Bill Text: NY S03822 | 2025-2026 | General Assembly | Introduced
Bill Title: Makes conforming changes reflecting the previously authorized scope of practice of nurse practitioners; adds nurse practitioners as persons who can authorize or make certain determinations authorized to be made or determined by physicians.
Spectrum: Slight Partisan Bill (Democrat 2-1)
Status: (Introduced) 2025-01-30 - REFERRED TO HEALTH [S03822 Detail]
Download: New_York-2025-S03822-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 3822 2025-2026 Regular Sessions IN SENATE January 30, 2025 ___________ Introduced by Sens. RIVERA, JACKSON, WEIK -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, the education law, the vehicle and traffic law, and the judiciary law, in relation to making conform- ing changes reflecting the previously authorized scope of practice of nurse practitioners The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivisions 28 and 31 of section 206 of the public health 2 law, subdivision 28 as added by chapter 496 of the laws of 2011 and 3 subdivision 31 as added by chapter 500 of the laws of 2021, are amended 4 to read as follows: 5 28. The commissioner shall assist the commissioner of education in 6 developing rules and regulations, relating to pupils who suffer mild 7 traumatic brain injuries and the physicians and nurse practitioners 8 authorized to evaluate such pupils, in accordance with subdivision 9 forty-two of section three hundred five of the education law, and 10 provide for the posting on the department's internet website of such 11 information as shall be required pursuant to such subdivision. 12 31. The commissioner shall develop information, in conjunction with 13 the commissioner of education related to students who exhibit signs or 14 symptoms of pending or increased risk of sudden cardiac arrest. Such 15 information shall include, but not be limited to, the definition of 16 sudden cardiac arrest, signs and symptoms of sudden cardiac arrest, and 17 information for the physicians and nurse practitioners authorized to 18 evaluate whether a student may resume athletic activity. Such informa- 19 tion shall be posted on the department's website. 20 § 2. Subparagraph (iii) of paragraph a of subdivision 42 of section 21 305 of the education law, as added by chapter 496 of the laws of 2011, 22 is amended to read as follows: EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD05386-01-5S. 3822 2 1 (iii) requiring the immediate removal from athletic activities of any 2 pupil believed to have sustained or who has sustained a mild traumatic 3 brain injury. In the event that there is any doubt as to whether a pupil 4 has sustained a concussion, it shall be presumed that [he or she] such 5 pupil has been so injured until proven otherwise. No such pupil shall 6 resume athletic activity until [he or she] such pupil shall have been 7 symptom free for not less than twenty-four hours, and has been evaluated 8 by and received written and signed authorization from a licensed physi- 9 cian or a certified nurse practitioner. Such authorization shall be 10 kept on file in the pupil's permanent health record. Furthermore, such 11 rules and regulations shall provide guidelines for limitations and 12 restrictions on school attendance and activities for pupils who have 13 sustained mild traumatic brain injuries, consistent with the directives 14 of the pupil's treating physician or a nurse practitioner. 15 § 3. Subdivision b of section 923 of the education law, as added by 16 chapter 500 of the laws of 2021, is amended to read as follows: 17 b. The commissioner shall promulgate rules and regulations requiring 18 that any student displaying signs or symptoms of pending or increased 19 risk of sudden cardiac arrest shall be immediately removed from athletic 20 activities and shall not resume athletic activity until [he or she] such 21 student has been evaluated by and received written and signed authori- 22 zation from a licensed physician or a certified nurse practitioner. 23 Such authorization shall be kept on file in the pupil's permanent health 24 record. 25 § 4. Section 3624 of the education law, as amended by chapter 529 of 26 the laws of 2002, is amended to read as follows: 27 § 3624. Drivers, monitors and attendants. The commissioner shall 28 determine and define the qualifications of drivers, monitors and attend- 29 ants and shall make the rules and regulations governing the operation of 30 all transportation facilities used by pupils which rules and regulations 31 shall include, but not be limited to, a maximum speed of fifty-five 32 miles per hour for school vehicles engaged in pupil transportation that 33 are operated on roads, interstates or other highways, parkways or bridg- 34 es or portions thereof that have posted speed limits in excess of 35 fifty-five miles per hour, prohibitions relating to smoking, eating and 36 drinking and any and all other acts or conduct which would otherwise 37 impair the safe operation of such transportation facilities while actu- 38 ally being used for the transport of pupils. The employment of each 39 driver, monitor and attendant shall be approved by the chief school 40 administrator of a school district for each school bus operated within 41 [his or her] such chief school administrator's district. For the purpose 42 of determining [his or her] such driver, monitor and attendant's phys- 43 ical fitness, each driver, monitor and attendant may be examined on 44 order of the chief school administrator by a duly licensed physician or 45 nurse practitioner within two weeks prior to the beginning of service in 46 each school year as a school bus driver, monitor or attendant. The 47 report of the physician or certified nurse practitioner, in writing, 48 shall be considered by the chief school administrator in determining the 49 fitness of the driver to operate or continue to operate any transporta- 50 tion facilities used by pupils and in determining the fitness of any 51 monitor or attendant to carry out [his or her] such monitor or attend- 52 ant's functions on such transportation facilities. Nothing in this 53 section shall prohibit a school district from imposing a more restric- 54 tive speed limit policy for the operation of school vehicles engaged in 55 pupil transportation than the speed limit policy established by the 56 commissioner.S. 3822 3 1 § 5. Paragraph (i) of subdivision 1 and subdivision 3 of section 2 1203-a of the vehicle and traffic law, paragraph (i) of subdivision 1 as 3 amended by chapter 205 of the laws of 2024 and subdivision 3 as amended 4 by chapter 220 of the laws of 1984, are amended to read as follows: 5 (i) any resident of New York state who is a severely disabled person, 6 as defined in subdivision four of section four hundred four-a of this 7 chapter, upon application of such person or such person's parent or 8 guardian, provided, however, that an issuing agent shall issue permits 9 only to residents of the city, town or village in which such issuing 10 agent is located, except that, an issuing agent, in their discretion, 11 may issue a permit to a severely disabled person who is not a resident 12 of the city, town, or village in which such issuing agent is located 13 where such person resides in a city, town, or village in which the 14 governing body has not appointed an issuing agent; and an issuing agent, 15 in their discretion, may issue a temporary special vehicle identifica- 16 tion parking permit, as authorized by subdivision three of this section, 17 to a person who is temporarily unable to ambulate without the aid of an 18 assisting device, as certified by [a physician] any healthcare practi- 19 tioner authorized to certify that an individual is severely disabled 20 pursuant to subdivision four of section four hundred four-a of this 21 chapter, who resides in a city, town, or village in which the issuing 22 agent does not issue temporary special vehicle identification parking 23 permits, or who is not a resident of the United States and is temporar- 24 ily visiting the state; or 25 3. Notwithstanding any provision of this chapter to the contrary, any 26 municipality may issue a temporary special vehicle identification park- 27 ing permit to any person who is temporarily unable to ambulate without 28 the aid of an assisting device, as certified by [a physician] any 29 healthcare practitioner authorized to certify that an individual is 30 severely disabled pursuant to subdivision four of section four hundred 31 four-a of this chapter. Such temporary special vehicle identification 32 parking permit shall be valid for not more than six months and shall be 33 recognized statewide. 34 § 6. Paragraph (d) of subdivision 3 of section 1203-h of the vehicle 35 and traffic law, as added by chapter 243 of the laws of 2007, is amended 36 to read as follows: 37 (d) are severely disabled persons, as defined in subdivision four of 38 section four hundred four-a of this chapter, whose severe disability, as 39 certified by [a licensed physician] any healthcare practitioner author- 40 ized to certify that an individual is severely disabled pursuant to that 41 subdivision, limits one or more of the following: 42 (i) fine motor control in both hands; 43 (ii) ability to reach or access a parking meter due to use of a wheel- 44 chair or other ambulatory device; or 45 (iii) ability to reach a height of forty-two inches from the ground 46 due to the lack of finger, hand or upper extremity strength or mobility. 47 § 7. Paragraph (c) of subdivision 12-a of section 375 of the vehicle 48 and traffic law, as amended by chapter 135 of the laws of 1994, is 49 amended to read as follows: 50 (c) Any person required for medical reasons to be shielded from the 51 direct rays of the sun and/or any person operating a motor vehicle 52 belonging to such person or in which such person is an habitual passen- 53 ger shall be exempt from the provisions of subparagraphs one and two of 54 paragraph (b) of this subdivision provided the commissioner has granted 55 an exemption and notice of such exemption is affixed to the vehicle as 56 directed by the commissioner. The applicant for such exemption mustS. 3822 4 1 provide a physician's or nurse practitioner's statement with the reason 2 for the exemption, the name of the individual with a medically necessary 3 condition operating or transported in the vehicle, the specific condi- 4 tion involved, and the minimum level of light transmission required. The 5 commissioner shall only authorize exemptions where the medical condition 6 certified by the physician or nurse practitioner is contained on a list 7 of medical conditions prepared by the commissioner of health pursuant to 8 subdivision sixteen of section two hundred six of the public health law. 9 If such [such] exemption is granted, the commissioner shall make a 10 record thereof and shall distribute a sufficiently noticeable sticker to 11 the applicant to be attached to any window so shielded or altered pursu- 12 ant to such exemption. 13 § 8. Paragraph (iii) of subdivision 3 of section 509-d of the vehicle 14 and traffic law, as added by chapter 675 of the laws of 1985, is amended 15 to read as follows: 16 (iii) the initial qualifying medical examination form and the biennial 17 medical examination form completed by the carrier's physician or nurse 18 practitioner; 19 § 9. Section 509-k of the vehicle and traffic law, as added by chapter 20 1050 of the laws of 1974, is amended to read as follows: 21 § 509-k. Ill or fatigued operator. No driver shall operate a bus and a 22 motor carrier shall not permit a driver to operate a bus while the driv- 23 er's ability or alertness is so impaired, or so likely to become 24 impaired, through fatigue, illness or any other cause, as to make it 25 unsafe for [him] such driver to begin or continue to operate the bus. At 26 the request of the driver or the motor carrier such illness, fatigue, or 27 other cause shall be certified by a qualified physician or nurse practi- 28 tioner. However, in a case of grave emergency where the hazard to occu- 29 pants of the bus or other users of the highway would be increased by 30 compliance with this section, the driver may continue to operate the bus 31 to the nearest place at which that hazard is removed. 32 § 10. Subdivision 7 of section 1229-c of the vehicle and traffic law, 33 as added by chapter 365 of the laws of 1984, is amended to read as 34 follows: 35 7. The provisions of this section shall not apply to a passenger or 36 operator with a physically disabling condition whose physical disability 37 would prevent appropriate restraint in such safety seat or safety belt 38 provided, however, such condition is duly certified by a physician or 39 nurse practitioner who shall state the nature of the handicap, as well 40 as the reason such restraint is inappropriate. 41 § 11. Paragraph 1 of subdivision (a) of section 517 of the judiciary 42 law, as amended by chapter 380 of the laws of 2019, is amended to read 43 as follows: 44 (1) Except as otherwise provided in paragraph two of this subdivision, 45 the commissioner of jurors may, in [his or her] such commissioner's 46 discretion, on the application of a prospective juror who has been 47 summoned to attend, excuse such prospective juror from a part or the 48 whole of the time of jury service or may postpone the time of jury 49 service to a later day during the same or any subsequent term of the 50 court, provided that if the prospective juror is a breastfeeding mother 51 and submits with her application a note from a physician or nurse prac- 52 titioner indicating that the prospective juror is breastfeeding, the 53 commissioner shall excuse the prospective juror or postpone the time of 54 jury service. The application shall be presented to the commissioner at 55 such time and in such manner as [he or she] such commissioner shallS. 3822 5 1 require, except that an application for postponement of the initial date 2 for jury service may be made by telephone. 3 § 12. The amendments to the public health law, education law, vehicle 4 and traffic law, and judiciary law enacted by this act shall not be 5 construed to expand or contract the scope of practice of any health care 6 professional under title 8 of the education law. 7 § 13. This act shall take effect on the sixtieth day after it shall 8 have become a law.
