Bill Text: NY A00219 | 2023-2024 | General Assembly | Amended
Bill Title: 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.
Spectrum: Slight Partisan Bill (Democrat 42-19)
Status: (Passed) 2023-12-22 - approval memo.59 [A00219 Detail]
Download: New_York-2023-A00219-Amended.html
STATE OF NEW YORK ________________________________________________________________________ 219--A 2023-2024 Regular Sessions IN ASSEMBLY (Prefiled) January 4, 2023 ___________ Introduced by M. of A. SOLAGES, HUNTER, EPSTEIN, FAHY, SANTABARBARA, CLARK, GUNTHER, AUBRY, KELLES, NORRIS, DeSTEFANO, BRABENEC, SIMON, GIBBS, JACOBSON, SILLITTI, BUTTENSCHON, HEVESI, PAULIN, CRUZ, LAVINE, CUNNINGHAM, WEPRIN, WOERNER, EICHENSTEIN, GONZALEZ-ROJAS, TAYLOR, PRETLOW, WALKER, JEAN-PIERRE, DICKENS, J. M. GIGLIO, SEAWRIGHT, THIELE, HYNDMAN, MIKULIN, MILLER, GANDOLFO, GALLAHAN, FITZPATRICK, HAWLEY, BURKE, McDONOUGH, McDONALD, McMAHON, JENSEN, BENDETT, TAGUE, J. A. GIGLIO, K. BROWN, FLOOD, MCGOWAN, RAGA, DARLING, EACHUS -- 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 AN ACT to amend the education law, in relation to requiring licensure of athletic trainers; and to amend the social services law, in relation to making athletic trainers mandatory reporters 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. 1. As used in this article "athletic trainer" 4 means any person who is duly [certified] licensed in accordance with 5 this article to perform athletic training under the supervision of a 6 physician and limits his or her practice to secondary schools, insti- 7 tutions of postsecondary education, professional athletic organizations, 8 amateur athletic organizations, non-profit athletic organizations, [or a9person who, under the supervision of a physician, carries out comparable10functions on orthopedic athletic injuries, excluding spinal cord inju-11ries, in a health care organization] dance organizations, military acad- 12 emies and facilities of the United States, fire training programs or EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD02032-08-3A. 219--A 2 1 academies, and police training schools and academies. An athletic 2 trainer may also, under the supervision of a physician in a health care 3 organization or a physician's private practice, carry out comparable 4 functions on orthopedic athletic injuries. 5 2. Supervision of an athletic trainer by a physician shall be contin- 6 uous but shall not be construed as requiring the physical presence of 7 the supervising physician at the time and place where such services are 8 performed, provided however, that such supervision shall include a 9 signed written agreement or protocol created collaboratively between the 10 supervising physician and licensed athletic trainer. The written agree- 11 ment or protocol shall address and describe the nature and scope of 12 athletic training services to be performed by such licensed athletic 13 trainer, in accordance with this title. Such written agreement or 14 protocol shall be reviewed at least once a year by the supervising 15 physician and athletic trainer and revised if necessary. No physician 16 shall supervise more than four athletic trainers, except that such limi- 17 tation shall not apply for athletic trainers practicing in secondary 18 schools, and institutions of postsecondary education, who are practicing 19 under the supervision of a physician who serves as the medical director 20 for such school or institution. 21 3. An athletic trainer shall make a written or oral referral to a 22 physician of any individual being treated for an orthopedic athletic 23 injury whose symptoms have not improved for a period of four days from 24 the day of onset. An individual treated for an orthopedic athletic inju- 25 ry by an athletic trainer in a healthcare organization or a physician's 26 private practice shall receive a medical evaluation or reevaluation if 27 treatment by the athletic trainer exceeds two weeks. 28 4. The scope of work described herein shall not be construed as 29 authorizing [the reconditioning of neurologic injuries, conditions or30disease] the management and treatment of neurological injuries, condi- 31 tions, or diseases, except for initial evaluation and triage of emergent 32 neurological conditions. 33 § 2. Section 8352 of the education law, as amended by chapter 658 of 34 the laws of 1993, is amended to read as follows: 35 § 8352. Definition of [practice of] athletic training. The practice of 36 the profession of athletic training is defined as [the application of37principles, methods and procedures for managing athletic injuries, which38shall include the preconditioning, conditioning and reconditioning of an39individual who has suffered an athletic injury through the use of appro-40priate preventative and supportive devices, under the supervision of a41physician and recognizing illness and referring to the appropriate42medical professional with implementation of treatment pursuant to physi-43cian's orders. Athletic training includes instruction to coaches,44athletes, parents, medical personnel and communities in the area of care45and prevention of athletic injuries.46The scope of work described herein shall not be construed as authoriz-47ing the reconditioning of neurologic injuries, conditions or disease.]: 48 1. The prevention, recognition, examination, evaluation, assessment, 49 management, treatment and rehabilitation of athletic injuries; 50 2. The recognition of illness and referral to the appropriate medical 51 professional with implementation of treatment pursuant to physician's 52 orders; 53 3. Instruction to coaches, athletes, parents, medical personnel, and 54 communities in the area of care and prevention of athletic injuries; and 55 4. The use of clinically appropriate therapeutic modalities and tech- 56 niques, including the use of:A. 219--A 3 1 (a) Physical, chemical, and mechanical means including the use of 2 heat, cold, light, air, water, sound, electricity, massage, mobilization 3 as it relates to athletic training, including non-thrust mobilization, 4 and exercise; and 5 (b) Appropriate preventative and supportive devices and temporary 6 splinting or bracing. 7 § 3. Section 8353 of the education law, as added by chapter 798 of the 8 laws of 1992, is amended to read as follows: 9 § 8353. Use of the title "[certified] licensed athletic trainer". 10 Only a person [certified] licensed or otherwise authorized under this 11 article shall use the title "[certified] licensed athletic trainer", 12 "athletic trainer", or the abbreviation "AT" or "LAT" in connection with 13 his or her name or with any trade name in the conduct of his or her 14 profession. Only a person licensed or otherwise authorized under this 15 article shall practice athletic training. 16 § 4. Section 8354 of the education law, as added by chapter 798 of the 17 laws of 1992, is amended to read as follows: 18 § 8354. State committee for athletic trainers. A state committee for 19 athletic trainers shall be appointed by the board of regents, upon the 20 recommendation of the commissioner and shall assist on matters of 21 [certification] professional licensing and professional conduct in 22 accordance with section six thousand five hundred eight of this title. 23 The committee shall consist of [five] seven members [who], five of whom 24 are athletic trainers [certified] licensed in this state, one physician 25 who is licensed in the state and certified by a physician specialty 26 certification organization acceptable to the department in the special- 27 ties of orthopedic surgery, primary care, family practice, sports medi- 28 cine, or neurology, and one public member that is a consumer of the 29 profession. The committee shall assist the state board for medicine in 30 athletic training matters. Nominations and terms of office of the 31 members of the state committee for athletic trainers shall conform to 32 the corresponding provisions relating thereto for state boards under 33 article one hundred thirty of title eight of this chapter. [Notwith-34standing the foregoing, the members of the first committee need not be35certified prior to their appointment to the committee.] 36 § 5. Section 8355 of the education law, as added by chapter 798 of the 37 laws of 1992, is amended to read as follows: 38 § 8355. Requirements and procedure for professional [certification] 39 licensure. [For certification as a certified] To qualify for a license 40 as an athletic trainer under this article, an applicant shall fulfill 41 the following requirements: 42 1. Application: file an application with the department; 43 2. Education: have received an education including a bachelor's, its 44 equivalent or higher degree in accordance with the commissioner's regu- 45 lations; 46 3. Experience: have experience in accordance with the commissioner's 47 regulations; 48 4. Examination: pass an examination in accordance with the commission- 49 er's regulations; 50 5. Age: be at least twenty-one years of age; [and] 51 6. Fees: pay a fee for an initial [certificate] license of one hundred 52 fifty-eight dollars to the department; and a fee of [fifty] fifty-eight 53 dollars for each triennial registration period[.]; and 54 7. Character: be of good moral character as determined by the depart- 55 ment.A. 219--A 4 1 § 6. Section 8356 of the education law, as amended by chapter 658 of 2 the laws of 1993, is amended to read as follows: 3 § 8356. [Special provisions. A person shall be certified without exam-4ination provided that, within three years from the effective date of5regulations implementing the provisions of this article, the individual:61. files an application and pays the appropriate fees to the depart-7ment; and82. meets the requirements of subdivisions two and five of section9eight thousand three hundred fifty-five of this article and who in addi-10tion:11(a) has been actively engaged in the profession of athletic training12for a minimum of four years during the seven years immediately preceding13the effective date of this article; or14(b) is certified by a United States certifying body acceptable to the15department.] Exempt persons. This article shall not be construed to 16 affect or prevent: 17 1. Qualified members of other licensed or legally recognized 18 professions from performing work incidental to the practice of their 19 profession, except that such persons may not hold themselves out under 20 the title athletic trainer or as performing athletic training. 21 2. An athletic training student from engaging in clinical practice 22 under the supervision of a licensed athletic trainer as part of a 23 program of study approved by the department. 24 3. An athletic trainer licensed in another state or country from 25 conducting a teaching clinical demonstration in connection with a 26 program of basic clinical education, graduate education, or post-gradu- 27 ate education in an approved school of athletic training, or in a clin- 28 ical facility, or a health care agency. 29 § 7. The education law is amended by adding a new section 8356-a to 30 read as follows: 31 § 8356-a. Mandatory continuing education. 1. (a) Each licensed athlet- 32 ic trainer, licensed pursuant to this article, shall be required to 33 register triennially with the department to practice in the state and 34 shall comply with the provisions of the mandatory continuing education 35 requirements prescribed in subdivision two of this section except as set 36 forth in paragraphs (b) and (c) of this subdivision. Licensed athletic 37 trainers who do not satisfy such mandatory continuing education require- 38 ments shall not practice until they have met such requirements, and have 39 been issued a registration certificate, except that a licensed athletic 40 trainer may practice without having met such requirements if he or she 41 is issued a conditional registration certificate pursuant to subdivision 42 three of this section. 43 (b) Each licensed athletic trainer shall be exempt from the mandatory 44 continuing education requirement for the triennial registration period 45 during which he or she is first licensed. In accordance with the intent 46 of this section, adjustment to the mandatory continuing education 47 requirement may be granted by the department for reasons of health 48 certified by an appropriate health care professional, for extended 49 active duty with the armed forces of the United States, or for other 50 good cause acceptable to the department which may prevent compliance. 51 (c) A licensed athletic trainer not engaged in practice, as determined 52 by the department, shall be exempt from the mandatory continuing educa- 53 tion requirement upon the filing of a statement with the department 54 declaring such status. Any licensee who returns to the practice of 55 athletic training during the triennial registration period shall notify 56 the department prior to reentering the profession and shall meet suchA. 219--A 5 1 mandatory education requirements as shall be prescribed by regulations 2 of the commissioner. 3 2. During each triennial registration period, an applicant for regis- 4 tration as a licensed athletic trainer shall complete a minimum of 5 forty-five hours of acceptable formal continuing education, as specified 6 in subdivision four of this section, provided that no more than fifteen 7 hours of such continuing education shall consist of self-study cours- 8 es. Any licensed athletic trainer whose first registration date follow- 9 ing the effective date of this section occurs less than three years from 10 such effective date shall complete continuing education hours on a 11 prorated basis, as determined by the department, beginning on such 12 effective date until his or her first registration date thereafter. A 13 licensee who has not satisfied the mandatory continuing education 14 requirements shall not be issued a triennial registration certificate by 15 the department and shall not practice unless and until a conditional 16 registration certificate is issued as provided for in subdivision three 17 of this section. Continuing education hours taken during one triennium 18 shall not be transferred to a subsequent triennium. 19 3. The department, in its discretion, may issue a conditional regis- 20 tration to a licensee who fails to meet the continuing education 21 requirements established in subdivision two of this section but who 22 agrees to make up any deficiencies and complete any additional education 23 which the department may require. The fee for such a conditional regis- 24 tration shall be the same as, and in addition to, the fee for the trien- 25 nial registration. The duration of such conditional registration shall 26 be determined by the department but shall not exceed one year. Any 27 licensee who is notified of the denial of registration for failure to 28 submit evidence, satisfactory to the department, of required continuing 29 education and who practices without such registration may be subject to 30 disciplinary proceedings pursuant to section sixty-five hundred ten of 31 this title. 32 4. For purposes of this section: (a) "Acceptable learning activities" 33 shall include, but not be limited to, formal courses of learning which 34 contribute to professional practice in athletic training and/or self- 35 study activities; independent study; formal mentoring activities; publi- 36 cation in professional journals; or lectures, which meet the standards 37 prescribed by regulations of the commissioner; and 38 (b) "Formal courses of learning" shall include, but not be limited to, 39 collegiate level credit and non-credit courses, professional development 40 programs and technical sessions offered by national, state and local 41 professional associations and any other organizations acceptable to the 42 department, and any other organized educational and technical programs 43 acceptable to the department. Formal courses shall be taken from a spon- 44 sor approved by the department, based upon an application and fee, 45 pursuant to the regulations of the commissioner. 46 5. The department may, in its discretion and as needed to contribute 47 to the health and welfare of the public, require the completion of 48 continuing education credits in specific subjects to fulfill the manda- 49 tory continuing education requirement under this section. 50 6. A licensed athletic trainer shall maintain adequate documentation 51 of completion of acceptable formal continuing education and shall 52 provide such documentation at the request of the department. Failure to 53 provide such documentation upon the request of the department shall be 54 an act of misconduct subject to disciplinary proceedings pursuant to 55 section sixty-five hundred ten of this title.A. 219--A 6 1 7. The mandatory continuing education fee shall be payable on or 2 before the first day of each triennial registration period, and shall be 3 paid in addition to the triennial registration fee required by section 4 eighty-three hundred fifty-five of this article. 5 § 8. Section 8357 of the education law, as added by chapter 798 of the 6 laws of 1992, is amended to read as follows: 7 § 8357. Non-liability of [certified] licensed athletic trainers for 8 first aid or emergency treatment. Notwithstanding any inconsistent 9 provision of any general, special or local law, any [certified] licensed 10 athletic trainer who voluntarily and without the expectation of monetary 11 compensation renders first aid or emergency treatment at the scene of an 12 accident or other emergency, outside a hospital, doctor's office or any 13 other place having proper and necessary athletic training equipment, to 14 a person who is unconscious, ill or injured, shall not be liable for 15 damages for injuries alleged to have been sustained by such person or 16 for damages for the death of such person alleged to have occurred by 17 reason of an act or omission in the rendering of such first aid or emer- 18 gency treatment unless it is established that such injuries were or such 19 death was caused by gross negligence on the part of such athletic train- 20 er. Nothing in this section shall be deemed or construed to relieve a 21 [certified] licensed athletic trainer from liability for damages for 22 injuries or death caused by an act or omission on the part of an athlet- 23 ic trainer while rendering professional services in the normal and ordi- 24 nary course of his or her practice. 25 § 9. Section 8358 of the education law is renumbered section 8360 and 26 two new sections 8358 and 8359 are added to read as follows: 27 § 8358. Limited permits. 1. The department may issue a limited permit 28 to an applicant who meets all qualifications for licensure, except the 29 examination, in accordance with regulations promulgated therefor. 30 2. Limited permits shall be valid for one year, and such limited 31 permits may be renewed, at the discretion of the department, for one 32 additional year. 33 3. The fee for each limited permit and for each renewal shall be 34 seventy dollars. 35 4. A limited permit holder shall practice only under the supervision 36 of a physician as determined in accordance with the commissioner's regu- 37 lations. 38 § 8359. Special provisions. Any person who is certified as an athletic 39 trainer on the effective date of this article shall be licensed as an 40 athletic trainer without meeting any additional requirements. 41 § 10. Paragraph a of subdivision 3 of section 6507 of the education 42 law, as amended by chapter 479 of the laws of 2022, is amended to read 43 as follows: 44 a. Establish standards for preprofessional and professional education, 45 experience and licensing examinations as required to implement the arti- 46 cle for each profession. Notwithstanding any other provision of law, the 47 commissioner shall establish standards requiring that all persons apply- 48 ing, on or after January first, nineteen hundred ninety-one, initially, 49 or for the renewal of, a license, registration or limited permit to be a 50 physician, chiropractor, dentist, registered nurse, podiatrist, optome- 51 trist, psychiatrist, psychologist, licensed master social worker, 52 licensed clinical social worker, licensed creative arts therapist, 53 licensed marriage and family therapist, licensed mental health counse- 54 lor, licensed psychoanalyst, dental hygienist, licensed behavior 55 analyst, [or] certified behavior analyst assistant, or athletic trainer 56 shall, in addition to all the other licensure, certification or permitA. 219--A 7 1 requirements, have completed two hours of coursework or training regard- 2 ing the identification and reporting of child abuse and maltreatment. 3 The coursework or training shall be obtained from an institution or 4 provider which has been approved by the department to provide such 5 coursework or training. The coursework or training shall include infor- 6 mation regarding the physical and behavioral indicators of child abuse 7 and maltreatment and the statutory reporting requirements set out in 8 sections four hundred thirteen through four hundred twenty of the social 9 services law, including but not limited to, when and how a report must 10 be made, what other actions the reporter is mandated or authorized to 11 take, the legal protections afforded reporters, and the consequences for 12 failing to report. Such coursework or training may also include informa- 13 tion regarding the physical and behavioral indicators of the abuse of 14 individuals with developmental disabilities and voluntary reporting of 15 abused or neglected adults to the office for people with developmental 16 disabilities or the local adult protective services unit. Each appli- 17 cant shall provide the department with documentation showing that he or 18 she has completed the required training. The department shall provide an 19 exemption from the child abuse and maltreatment training requirements to 20 any applicant who requests such an exemption and who shows, to the 21 department's satisfaction, that there would be no need because of the 22 nature of his or her practice for him or her to complete such training; 23 § 11. Section 6505-b of the education law, as amended by chapter 10 of 24 the laws of 2018, is amended to read as follows: 25 § 6505-b. Course work or training in infection control practices. 26 Every dentist, registered nurse, licensed practical nurse, podiatrist, 27 optometrist, athletic trainer, and dental hygienist practicing in the 28 state shall, on or before July first, nineteen hundred ninety-four and 29 every four years thereafter, complete course work or training appropri- 30 ate to the professional's practice approved by the department regarding 31 infection control, which shall include sepsis, and barrier precautions, 32 including engineering and work practice controls, in accordance with 33 regulatory standards promulgated by the department, in consultation with 34 the department of health, which shall be consistent, as far as appropri- 35 ate, with such standards adopted by the department of health pursuant to 36 section two hundred thirty-nine of the public health law to prevent the 37 transmission of HIV, HBV, HCV and infections that could lead to sepsis 38 in the course of professional practice. Each such professional shall 39 document to the department at the time of registration commencing with 40 the first registration after July first, nineteen hundred ninety-four 41 that the professional has completed course work or training in accord- 42 ance with this section, provided, however that a professional subject to 43 the provisions of paragraph (f) of subdivision one of section twenty- 44 eight hundred five-k of the public health law shall not be required to 45 so document. The department shall provide an exemption from this 46 requirement to anyone who requests such an exemption and who (i) clearly 47 demonstrates to the department's satisfaction that there would be no 48 need for him or her to complete such course work or training because of 49 the nature of his or her practice or (ii) that he or she has completed 50 course work or training deemed by the department to be equivalent to the 51 course work or training approved by the department pursuant to this 52 section. The department shall consult with organizations representative 53 of professions, institutions and those with expertise in infection 54 control and HIV, HBV, HCV and infections that could lead to sepsis with 55 respect to the regulatory standards promulgated pursuant to this 56 section.A. 219--A 8 1 § 12. Paragraph (a) of subdivision 1 of section 413 of the social 2 services law, as amended by section 7 of part C of chapter 57 of the 3 laws of 2018, is amended to read as follows: 4 (a) The following persons and officials are required to report or 5 cause a report to be made in accordance with this title when they have 6 reasonable cause to suspect that a child coming before them in their 7 professional or official capacity is an abused or maltreated child, or 8 when they have reasonable cause to suspect that a child is an abused or 9 maltreated child where the parent, guardian, custodian or other person 10 legally responsible for such child comes before them in their profes- 11 sional or official capacity and states from personal knowledge facts, 12 conditions or circumstances which, if correct, would render the child an 13 abused or maltreated child: any physician; registered physician assist- 14 ant; surgeon; medical examiner; coroner; dentist; dental hygienist; 15 osteopath; optometrist; chiropractor; podiatrist; resident; intern; 16 athletic trainer; psychologist; registered nurse; social worker; emer- 17 gency medical technician; licensed creative arts therapist; licensed 18 marriage and family therapist; licensed mental health counselor; 19 licensed psychoanalyst; licensed behavior analyst; certified behavior 20 analyst assistant; hospital personnel engaged in the admission, examina- 21 tion, care or treatment of persons; a Christian Science practitioner; 22 school official, which includes but is not limited to school teacher, 23 school guidance counselor, school psychologist, school social worker, 24 school nurse, school administrator or other school personnel required to 25 hold a teaching or administrative license or certificate; full or part- 26 time compensated school employee required to hold a temporary coaching 27 license or professional coaching certificate; social services worker; 28 employee of a publicly-funded emergency shelter for families with chil- 29 dren; director of a children's overnight camp, summer day camp or trav- 30 eling summer day camp, as such camps are defined in section thirteen 31 hundred ninety-two of the public health law; day care center worker; 32 school-age child care worker; provider of family or group family day 33 care; employee or volunteer in a residential care facility for children 34 that is licensed, certified or operated by the office of children and 35 family services; or any other child care or foster care worker; mental 36 health professional; substance abuse counselor; alcoholism counselor; 37 all persons credentialed by the office of alcoholism and substance abuse 38 services; employees, who are expected to have regular and substantial 39 contact with children, of a health home or health home care management 40 agency contracting with a health home as designated by the department of 41 health and authorized under section three hundred sixty-five-l of this 42 chapter or such employees who provide home and community based services 43 under a demonstration program pursuant to section eleven hundred fifteen 44 of the federal social security act who are expected to have regular and 45 substantial contact with children; peace officer; police officer; 46 district attorney or assistant district attorney; investigator employed 47 in the office of a district attorney; or other law enforcement official. 48 § 13. This act shall take effect two years after it shall have become 49 a law; provided, however, that section seven of this act shall take 50 effect five years after this act shall have become a law. Effective 51 immediately, the addition, amendment and/or repeal of any rule or regu- 52 lation necessary for the implementation of this act on its effective 53 date are authorized to be made and completed on or before such date.