public  protection,  emergency  services,  military
    37  services or during adaptive athletics.
    38    (e) Athletic training includes education and instruction  to  coaches,
    39  athletes, active individuals, parents, medical personnel and communities
    40  in  the area of care and prevention of athletic injuries, sports-related
    41  illnesses and medical conditions.
    42    2. Boundaries of professional practice. Any individual  whose  license
    43  or  authority  to  practice  derives from the provisions of this article
    44  shall be  prohibited  from  prescribing  any  medication  or  controlled
    45  substance  or  performing surgery, suturing, or any invasive procedures,
    46  in which human tissue is cut, altered, or otherwise pierced  by  mechan-
    47  ical  or  other  means,  including  needles, except that nothing in this
    48  section shall be construed to prohibit the use of an  epinephrine  auto-
    49  injector  device  pursuant  to  section  three  thousand-c of the public
    50  health law.
    51    § 2. Section 8352 of the education law, as amended by chapter  658  of
    52  the laws of 1993, is amended to read as follows:
    53    § 8352. [Definition  of  practice  of] Definitions related to athletic
    54  training.   [The practice of the  profession  of  athletic  training  is
    55  defined  as  the  application  of principles, methods and procedures for
    56  managing athletic injuries, which  shall  include  the  preconditioning,

        A. 5499--B                          3

     1  conditioning  and  reconditioning  of  an individual who has suffered an
     2  athletic injury through the use of appropriate preventative and support-
     3  ive devices, under  the  supervision  of  a  physician  and  recognizing
     4  illness  and  referring  to  the  appropriate  medical professional with
     5  implementation of treatment pursuant  to  physician's  orders.  Athletic
     6  training  includes  instruction  to  coaches, athletes, parents, medical
     7  personnel and communities in the area of care and prevention of athletic
     8  injuries.
     9    The scope of work described herein shall not be construed as authoriz-
    10  ing the reconditioning of neurologic injuries, conditions  or  disease.]
    11  As  used  in  this article, the following terms shall have the following
    12  meanings:
    13    1. "emergent" shall mean a serious,  unexpected  and  often  dangerous
    14  situation requiring immediate action.
    15    2. "supervision" shall mean by a physician and shall be continuous but
    16  shall  not be construed as requiring the physical presence of the super-
    17  vising  physician  at  the  time  and  place  where  such  services  are
    18  performed,  and  shall further include use of standard written protocols
    19  for athletic training services developed in consultation with the super-
    20  vising physician.
    21    3. "sport-related illnesses and medical  conditions"  shall  mean  any
    22  disease,  disorder,  sickness  or  affliction  that  arises from or is a
    23  manifestation of a physically active individual's  participation  in  an
    24  exercise, a sport, a game, a recreational activity or other activity, or
    25  any  other  condition,  that  may  require  immediate intervention by an
    26  athletic trainer, acting with the consent and under the direction  of  a
    27  physician.
    28    4. "standard written protocol" shall mean a written agreement or other
    29  document  developed in conjunction with the supervising physician, which
    30  identifies and is signed by the supervising physician and  the  licensed
    31  athletic  trainer,  and  describes the manner and frequency in which the
    32  licensed athletic trainer regularly communicates  with  the  supervising
    33  physician  and  includes  standard  operating  procedures,  developed in
    34  agreement with the supervising physician and licensed athletic  trainer,
    35  that  the licensed athletic trainer follows when not directly supervised
    36  onsite by the supervising physician.
    37    5. "active individual" shall mean one who engages in  activities  that
    38  require  a  high  degree of physical exertion, that involve training and
    39  where injury occurs during such training or athletic endeavor, including
    40  but not limited to athletic individuals, performing artists and individ-
    41  uals involved in public  protection,  emergency  services,  or  military
    42  service, or individuals involved in adaptive athletics.
    43    6.  "athletic  injury"  shall mean any injury sustained as a result of
    44  participation in an exercise, a sport, a game, a  recreational  activity
    45  or  any other activity that requires a level of strength, flexibility or
    46  agility that is comparable to the  level  of  strength,  flexibility  or
    47  agility  required  for  an  exercise,  a sport, a game or a recreational
    48  activity.
    49    § 3. Section 8353 of the education law, as added by chapter 798 of the
    50  laws of 1992, is amended to read as follows:
    51    § 8353. Use of the  title  "[certified]  licensed  athletic  trainer".
    52  Only  a  person  [certified] licensed or otherwise authorized under this
    53  article shall practice athletic training or use the  title  "[certified]
    54  licensed  athletic  trainer" or the abbreviation "AT" in connection with
    55  his or her name or with any trade name in the  conduct  of  his  or  her
    56  profession.

        A. 5499--B                          4
 
     1    § 4. Section 8354 of the education law, as added by chapter 798 of the
     2  laws of 1992, is amended to read as follows:
     3    § 8354. State  committee for athletic trainers.  A state committee for
     4  athletic trainers shall be appointed by the board of regents,  upon  the
     5  recommendation  of  the  commissioner  and  shall  assist  on matters of
     6  [certification]  professional  licensing  and  professional  conduct  in
     7  accordance  with  section six thousand five hundred eight of this title.
     8  The committee shall consist of [five] seven members [who], five of  whom
     9  are athletic trainers [certified] licensed in this state, one practicing
    10  physician  who  is  licensed  in this state to practice as an orthopedic
    11  surgeon, a primary care/family practice  physician,  a  sports  medicine
    12  practitioner, or a neurologist, and one public member that is a consumer
    13  of the profession.  The committee shall assist the state board for medi-
    14  cine  in  athletic  training matters. Nominations and terms of office of
    15  the members of the state committee for athletic trainers  shall  conform
    16  to  the corresponding provisions relating thereto for state boards under
    17  article one hundred thirty of title eight  of  this  chapter.  [Notwith-
    18  standing  the  foregoing, the members of the first committee need not be
    19  certified prior to their appointment to the committee.]
    20    § 5. Section 8355 of the education law, as added by chapter 798 of the
    21  laws of 1992, is amended to read as follows:
    22    § 8355. Requirements and procedure  for  professional  [certification]
    23  licensure.   [For certification as a certified] To qualify for a license
    24  as an athletic trainer under this article, an  applicant  shall  fulfill
    25  the following requirements:
    26    1. Application: file an application with the department;
    27    2. Education:  have  received an education including a bachelor's, its
    28  equivalent or higher degree in accordance with the commissioner's  regu-
    29  lations,  provided  however,  as  of December thirty-first, two thousand
    30  twenty-eight, applicants must  have  received  a  master's  degree,  its
    31  equivalent or higher in accordance with the commissioner's regulations;
    32    3.  Experience:  have experience in accordance with the commissioner's
    33  regulations;
    34    4. Examination: pass an examination in accordance with the commission-
    35  er's regulations;
    36    5. Age: be at least twenty-one years of age; [and]
    37    6. Fees: pay a fee for an initial [certificate] license of one hundred
    38  dollars to the department; and a fee of fifty dollars for each triennial
    39  registration period[.]; and
    40    7. Character: be of good moral character as determined by the  depart-
    41  ment.
    42    §  6.  Section 8356 of the education law, as amended by chapter 658 of
    43  the laws of 1993, is amended to read as follows:
    44    § 8356. [Special provisions. A person shall be certified without exam-
    45  ination provided that, within three years from  the  effective  date  of
    46  regulations implementing the provisions of this article, the individual:
    47    1.  files  an application and pays the appropriate fees to the depart-
    48  ment; and
    49    2. meets the requirements of subdivisions  two  and  five  of  section
    50  eight thousand three hundred fifty-five of this article and who in addi-
    51  tion:
    52    (a)  has  been actively engaged in the profession of athletic training
    53  for a minimum of four years during the seven years immediately preceding
    54  the effective date of this article; or

        A. 5499--B                          5

     1    (b) is certified by a United States certifying body acceptable to  the
     2  department.]  Exempt persons. 1. Nothing contained in this article shall
     3  prohibit:
     4    (a)  the  practice  of athletic training that is an integral part of a
     5  program of study by students enrolled in an  athletic  training  program
     6  acceptable by the department or the substantial equivalent as determined
     7  by  the  department.  Students  enrolled in an athletic training program
     8  determined as acceptable  by  the  department  shall  be  identified  as
     9  "athletic  training  students" and shall only practice athletic training
    10  under the direction and supervision of  an  athletic  trainer  currently
    11  licensed under this article. An athletic training student shall not hold
    12  himself or herself out as a licensed athletic trainer; or
    13    (b)  the  practice of athletic training by any person who is appropri-
    14  ately authorized and in good standing to practice athletic  training  in
    15  another  state  from  acting  as  an athletic trainer without a New York
    16  state license solely for the following purposes:
    17    (1) clinical education, practice demonstrations or  clinical  research
    18  that  is  within  the practice of athletic training in connection with a
    19  program of basic clinical education, graduate education, or  post-gradu-
    20  ate  education in an approved school of athletic training, or in a clin-
    21  ical facility, or a health care agency, or for the purposes of  continu-
    22  ing  education  not  to exceed a duration of thirty days in any calendar
    23  year, and any athletic trainer who is licensed in another state or coun-
    24  try, who is visiting an athletic training program,  conducting  clinical
    25  education  or  clinical  research  shall  be under the supervision of an
    26  athletic trainer licensed in the state and such practice shall be limit-
    27  ed to such instruction or research; or
    28    (2) assisting in the care of athletes in a discrete sanctioned athlet-
    29  ic event.
    30    2. Any person practicing athletic training in this state  pursuant  to
    31  this  subdivision shall be subject to personal and subject matter juris-
    32  diction and the disciplinary and regulatory authority of  the  board  of
    33  regents  as  if he or she is a licensee and as if the exemption pursuant
    34  to this subdivision is a license. Such individuals shall consent to  the
    35  appointment  of the secretary of state or other public official accepta-
    36  ble to the department, in such athletic trainers' states of licensure as
    37  the athletic trainers' agents upon whom process may  be  served  in  any
    38  actions or proceedings by the department against such athletic trainers.
    39  Such  individuals  shall comply with the provisions of this article, the
    40  rules of the board of regents and the regulations  of  the  commissioner
    41  relating to professional misconduct, disciplinary proceedings and penal-
    42  ties for professional misconduct.
    43    3.  (a)  Any  athletic trainer who is licensed and in good standing in
    44  another state or territory, and who has a written agreement  to  provide
    45  athletic  training  services  to athletes and team personnel of a United
    46  States sports team recognized by the United States Olympic Committee  or
    47  an out-of-state secondary school, an institution of postsecondary educa-
    48  tion,  a professional athletic organization sports team, or a performing
    49  arts troupe, may provide athletic training services to such athletes and
    50  team personnel at a discrete sanctioned team sporting event or  perform-
    51  ance  in  this  state  as  defined  by  the commissioner in regulations,
    52  provided such services are provided  only  to  such  athletes  and  team
    53  personnel at the discrete sanctioned team sporting event or performance.
    54  Any  such  athletic  training  services shall be provided only five days
    55  before through three days after each discrete sanctioned  team  sporting
    56  event or traveling performance.

        A. 5499--B                          6
 
     1    (b)  Any person practicing as an athletic trainer in this state pursu-
     2  ant to this subdivision shall be subject to  the  personal  and  subject
     3  matter  jurisdiction  and  disciplinary  and regulatory authority of the
     4  board of regents as if he or she is a licensee and as if  the  exemption
     5  pursuant  to this subdivision is a license. Such individual shall comply
     6  with applicable provisions of the rules of the board of regents, and the
     7  regulations of the commissioner, relating  to  professional  misconduct,
     8  disciplinary proceedings and penalties for professional misconduct.
     9    4.  This  article shall not be construed to prohibit qualified members
    10  of other licensed or legally recognized professions from performing work
    11  incidental to the practice of their profession, except that such persons
    12  may not hold themselves out under  the  title  athletic  trainer  or  as
    13  performing athletic training.
    14    §  7.  The  education law is amended by adding two new sections 8356-a
    15  and 8356-b to read as follows:
    16    § 8356-a. Mandatory continuing education. 1. (a) Each licensed athlet-
    17  ic trainer required under this article to register triennially with  the
    18  department  to practice in the state shall comply with the provisions of
    19  the mandatory continuing education requirements prescribed  in  subdivi-
    20  sion  two  of this section except as set forth in paragraphs (b) and (c)
    21  of this subdivision.  Licensed athletic trainers who do not satisfy  the
    22  mandatory  continuing  education  requirements  shall not practice until
    23  they have met such requirements, and they have been issued  a  registra-
    24  tion  certificate,  except that a licensed athletic trainer may practice
    25  without having met such requirements if he or she  is  issued  a  condi-
    26  tional  registration  certificate  pursuant to subdivision three of this
    27  section.
    28    (b) Each licensed athletic trainer shall be exempt from the  mandatory
    29  continuing  education  requirement for the triennial registration period
    30  during which he or she is first licensed. In accordance with the  intent
    31  of  this  section,  adjustment  to  the  mandatory  continuing education
    32  requirement may be granted by  the  department  for  reasons  of  health
    33  certified  by  an  appropriate  health  care  professional, for extended
    34  active duty with the armed forces of the United  States,  or  for  other
    35  good cause acceptable to the department which may prevent compliance.
    36    (c) A licensed athletic trainer not engaged in practice, as determined
    37  by  the department, shall be exempt from the mandatory continuing educa-
    38  tion requirement upon the filing of  a  statement  with  the  department
    39  declaring  such  status.  Any  licensee  who  returns to the practice of
    40  athletic training during the triennial registration period shall  notify
    41  the  department  prior  to reentering the profession and shall meet such
    42  mandatory education requirements as shall be prescribed  by  regulations
    43  of the commissioner.
    44    2.  During each triennial registration period, an applicant for regis-
    45  tration as a licensed athletic  trainer  shall  complete  a  minimum  of
    46  forty-five hours of acceptable formal continuing education, as specified
    47  in subdivision four of this section. Any licensed athletic trainer whose
    48  first  registration  date  following  the effective date of this section
    49  occurs less than three years from such effective date, but on  or  after
    50  January  first, two thousand twenty, shall complete continuing education
    51  hours on a prorated basis at the rate of one  hour  per  month  for  the
    52  period  beginning  January  first,  two thousand twenty and then fifteen
    53  hours per year until his or her first registration  date  thereafter.  A
    54  licensee  who  has  not  satisfied  the  mandatory  continuing education
    55  requirements shall not be issued a triennial registration certificate by
    56  the department and shall not practice unless  and  until  a  conditional

        A. 5499--B                          7
 
     1  registration  certificate is issued as provided for in subdivision three
     2  of this section. Continuing education hours taken during  one  triennium
     3  may not be transferred to a subsequent triennium.
     4    3.  The  department, in its discretion, may issue a conditional regis-
     5  tration to a  licensee  who  fails  to  meet  the  continuing  education
     6  requirements  established  in  subdivision  two  of this section but who
     7  agrees to make up any deficiencies and complete any additional education
     8  which the department may require. The fee for such a conditional  regis-
     9  tration shall be the same as, and in addition to, the fee for the trien-
    10  nial  registration.  The duration of such conditional registration shall
    11  be determined by the department but shall not  exceed  one  year.    Any
    12  licensee  who  is  notified of the denial of registration for failure to
    13  submit evidence, satisfactory to the department, of required  continuing
    14  education  and who practices without such registration may be subject to
    15  disciplinary proceedings pursuant to section sixty-five hundred  ten  of
    16  this title.
    17    4. For purposes of this section:
    18    (a) "acceptable learning activities" shall include, but not be limited
    19  to, formal courses of learning which contribute to professional practice
    20  in  psychology  and/or  self-study activities; independent study; formal
    21  mentoring activities; publication in professional journals; or lectures,
    22  which meet the standards prescribed by regulations of the  commissioner;
    23  and
    24    (b) "formal courses of learning" shall include, but not be limited to,
    25  collegiate level credit and non-credit courses, professional development
    26  programs  and  technical  sessions  offered by national, state and local
    27  professional associations and any other organizations acceptable to  the
    28  department,  and  any other organized educational and technical programs
    29  acceptable to the department.   Formal courses shall  be  taken  from  a
    30  sponsor  approved  by the department, based upon an application and fee,
    31  pursuant to the regulations of the commissioner.
    32    5.  The department may, in its discretion and as needed to  contribute
    33  to  the  health  and  welfare  of  the public, require the completion of
    34  continuing education credits in specific subjects to fulfill this manda-
    35  tory continuing education requirement.
    36    6. A licensed athletic trainer shall maintain  adequate  documentation
    37  of  completion  of  acceptable  formal  continuing  education  and shall
    38  provide such documentation at the request of the department. Failure  to
    39  provide  such  documentation upon the request of the department shall be
    40  an act of misconduct subject to  disciplinary  proceedings  pursuant  to
    41  section sixty-five hundred ten of this title.
    42    7.  The  mandatory  continuing  education  fee  shall be payable on or
    43  before the first day of each triennial registration period, and shall be
    44  paid in addition to the triennial registration fee required  by  section
    45  eighty-three hundred fifty-five of this article.
    46    §  8356-b.  Special  provisions.  Any  person  who  is certified as an
    47  athletic trainer by the department on the effective date of this section
    48  shall have one year from the effective date to apply for and qualify for
    49  licensure as an athletic trainer without meeting any additional require-
    50  ments.
    51    § 8. Section 8357 of the education law, as added by chapter 798 of the
    52  laws of 1992, is amended to read as follows:
    53    § 8357. Non-liability of [certified] licensed  athletic  trainers  for
    54  first  aid  or  emergency  treatment.   Notwithstanding any inconsistent
    55  provision of any general, special or local law, any [certified] licensed
    56  athletic trainer who voluntarily and without the expectation of monetary

        A. 5499--B                          8
 
     1  compensation renders first aid or emergency treatment at the scene of an
     2  accident or other emergency, outside a hospital, doctor's office or  any
     3  other  place having proper and necessary athletic training equipment, to
     4  a  person  who  is  unconscious, ill or injured, shall not be liable for
     5  damages for injuries alleged to have been sustained by  such  person  or
     6  for  damages  for  the  death of such person alleged to have occurred by
     7  reason of an act or omission in the rendering of such first aid or emer-
     8  gency treatment unless it is established that such injuries were or such
     9  death was caused by gross negligence on the part of such athletic train-
    10  er.  Nothing in this section shall be deemed or construed to  relieve  a
    11  [certified]  licensed  athletic  trainer  from liability for damages for
    12  injuries or death caused by an act or omission on the part of an athlet-
    13  ic trainer while rendering professional services in the normal and ordi-
    14  nary course of his or her practice.
    15    § 9. Section 8358 of the education law is renumbered section 8359  and
    16  a new section 8358 is added to read as follows:
    17    §  8358.  Limited  permits.  The  following requirements for a limited
    18  permit shall apply to all professions licensed or certified pursuant  to
    19  this article:
    20    1. The department may issue a limited permit to an applicant who meets
    21  all  qualifications for licensure, except the examination, in accordance
    22  with regulations promulgated therefor.
    23    2. Limited permits shall be for one year; such limited permits may not
    24  be renewed.
    25    3. The fee for each limited permit  and  for  each  renewal  shall  be
    26  seventy dollars.
    27    4.  A  limited permit holder shall practice only under the supervision
    28  of a physician as determined in accordance with the commissioner's regu-
    29  lations.
    30    § 10. Paragraph a of subdivision 3 of section 6507  of  the  education
    31  law,  as  amended by chapter 672 of the laws of 2019, is amended to read
    32  as follows:
    33    a. Establish standards for preprofessional and professional education,
    34  experience and licensing examinations as required to implement the arti-
    35  cle for each profession. Notwithstanding any other provision of law, the
    36  commissioner shall establish standards requiring that all persons apply-
    37  ing, on or after January first, nineteen hundred ninety-one,  initially,
    38  or for the renewal of, a license, registration or limited permit to be a
    39  physician,  chiropractor, dentist, registered nurse, podiatrist, optome-
    40  trist,  psychiatrist,  psychologist,  licensed  master  social   worker,
    41  licensed  clinical  social  worker,  licensed  creative  arts therapist,
    42  licensed marriage and family therapist, licensed mental  health  counse-
    43  lor,   licensed   psychoanalyst,  dental  hygienist,  licensed  behavior
    44  analyst, [or] certified behavior analyst assistant, or athletic  trainer
    45  shall,  in  addition to all the other licensure, certification or permit
    46  requirements, have completed two hours of coursework or training regard-
    47  ing the identification and reporting of child  abuse  and  maltreatment.
    48  The  coursework  or  training  shall  be obtained from an institution or
    49  provider which has been approved  by  the  department  to  provide  such
    50  coursework  or training. The coursework or training shall include infor-
    51  mation regarding the physical and behavioral indicators of  child  abuse
    52  and  maltreatment  and  the  statutory reporting requirements set out in
    53  sections four hundred thirteen through four hundred twenty of the social
    54  services law, including but not limited to, when and how a  report  must
    55  be  made,  what  other actions the reporter is mandated or authorized to
    56  take, the legal protections afforded reporters, and the consequences for

        A. 5499--B                          9
 
     1  failing to report. Such coursework or training may also include informa-
     2  tion regarding the physical and behavioral indicators of  the  abuse  of
     3  individuals with mental retardation and other developmental disabilities
     4  and  voluntary reporting of abused or neglected adults to the office for
     5  people with developmental disabilities or  the  local  adult  protective
     6  services unit. Each applicant shall provide the department with documen-
     7  tation  showing  that he or she has completed the required training. The
     8  department shall provide an exemption from the child abuse and maltreat-
     9  ment training  requirements  to  any  applicant  who  requests  such  an
    10  exemption  and  who  shows, to the department's satisfaction, that there
    11  would be no need because of the nature of his or her practice for him or
    12  her to complete such training;
    13    § 11. Section 6505-b of the education law, as amended by chapter 10 of
    14  the laws of 2018, is amended to read as follows:
    15    § 6505-b. Course work or  training  in  infection  control  practices.
    16  Every  dentist,  registered nurse, licensed practical nurse, podiatrist,
    17  optometrist, athletic trainer and dental  hygienist  practicing  in  the
    18  state  shall,  on or before July first, nineteen hundred ninety-four and
    19  every four years thereafter, complete course work or training  appropri-
    20  ate  to the professional's practice approved by the department regarding
    21  infection control, which shall include sepsis, and barrier  precautions,
    22  including  engineering  and  work  practice controls, in accordance with
    23  regulatory standards promulgated by the department, in consultation with
    24  the department of health, which shall be consistent, as far as appropri-
    25  ate, with such standards adopted by the department of health pursuant to
    26  section two hundred thirty-nine of the public health law to prevent  the
    27  transmission  of  HIV, HBV, HCV and infections that could lead to sepsis
    28  in the course of professional practice.  Each  such  professional  shall
    29  document  to  the department at the time of registration commencing with
    30  the first registration after July first,  nineteen  hundred  ninety-four
    31  that  the  professional has completed course work or training in accord-
    32  ance with this section, provided, however that a professional subject to
    33  the provisions of paragraph (f) of subdivision one  of  section  twenty-
    34  eight  hundred  five-k of the public health law shall not be required to
    35  so document.  The  department  shall  provide  an  exemption  from  this
    36  requirement to anyone who requests such an exemption and who (i) clearly
    37  demonstrates  to  the  department's  satisfaction that there would be no
    38  need for him or her to complete such course work or training because  of
    39  the  nature  of his or her practice or (ii) that he or she has completed
    40  course work or training deemed by the department to be equivalent to the
    41  course work or training approved by  the  department  pursuant  to  this
    42  section.  The department shall consult with organizations representative
    43  of professions, institutions  and  those  with  expertise  in  infection
    44  control  and HIV, HBV, HCV and infections that could lead to sepsis with
    45  respect  to  the  regulatory  standards  promulgated  pursuant  to  this
    46  section.
    47    §  12.  Paragraph  (a)  of  subdivision 1 of section 413 of the social
    48  services law, as amended by section 7 of part C of  chapter  57  of  the
    49  laws of 2018, is amended to read as follows:
    50    (a)  The  following  persons  and  officials are required to report or
    51  cause a report to be made in accordance with this title when  they  have
    52  reasonable  cause  to  suspect  that a child coming before them in their
    53  professional or official capacity is an abused or maltreated  child,  or
    54  when  they have reasonable cause to suspect that a child is an abused or
    55  maltreated child where the parent, guardian, custodian or  other  person
    56  legally  responsible  for  such child comes before them in their profes-

        A. 5499--B                         10

     1  sional or official capacity and states from  personal  knowledge  facts,
     2  conditions or circumstances which, if correct, would render the child an
     3  abused  or maltreated child: any physician; registered physician assist-
     4  ant;  surgeon;  medical  examiner;  coroner;  dentist; dental hygienist;
     5  osteopath;  optometrist;  chiropractor;  podiatrist;  resident;  intern;
     6  athletic  trainer;  psychologist; registered nurse; social worker; emer-
     7  gency medical technician; licensed  creative  arts  therapist;  licensed
     8  marriage   and  family  therapist;  licensed  mental  health  counselor;
     9  licensed psychoanalyst; licensed behavior  analyst;  certified  behavior
    10  analyst assistant; hospital personnel engaged in the admission, examina-
    11  tion,  care  or  treatment of persons; a Christian Science practitioner;
    12  school official, which includes but is not limited  to  school  teacher,
    13  school  guidance  counselor,  school psychologist, school social worker,
    14  school nurse, school administrator or other school personnel required to
    15  hold a teaching or administrative license or certificate; full or  part-
    16  time  compensated  school employee required to hold a temporary coaching
    17  license or professional coaching certificate;  social  services  worker;
    18  employee  of a publicly-funded emergency shelter for families with chil-
    19  dren; director of a children's overnight camp, summer day camp or  trav-
    20  eling  summer  day  camp,  as such camps are defined in section thirteen
    21  hundred ninety-two of the public health law;  day  care  center  worker;
    22  school-age  child  care  worker;  provider of family or group family day
    23  care; employee or volunteer in a residential care facility for  children
    24  that  is  licensed,  certified or operated by the office of children and
    25  family services; or any other child care or foster care  worker;  mental
    26  health  professional;  substance  abuse counselor; alcoholism counselor;
    27  all persons credentialed by the office of alcoholism and substance abuse
    28  services; employees, who are expected to have  regular  and  substantial
    29  contact  with  children, of a health home or health home care management
    30  agency contracting with a health home as designated by the department of
    31  health and authorized under section three hundred sixty-five-l  of  this
    32  chapter  or such employees who provide home and community based services
    33  under a demonstration program pursuant to section eleven hundred fifteen
    34  of the federal social security act who are expected to have regular  and
    35  substantial  contact  with  children;  peace  officer;  police  officer;
    36  district attorney or assistant district attorney; investigator  employed
    37  in the office of a district attorney; or other law enforcement official.
    38    §  13. This act shall take effect two years after it shall have become
    39  a law, provided, however, that section 8356-a of the  education  law  as
    40  added  by  section  seven of this act shall take effect five years after
    41  this act shall have become a law. Effective immediately,  the  addition,
    42  amendment  and/or  repeal  of  any  rule or regulation necessary for the
    43  implementation of this act on its effective date are  authorized  to  be
    44  made and completed on or before such date.
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