Bill Text: NY S01674 | 2009-2010 | General Assembly | Introduced


Bill Title: Relates to creating the profession of orthotics, prosthetic and pedorthic practice; provides licensing requirements therefor, and establishes a state board for orthotics, prosthetics and pedorthics for regulation of such practice within the department of education.

Spectrum: Partisan Bill (Republican 3-0)

Status: (Introduced - Dead) 2010-01-06 - REFERRED TO HIGHER EDUCATION [S01674 Detail]

Download: New_York-2009-S01674-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         1674
                              2009-2010 Regular Sessions
                                   I N  S E N A T E
                                   February 4, 2009
                                      ___________
       Introduced  by  Sens. FLANAGAN, LARKIN, VOLKER -- read twice and ordered
         printed, and when printed to be committed to the Committee  on  Higher
         Education
       AN  ACT  to amend the education law, in relation to creating the profes-
         sion of orthotics, prosthetic and pedorthic practice
         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 167 to
    2  read as follows:
    3                                 ARTICLE 167
    4                 ORTHOTIC, PROSTHETIC AND PEDORTHIC PRACTICE
    5  SECTION 8800. INTRODUCTION.
    6          8801. DEFINITIONS.
    7          8802. PRACTICE OF ORTHOTICS, PROSTHETICS AND PEDORTHICS; AND THE
    8                  USE   OF   THE  TITLES  "ORTHOTIST",  "PROSTHETIST"  AND
    9                  "PEDORTHIST".
   10          8803. STATE BOARD FOR ORTHOTICS, PROSTHETICS AND PEDORTHICS.
   11          8804. REQUIREMENTS AND PROCEDURES FOR PROFESSIONAL LICENSURE.
   12          8805. EXEMPTIONS.
   13          8806. LICENSURE WITHOUT EXAMINATION.
   14    S 8800. INTRODUCTION.  THIS  ARTICLE  APPLIES  TO  THE  PROFESSION  OF
   15  ORTHOTICS, PROSTHETICS AND PEDORTHICS, AND PROVIDES FOR THE LICENSING OF
   16  ORTHOTISTS  AND PROSTHETISTS AND PEDORTHISTS. THE GENERAL PROVISIONS FOR
   17  ALL PROFESSIONS CONTAINED IN ARTICLE ONE HUNDRED THIRTY  OF  THIS  TITLE
   18  APPLY TO THIS ARTICLE.
   19    S 8801. DEFINITIONS. AS USED IN THIS ARTICLE:
   20    1.  "ORTHOSIS"  MEANS  A  MEDICAL  DEVICE  USED  TO  PROVIDE  SUPPORT,
   21  CORRECTION, OR ALLEVIATION OF NEUROMUSCULAR OR MUSCULOSKELETAL  DYSFUNC-
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD03356-01-9
       S. 1674                             2
    1  TION,  DISEASE,  INJURY OR DEFORMITY, BUT DOES NOT INCLUDE THE FOLLOWING
    2  ASSISTIVE TECHNOLOGY DEVICES: UPPER EXTREMITY ADAPTIVE EQUIPMENT USED TO
    3  FACILITATE THE ACTIVITIES OF DAILY LIVING, INCLUDING  SPECIALIZED  UTEN-
    4  SILS,  COMBS, AND BRUSHES; FINGER SPLINTS; WHEELCHAIR SEATING AND EQUIP-
    5  MENT THAT IS AN INTEGRAL PART OF THE WHEELCHAIR  AND  NOT  WORN  BY  THE
    6  PATIENT;  ELASTIC  ABDOMINAL  SUPPORTS THAT DO NOT HAVE METAL OR PLASTIC
    7  REINFORCING STAYS; ARCH SUPPORTS;  NONTHERAPEUTIC  ACCOMMODATIVE  INLAYS
    8  AND NONTHERAPEUTIC ACCOMMODATIVE FOOTWEAR, REGARDLESS OF METHOD OF MANU-
    9  FACTURE;  UNMODIFIED,  OVER-THE-COUNTER  SHOES;  PREFABRICATED FOOT CARE
   10  PRODUCTS; DURABLE MEDICAL EQUIPMENT SUCH AS CANES, CRUTCHES, OR WALKERS;
   11  DENTAL APPLIANCES; OR DEVICES IMPLANTED INTO THE BODY BY A PHYSICIAN.
   12    FOR PURPOSES OF THIS SUBDIVISION, "ACCOMMODATIVE" MEANS DESIGNED  WITH
   13  THE  PRIMARY  GOAL OF CONFORMING TO THE INDIVIDUAL'S ANATOMY AND "INLAY"
   14  MEANS ANY REMOVABLE MATERIAL UPON WHICH THE FOOT DIRECTLY  RESTS  INSIDE
   15  THE SHOE AND WHICH MAY BE AN INTEGRAL DESIGN COMPONENT OF THE SHOE.
   16    2.  "ORTHOTICS" MEANS THE PRACTICE, PURSUANT TO A LICENSED PHYSICIAN'S
   17  WRITTEN PRESCRIPTION, OF EVALUATING, TREATMENT  FORMULATING,  MEASURING,
   18  DESIGNING,  FABRICATING,  ASSEMBLING,  FITTING, ADJUSTING, SERVICING, OR
   19  PROVIDING THE INITIAL TRAINING NECESSARY TO ACCOMPLISH THE FITTING OF AN
   20  ORTHOSIS OR PEDORTHIC DEVICE.
   21    3. "ORTHOTIST" MEANS A PERSON LICENSED TO PRACTICE ORTHOTICS  PURSUANT
   22  TO THIS CHAPTER.
   23    4. "PEDORTHIC DEVICE" MEANS THERAPEUTIC SHOES, SHOE MODIFICATIONS MADE
   24  FOR  THERAPEUTIC  PURPOSES, PROSTHETIC FILLERS OF THE FOREFOOT, AND FOOT
   25  ORTHOSES FOR USE FROM THE ANKLE AND BELOW, BUT  DOES  NOT  INCLUDE  ARCH
   26  SUPPORTS;  NONTHERAPEUTIC ACCOMMODATIVE INLAYS AND NONTHERAPEUTIC ACCOM-
   27  MODATIVE FOOTWEAR, REGARDLESS  OF  METHOD  OF  MANUFACTURE;  UNMODIFIED,
   28  OVER-THE-COUNTER   SHOES;  OR  PREFABRICATED  FOOT  CARE  PRODUCTS.  FOR
   29  PURPOSES OF THIS SUBDIVISION, "ACCOMMODATIVE" MEANS  DESIGNED  WITH  THE
   30  PRIMARY GOAL OF CONFORMING TO THE INDIVIDUAL'S ANATOMY AND "INLAY" MEANS
   31  ANY  REMOVABLE  MATERIAL  UPON  WHICH THE FOOT DIRECTLY RESTS INSIDE THE
   32  SHOE AND WHICH MAY BE AN INTEGRAL DESIGN COMPONENT OF THE SHOE.
   33    5. "PEDORTHICS" MEANS THE PRACTICE, PURSUANT TO A LICENSED PHYSICIAN'S
   34  WRITTEN PRESCRIPTION, OF EVALUATING, TREATMENT  FORMULATING,  MEASURING,
   35  DESIGNING,  FABRICATING,  ASSEMBLING,  FITTING, ADJUSTING, SERVICING, OR
   36  PROVIDING THE INITIAL TRAINING NECESSARY TO ACCOMPLISH THE FITTING OF  A
   37  PEDORTHIC DEVICE.
   38    6.  "PEDORTHIST" MEANS A PERSON LICENSED TO PRACTICE PEDORTHICS PURSU-
   39  ANT TO THIS CHAPTER.
   40    7. "PROSTHESIS" MEANS A MEDICAL  DEVICE  USED  TO  REPLACE  A  MISSING
   41  APPENDAGE  OR  OTHER  EXTERNAL  BODY PART, INCLUDING AN ARTIFICIAL LIMB,
   42  HAND, OR FOOT. IT DOES NOT INCLUDE SURGICALLY IMPLANTED DEVICES OR ARTI-
   43  FICIAL EYES; DENTAL APPLIANCES; OSTOMY PRODUCTS; COSMETIC  DEVICES  SUCH
   44  AS  BREAST  PROSTHESES, EYELASHES, OR WIGS; OR OTHER DEVICES THAT DO NOT
   45  HAVE A SIGNIFICANT IMPACT ON THE MUSCULOSKELETAL FUNCTIONS OF THE BODY.
   46    8. "PROSTHETICS" MEANS THE PRACTICE, PURSUANT  TO  A  LICENSED  PHYSI-
   47  CIAN'S WRITTEN PRESCRIPTION, OF EVALUATING, TREATMENT FORMULATING, MEAS-
   48  URING,  DESIGNING,  FABRICATING, ASSEMBLING, FITTING, ADJUSTING, SERVIC-
   49  ING, OR PROVIDING THE  INITIAL  TRAINING  NECESSARY  TO  ACCOMPLISH  THE
   50  FITTING OF A PROSTHESIS.
   51    9.  "PROSTHETIST"  MEANS  A  PERSON  LICENSED  TO PRACTICE PROSTHETICS
   52  PURSUANT TO THIS CHAPTER.
   53    10. "PROSTHETIST-ORTHOTIST" MEANS A PERSON LICENSED TO PRACTICE  AS  A
   54  PROSTHETIST AND AS AN ORTHOTIST.
   55    S 8802. PRACTICE OF ORTHOTICS, PROSTHETICS AND PEDORTHICS; AND THE USE
   56  OF  THE  TITLES  "ORTHOTIST",  "PROSTHETIST"  AND "PEDORTHIST".   ONLY A
       S. 1674                             3
    1  PERSON LICENSED OR OTHERWISE AUTHORIZED UNDER THIS ARTICLE  SHALL  PRAC-
    2  TICE  THE  PROFESSION  OF ORTHOTICS AND/OR PROSTHETICS OR PEDORTHICS, OR
    3  USE   THE   TITLE   "ORTHOTIST",    "PROSTHETIST",    "PEDORTHIST"    OR
    4  "PROSTHETIST/ORTHOTIST"  IN  CONNECTION WITH HIS OR HER NAME OR WITH ANY
    5  TRADE NAME IN THE CONDUCT OF HIS OR HER PROFESSION.
    6    S 8803. STATE BOARD FOR ORTHOTICS, PROSTHETICS AND  PEDORTHICS.  1.  A
    7  STATE BOARD FOR ORTHOTICS, PROSTHETICS AND PEDORTHICS SHALL BE APPOINTED
    8  BY  THE BOARD OF REGENTS UPON THE RECOMMENDATION OF THE COMMISSIONER FOR
    9  THE PURPOSE OF ASSISTING THE BOARD OF  REGENTS  AND  THE  DEPARTMENT  ON
   10  MATTERS OF LICENSURE AND PROFESSIONAL CONDUCT IN ACCORDANCE WITH SECTION
   11  SIXTY-FIVE HUNDRED EIGHT OF THIS TITLE.
   12    2.  THE BOARD SHALL CONSIST OF NINE INDIVIDUALS, TO BE COMPOSED OF THE
   13  FOLLOWING:
   14    (A) SIX MEMBERS SHALL BE LICENSED OR EXEMPT PURSUANT TO THIS ARTICLE;
   15    (B) ONE MEMBER WHO SHALL BE AN EDUCATOR OF ORTHOTICS AND/OR  PROSTHET-
   16  ICS;
   17    (C) ONE MEMBER WHO SHALL BE A LICENSED PHYSICIAN;
   18    (D) ONE MEMBER WHO SHALL BE AN INDIVIDUAL NOT POSSESSING EITHER LICEN-
   19  SURE  OR  TRAINING IN MEDICINE, ORTHOTICS, PROSTHETICS OR PEDORTHICS AND
   20  SHALL REPRESENT THE PUBLIC AT LARGE;
   21    3. MEMBERS OF THE BOARD SHALL SERVE TWO YEAR TERMS, PROVIDED, HOWEVER,
   22  THAT NO MEMBER SHALL SERVE MORE THAN TWO TERMS.
   23    4. AN EXECUTIVE SECRETARY TO THE BOARD SHALL BE APPOINTED BY THE BOARD
   24  OF REGENTS ON RECOMMENDATION OF THE COMMISSIONER.
   25    S 8804. REQUIREMENTS AND PROCEDURES  FOR  PROFESSIONAL  LICENSURE.  TO
   26  QUALIFY  FOR  A  LICENSE  FOR THE PRACTICE OF ORTHOTICS, PROSTHETICS AND
   27  PEDORTHICS, AN APPLICANT SHALL FULFILL THE FOLLOWING REQUIREMENTS:
   28    1. APPLICATION. FILE AN APPLICATION WITH THE DEPARTMENT;
   29    2. EDUCATION.
   30    (A)(I) FOR A LICENSE TO PRACTICE ORTHOTICS AND/OR PROSTHETICS COMPLETE
   31  EDUCATIONAL PREPARATION OF A FOUR-YEAR BACCALAUREATE OR HIGHER DEGREE IN
   32  ORTHOTICS AND/OR PROSTHETICS FROM AN ACCREDITED COLLEGE PROGRAM APPROVED
   33  BY THE STATE BOARD; OR
   34    (II) SUBMIT EVIDENCE OF  LICENSE  OR  CERTIFICATION,  THE  EDUCATIONAL
   35  PREPARATION  FOR  WHICH IS DETERMINED BY THE DEPARTMENT TO BE EQUIVALENT
   36  TO A COLLEGE PROGRAM REQUIRED BY SUBPARAGRAPH  (I)  OF  THIS  PARAGRAPH,
   37  FROM ANY STATE OR COUNTRY, SATISFACTORY TO THE DEPARTMENT AND IN ACCORD-
   38  ANCE WITH THE COMMISSIONER'S REGULATIONS;
   39    (B)  FOR  A LICENSE TO PRACTICE PEDORTHICS HAVE RECEIVED A HIGH SCHOOL
   40  DIPLOMA OR ITS EQUIVALENT, HAVE A MINIMUM OF ONE HUNDRED TWENTY HOURS OF
   41  TRAINING AS APPROVED BY THE BOARD AND HAVE COMPLETED  AN  INTERNSHIP  OF
   42  EIGHTY HOURS QUALIFIED WORKING EXPERIENCE AS APPROVED BY THE BOARD.
   43    3.  EXPERIENCE.  HAVE  EXPERIENCE  SATISFACTORY TO THE STATE BOARD FOR
   44  ORTHOTICS, PROSTHETICS AND PEDORTHICS IN ACCORDANCE WITH THE COMMISSION-
   45  ER'S REGULATIONS;
   46    4. EXAMINATION. PASS AN ORAL, WRITTEN AND PRACTICAL EXAMINATION SATIS-
   47  FACTORY TO THE STATE BOARD FOR ORTHOTICS, PROSTHETICS AND PEDORTHICS AND
   48  IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
   49    5. AGE. BE AT LEAST TWENTY-ONE YEARS OF AGE;
   50    6. CHARACTER. BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE  DEPART-
   51  MENT;
   52    7. CITIZENSHIP OR IMMIGRATION STATUS. BE A UNITED STATES CITIZEN OR AN
   53  ALIEN  LAWFULLY  ADMITTED  FOR PERMANENT RESIDENCE IN THE UNITED STATES;
   54  AND
   55    8. FEES. PAY A FEE OF THREE HUNDRED FIFTY DOLLARS  TO  THE  DEPARTMENT
   56  FOR  ADMISSION  TO A DEPARTMENT CONDUCTED EXAMINATION AND FOR AN INITIAL
       S. 1674                             4
    1  LICENSE; A FEE OF ONE HUNDRED FIFTY DOLLARS FOR  EACH  REEXAMINATION;  A
    2  FEE  OF  TWO  HUNDRED  DOLLARS  FOR  AN  INITIAL LICENSE FOR PERSONS NOT
    3  REQUIRING ADMISSION TO A DEPARTMENT CONDUCTED EXAMINATION; AND A FEE  OF
    4  FIVE HUNDRED DOLLARS FOR EACH TRIENNIAL REGISTRATION PERIOD.
    5    S  8805.  EXEMPTIONS.  NOTHING  IN  THIS ARTICLE SHALL BE CONSTRUED TO
    6  AFFECT, PREVENT OR IN ANY MANNER EXPAND OR LIMIT:
    7    1. THE AUTHORITY OF ANY PERSON OTHERWISE AUTHORIZED BY  LAW  OR  REGU-
    8  LATION  TO PRACTICE OR PERFORM ANY FUNCTION OF AN ORTHOTIST, PROSTHETIST
    9  OR PEDORTHIST; OR
   10    2. THE ACTIVITIES AND SERVICES OF ANY PERSON WHO IS LICENSED TO  PRAC-
   11  TICE MEDICINE AND SURGERY, DENTISTRY OR PODIATRY BY THE STATE; OR
   12    3.  AN  ORTHOTIST, PROSTHETIST OR PEDORTHIST LICENSED IN ANOTHER STATE
   13  OR  COUNTRY  FROM  CONDUCTING  A  TEACHING  CLINICAL  DEMONSTRATION   IN
   14  CONNECTION  WITH  A PROGRAM OF BASIC CLINICAL EDUCATION, GRADUATE EDUCA-
   15  TION, OR POSTGRADUATE EDUCATION IN  AN  APPROVED  SCHOOL  OF  ORTHOTICS,
   16  PROSTHETICS  OR  PEDORTHICS  OR  IN  ITS AFFILIATED CLINICAL FACILITY OR
   17  HEALTH CARE AGENCY, OR BEFORE A GROUP OF LICENSED  ORTHOTISTS,  PROSTHE-
   18  TISTS OR PEDORTHISTS WHO ARE MEMBERS OF A PROFESSIONAL SOCIETY; OR
   19    4.  AN  ORTHOTIC  OR PROSTHETIC SPECIALIST WHO IS SERVING IN THE ARMED
   20  FORCES OR THE PUBLIC HEALTH SERVICE OF THE UNITED STATES OR IS  EMPLOYED
   21  BY THE VETERANS ADMINISTRATION FROM PRACTICING THE PROFESSION OF ORTHOT-
   22  ICS OR PROSTHETICS, PROVIDED SUCH PRACTICE IS LIMITED TO SUCH SERVICE OR
   23  EMPLOYMENT; OR
   24    5.  AN  ORTHOTIC OR PROSTHETIC STUDENT FROM ENGAGING IN CLINICAL PRAC-
   25  TICE UNDER THE SUPERVISION OF A LICENSED  ORTHOTIST  OR  PROSTHETIST  AS
   26  PART  OF A PROGRAM CONDUCTED IN AN APPROVED SCHOOL OF ORTHOTICS OR PROS-
   27  THETICS, OR IN A CLINICAL FACILITY OR HEALTH CARE AGENCY AFFILIATED WITH
   28  THE SCHOOL OF ORTHOTICS OR PROSTHETICS AND THE SUPERVISION OF AN ORTHOT-
   29  IC OR PROSTHETIC STUDENT BY A LICENSED ORTHOTIST OR PROSTHETIST SHALL BE
   30  ON-SITE SUPERVISION AND NOT NECESSARILY DIRECT PERSONAL SUPERVISION; OR
   31    6. AN ORTHOTIC OR PROSTHETIC GRADUATE  OF  AN  APPROVED  PROGRAM  FROM
   32  ENGAGING  IN  CLINICAL  PRACTICE  UNDER THE ON-SITE, BUT NOT NECESSARILY
   33  DIRECT PERSONAL SUPERVISION  OF  A  LICENSED  ORTHOTIST  OR  PROSTHETIST
   34  PROVIDED  THE  GRADUATE HAS APPLIED AND PAID A FEE FOR THE LICENSING AND
   35  EXAMINATION.
   36    S 8806. LICENSURE WITHOUT EXAMINATION. 1. WITHIN EIGHTEEN MONTHS AFTER
   37  THE EFFECTIVE DATE OF REGULATIONS IMPLEMENTING THE  PROVISIONS  OF  THIS
   38  ARTICLE,  THE  DEPARTMENT MAY ISSUE A LICENSE TO PRACTICE THE PROFESSION
   39  OF ORTHOTICS, PROSTHETICS OR PEDORTHICS  WITHOUT  AN  EXAMINATION  TO  A
   40  PERSON  WHO  MEETS  THE  REQUIREMENTS OF SUBDIVISIONS ONE, FIVE, SIX AND
   41  SEVEN OF SECTION EIGHTY-EIGHT HUNDRED FOUR OF THIS ARTICLE  AND  WHO  IN
   42  ADDITION  HAS  PRACTICED  FULL-TIME FOR THE PAST FIVE YEARS IN AN ESTAB-
   43  LISHED PROSTHETIC, ORTHOTIC  OR  PEDORTHIC  FACILITY  AS  AN  ORTHOTIST,
   44  PROSTHETIST  OR  PEDORTHIST. THE APPLICANT MAY OBTAIN A LICENSE TO PRAC-
   45  TICE ORTHOTICS, PROSTHETICS OR PEDORTHICS UNDER THE PROVISIONS  OF  THIS
   46  ARTICLE  AFTER  THE BOARD HAS COMPLETED AN INVESTIGATION INTO THE APPLI-
   47  CANT'S WORK HISTORY. SUCH INVESTIGATION MAY INCLUDE, BUT IS NOT  LIMITED
   48  TO,  SUBMISSION  BY  THE  APPLICANT  OF  A SWORN STATEMENT DETAILING THE
   49  APPLICANT'S WORK HISTORY AND SCOPE OF PRACTICE. THE BOARD SHALL COMPLETE
   50  ITS INVESTIGATION FOR THE PURPOSES OF THIS SUBDIVISION WITHIN SIX MONTHS
   51  AFTER THE DATE OF THE APPLICATION.
   52    2. THE PROVISIONS OF THIS ARTICLE SHALL NOT BE DEEMED  TO  AFFECT  THE
   53  VALIDITY OF ANY LICENSE OR PERMIT RELATING TO THE PRACTICE OF ORTHOTICS,
   54  PROSTHETICS  OR PEDORTHICS IN EFFECT PRIOR TO THE EFFECTIVE DATE OF THIS
   55  ARTICLE, OR THE CONTINUATION OR ANY ADMINISTRATIVE ACTION OR  PROCEEDING
   56  COMMENCED PRIOR TO SUCH EFFECTIVE DATE.
       S. 1674                             5
    1    S  2.  This  act shall take effect January 1, 2010; provided, however,
    2  that any actions necessary for the implementation of the  provisions  of
    3  this  act  on  its  effective  date are authorized to be completed on or
    4  before such effective date.
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