Bill Text: NY A08569 | 2011-2012 | General Assembly | Introduced


Bill Title: Regulates the practice of naturopathy; establishes a state board for naturopathy; establishes requirements to receive a limited permit in naturopathy; establishes mandatory continuing competency for naturopaths; requires licensed naturopaths to report suspected child abuse.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2011-12-02 - enacting clause stricken [A08569 Detail]

Download: New_York-2011-A08569-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         8569
                              2011-2012 Regular Sessions
                                 I N  A S S E M B L Y
                                    August 31, 2011
                                      ___________
       Introduced  by M. of A. PERRY -- read once and referred to the Committee
         on Education
       AN ACT to amend the education law, the limited liability company law and
         the partnership 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. Legislative intent.  In order to protect the public health,
    2  safety  and  welfare  of  the citizens who desire naturopathic care, the
    3  legislature finds it is necessary to regulate the practice of  naturopa-
    4  thy by providing licensure for qualified practitioners. It is the legis-
    5  lature's  intent that only practitioners who meet and maintain standards
    6  of competence are recognized by the public as licensed naturopaths.  The
    7  legislature   recognizes   that,   unlike   other   currently   licensed
    8  professions, naturopathic doctors are formally educated in  the  use  of
    9  natural therapies, natural substances and pharmacological substances for
   10  common  health conditions and disease prevention.  Naturopaths serve the
   11  public as experts in drug/nutrient and drug/herb interactions.
   12    S 2. The education law is amended by adding a  new  article  132-A  to
   13  read as follows:
   14                                ARTICLE 132-A
   15                                 NATUROPATHS
   16  SECTION 6575. INTRODUCTION.
   17          6576. DEFINITIONS.
   18          6577. DEFINITION OF THE PRACTICE OF NATUROPATHY.
   19          6578. TITLE AND DESIGNATION.
   20          6579. QUALIFICATIONS FOR LICENSURE.
   21          6580. STATE BOARD FOR NATUROPATHY.
   22          6581. EXEMPTIONS.
   23          6582. SPECIAL PROVISIONS.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD01174-04-1
       A. 8569                             2
    1          6583. PROHIBITIONS.
    2          6584. MANDATORY CONTINUING COMPETENCY.
    3    S  6575. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSURE AND REGU-
    4  LATION OF NATUROPATHIC DOCTORS TO PRACTICE NATUROPATHY  IN  THIS  STATE.
    5  THE  GENERAL  PROVISIONS  FOR  ALL  PROFESSIONS CONTAINED IN ARTICLE ONE
    6  HUNDRED THIRTY OF THIS TITLE APPLY TO THIS ARTICLE.
    7    S 6576. DEFINITIONS. FOR  THE  PURPOSES  OF  THIS  ARTICLE,  THE  TERM
    8  "BOARD" MEANS THE STATE BOARD FOR NATUROPATHY.
    9    S  6577.  DEFINITION  OF THE PRACTICE OF NATUROPATHY.  THE PRACTICE OF
   10  NATUROPATHY BY A CERTIFIED NATUROPATHY PRACTITIONER INVOLVES THE  APPLI-
   11  CATION  OF NON-PHARMACEUTICAL AND NON-SURGICAL TREATMENTS, WHICH COMPLE-
   12  MENT MEDICAL TREATMENT AS DEFINED PURSUANT TO SECTION SIXTY-FIVE HUNDRED
   13  TWENTY-ONE OF  THIS  TITLE,  TO  ENCOURAGE  AND  FACILITATE  THE  BODY'S
   14  SELF-HEALING PROCESS. THE PRACTICE OF NATUROPATHY BY A CERTIFIED NATURO-
   15  PATHY  PRACTITIONER  INVOLVES  THE  APPLICATION OF THE FOLLOWING HEALING
   16  SYSTEMS OF PHYSICAL, NUTRITIONAL  OR  NATURAL  AGENT  REGIMENS;  DIETARY
   17  CHANGES;  VITAMINS, MINERALS AND OTHER DIETARY SUPPLEMENTS AND OVER-THE-
   18  COUNTER HERBAL MEDICINE AS DEFINED AND APPROVED BY THE FEDERAL FOOD  AND
   19  DRUG  ADMINISTRATION;  COUNSELING  AND  EDUCATION  ON LIFESTYLE CHANGES;
   20  HOMEOPATHY; HYDROTHERAPY, MANIPULATION AND MOBILIZATION; EXERCISE THERA-
   21  PY AND MIND-BODY THERAPIES SUCH AS  YOGA  AND  MEDITATION  (A  CONSCIOUS
   22  MENTAL  PROCESS  USING CERTAIN TECHNIQUES, SUCH AS FOCUSING ATTENTION OR
   23  MAINTAINING A SPECIFIC POSTURE TO SUSPEND THE  STREAM  OF  THOUGHTS  AND
   24  RELAX  THE  BODY  AND MIND). A PHYSICIAN MUST AT ALL TIMES SUPERVISE THE
   25  PRACTICE OF A CERTIFIED NATUROPATHY PRACTITIONER.
   26    S 6578. TITLE AND DESIGNATION.   ONLY A  PERSON  LICENSED  UNDER  THIS
   27  ARTICLE  MAY  USE  ANY  OR  ALL  OF THE FOLLOWING TERMS, CONSISTENT WITH
   28  ACADEMIC DEGREES EARNED: "DOCTOR OF NATUROPATHY", "DOCTOR OF NATUROPATH-
   29  IC MEDICINE" OR  ITS  ABBREVIATION,  "ND",  "NATUROPATH",  "NATUROPATHIC
   30  DOCTOR"  OR  "LICENSED NATUROPATH".   HOWEVER, NONE OF SUCH TERMS OR ANY
   31  COMBINATION OF SUCH TERMS SHALL BE SO USED TO CONVEY THE IDEA  THAT  THE
   32  INDIVIDUAL WHO USES SUCH TERM PRACTICES ANYTHING OTHER THAN NATUROPATHY.
   33    S  6579.  QUALIFICATIONS  FOR  LICENSURE.  TO QUALIFY FOR A LICENSE TO
   34  PRACTICE NATUROPATHY, AN APPLICANT SHALL FULFILL THE FOLLOWING  REQUIRE-
   35  MENTS:
   36    1. APPLICATION. FILE AN APPLICATION WITH THE DEPARTMENT;
   37    2.  EDUCATION. HAVE RECEIVED A DOCTORAL DEGREE OR DIPLOMA AS A NATURO-
   38  PATHIC DOCTOR (ND) OR  DOCTOR  OF  NATUROPATHIC  MEDICINE  (ND)  FROM  A
   39  PROGRAM  OF NATUROPATHIC MEDICINE REGISTERED BY THE DEPARTMENT OR DETER-
   40  MINED BY THE DEPARTMENT THAT MEETS NATIONALLY  RECOGNIZED  ACCREDITATION
   41  STANDARDS  SATISFACTORY  TO THE BOARD AND DETERMINED TO BE SUBSTANTIALLY
   42  EQUIVALENT AND IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
   43    3. EXPERIENCE. AS OF THE YEAR TWO THOUSAND FIFTEEN, HAVE SATISFACTORI-
   44  LY COMPLETED AN APPROVED CLINICAL POST-GRADUATE RESIDENCY  TRAINING,  OF
   45  NOT  LESS THAN TWELVE MONTHS DURATION, UNDER THE DIRECT SUPERVISION OF A
   46  GRADUATE OF AN APPROVED PROGRAM WITH A MINIMUM OF TWO YEARS  OF  PROFES-
   47  SIONAL CLINICAL ACTIVITY AND IN ACCORDANCE WITH THE COMMISSIONER'S REGU-
   48  LATIONS;
   49    4.  EXAMINATION.  PASS AN EXAMINATION THAT MEETS NATIONALLY RECOGNIZED
   50  TEST  DEVELOPMENT  STANDARDS  AND  TEST  COMPETENCIES  FOR  NATUROPATHIC
   51  DOCTORS SATISFACTORY TO THE BOARD AND IN ACCORDANCE WITH THE COMMISSION-
   52  ER'S REGULATIONS;
   53    5. AGE. BE AT LEAST TWENTY-ONE YEARS OF AGE;
   54    6.  CHARACTER. BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART-
   55  MENT; AND
       A. 8569                             3
    1    7. FEES. PAY A FEE OF THREE HUNDRED FIFTY DOLLARS  TO  THE  DEPARTMENT
    2  FOR AN INITIAL LICENSE AND A FEE OF FIVE HUNDRED DOLLARS FOR EACH TRIEN-
    3  NIAL REGISTRATION PERIOD.
    4    S  6580.  STATE  BOARD  FOR NATUROPATHY. A STATE BOARD FOR NATUROPATHY
    5  SHALL BE APPOINTED BY THE BOARD OF REGENTS ON THE RECOMMENDATION OF  THE
    6  COMMISSIONER  FOR  THE PURPOSE OF ASSISTING THE BOARD OF REGENTS AND THE
    7  DEPARTMENT ON MATTERS OF LICENSING AND REGULATION. THE  BOARD  SHALL  BE
    8  COMPOSED  OF  AT LEAST SIX LICENSED MEMBERS FROM THE PROFESSION LICENSED
    9  PURSUANT TO THIS ARTICLE AND AT LEAST TWO PUBLIC REPRESENTATIVES WHO  DO
   10  NOT  HOLD INTERESTS IN THE ORGANIZATION, FINANCING, OR DELIVERY OF NATU-
   11  ROPATHIC SERVICES AND ONE LICENSED PHYSICIAN WHO IS EITHER A  DOCTOR  OF
   12  MEDICINE  OR A DOCTOR OF OSTEOPATHY. MEMBERS OF THE FIRST BOARD NEED NOT
   13  BE LICENSED PRIOR TO THEIR APPOINTMENT TO THE BOARD BUT SHALL  HAVE  MET
   14  ALL  OTHER  REQUIREMENTS  OF  LICENSING UNDER SUBDIVISION TWO OF SECTION
   15  SIXTY-FIVE HUNDRED SEVENTY-NINE OF THIS ARTICLE AND SHALL  HAVE  RESIDED
   16  IN THE STATE OF NEW YORK FOR AT LEAST TWO YEARS PRECEDING THEIR APPOINT-
   17  MENT  TO  THE  INITIAL  BOARD.  THE TERMS OF THE FIRST APPOINTED MEMBERS
   18  SHALL BE STAGGERED SO THAT THREE ARE APPOINTED FOR  THREE  YEARS,  THREE
   19  ARE APPOINTED FOR FOUR YEARS, AND THREE ARE APPOINTED FOR FIVE YEARS. AN
   20  EXECUTIVE  SECRETARY  TO  THE  BOARD  SHALL BE APPOINTED BY THE BOARD OF
   21  REGENTS ON RECOMMENDATION OF THE COMMISSIONER.
   22    S 6581.  EXEMPTIONS.  NOTHING  CONTAINED  IN  THIS  ARTICLE  SHALL  BE
   23  CONSTRUED TO AFFECT OR PREVENT THE FOLLOWING:
   24    1.  A  LICENSED  PHYSICIAN  FROM  PRACTICING  HIS OR HER PROFESSION AS
   25  DEFINED  UNDER  ARTICLES  ONE  HUNDRED  THIRTY-ONE   AND   ONE   HUNDRED
   26  THIRTY-ONE-B  OF THIS TITLE; A REGISTERED PROFESSIONAL NURSE OR A CERTI-
   27  FIED NURSE PRACTITIONER PRACTICING HIS  OR  HER  PROFESSION  AS  DEFINED
   28  UNDER  ARTICLE  ONE  HUNDRED  THIRTY-NINE  OF  THIS  TITLE; OR QUALIFIED
   29  MEMBERS OF OTHER PROFESSIONS LICENSED UNDER THIS TITLE  FROM  PERFORMING
   30  THE PRACTICE OF THEIR PROFESSIONS, EXCEPT THAT SUCH PERSONS MAY NOT HOLD
   31  THEMSELVES OUT UNDER THE TITLE NATUROPATH OR  AS PERFORMING NATUROPATHY;
   32    2.  A  STUDENT,  INTERN  OR  RESIDENT IN, AND AS PART OF, A SUPERVISED
   33  EDUCATIONAL PROGRAM IN AN INSTITUTION APPROVED BY THE DEPARTMENT;
   34    3. THE USE BY NON-NATUROPATHIC DOCTORS, OF THERAPIES USED  BY  NATURO-
   35  PATHIC  DOCTORS,  INCLUDING,  BUT  NOT  LIMITED TO HOMEOPATHIC REMEDIES,
   36  NUTRITIONAL AND DIETARY SUPPLEMENTS, HERBS, AND  SUCH  FORCES  AS  HEAT,
   37  COLD, WATER, TOUCH AND LIGHT.
   38    S  6582.  SPECIAL  PROVISIONS.   THE COMMISSIONER MAY ADOPT SUCH REGU-
   39  LATIONS AS APPROPRIATE TO LICENSE INDIVIDUALS WHO MEET THE  REQUIREMENTS
   40  FOR  LICENSE  ESTABLISHED  IN  THIS ARTICLE, EXCEPT FOR EXAMINATION AND,
   41  WHOSE STANDARDS ARE ACCEPTABLE TO THE COMMISSIONER. THE APPLICANT  SHALL
   42  SUBMIT  WITHIN  ONE  HUNDRED  EIGHTY  DAYS OF THE EFFECTIVE DATE OF THIS
   43  SECTION EVIDENCE SATISFACTORY TO THE DEPARTMENT OF HAVING GRADUATED FROM
   44  AN APPROVED PROGRAM PRIOR TO NINETEEN HUNDRED EIGHTY-SEVEN.
   45    S 6583.  PROHIBITIONS. A NATUROPATHY PRACTITIONER CERTIFIED UNDER THIS
   46  ARTICLE SHALL BE PROHIBITED FROM:
   47    1. PRESCRIBING OR ADMINISTERING DRUGS AS DEFINED IN THIS CHAPTER AS  A
   48  TREATMENT,  THERAPY OR PROFESSIONAL SERVICE IN THE PRACTICE OF NATUROPA-
   49  THY; AND
   50    2. USING INVASIVE PROCEDURES IN TESTING OR AS A TREATMENT, THERAPY, OR
   51  PROFESSIONAL SERVICE IN THE PRACTICE OF  NATUROPATHY.  FOR  PURPOSES  OF
   52  THIS  SUBDIVISION,  "INVASIVE  PROCEDURE"  MEANS  ANY PROCEDURE IN WHICH
   53  HUMAN TISSUE IS CUT, ALTERED, OR OTHERWISE INFILTRATED BY MECHANICAL  OR
   54  OTHER  MEANS. INVASIVE PROCEDURE INCLUDES BUT IS NOT LIMITED TO SURGERY,
   55  LASERS, GIVING INJECTIONS, DRAWING BLOOD, IONIZING RADIATION,  THERAPEU-
       A. 8569                             4
    1  TIC  ULTRASOUND,  ELECTROCONVULSIVE THERAPY, ELECTRICAL SHOCK THERAPY OR
    2  ELECTROMYOGRAPHY; AND
    3    3.  PRACTICING OR CLAIMING TO PRACTICE AS A MEDICAL DOCTOR, OSTEOPATH,
    4  DENTIST,  PODIATRIST,  OPTOMETRIST,  PSYCHOLOGIST,  REGISTERED  PRACTICE
    5  NURSE,  ADVANCE  PRACTICE PROFESSIONAL NURSE, MIDWIFE, PHYSICIAN ASSIST-
    6  ANT, CHIROPRACTOR,  PHYSICAL  THERAPIST,  ACUPUNCTURIST,  MENTAL  HEALTH
    7  THERAPIST  OR  ANY OTHER HEALTH CARE PROFESSIONAL NOT AUTHORIZED IN THIS
    8  CHAPTER; AND
    9    4. USING ANESTHESIA OR ANY OTHER MEANS OF SEDATION IN THE PRACTICE  OF
   10  NATUROPATHY; AND
   11    5. PROVIDING OBSTETRICAL SERVICES; AND
   12    6. PROVIDING PSYCHOTHERAPY SERVICES; AND
   13    7.  ORDERING  OR  INTERPRETING  X-RAYS  AND MAGNETIC RESONANCE IMAGING
   14  STUDIES; AND
   15    8. ORDERING OR INTERPRETING DIAGNOSTIC TESTS; AND
   16    9. SETTING FRACTURES.
   17    ENGAGING IN ANY OF THE ACTIVITIES SET  FORTH  IN  THIS  SECTION  SHALL
   18  CONSTITUTE   PROFESSIONAL  MISCONDUCT  PURSUANT  TO  SECTION  SIXTY-FIVE
   19  HUNDRED NINE OF THIS TITLE.
   20    S 6584. MANDATORY CONTINUING COMPETENCY. 1. A. EACH  LICENSED  NATURO-
   21  PATH  REQUIRED  UNDER  THIS  ARTICLE  TO  REGISTER  TRIENNIALLY WITH THE
   22  DEPARTMENT TO PRACTICE IN THE STATE SHALL COMPLY WITH THE PROVISIONS  OF
   23  THE  MANDATORY CONTINUING COMPETENCY REQUIREMENTS PRESCRIBED IN SUBDIVI-
   24  SION TWO OF THIS SECTION, EXCEPT AS PROVIDED IN PARAGRAPHS B  AND  C  OF
   25  THIS  SUBDIVISION. LICENSED NATUROPATHS WHO DO NOT SATISFY THE MANDATORY
   26  CONTINUING COMPETENCY REQUIREMENTS SHALL NOT BE AUTHORIZED  TO  PRACTICE
   27  UNTIL  THEY  HAVE  MET  SUCH  REQUIREMENTS,  AND THEY HAVE BEEN ISSUED A
   28  REGISTRATION CERTIFICATE, EXCEPT THAT A LICENSED NATUROPATH MAY PRACTICE
   29  WITHOUT HAVING MET SUCH REQUIREMENTS IF HE OR SHE  IS  ISSUED  A  CONDI-
   30  TIONAL REGISTRATION PURSUANT TO SUBDIVISION THREE OF THIS SECTION.
   31    B.  ADJUSTMENT TO THE MANDATORY CONTINUING COMPETENCY REQUIREMENTS MAY
   32  BE GRANTED BY THE DEPARTMENT FOR REASONS OF HEALTH OF THE LICENSEE WHERE
   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 NATUROPATH NOT ENGAGED IN PRACTICE, AS DETERMINED BY THE
   37  DEPARTMENT, SHALL BE EXEMPT FROM  THE  MANDATORY  CONTINUING  COMPETENCY
   38  REQUIREMENT UPON THE FILING OF A STATEMENT WITH THE DEPARTMENT DECLARING
   39  SUCH  STATUS. ANY LICENSEE WHO RETURNS TO THE PRACTICE OF LICENSED NATU-
   40  ROPATH DURING THE TRIENNIAL REGISTRATION PERIOD SHALL NOTIFY THE DEPART-
   41  MENT PRIOR TO REENTERING THE PROFESSION AND SHALL  MEET  SUCH  MANDATORY
   42  CONTINUING COMPETENCY REQUIREMENTS AS SHALL BE PRESCRIBED BY REGULATIONS
   43  OF THE COMMISSIONER.
   44    2.  A.  DURING  EACH  TRIENNIAL  REGISTRATION  PERIOD AN APPLICANT FOR
   45  REGISTRATION AS A LICENSED NATUROPATH SHALL COMPLETE A MINIMUM OF  THIR-
   46  TY-SIX  HOURS  OF  LEARNING  ACTIVITIES  WHICH  CONTRIBUTE TO CONTINUING
   47  COMPETENCE, AS SPECIFIED IN SUBDIVISION FOUR OF THIS  SECTION,  PROVIDED
   48  FURTHER  THAT  AT  LEAST  TWENTY-FOUR  HOURS  SHALL BE IN AREAS OF STUDY
   49  PERTINENT TO THE SCOPE OF PRACTICE OF NATUROPATHY.   WITH THE  EXCEPTION
   50  OF CONTINUING EDUCATION HOURS TAKEN DURING THE REGISTRATION PERIOD IMME-
   51  DIATELY  PRECEDING THE EFFECTIVE DATE OF THIS SECTION, CONTINUING EDUCA-
   52  TION HOURS TAKEN DURING ONE TRIENNIUM MAY NOT BE TRANSFERRED TO A SUBSE-
   53  QUENT TRIENNIUM.
   54    B. ANY LICENSED NATUROPATH WHOSE FIRST REGISTRATION DATE FOLLOWING THE
   55  EFFECTIVE DATE OF THIS SECTION OCCURS LESS THAN THREE  YEARS  FROM  SUCH
   56  EFFECTIVE DATE, SHALL COMPLETE CONTINUING COMPETENCY HOURS ON A PRORATED
       A. 8569                             5
    1  BASIS  AT  THE  RATE OF ONE-HALF HOUR PER MONTH FOR THE PERIOD BEGINNING
    2  JANUARY FIRST, TWO THOUSAND TWELVE, UP TO THE FIRST REGISTRATION DATE.
    3    C. THEREAFTER, A LICENSEE WHO HAS NOT SATISFIED THE MANDATORY CONTINU-
    4  ING COMPETENCY REQUIREMENTS SHALL NOT BE ISSUED A TRIENNIAL REGISTRATION
    5  CERTIFICATE  BY THE DEPARTMENT AND SHALL NOT PRACTICE UNLESS AND UNTIL A
    6  CONDITIONAL REGISTRATION CERTIFICATE IS ISSUED AS PROVIDED FOR IN SUBDI-
    7  VISION THREE OF THIS SECTION.
    8    3. THE DEPARTMENT, IN ITS DISCRETION, MAY ISSUE A  CONDITIONAL  REGIS-
    9  TRATION  TO  A  LICENSEE  WHO  FAILS  TO  MEET THE CONTINUING COMPETENCY
   10  REQUIREMENTS ESTABLISHED IN SUBDIVISION TWO OF  THIS  SECTION,  BUT  WHO
   11  AGREES  TO MAKE UP ANY DEFICIENCIES AND COMPLETE ANY ADDITIONAL LEARNING
   12  ACTIVITIES WHICH THE DEPARTMENT MAY REQUIRE.
   13    THE FEE FOR SUCH A CONDITIONAL REGISTRATION SHALL BE THE SAME AS,  AND
   14  IN  ADDITION TO, THE FEE FOR THE TRIENNIAL REGISTRATION. THE DURATION OF
   15  SUCH CONDITIONAL REGISTRATION SHALL BE DETERMINED BY THE DEPARTMENT  BUT
   16  SHALL NOT EXCEED ONE YEAR. ANY LICENSEE WHO IS NOTIFIED OF THE DENIAL OF
   17  REGISTRATION FOR FAILURE TO SUBMIT EVIDENCE, SATISFACTORY TO THE DEPART-
   18  MENT,  OF  REQUIRED  CONTINUING  COMPETENCY  LEARNING ACTIVITIES AND WHO
   19  PRACTICES WITHOUT SUCH REGISTRATION, SHALL BE  SUBJECT  TO  DISCIPLINARY
   20  PROCEEDINGS PURSUANT TO SECTION SIXTY-FIVE HUNDRED TEN OF THIS TITLE.
   21    4.  AS  USED  IN SUBDIVISION TWO OF THIS SECTION, "ACCEPTABLE LEARNING
   22  ACTIVITIES" SHALL MEAN ACTIVITIES WHICH CONTRIBUTE TO PROFESSIONAL PRAC-
   23  TICE IN NATUROPATHIC MEDICINE, AND WHICH MEET THE  STANDARDS  PRESCRIBED
   24  IN  THE  REGULATIONS OF THE COMMISSIONER. SUCH LEARNING ACTIVITIES SHALL
   25  INCLUDE, BUT NOT BE LIMITED TO, COLLEGIATE LEVEL CREDIT  AND  NON-CREDIT
   26  COURSES,  SELF-STUDY  ACTIVITIES,  INDEPENDENT  STUDY,  FORMAL MENTORING
   27  ACTIVITIES, PUBLICATIONS IN PROFESSIONAL JOURNALS, PROFESSIONAL DEVELOP-
   28  MENT PROGRAMS AND TECHNICAL SESSIONS; SUCH LEARNING  ACTIVITIES  MAY  BE
   29  OFFERED  AND SPONSORED BY NATIONAL, STATE AND LOCAL PROFESSIONAL ASSOCI-
   30  ATIONS AND OTHER ORGANIZATIONS OR PARTIES ACCEPTABLE TO THE  DEPARTMENT,
   31  AND  ANY  OTHER  ORGANIZED EDUCATIONAL AND TECHNICAL LEARNING ACTIVITIES
   32  ACCEPTABLE TO THE DEPARTMENT. THE DEPARTMENT MAY, IN ITS DISCRETION  AND
   33  AS NEEDED TO CONTRIBUTE TO THE HEALTH AND WELFARE OF THE PUBLIC, REQUIRE
   34  THE  COMPLETION OF CONTINUING COMPETENCY LEARNING ACTIVITIES IN SPECIFIC
   35  SUBJECTS TO FULFILL THIS MANDATORY  CONTINUING  COMPETENCY  REQUIREMENT.
   36  LEARNING ACTIVITIES MUST BE TAKEN FROM A SPONSOR APPROVED BY THE DEPART-
   37  MENT, PURSUANT TO THE  REGULATIONS OF THE COMMISSIONER.
   38    5.  LICENSED  NATUROPATHS  SHALL  MAINTAIN  ADEQUATE  DOCUMENTATION OF
   39  COMPLETION OF:
   40    A. A LEARNING PLAN THAT SHALL RECORD CURRENT AND ANTICIPATED ROLES AND
   41  RESPONSIBILITIES BUT SHALL NOT REQUIRE THE RECORDS  OF  PEER  REVIEW  OR
   42  SELF-ASSESSMENT OF COMPETENCIES; AND
   43    B.  ACCEPTABLE  CONTINUING  COMPETENCY  LEARNING  ACTIVITIES AND SHALL
   44  PROVIDE SUCH DOCUMENTATION AT THE REQUEST OF THE DEPARTMENT.
   45    6. THE MANDATORY CONTINUING COMPETENCY FEE SHALL BE FIFTY DOLLARS  FOR
   46  LICENSED  NATUROPATHS,  SHALL  BE  PAYABLE ON OR BEFORE THE FIRST DAY OF
   47  EACH TRIENNIAL REGISTRATION PERIOD, AND SHALL BE PAID IN ADDITION TO THE
   48  TRIENNIAL REGISTRATION FEE REQUIRED BY SECTION SIXTY-FIVE HUNDRED SEVEN-
   49  TY-NINE OF THIS ARTICLE.
   50    S 3. Subdivision (a) of section 1203 of the limited liability  company
   51  law,  as separately amended by chapters 420 and 676 of the laws of 2002,
   52  is amended to read as follows:
   53    (a) Notwithstanding the education law or any other provision  of  law,
   54  one  or more professionals each of whom is authorized by law to render a
   55  professional service within the state, or one or more professionals,  at
   56  least  one of whom is authorized by law to render a professional service
       A. 8569                             6
    1  within the state, may form,  or  cause  to  be  formed,  a  professional
    2  service  limited liability company for pecuniary profit under this arti-
    3  cle for the purpose of rendering the professional service or services as
    4  such professionals are authorized to practice. With respect to a profes-
    5  sional  service  limited  liability  company  formed  to provide medical
    6  services as such services are defined in article 131  of  the  education
    7  law,  each  member  of  such  limited liability company must be licensed
    8  pursuant to article 131 of the education law  to  practice  medicine  in
    9  this  state.  With  respect  to a professional service limited liability
   10  company formed to provide dental services as such services  are  defined
   11  in article 133 of the education law, each member of such limited liabil-
   12  ity  company  must  be licensed pursuant to article 133 of the education
   13  law to practice dentistry in this state. With respect to a  professional
   14  service  limited liability company formed to provide veterinary services
   15  as such services are defined in article 135 of the education  law,  each
   16  member  of  such  limited liability company must be licensed pursuant to
   17  article 135 of the education law to practice veterinary medicine in this
   18  state. With respect to a professional service limited liability  company
   19  formed  to  provide  professional engineering, land surveying, architec-
   20  tural and/or landscape  architectural  services  as  such  services  are
   21  defined  in  article  145,  article 147 and article 148 of the education
   22  law, each member of such limited  liability  company  must  be  licensed
   23  pursuant to article 145, article 147 and/or article 148 of the education
   24  law  to  practice  one  or  more of such professions in this state. With
   25  respect to a professional service limited liability  company  formed  to
   26  provide  licensed  clinical  social  work  services as such services are
   27  defined in article 154 of the education law, each member of such limited
   28  liability company shall be licensed  pursuant  to  article  154  of  the
   29  education  law  to practice licensed clinical social work in this state.
   30  With respect to a professional service limited liability company  formed
   31  to  provide  creative arts therapy services as such services are defined
   32  in article 163 of the education law, each member of such limited liabil-
   33  ity company must be licensed pursuant to article 163  of  the  education
   34  law  to  practice creative arts therapy in this state. With respect to a
   35  professional  service  limited  liability  company  formed  to   provide
   36  marriage  and  family  therapy  services as such services are defined in
   37  article 163 of the education law, each member of such limited  liability
   38  company must be licensed pursuant to article 163 of the education law to
   39  practice  marriage  and  family therapy in this state. With respect to a
   40  professional service limited liability company formed to provide  mental
   41  health  counseling  services as such services are defined in article 163
   42  of the education law, each member of such limited liability company must
   43  be licensed pursuant to article 163 of the  education  law  to  practice
   44  mental  health  counseling in this state. With respect to a professional
   45  service limited  liability  company  formed  to  provide  psychoanalysis
   46  services  as  such  services are defined in article 163 of the education
   47  law, each member of such limited  liability  company  must  be  licensed
   48  pursuant  to article 163 of the education law to practice psychoanalysis
   49  in this state.  WITH RESPECT TO A PROFESSIONAL SERVICE LIMITED LIABILITY
   50  COMPANY FORMED TO PROVIDE NATUROPATHIC SERVICES  AS  SUCH  SERVICES  ARE
   51  DEFINED  IN  ARTICLE  132-A  OF  THE  EDUCATION LAW, EACH MEMBER OF SUCH
   52  LIMITED LIABILITY COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A  OF
   53  THE  EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS STATE. In addition to
   54  engaging in such  profession  or  professions,  a  professional  service
   55  limited liability company may engage in any other business or activities
   56  as  to which a limited liability company may be formed under section two
       A. 8569                             7
    1  hundred one of this chapter.   Notwithstanding any  other  provision  of
    2  this  section,  a  professional  service  limited  liability company (i)
    3  authorized to practice law may only  engage  in  another  profession  or
    4  business or activities or (ii) which is engaged in a profession or other
    5  business or activities other than law may only engage in the practice of
    6  law,  to the extent not prohibited by any other law of this state or any
    7  rule adopted by the appropriate appellate division of the supreme  court
    8  or the court of appeals.
    9    S  4. Subdivision (b) of section 1207 of the limited liability company
   10  law, as separately amended by chapters 420 and 676 of the laws of  2002,
   11  is amended to read as follows:
   12    (b)  with  respect to a professional service limited liability company
   13  formed to provide medical services as such services are defined in arti-
   14  cle 131 of the education law, each  member  of  such  limited  liability
   15  company must be licensed pursuant to article 131 of the education law to
   16  practice  medicine in this state. With respect to a professional service
   17  limited liability company formed to  provide  dental  services  as  such
   18  services are defined in article 133 of the education law, each member of
   19  such  limited liability company must be licensed pursuant to article 133
   20  of the education law to practice dentistry in this state.  With  respect
   21  to  a  professional  service limited liability company formed to provide
   22  veterinary services as such services are defined in article 135  of  the
   23  education  law,  each  member  of such limited liability company must be
   24  licensed pursuant to article 135 of the education law to practice veter-
   25  inary medicine in this state. With respect  to  a  professional  service
   26  limited  liability  company  formed to provide professional engineering,
   27  land surveying, architectural and/or landscape architectural services as
   28  such services are defined in article 145, article 147 and article 148 of
   29  the education law, each member of such limited liability company must be
   30  licensed pursuant to article 145, article 147 and/or article 148 of  the
   31  education law to practice one or more of such professions in this state.
   32  With  respect to a professional service limited liability company formed
   33  to provide licensed clinical social work services as such  services  are
   34  defined in article 154 of the education law, each member of such limited
   35  liability  company  shall  be  licensed  pursuant  to article 154 of the
   36  education law to practice licensed clinical social work in  this  state.
   37  With  respect to a professional service limited liability company formed
   38  to provide creative arts therapy services as such services  are  defined
   39  in article 163 of the education law, each member of such limited liabil-
   40  ity  company  must  be licensed pursuant to article 163 of the education
   41  law to practice creative arts therapy in this state. With respect  to  a
   42  professional   service  limited  liability  company  formed  to  provide
   43  marriage and family therapy services as such  services  are  defined  in
   44  article  163 of the education law, each member of such limited liability
   45  company must be licensed pursuant to article 163 of the education law to
   46  practice marriage and family therapy in this state. With  respect  to  a
   47  professional  service limited liability company formed to provide mental
   48  health counseling services as such services are defined in  article  163
   49  of the education law, each member of such limited liability company must
   50  be  licensed  pursuant  to  article 163 of the education law to practice
   51  mental health counseling in this state. With respect to  a  professional
   52  service  limited  liability  company  formed  to  provide psychoanalysis
   53  services as such services are defined in article 163  of  the  education
   54  law,  each  member  of  such  limited liability company must be licensed
   55  pursuant to article 163 of the education law to practice  psychoanalysis
   56  in this state.  WITH RESPECT TO A PROFESSIONAL SERVICE LIMITED LIABILITY
       A. 8569                             8
    1  COMPANY  FORMED  TO  PROVIDE  NATUROPATHIC SERVICES AS SUCH SERVICES ARE
    2  DEFINED IN ARTICLE 132-A OF THE  EDUCATION  LAW,  EACH  MEMBER  OF  SUCH
    3  LIMITED  LIABILITY COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF
    4  THE EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS STATE.
    5    S  5. Subdivision (a) of section 1301 of the limited liability company
    6  law, as separately amended by chapters 420 and 676 of the laws of  2002,
    7  is amended to read as follows:
    8    (a)  "Foreign  professional service limited liability company" means a
    9  professional service limited liability company, whether or  not  denomi-
   10  nated  as  such,  organized  under the laws of a jurisdiction other than
   11  this state, (i) each of whose members and managers, if any, is a profes-
   12  sional authorized by law to render a professional  service  within  this
   13  state  and who is or has been engaged in the practice of such profession
   14  in such professional service limited liability company or a  predecessor
   15  entity, or will engage in the practice of such profession in the profes-
   16  sional  service limited liability company within thirty days of the date
   17  such professional becomes a member, or each of whose members and  manag-
   18  ers,  if  any, is a professional at least one of such members is author-
   19  ized by law to render a professional service within this state  and  who
   20  is  or  has  been  engaged  in  the  practice of such profession in such
   21  professional service limited liability company or a predecessor  entity,
   22  or  will  engage  in the practice of such profession in the professional
   23  service limited liability company within thirty days of  the  date  such
   24  professional  becomes  a  member,  or  (ii)  authorized by, or holding a
   25  license, certificate, registration or permit  issued  by  the  licensing
   26  authority  pursuant  to,  the  education  law  to  render a professional
   27  service within this state; except that all members and managers, if any,
   28  of  a  foreign  professional  service  limited  liability  company  that
   29  provides  health services in this state shall be licensed in this state.
   30  With respect to a foreign professional service limited liability company
   31  which provides veterinary services as such services are defined in arti-
   32  cle 135 of the education law, each member of such  foreign  professional
   33  service  limited liability company shall be licensed pursuant to article
   34  135 of the education law to practice veterinary medicine.  With  respect
   35  to  a  foreign  professional  service  limited  liability  company which
   36  provides medical services as such services are defined in article 131 of
   37  the education law, each member  of  such  foreign  professional  service
   38  limited  liability  company  must be licensed pursuant to article 131 of
   39  the education law to practice medicine in this state.  With respect to a
   40  foreign professional service limited liability  company  which  provides
   41  dental  services  as  such  services  are  defined in article 133 of the
   42  education law, each member of such foreign professional service  limited
   43  liability company must be licensed pursuant to article 133 of the educa-
   44  tion  law to practice dentistry in this state. With respect to a foreign
   45  professional service limited liability company  which  provides  profes-
   46  sional  engineering,  land  surveying,  architectural  and/or  landscape
   47  architectural services as such services  are  defined  in  article  145,
   48  article  147  and  article 148 of the education law, each member of such
   49  foreign professional service limited liability company must be  licensed
   50  pursuant to article 145, article 147 and/or article 148 of the education
   51  law  to  practice  one  or  more of such professions in this state. With
   52  respect to a foreign  professional  service  limited  liability  company
   53  which  provides  licensed clinical social work services as such services
   54  are defined in article 154 of the education law,  each  member  of  such
   55  foreign professional service limited liability company shall be licensed
   56  pursuant to article 154 of the education law to practice clinical social
       A. 8569                             9
    1  work  in  this  state.  With  respect  to a foreign professional service
    2  limited liability company which provides creative arts therapy  services
    3  as  such  services are defined in article 163 of the education law, each
    4  member  of  such  foreign professional service limited liability company
    5  must be licensed pursuant to article 163 of the education law  to  prac-
    6  tice  creative  arts  therapy  in  this state. With respect to a foreign
    7  professional service limited liability company which  provides  marriage
    8  and  family therapy services as such services are defined in article 163
    9  of the education law, each member of such foreign  professional  service
   10  limited  liability  company  must be licensed pursuant to article 163 of
   11  the education law to practice marriage and family therapy in this state.
   12  With respect to a foreign professional service limited liability company
   13  which provides mental health counseling services as  such  services  are
   14  defined in article 163 of the education law, each member of such foreign
   15  professional service limited liability company must be licensed pursuant
   16  to article 163 of the education law to practice mental health counseling
   17  in  this  state.  With respect to a foreign professional service limited
   18  liability  company  which  provides  psychoanalysis  services  as   such
   19  services are defined in article 163 of the education law, each member of
   20  such  foreign  professional  service  limited  liability company must be
   21  licensed pursuant to article  163  of  the  education  law  to  practice
   22  psychoanalysis  in  this state.   WITH RESPECT TO A FOREIGN PROFESSIONAL
   23  SERVICE  LIMITED  LIABILITY  COMPANY  FORMED  TO  PROVIDE   NATUROPATHIC
   24  SERVICES  AS SUCH SERVICES ARE DEFINED IN ARTICLE 132-A OF THE EDUCATION
   25  LAW, EACH MEMBER OF SUCH LIMITED  LIABILITY  COMPANY  MUST  BE  LICENSED
   26  PURSUANT  TO  ARTICLE 132-A OF THE EDUCATION LAW TO PRACTICE NATUROPATHY
   27  IN THIS STATE.
   28    S 6. Subdivision (q) of section 121-1500 of the  partnership  law,  as
   29  separately  amended  by  chapters  420  and  676 of the laws of 2002, is
   30  amended to read as follows:
   31    (q) Each partner of a registered limited liability partnership  formed
   32  to  provide  medical services in this state must be licensed pursuant to
   33  article 131 of the education law to practice medicine in this state  and
   34  each  partner  of  a  registered limited liability partnership formed to
   35  provide dental services in this state must be licensed pursuant to arti-
   36  cle 133 of the education law to practice dentistry in this state.   Each
   37  partner  of a registered limited liability partnership formed to provide
   38  veterinary services in this state must be licensed pursuant  to  article
   39  135  of the education law to practice veterinary medicine in this state.
   40  Each partner of a registered limited  liability  partnership  formed  to
   41  provide  professional  engineering, land surveying, architectural and/or
   42  landscape architectural services in this state must be licensed pursuant
   43  to article 145, article 147 and/or article 148 of the education  law  to
   44  practice  one or more of such professions in this state. Each partner of
   45  a registered limited liability partnership formed  to  provide  licensed
   46  clinical social work services in this state must be licensed pursuant to
   47  article  154  of  the  education law to practice clinical social work in
   48  this state. Each partner of a registered limited  liability  partnership
   49  formed  to  provide creative arts therapy services in this state must be
   50  licensed pursuant to article 163 of the education law to practice  crea-
   51  tive  arts  therapy  in this state. Each partner of a registered limited
   52  liability partnership formed to  provide  marriage  and  family  therapy
   53  services  in  this state must be licensed pursuant to article 163 of the
   54  education law to practice marriage and family  therapy  in  this  state.
   55  Each  partner  of  a  registered limited liability partnership formed to
   56  provide mental health counseling services in this state must be licensed
       A. 8569                            10
    1  pursuant to article 163 of the education law to practice  mental  health
    2  counseling in this state. Each partner of a registered limited liability
    3  partnership formed to provide psychoanalysis services in this state must
    4  be  licensed  pursuant  to  article 163 of the education law to practice
    5  psychoanalysis in this state.  EACH  PARTNER  OF  A  REGISTERED  LIMITED
    6  LIABILITY  PARTNERSHIP  FORMED  TO PROVIDE NATUROPATHIC SERVICES IN THIS
    7  STATE MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE EDUCATION LAW TO
    8  PRACTICE NATUROPATHY IN THIS STATE.
    9    S 7. Subdivision (q) of section 121-1502 of the  partnership  law,  as
   10  amended  by  chapter  230  of  the  laws  of 2004, is amended to read as
   11  follows:
   12    (q) Each partner of a  foreign  limited  liability  partnership  which
   13  provides  medical  services  in  this state must be licensed pursuant to
   14  article 131 of the education law to practice medicine in the  state  and
   15  each  partner  of a foreign limited liability partnership which provides
   16  dental services in the state must be licensed pursuant to article 133 of
   17  the education law to practice dentistry in this state. Each partner of a
   18  foreign limited liability partnership which provides veterinary  service
   19  in  the state shall be licensed pursuant to article 135 of the education
   20  law to practice veterinary medicine in this state.  Each  partner  of  a
   21  foreign  limited liability partnership which provides professional engi-
   22  neering, land surveying, architectural  and/or  landscape  architectural
   23  services in this state must be licensed pursuant to article 145, article
   24  147  and/or  article 148 of the education law to practice one or more of
   25  such professions. Each partner of a foreign limited  liability  partner-
   26  ship which provides licensed clinical social work services in this state
   27  must  be  licensed pursuant to article 154 of the education law to prac-
   28  tice licensed clinical social work in this  state.  Each  partner  of  a
   29  foreign limited liability partnership which provides creative arts ther-
   30  apy  services  in this state must be licensed pursuant to article 163 of
   31  the education law to practice creative arts therapy in this state.  Each
   32  partner  of  a  foreign  limited  liability  partnership  which provides
   33  marriage and family therapy services in  this  state  must  be  licensed
   34  pursuant  to  article  163 of the education law to practice marriage and
   35  family therapy in this state. Each partner of a foreign limited  liabil-
   36  ity partnership which provides mental health counseling services in this
   37  state  must  be licensed pursuant to article 163 of the education law to
   38  practice mental health counseling in  this  state.  Each  partner  of  a
   39  foreign  limited  liability  partnership  which  provides psychoanalysis
   40  services in this state must be licensed pursuant to article 163  of  the
   41  education  law to practice psychoanalysis in this state. EACH PARTNER OF
   42  A FOREIGN LIMITED  LIABILITY  PARTNERSHIP  WHICH  PROVIDES  NATUROPATHIC
   43  SERVICES IN THIS STATE MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE
   44  EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS STATE.
   45    S  8.  Paragraph  (a)  of  subdivision  1 of section 413 of the social
   46  services law, as amended by chapter 91 of the laws of 2011,  is  amended
   47  to read as follows:
   48    (a)  The  following  persons  and  officials are required to report or
   49  cause a report to be made in accordance with this title when  they  have
   50  reasonable  cause  to  suspect  that a child coming before them in their
   51  professional or official capacity is an abused or maltreated  child,  or
   52  when  they have reasonable cause to suspect that a child is an abused or
   53  maltreated child where the parent, guardian, custodian or  other  person
   54  legally  responsible  for  such child comes before them in their profes-
   55  sional or official capacity and states from  personal  knowledge  facts,
   56  conditions or circumstances which, if correct, would render the child an
       A. 8569                            11
    1  abused  or maltreated child: any physician; registered physician assist-
    2  ant; surgeon; medical  examiner;  coroner;  dentist;  dental  hygienist;
    3  osteopath;  optometrist;  chiropractor; podiatrist; LICENSED NATUROPATH;
    4  resident;  intern;  psychologist; registered nurse; social worker; emer-
    5  gency medical technician; licensed  creative  arts  therapist;  licensed
    6  marriage   and  family  therapist;  licensed  mental  health  counselor;
    7  licensed psychoanalyst; hospital personnel  engaged  in  the  admission,
    8  examination,  care  or treatment of persons; a Christian Science practi-
    9  tioner; school official, which includes but is  not  limited  to  school
   10  teacher,  school  guidance counselor, school psychologist, school social
   11  worker, school nurse, school administrator  or  other  school  personnel
   12  required  to  hold  a teaching or administrative license or certificate;
   13  social services worker; director of a children's overnight camp,  summer
   14  day  camp  or  traveling  summer  day camp, as such camps are defined in
   15  section thirteen hundred ninety-two of the public health law;  day  care
   16  center worker; school-age child care worker; provider of family or group
   17  family  day  care;  employee or volunteer in a residential care facility
   18  defined in subdivision four of section four  hundred  twelve-a  of  this
   19  title  or  any  other  child  care  or foster care worker; mental health
   20  professional;  substance  abuse  counselor;  alcoholism  counselor;  all
   21  persons  credentialed  by  the  office of alcoholism and substance abuse
   22  services; peace officer; police officer; district attorney or  assistant
   23  district  attorney;  investigator  employed  in the office of a district
   24  attorney; or other law enforcement official.
   25    S 9. This act shall take effect on the one hundred eightieth day after
   26  it shall have become a law; provided however, that effective  immediate-
   27  ly,  the  addition,  amendment  and/or  repeal of any rule or regulation
   28  necessary for the implementation of this act on its effective  date  are
   29  authorized  and directed to be made and completed by the commissioner of
   30  education and the board of regents on or before such effective date.
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