STATE OF NEW YORK ________________________________________________________________________ 7901 2023-2024 Regular Sessions IN ASSEMBLY July 19, 2023 ___________ Introduced by M. of A. McDONALD -- read once and referred to the Commit- tee on Higher Education AN ACT to amend the education law, the limited liability company law, the partnership law and the public health law, in relation to the practice of naturopathy; and to amend the social services law, in relation to the reporting of child abuse The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The education law is amended by adding a new article 138 to 2 read as follows: 3 ARTICLE 138 4 NATUROPATHIC MEDICINE 5 Section 6850. Introduction. 6 6851. Definition of the practice of naturopathic medicine. 7 6852. Practice of naturopathic medicine and use of title "Natu- 8 ropathic Doctor". 9 6853. Injection therapy and injection therapy privilege. 10 6854. Boundaries of professional competence. 11 6855. State board for naturopathic medicine. 12 6856. Qualifications for licensure. 13 6857. Special provisions. 14 6858. Exempt persons and exemptions. 15 6859. Limited residency permits. 16 6860. Limited permits. 17 6861. Mandatory continuing education. 18 § 6850. Introduction. This article applies to the licensure and regu- 19 lation of naturopathic doctors to practice naturopathic medicine in this 20 state. The general provisions for all professions contained in article 21 one hundred thirty of this title apply to this article. 22 § 6851. Definition of the practice of naturopathic medicine. 1. The 23 practice of naturopathic medicine, a distinct and comprehensive system EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05380-03-3A. 7901 2 1 of primary health care, is defined as facilitating wellness and prevent- 2 ing, diagnosing and treating any human disease, pain, injury, deformity, 3 physical condition, or maladaptive behavior using methods, including, 4 but not limited to: 5 a. patient interview. 6 b. comprehensive physical examination. 7 c. ordering and prescribing laboratory tests and procedures with labo- 8 ratories that hold a permit pursuant to title five of article five of 9 the public health law. 10 d. administering in-office laboratory tests and provider-performed 11 microscopy procedures under a clinical laboratory improvement amendment 12 of 1988 (CLIA) certificate, as an adjunct to the treatment of his or her 13 own patients. 14 e. specimen collection methods including, patient submission, phlebo- 15 tomy, hair specimen cutting, nasopharyngeal wash, and procedures for 16 collecting tissue, secretions, excretions and cytology samples with a 17 speculum, spatula, swab, brush or container. 18 f. ordering and prescribing diagnostic imaging including radiography, 19 tomography, magnetic resonance imaging, ultrasonography and thermogra- 20 phy, and excluding ordering and prescribing nuclear medicine and fluo- 21 roscopy. 22 g. using ingestible sensors in the alimentary canal for diagnostic 23 purposes. 24 h. administering and prescribing diet and lifestyle counseling and 25 patient education as to circumstances of health and illness. 26 i. administering and prescribing counseling, biofeedback, and hypnosis 27 with the intent of assisting a person to manage stressors, modify mala- 28 daptive behavior and maintain wellness. 29 j. administering and prescribing naturopathic manual therapy as the 30 application of touch, massage, stretching, resistance, joint mobiliza- 31 tion and joint manipulation. 32 k. administering and prescribing therapeutic exercise. 33 l. administering and prescribing naturopathic physical agent modali- 34 ties of hydrotherapy, colonic irrigation, electrotherapy, diathermy, 35 ultrasound and phototherapy. 36 m. administering, prescribing, ordering and dispensing therapeutic 37 devices that do not require a prescription. 38 n. prescribing, ordering, installing, removing and adjusting barrier 39 contraceptive devices. 40 o. administering, prescribing, ordering, and dispensing substances 41 that do not require a prescription under the federal food, drug and 42 cosmetic act, as amended, including, but not limited to, over-the-coun- 43 ter drugs, vitamins, minerals, amino acids, botanical preparations, 44 homeopathic preparations, dietary supplements, food concentrates, food 45 extracts and other dietary ingredients. 46 p. administering and prescribing the following drugs for which a 47 prescription is required under the federal food, drug and cosmetic act: 48 (i) epinephrine to treat anaphylaxis; and 49 (ii) natural and synthetic hormones. 50 2. In the practice of naturopathic medicine a naturopathic doctor may 51 use routes of administration that include oral, sublingual, buccal, 52 nasal, auricular, ocular, rectal, vaginal, transdermal, and, for 53 epinephrine, injection by auto-injection device. 54 3. In the practice of naturopathic medicine a naturopathic doctor may 55 use medical devices that are exempt or are class i or class ii devices 56 identified under title twenty-one of the code of federal regulations.A. 7901 3 1 § 6852. Practice of naturopathic medicine and use of title "Naturo- 2 pathic Doctor". 1. Only a person licensed under this article may use the 3 title "naturopathic doctor", "licensed naturopath" or "professional 4 naturopath" and hold herself or himself out as practicing naturopathic 5 medicine. 6 2. No person licensed under this article shall hold herself or himself 7 out as practicing any other profession regulated by this title, or use a 8 title of any other profession, unless otherwise authorized under this 9 title. 10 § 6853. Injection therapy and injection therapy privilege. 1. For 11 issuance of a privilege to practice injection therapy as such term is 12 used in this article, the applicant shall fulfill the following require- 13 ments: 14 a. Application: file an application with the department for the 15 injection therapy privilege; 16 b. License status: be licensed or hold either a limited residency 17 permit or limited permit to practice the profession of naturopathic 18 medicine in this state; 19 c. Training: (i) have successfully completed a course in injection 20 therapy having a syllabus and practicum in accordance with regulations 21 promulgated by the commissioner from a course provider approved by the 22 department; (ii) have successfully completed training in injection ther- 23 apy as part of a program of naturopathic medicine registered with the 24 department or the substantial equivalent thereof; or (iii) provide 25 documentation that he or she has training and experience in injection 26 therapy that is acceptable to the department; 27 d. Fee: pay a fee to the department of two hundred dollars for the 28 issuance and initial registration of the injection therapy privilege. 29 2. An injection therapy privilege issued under this section shall be 30 valid for the life of the holder, unless revoked, annulled, or suspended 31 by the board of regents, or unless expired. Such a privilege shall be 32 subject to the same oversight and disciplinary provisions as licenses 33 issued under this title. The holder of a privilege issued under this 34 section shall register with the department as a privilege holder in the 35 same manner and subject to the same provisions as required of a licensee 36 pursuant to section sixty-five hundred two of this title. The fee for 37 such registration shall be one hundred dollars. The registration period 38 for a privilege holder shall be coterminous with his or her registration 39 by license or permit to practice the profession of naturopathic medi- 40 cine. 41 3. A student in a doctoral program of naturopathic medicine acceptable 42 to the department or the substantial equivalent thereof may perform 43 injection therapy in an internship or preceptorship setting when 44 required as part of such program for the purpose of fulfilling such 45 program requirement only under the direct supervision of a physician 46 licensed under this title or a naturopathic doctor licensed under this 47 article having injection therapy privilege who is professionally respon- 48 sible for the performance of the injection procedure, and is able to be 49 available to furnish assistance and direction throughout the performance 50 of the injection procedure, but need not be present in the room when the 51 injection procedure is performed. 52 4. a. Injection therapy is administering and prescribing, in compli- 53 ance with federal and state law, the following: (i) these substances, 54 when such substances are chemically identical to those for sale without 55 a prescription: vitamins, minerals, amino acids, glutathione, botan- 56 icals and their extracts, homeopathic preparations, electrolytes, sugarsA. 7901 4 1 and diluents; and (ii) natural and synthetic hormones, lidocaine and 2 plasma. 3 b. Injection therapy is limited to the following routes of adminis- 4 tration: intravenous, intramuscular, intra-articular, subcutaneous and 5 intradermal. 6 § 6854. Boundaries of professional competence. The activities encom- 7 passed within the definition of the practice of naturopathic medicine 8 shall not include: 9 1. administering or prescribing controlled substances; 10 2. diagnostic and therapeutic methods in which bone, viscera, the 11 eyeball, the inner ear, the dorsal body cavity, or the ventral body 12 cavity is penetrated by a physical device; 13 3. surgery as a medical procedure for structurally altering the human 14 body by cutting into live human tissue for the purpose of localized 15 alteration, transportation, or destruction of live human tissue using 16 ionizing radiation or an instrument, such as a laser, scalpel or probe. 17 Nothing in this delimitation of surgery shall preclude injection; 18 4. administering radiological procedures using ionizing radiation 19 above background levels; 20 5. administering or prescribing general or spinal anesthetic drugs; 21 6. obstetric services following detection of pregnancy through deliv- 22 ery or termination, other than prenatal wellness care; 23 7. acupuncture; 24 8. setting fractures; 25 9. treatment for malignancies other than ancillary therapies provided 26 in collaboration with an oncologist; 27 10. emergency care services for treating injuries or trauma from a 28 serious accident or a violent crime, except as permitted by article 29 thirty of the public health law; and 30 11. marital and family therapy, psychoanalysis and creative arts ther- 31 apy. 32 § 6855. State board for naturopathic medicine. 1. A state board for 33 naturopathic medicine shall be appointed by the board of regents on the 34 recommendation of the commissioner for the purpose of assisting the 35 board of regents and the department on matters of professional licensing 36 and professional conduct in accordance with section sixty-five hundred 37 eight of this title. The board shall be composed of two members of the 38 public who are consumers of naturopathic medicine and not employed by 39 nor practitioners of naturopathic medicine under this article, two 40 licensed physicians who are a doctor of medicine or a doctor of osteopa- 41 thy, and not less than six persons licensed under this article. A 42 naturopathic doctor member of the board shall have been licensed under 43 this article for at least two years prior to being appointed, which two 44 year license requirement is waived for the initial board and replaced 45 with a requirement that the naturopathic doctor obtain a license under 46 this article within one year of appointment or one year of the effective 47 date of this article, whichever comes later. The terms of the first 48 appointed members shall be staggered so that three are appointed for 49 three years, three are appointed for four years, and four are appointed 50 for five years. An executive secretary of the board shall be appointed 51 by the board of regents on the recommendation of the commissioner. 52 2. Examinations selected or prepared by the board pursuant to subdivi- 53 sion two of section sixty-five hundred eight of this title shall conform 54 whenever possible to nationally recognized test development standards 55 and test competencies for naturopathic medicine.A. 7901 5 1 § 6856. Qualifications for licensure. To qualify for a license to 2 practice the profession of naturopathic medicine, an applicant shall 3 fulfill the following requirements: 4 1. Application: file an application with the department; 5 2. Education: have received an education, including a doctoral degree 6 in naturopathic medicine, granted on the basis of completion of a 7 program of naturopathic medicine registered with the department or the 8 substantial equivalent thereof, in accordance with the commissioner's 9 regulations; 10 3. Experience: have satisfactorily completed a post-graduate residen- 11 cy program of naturopathic medicine of at least twelve months duration 12 approved by the department, or the substantial equivalent thereof, and 13 in accordance with the commissioner's regulations; 14 4. Examination: pass an examination satisfactory to the board and in 15 accordance with the commissioner's regulations; 16 5. Age: be at least twenty-one years of age; 17 6. Character: be of good moral character as determined by the depart- 18 ment; and 19 7. Fee: pay a fee of three hundred fifty dollars to the department for 20 an initial license and a fee of five hundred dollars for each triennial 21 registration period. 22 § 6857. Special provisions. 1. Post-effective date graduates. A person 23 shall qualify for a license to practice the profession of naturopathic 24 medicine without residency experience, provided that within ten years of 25 the effective date of this article, the person meets the following 26 requirements: 27 a. as per section sixty-eight hundred fifty-three of this article, 28 files an application, meets the education, examination, age and charac- 29 ter requirements, and pays the appropriate fees; and 30 b. establishes proof of practice by (i) providing satisfactory 31 evidence of practice of naturopathic medicine to the department of not 32 less than three years during the five years preceding the filing of the 33 application, or (ii) practicing under a limited permit in the state for 34 at least two of the three years preceding the filing of the application. 35 2. Pre-nineteen hundred eighty-eight graduates. A person shall qualify 36 for a license to practice the profession of naturopathic medicine with- 37 out residency experience or examination, provided that within ten years 38 of the effective date of this article, the person meets the following 39 requirements: 40 a. as per section sixty-eight hundred fifty-three of this article, 41 files an application, meets the age and character requirements, and pays 42 the appropriate fees; and 43 b. has graduated prior to January first, nineteen hundred eighty-eight 44 from a doctoral degree program of naturopathic medical education from 45 John Bastyr College of Naturopathic Medicine, later renamed Bastyr 46 University, or National College of Naturopathic Medicine, later renamed 47 National University of Natural Medicine; and 48 c. establishes proof of practice by (i) providing satisfactory 49 evidence of practice of naturopathic medicine to the department of not 50 less than three years during the five years preceding the filing of the 51 application, or (ii) practicing under a limited permit in the state for 52 at least two of the three years preceding the filing of the application. 53 3. Post-nineteen hundred eighty-seven pre-effective date graduates. A 54 person shall qualify for a license to practice the profession of naturo- 55 pathic medicine with or without residency experience, provided thatA. 7901 6 1 within ten years of the effective date of this article, the person meets 2 the following requirements: 3 a. as per section sixty-eight hundred fifty-three of this article, 4 files an application, meets the age and character requirements, and pays 5 the appropriate fees; and 6 b. have graduated from a doctoral degree program of naturopathic 7 medical education that at the time of graduation was accredited by the 8 council on naturopathic medical education; and 9 c. establish proof of practice by (i) having successfully completed, 10 no more than three years prior to filing the application, a post-gradu- 11 ate residency program of naturopathic medicine of at least twelve months 12 duration sponsored by an institution approved by the council on naturo- 13 pathic medical education to sponsor residency programs; (ii) providing 14 satisfactory evidence of practice of naturopathic medicine to the 15 department of not less than three years during the five years preceding 16 the filing of the application; or (iii) practicing under a limited 17 permit in the state for at least two of the three years preceding the 18 filing of the application; and 19 d. have passed the naturopathic physicians licensing examinations 20 (NPLEX) administered by the North American board of naturopathic examin- 21 ers. 22 4. The "practice of naturopathic medicine" as used in this section 23 includes the practice of naturopathy or naturopathic medicine in a state 24 or territory of the United States, including New York state, or a Cana- 25 dian province, while maintaining a professional license in naturopathy 26 or naturopathic medicine issued by the same or another state or territo- 27 ry or a Canadian province; and includes practice performed before and 28 after the effective date of this article. 29 § 6858. Exempt persons and exemptions. Nothing contained in this arti- 30 cle shall be construed to affect or prevent the following: 31 1. The practice, conduct, activities or services of any person 32 licensed under this title performed incidental to the practice of his or 33 her profession, provided, however, that no such person may use the title 34 naturopathic doctor nor use the words "naturopathic medicine" to 35 describe his or her services, unless licensed under this article. 36 2. A student, intern or resident from engaging in the practice of 37 naturopathic medicine while participating in the education or experience 38 requirements defined in subdivisions two and three of section sixty- 39 eight hundred fifty-seven of this article. 40 3. The practice of naturopathic medicine by a salaried employee of the 41 government of the United States while the individual is engaged in the 42 performance of duties prescribed by the laws and regulations of the 43 United States. 44 4. The domestic care of the sick, disabled or injured by any family 45 member, household member or friend, or person employed primarily in a 46 domestic capacity who does not hold himself or herself out, or accept 47 employment as a person licensed to practice naturopathic medicine under 48 the provisions of this article. 49 5. The care of the sick when done in connection with the practice of 50 the religious tenets of any church. 51 6. The marketing, sale or use of substances or devices governed by the 52 Federal Food, Drug, and Cosmetic Act that do not require a prescription 53 from a qualified healthcare provider. 54 7. The conduct, activities, or services of individuals, churches, 55 schools, teachers, organizations, or not-for-profit businesses inA. 7901 7 1 providing instruction, advice, support, encouragement, or information to 2 individuals, families, and relational groups. 3 8. A person who does not hold himself or herself out to be a licensed 4 naturopathic doctor form providing general non-medical applications of 5 air, light, water, food and herbs to the body. 6 § 6859. Limited residency permits. 1. Eligibility: For issuance of a 7 limited residency permit, the applicant shall fulfill the following 8 requirements: 9 a. Application: file an application with the department for a limited 10 residency permit; 11 b. Education: have received an education, including a doctoral degree 12 in naturopathic medicine, granted on the basis of completion of a 13 program of naturopathic medicine registered with the department or the 14 substantial equivalent thereof; 15 c. Acceptance: have been accepted into a post-graduate residency 16 program of naturopathic medicine approved by the department; 17 d. Character: be of good moral character as determined by the depart- 18 ment; and 19 e. Age: be at least twenty-one years of age. 20 2. Limits of practice: All practices under a limited residency permit 21 shall be limited to facilities encompassed by the post-graduate residen- 22 cy program of the permit holder, such as a hospital, an incorporated 23 hospital or clinic, a licensed proprietary hospital, a licensed nursing 24 home, a public health agency, a recognized public or non-public school 25 setting, the office of a licensed naturopathic doctor, the office of a 26 licensed physician, or in the civil service of the state or political 27 subdivision thereof. Practice supervision of a permit holder's practice 28 activities shall be direct supervision by a licensed naturopathic doctor 29 or a licensed physician who is professionally responsible for the 30 performance of the procedure, and is capable of responding to a request 31 for assistance within a timeframe that poses no risk to the patient. 32 3. Duration: A limited residency permit shall be valid for one year 33 and may be renewed at the discretion of the department for up to two 34 years at the discretion of the department. 35 4. Fee: The fee for each limited residency permit shall be one hundred 36 dollars. The fee for each renewal shall be fifty dollars. 37 § 6860. Limited permits. 1. Eligibility: A limited permit is issued 38 for the purpose of permitting an applicant to establish proof of prac- 39 tice for purposes of meeting the requirements for licensure under the 40 special provisions of section sixty-eight hundred fifty-eight of this 41 article. For issuance of a limited permit, the applicant shall fulfill 42 the following requirements: 43 a. Application: file an application with the department for a limited 44 permit within nine years of the effective date of this article; 45 b. Character: be of good moral character as determined by the depart- 46 ment; 47 c. Age: be at least twenty-one years of age; and 48 d. Special provision applicability: 49 (i) meet the education and examination requirements of section sixty- 50 eight hundred fifty-three of this article; 51 (ii) have graduated prior to January first, nineteen hundred eighty- 52 eight from a doctoral degree program of naturopathic medical education 53 from John Bastyr College of Naturopathic Medicine, later renamed Bastyr 54 University, or National College of Naturopathic Medicine, later renamed 55 National University of Natural Medicine; orA. 7901 8 1 (iii) have graduated from a doctoral degree program of naturopathic 2 medical education that at the time of graduation was accredited by the 3 council on naturopathic medical education, and have passed the naturo- 4 pathic physicians licensing examinations (NPLEX) administered by the 5 North American board of naturopathic examiners. 6 2. Limit of practice: Such limited permit shall authorize the practice 7 of naturopathic medicine only under the supervision of a licensed natu- 8 ropathic doctor or a licensed physician. Supervision of the limited 9 permit holder's practice activities shall be on-site supervision by a 10 licensed naturopathic doctor or a licensed physician. 11 3. Duration: A limited permit shall be valid for a period of two 12 years, and may be renewed periodically at the discretion of the depart- 13 ment for one year periods. 14 4. Fee: The fee for each limited permit shall be two hundred dollars. 15 The fee for each renewal shall be one hundred dollars. 16 § 6861. Mandatory continuing education. 1. a. Each naturopathic doctor 17 licensed pursuant to this article, required to register triennially with 18 the department to practice in this state shall comply with the 19 provisions of the mandatory continuing education requirements prescribed 20 in subdivision two of this section, except as provided in paragraphs b 21 and c of this subdivision. Naturopathic doctors 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 naturopathic doctor may practice without 25 having met such requirements if he or she is issued a conditional regis- 26 tration pursuant to subdivision three of this section. 27 b. Naturopathic doctors shall be exempt from the mandatory continuing 28 education requirement for the triennial registration period during which 29 they are first licensed. In accord with the intent of this section, 30 adjustments to the mandatory continuing education requirements may be 31 granted by the department for reasons of health certified by an appro- 32 priate health care professional, for extended active duty with the armed 33 forces of the United States, or for other good cause acceptable to the 34 department, which may prevent compliance. 35 c. A licensed naturopathic doctor not engaged in professional prac- 36 tice, as determined by the department, shall be exempt from the mandato- 37 ry continuing education requirement upon the filing of a statement with 38 the department declaring such status. Any licensee who returns to the 39 practice of naturopathic medicine during the triennial registration 40 period shall notify the department prior to reentering the profession 41 and shall meet such mandatory education requirements as shall be 42 prescribed by regulations of the commissioner. 43 2. During each triennial registration period an applicant for regis- 44 tration shall complete sixty hours of acceptable formal continuing 45 education. Any licensed naturopathic doctor whose first registration 46 date following the effective date of this section occurs less than three 47 years from such effective date, shall complete continuing education 48 hours on a prorated basis at the rate of one and one-half hours per 49 month for the number of months between the effective date and the first 50 registration date. Thereafter, a licensee who has not satisfied the 51 mandatory continuing education requirements shall not be issued a trien- 52 nial registration certificate by the department and shall not practice 53 unless and until a conditional registration certificate is issued as 54 provided in subdivision three of this section. Continuing education 55 hours taken during one triennium may not be carried over or otherwise 56 credited or transferred to a subsequent triennium.A. 7901 9 1 3. The department, in its discretion, may issue a conditional regis- 2 tration to a licensee who fails to meet the continuing education 3 requirements established in subdivision two of this section but who 4 agrees to make up any deficiencies and take any additional education 5 which the department may require. The fee for such a conditional regis- 6 tration shall be the same as, and in addition to, the fee for the trien- 7 nial registration. The duration of such conditional registration shall 8 be determined by the department but shall not exceed one year. Any 9 licensee who is notified of the denial of registration for failure to 10 complete the required continued education and who continues to practice 11 naturopathic medicine without such registration, shall be subject to 12 disciplinary proceedings pursuant to section sixty-five hundred ten of 13 this title. 14 4. The mandatory continuing education fee shall be fifty dollars. Such 15 fee shall be payable on or before the first day of each triennial regis- 16 tration period in addition to the triennial registration fee required by 17 section sixty-eight hundred fifty-six of this article. 18 § 2. Subdivision (a) of section 1203 of the limited liability company 19 law, as amended by chapter 475 of the laws of 2014, is amended to read 20 as follows: 21 (a) Notwithstanding the education law or any other provision of law, 22 one or more professionals each of whom is authorized by law to render a 23 professional service within the state, or one or more professionals, at 24 least one of whom is authorized by law to render a professional service 25 within the state, may form, or cause to be formed, a professional 26 service limited liability company for pecuniary profit under this arti- 27 cle for the purpose of rendering the professional service or services as 28 such professionals are authorized to practice. With respect to a 29 professional service limited liability company formed to provide medical 30 services as such services are defined in article 131 of the education 31 law, each member of such limited liability company must be licensed 32 pursuant to article 131 of the education law to practice medicine in 33 this state. With respect to a professional service limited liability 34 company formed to provide naturopathic services as such services are 35 defined in article 138 of the education law, each member of such limited 36 liability company must be licensed pursuant to article 138 of the educa- 37 tion law to practice naturopathy in this state. With respect to a 38 professional service limited liability company formed to provide dental 39 services as such services are defined in article 133 of the education 40 law, each member of such limited liability company must be licensed 41 pursuant to article 133 of the education law to practice dentistry in 42 this state. With respect to a professional service limited liability 43 company formed to provide veterinary services as such services are 44 defined in article 135 of the education law, each member of such limited 45 liability company must be licensed pursuant to article 135 of the educa- 46 tion law to practice veterinary medicine in this state. With respect to 47 a professional service limited liability company formed to provide 48 professional engineering, land surveying, architectural, landscape 49 architectural and/or geological services as such services are defined in 50 article 145, article 147 and article 148 of the education law, each 51 member of such limited liability company must be licensed pursuant to 52 article 145, article 147 and/or article 148 of the education law to 53 practice one or more of such professions in this state. With respect to 54 a professional service limited liability company formed to provide 55 licensed clinical social work services as such services are defined in 56 article 154 of the education law, each member of such limited liabilityA. 7901 10 1 company shall be licensed pursuant to article 154 of the education law 2 to practice licensed clinical social work in this state. With respect to 3 a professional service limited liability company formed to provide crea- 4 tive arts therapy services as such services are defined in article 163 5 of the education law, each member of such limited liability company must 6 be licensed pursuant to article 163 of the education law to practice 7 creative arts therapy in this state. With respect to a professional 8 service limited liability company formed to provide marriage and family 9 therapy services as such services are defined in article 163 of the 10 education law, each member of such limited liability company must be 11 licensed pursuant to article 163 of the education law to practice 12 marriage and family therapy in this state. With respect to a profes- 13 sional service limited liability company formed to provide mental health 14 counseling services as such services are defined in article 163 of the 15 education law, each member of such limited liability company must be 16 licensed pursuant to article 163 of the education law to practice mental 17 health counseling in this state. With respect to a professional service 18 limited liability company formed to provide psychoanalysis services as 19 such services are defined in article 163 of the education law, each 20 member of such limited liability company must be licensed pursuant to 21 article 163 of the education law to practice psychoanalysis in this 22 state. With respect to a professional service limited liability company 23 formed to provide applied behavior analysis services as such services 24 are defined in article 167 of the education law, each member of such 25 limited liability company must be licensed or certified pursuant to 26 article 167 of the education law to practice applied behavior analysis 27 in this state. In addition to engaging in such profession or 28 professions, a professional service limited liability company may engage 29 in any other business or activities as to which a limited liability 30 company may be formed under section two hundred one of this chapter. 31 Notwithstanding any other provision of this section, a professional 32 service limited liability company (i) authorized to practice law may 33 only engage in another profession or business or activities or (ii) 34 which is engaged in a profession or other business or activities other 35 than law may only engage in the practice of law, to the extent not 36 prohibited by any other law of this state or any rule adopted by the 37 appropriate appellate division of the supreme court or the court of 38 appeals. 39 § 3. Subdivision (b) of section 1207 of the limited liability company 40 law, as amended by chapter 475 of the laws of 2014, is amended to read 41 as follows: 42 (b) With respect to a professional service limited liability company 43 formed to provide medical services as such services are defined in arti- 44 cle 131 of the education law, each member of such limited liability 45 company must be licensed pursuant to article 131 of the education law to 46 practice medicine in this state. With respect to a professional service 47 limited liability company formed to provide naturopathic services as 48 such services are defined in article 138 of the education law, each 49 member of such limited liability company must be licensed pursuant to 50 article 138 of the education law to practice naturopathy in this state. 51 With respect to a professional service limited liability company formed 52 to provide dental services as such services are defined in article 133 53 of the education law, each member of such limited liability company must 54 be licensed pursuant to article 133 of the education law to practice 55 dentistry in this state. With respect to a professional service limited 56 liability company formed to provide veterinary services as such servicesA. 7901 11 1 are defined in article 135 of the education law, each member of such 2 limited liability company must be licensed pursuant to article 135 of 3 the education law to practice veterinary medicine in this state. With 4 respect to a professional service limited liability company formed to 5 provide professional engineering, land surveying, architectural, land- 6 scape architectural and/or geological services as such services are 7 defined in article 145, article 147 and article 148 of the education 8 law, each member of such limited liability company must be licensed 9 pursuant to article 145, article 147 and/or article 148 of the education 10 law to practice one or more of such professions in this state. With 11 respect to a professional service limited liability company formed to 12 provide licensed clinical social work services as such services are 13 defined in article 154 of the education law, each member of such limited 14 liability company shall be licensed pursuant to article 154 of the 15 education law to practice licensed clinical social work in this state. 16 With respect to a professional service limited liability company formed 17 to provide creative arts therapy services as such services are defined 18 in article 163 of the education law, each member of such limited liabil- 19 ity company must be licensed pursuant to article 163 of the education 20 law to practice creative arts therapy in this state. With respect to a 21 professional service limited liability company formed to provide 22 marriage and family therapy services as such services are defined in 23 article 163 of the education law, each member of such limited liability 24 company must be licensed pursuant to article 163 of the education law to 25 practice marriage and family therapy in this state. With respect to a 26 professional service limited liability company formed to provide mental 27 health counseling services as such services are defined in article 163 28 of the education law, each member of such limited liability company must 29 be licensed pursuant to article 163 of the education law to practice 30 mental health counseling in this state. With respect to a professional 31 service limited liability company formed to provide psychoanalysis 32 services as such services are defined in article 163 of the education 33 law, each member of such limited liability company must be licensed 34 pursuant to article 163 of the education law to practice psychoanalysis 35 in this state. With respect to a professional service limited liability 36 company formed to provide applied behavior analysis services as such 37 services are defined in article 167 of the education law, each member of 38 such limited liability company must be licensed or certified pursuant to 39 article 167 of the education law to practice applied behavior analysis 40 in this state. 41 § 4. Subdivision (a) of section 1301 of the limited liability company 42 law, as amended by chapter 475 of the laws of 2014, is amended to read 43 as follows: 44 (a) "Foreign professional service limited liability company" means a 45 professional service limited liability company, whether or not denomi- 46 nated as such, organized under the laws of a jurisdiction other than 47 this state, (i) each of whose members and managers, if any, is a profes- 48 sional authorized by law to render a professional service within this 49 state and who is or has been engaged in the practice of such profession 50 in such professional service limited liability company or a predecessor 51 entity, or will engage in the practice of such profession in the profes- 52 sional service limited liability company within thirty days of the date 53 such professional becomes a member, or each of whose members and manag- 54 ers, if any, is a professional at least one of such members is author- 55 ized by law to render a professional service within this state and who 56 is or has been engaged in the practice of such profession in suchA. 7901 12 1 professional service limited liability company or a predecessor entity, 2 or will engage in the practice of such profession in the professional 3 service limited liability company within thirty days of the date such 4 professional becomes a member, or (ii) authorized by, or holding a 5 license, certificate, registration or permit issued by the licensing 6 authority pursuant to, the education law to render a professional 7 service within this state; except that all members and managers, if any, 8 of a foreign professional service limited liability company that 9 provides health services in this state shall be licensed in this state. 10 With respect to a professional service limited liability company formed 11 to provide naturopathic services as such services are defined in article 12 138 of the education law, each member of such limited liability company 13 must be licensed pursuant to article 138 of the education law to prac- 14 tice naturopathy in this state. With respect to a foreign professional 15 service limited liability company which provides veterinary services as 16 such services are defined in article 135 of the education law, each 17 member of such foreign professional service limited liability company 18 shall be licensed pursuant to article 135 of the education law to prac- 19 tice veterinary medicine. With respect to a foreign professional service 20 limited liability company which provides medical services as such 21 services are defined in article 131 of the education law, each member of 22 such foreign professional service limited liability company must be 23 licensed pursuant to article 131 of the education law to practice medi- 24 cine in this state. With respect to a foreign professional service 25 limited liability company which provides dental services as such 26 services are defined in article 133 of the education law, each member of 27 such foreign professional service limited liability company must be 28 licensed pursuant to article 133 of the education law to practice 29 dentistry in this state. With respect to a foreign professional service 30 limited liability company which provides professional engineering, land 31 surveying, geologic, architectural and/or landscape architectural 32 services as such services are defined in article 145, article 147 and 33 article 148 of the education law, each member of such foreign profes- 34 sional service limited liability company must be licensed pursuant to 35 article 145, article 147 and/or article 148 of the education law to 36 practice one or more of such professions in this state. With respect to 37 a foreign professional service limited liability company which provides 38 licensed clinical social work services as such services are defined in 39 article 154 of the education law, each member of such foreign profes- 40 sional service limited liability company shall be licensed pursuant to 41 article 154 of the education law to practice clinical social work in 42 this state. With respect to a foreign professional service limited 43 liability company which provides creative arts therapy services as such 44 services are defined in article 163 of the education law, each member of 45 such foreign professional service limited liability company must be 46 licensed pursuant to article 163 of the education law to practice crea- 47 tive arts therapy in this state. With respect to a foreign professional 48 service limited liability company which provides marriage and family 49 therapy services as such services are defined in article 163 of the 50 education law, each member of such foreign professional service limited 51 liability company must be licensed pursuant to article 163 of the educa- 52 tion law to practice marriage and family therapy in this state. With 53 respect to a foreign professional service limited liability company 54 which provides mental health counseling services as such services are 55 defined in article 163 of the education law, each member of such foreign 56 professional service limited liability company must be licensed pursuantA. 7901 13 1 to article 163 of the education law to practice mental health counseling 2 in this state. With respect to a foreign professional service limited 3 liability company which provides psychoanalysis services as such 4 services are defined in article 163 of the education law, each member of 5 such foreign professional service limited liability company must be 6 licensed pursuant to article 163 of the education law to practice 7 psychoanalysis in this state. With respect to a foreign professional 8 service limited liability company which provides applied behavior analy- 9 sis services as such services are defined in article 167 of the educa- 10 tion law, each member of such foreign professional service limited 11 liability company must be licensed or certified pursuant to article 167 12 of the education law to practice applied behavior analysis in this 13 state. 14 § 5. Subdivision (q) of section 121-1500 of the partnership law, as 15 amended by chapter 475 of the laws of 2014, is amended to read as 16 follows: 17 (q) Each partner of a registered limited liability partnership formed 18 to provide medical services in this state must be licensed pursuant to 19 article 131 of the education law to practice medicine in this state and 20 each partner of a registered limited liability partnership formed to 21 provide dental services in this state must be licensed pursuant to arti- 22 cle 133 of the education law to practice dentistry in this state. Each 23 partner of a registered limited liability partnership formed to provide 24 naturopathic services in this state must be licensed pursuant to article 25 138 of the education law to practice naturopathy in this state. Each 26 partner of a registered limited liability partnership formed to provide 27 veterinary services in this state must be licensed pursuant to article 28 135 of the education law to practice veterinary medicine in this state. 29 Each partner of a registered limited liability partnership formed to 30 provide professional engineering, land surveying, geological services, 31 architectural and/or landscape architectural services in this state must 32 be licensed pursuant to article 145, article 147 and/or article 148 of 33 the education law to practice one or more of such professions in this 34 state. Each partner of a registered limited liability partnership formed 35 to provide licensed clinical social work services in this state must be 36 licensed pursuant to article 154 of the education law to practice clin- 37 ical social work in this state. Each partner of a registered limited 38 liability partnership formed to provide creative arts therapy services 39 in this state must be licensed pursuant to article 163 of the education 40 law to practice creative arts therapy in this state. Each partner of a 41 registered limited liability partnership formed to provide marriage and 42 family therapy services in this state must be licensed pursuant to arti- 43 cle 163 of the education law to practice marriage and family therapy in 44 this state. Each partner of a registered limited liability partnership 45 formed to provide mental health counseling services in this state must 46 be licensed pursuant to article 163 of the education law to practice 47 mental health counseling in this state. Each partner of a registered 48 limited liability partnership formed to provide psychoanalysis services 49 in this state must be licensed pursuant to article 163 of the education 50 law to practice psychoanalysis in this state. Each partner of a regis- 51 tered limited liability partnership formed to provide applied behavior 52 analysis service in this state must be licensed or certified pursuant to 53 article 167 of the education law to practice applied behavior analysis 54 in this state.A. 7901 14 1 § 6. Subdivision (q) of section 121-1502 of the partnership law, as 2 amended by chapter 475 of the laws of 2014, is amended to read as 3 follows: 4 (q) Each partner of a foreign limited liability partnership which 5 provides medical services in this state must be licensed pursuant to 6 article 131 of the education law to practice medicine in the state and 7 each partner of a foreign limited liability partnership which provides 8 dental services in the state must be licensed pursuant to article 133 of 9 the education law to practice dentistry in this state. Each partner of a 10 foreign limited liability partnership which provides naturopathic 11 services in this state must be licensed pursuant to article 138 of the 12 education law to practice naturopathy in this state. Each partner of a 13 foreign limited liability partnership which provides veterinary service 14 in the state shall be licensed pursuant to article 135 of the education 15 law to practice veterinary medicine in this state. Each partner of a 16 foreign limited liability partnership which provides professional engi- 17 neering, land surveying, geological services, architectural and/or land- 18 scape architectural services in this state must be licensed pursuant to 19 article 145, article 147 and/or article 148 of the education law to 20 practice one or more of such professions. Each partner of a foreign 21 limited liability partnership which provides licensed clinical social 22 work services in this state must be licensed pursuant to article 154 of 23 the education law to practice licensed clinical social work in this 24 state. Each partner of a foreign limited liability partnership which 25 provides creative arts therapy services in this state must be licensed 26 pursuant to article 163 of the education law to practice creative arts 27 therapy in this state. Each partner of a foreign limited liability part- 28 nership which provides marriage and family therapy services in this 29 state must be licensed pursuant to article 163 of the education law to 30 practice marriage and family therapy in this state. Each partner of a 31 foreign limited liability partnership which provides mental health coun- 32 seling services in this state must be licensed pursuant to article 163 33 of the education law to practice mental health counseling in this state. 34 Each partner of a foreign limited liability partnership which provides 35 psychoanalysis services in this state must be licensed pursuant to arti- 36 cle 163 of the education law to practice psychoanalysis in this state. 37 Each partner of a foreign limited liability partnership which provides 38 applied behavior analysis services in this state must be licensed or 39 certified pursuant to article 167 of the education law to practice 40 applied behavior analysis in this state. 41 § 7. Paragraph (a) of subdivision 1 of section 413 of the social 42 services law, as amended by section 7 of part C of chapter 57 of the 43 laws of 2018, is amended to read as follows: 44 (a) The following persons and officials are required to report or 45 cause a report to be made in accordance with this title when they have 46 reasonable cause to suspect that a child coming before them in their 47 professional or official capacity is an abused or maltreated child, or 48 when they have reasonable cause to suspect that a child is an abused or 49 maltreated child where the parent, guardian, custodian or other person 50 legally responsible for such child comes before them in their profes- 51 sional or official capacity and states from personal knowledge facts, 52 conditions or circumstances which, if correct, would render the child an 53 abused or maltreated child: any physician; registered physician assist- 54 ant; surgeon; medical examiner; coroner; dentist; dental hygienist; 55 osteopath; optometrist; chiropractor; podiatrist; naturopathic doctor; 56 resident; intern; psychologist; registered nurse; social worker; emer-A. 7901 15 1 gency medical technician; licensed creative arts therapist; licensed 2 marriage and family therapist; licensed mental health counselor; 3 licensed psychoanalyst; licensed behavior analyst; certified behavior 4 analyst assistant; hospital personnel engaged in the admission, examina- 5 tion, care or treatment of persons; a Christian Science practitioner; 6 school official, which includes but is not limited to school teacher, 7 school guidance counselor, school psychologist, school social worker, 8 school nurse, school administrator or other school personnel required to 9 hold a teaching or administrative license or certificate; full or part- 10 time compensated school employee required to hold a temporary coaching 11 license or professional coaching certificate; social services worker; 12 employee of a publicly-funded emergency shelter for families with chil- 13 dren; director of a children's overnight camp, summer day camp or trav- 14 eling summer day camp, as such camps are defined in section thirteen 15 hundred ninety-two of the public health law; day care center worker; 16 school-age child care worker; provider of family or group family day 17 care; employee or volunteer in a residential care facility for children 18 that is licensed, certified or operated by the office of children and 19 family services; or any other child care or foster care worker; mental 20 health professional; substance abuse counselor; alcoholism counselor; 21 all persons credentialed by the office of alcoholism and substance abuse 22 services; employees, who are expected to have regular and substantial 23 contact with children, of a health home or health home care management 24 agency contracting with a health home as designated by the department of 25 health and authorized under section three hundred sixty-five-l of this 26 chapter or such employees who provide home and community based services 27 under a demonstration program pursuant to section eleven hundred fifteen 28 of the federal social security act who are expected to have regular and 29 substantial contact with children; peace officer; police officer; 30 district attorney or assistant district attorney; investigator employed 31 in the office of a district attorney; or other law enforcement official. 32 § 8. Subdivision 6 of section 571 of the public health law, as amended 33 section 1 of part C of chapter 57 of the laws of 2022, is amended to 34 read as follows: 35 6. "Qualified health care professional" means a physician, dentist, 36 podiatrist, naturopathic doctor, optometrist performing a clinical labo- 37 ratory test that does not use an invasive modality as defined in section 38 seventy-one hundred one of the education law, pharmacist administering 39 COVID-19 and influenza tests pursuant to subdivision seven of section 40 sixty-eight hundred one of the education law, physician assistant, 41 specialist assistant, nurse practitioner, or midwife, who is licensed 42 and registered with the state education department. 43 § 9. Subdivision 6 of section 571 of the public health law, as amended 44 by chapter 444 of the laws of 2013, is amended to read as follows: 45 6. "Qualified health care professional" means a physician, dentist, 46 podiatrist, naturopathic doctor, optometrist performing a clinical labo- 47 ratory test that does not use an invasive modality as defined in section 48 seventy-one hundred one of the education law, physician assistant, 49 specialist assistant, nurse practitioner, or midwife, who is licensed 50 and registered with the state education department. 51 § 10. Subdivision 1 of section 585 of the public health law, as added 52 by chapter 803 of the laws of 1992, is amended to read as follows: 53 1. "Health services purveyor" means any person, firm, partnership, 54 group, association, corporation or professional corporation, or any 55 agent, employee, fiduciary, employer or representative thereof, includ- 56 ing but not limited to a physician, dentist, podiatrist, naturopathicA. 7901 16 1 doctor or chiropractor, either in individual practice, group practice or 2 employed in a facility owned by any person, group, association, firm, 3 partnership or corporation hiring any of the aforementioned practition- 4 ers, who provide health or health related services. 5 § 11. Subdivision 4 of section 7605 of the education law, as amended 6 by chapter 554 of the laws of 2013, is amended to read as follows: 7 4. The practice, conduct, activities, or services by any person 8 licensed or otherwise authorized to practice nursing as a registered 9 professional nurse or nurse practitioner within the state pursuant to 10 article one hundred thirty-nine of this title, or by any person licensed 11 to practice naturopathic medicine within the state pursuant to article 12 one hundred thirty-eight of this title or by any person licensed or 13 otherwise authorized to practice social work within the state pursuant 14 to article one hundred fifty-four of this title, or by any person 15 licensed or otherwise authorized to practice mental health counseling, 16 marriage and family therapy, creative arts therapy, or psychoanalysis 17 within the state pursuant to article one hundred sixty-three of this 18 title, or any person licensed or otherwise authorized to practice 19 applied behavior analysis within the state pursuant to article one 20 hundred sixty-seven of this title or any individual who is credentialed 21 under any law, including attorneys, rape crisis counselors, certified 22 alcoholism counselors, and certified substance abuse counselors from 23 providing mental health services within their respective established 24 authorities. 25 § 12. Subdivision 1 of section 8410 of the education law, as amended 26 by chapter 554 of the laws of 2013, is amended to read as follows: 27 1. Apply to the practice, conduct, activities, services or use of any 28 title by any person licensed or otherwise authorized to practice medi- 29 cine within the state pursuant to article one hundred thirty-one of this 30 title or by any person registered to perform services as a physician 31 assistant within the state pursuant to article one hundred thirty-one-B 32 of this title or by any person licensed or otherwise authorized to prac- 33 tice psychology within this state pursuant to article one hundred 34 fifty-three of this title or by any person licensed or otherwise author- 35 ized to practice social work within this state pursuant to article one 36 hundred fifty-four of this title, or by any person licensed or otherwise 37 authorized to practice naturopathic medicine care within this state 38 pursuant to article one hundred thirty-eight of this title, or by any 39 person licensed or otherwise authorized to practice nursing as a regis- 40 tered professional nurse or nurse practitioner within this state pursu- 41 ant to article one hundred thirty-nine of this title or by any person 42 licensed or otherwise authorized to practice applied behavior analysis 43 within the state pursuant to article one hundred sixty-seven of this 44 title; provided, however, that no physician, physician's assistant, 45 naturopathic doctor, registered professional nurse, nurse practitioner, 46 psychologist, licensed master social worker, licensed clinical social 47 worker, licensed behavior analyst or certified behavior analyst assist- 48 ant may use the titles "licensed mental health counselor", "licensed 49 marriage and family therapist", "licensed creative arts therapist", or 50 "licensed psychoanalyst", unless licensed under this article. 51 § 13. Subdivision 1 of section 7805 of the education law, as amended 52 by chapter 230 of the laws of 1997, is amended to read as follows: 53 1. The practice of massage therapy by any person who is authorized to 54 practice medicine, nursing, osteopathy, naturopathic medicine, physioth- 55 erapy, chiropractic, or podiatry in accordance with the provisions of 56 this title.A. 7901 17 1 § 14. Subdivision 1 of section 579 of the public health law, as 2 amended by chapter 376 of the laws of 2015, is amended to read as 3 follows: 4 1. This title is applicable to all clinical laboratories and blood 5 banks operating within the state, except clinical laboratories and blood 6 banks operated by the federal government and clinical laboratories oper- 7 ated by a licensed physician, osteopath, dentist, midwife, nurse practi- 8 tioner, naturopathic doctor solely as an adjunct to the treatment of his 9 or her own patients, optometrist performing a clinical laboratory test 10 that does not use an invasive modality as defined in section seventy-one 11 hundred one of the education law or podiatrist who performs laboratory 12 tests or procedures, personally or through his or her employees, solely 13 as an adjunct to the treatment of his or her own patients; to the extent 14 authorized by federal and state law, including the education law. 15 § 15. This act shall take effect on the five hundred fortieth day 16 after it shall have become a law; provided, however, that the amendments 17 to subdivision 6 of section 571 of the public health law made by section 18 eight of this act shall be subject to the expiration and reversion of 19 such subdivision pursuant to section 8 of part C of chapter 57 of the 20 laws of 2022, as amended, when upon such date the provisions of section 21 nine of this act shall take effect. Effective immediately, the addition, 22 amendment and/or repeal of any rule or regulation necessary for the 23 implementation of this act on its effective date are authorized to be 24 made and completed on or before such effective date.