Bill Text: NY S01803 | 2011-2012 | General Assembly | Amended


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: Bipartisan Bill

Status: (Engrossed - Dead) 2012-06-13 - PRINT NUMBER 1803E [S01803 Detail]

Download: New_York-2011-S01803-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        1803--E
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 12, 2011
                                      ___________
       Introduced  by  Sens.  LAVALLE,  ADDABBO,  AVELLA, BONACIC, DIAZ, DILAN,
         HASSELL-THOMPSON, LARKIN, MAZIARZ, SEWARD -- read  twice  and  ordered
         printed,  and  when printed to be committed to the Committee on Higher
         Education -- reported favorably from said committee and  committed  to
         the  Committee  on  Finance  --  committee  discharged,  bill amended,
         ordered reprinted as amended and  recommitted  to  said  committee  --
         committee  discharged,  bill amended, ordered reprinted as amended and
         recommitted to said committee -- recommitted to the Committee on High-
         er Education in accordance with Senate Rule 6,  sec.  8  --  committee
         discharged, bill amended, ordered reprinted as amended and recommitted
         to  said  committee  --  reported  favorably  from  said committee and
         committed to the Committee on Finance --  committee  discharged,  bill
         amended,  ordered reprinted as amended and recommitted to said commit-
         tee --  committee  discharged,  bill  amended,  ordered  reprinted  as
         amended and recommitted to said committee
       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
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD01174-11-2
       S. 1803--E                          2
    1  common health conditions and disease prevention.  Naturopaths serve  the
    2  public as experts in drug/nutrient and drug/herb interactions.
    3    S  2.  The  education  law is amended by adding a new article 132-A to
    4  read as follows:
    5                                ARTICLE 132-A
    6                                 NATUROPATHS
    7  SECTION 6575. INTRODUCTION.
    8          6576. DEFINITIONS.
    9          6577. DEFINITION OF THE PRACTICE OF NATUROPATHY.
   10          6578. TITLE AND DESIGNATION.
   11          6579. QUALIFICATIONS FOR LICENSURE.
   12          6580. STATE BOARD FOR NATUROPATHY.
   13          6581. EXEMPTIONS.
   14          6582. SPECIAL PROVISIONS.
   15          6583. PROHIBITIONS.
   16          6584. MANDATORY CONTINUING COMPETENCY.
   17    S 6575. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSURE AND  REGU-
   18  LATION  OF  NATUROPATHIC  DOCTORS TO PRACTICE NATUROPATHY IN THIS STATE.
   19  THE GENERAL PROVISIONS FOR ALL  PROFESSIONS  CONTAINED  IN  ARTICLE  ONE
   20  HUNDRED  THIRTY,  AS  ADDED  BY CHAPTER NINE HUNDRED EIGHTY-SEVEN OF THE
   21  LAWS OF NINETEEN HUNDRED SEVENTY-ONE, OF THIS TITLE APPLY TO THIS  ARTI-
   22  CLE.
   23    S  6576.  DEFINITIONS.  FOR  THE  PURPOSES  OF  THIS ARTICLE, THE TERM
   24  "BOARD" MEANS THE STATE BOARD FOR NATUROPATHY.
   25    S 6577. DEFINITION OF THE PRACTICE OF NATUROPATHY.   THE  PRACTICE  OF
   26  NATUROPATHY BY A LICENSED NATUROPATHY PRACTITIONER INVOLVES THE APPLICA-
   27  TION OF NON-PHARMACEUTICAL AND NON-SURGICAL TREATMENTS, WHICH COMPLEMENT
   28  MEDICAL  TREATMENT  AS  DEFINED  PURSUANT  TO SECTION SIXTY-FIVE HUNDRED
   29  TWENTY-ONE OF  THIS  TITLE,  TO  ENCOURAGE  AND  FACILITATE  THE  BODY'S
   30  SELF-HEALING  PROCESS. THE PRACTICE OF NATUROPATHY BY A LICENSED NATURO-
   31  PATHY DOCTOR INVOLVES THE APPLICATION OF THE FOLLOWING  HEALING  SYSTEMS
   32  OF  PHYSICAL,  NUTRITIONAL  OR  NATURAL AGENT REGIMENS; DIETARY CHANGES;
   33  VITAMINS, MINERALS AND OTHER DIETARY  SUPPLEMENTS  AND  OVER-THE-COUNTER
   34  HERBAL MEDICINE; COUNSELING AND EDUCATION ON LIFESTYLE CHANGES; HOMEOPA-
   35  THY;  HYDROTHERAPY,  MANIPULATION AND MOBILIZATION; EXERCISE THERAPY AND
   36  MIND-BODY THERAPIES SUCH AS YOGA  AND  MEDITATION  (A  CONSCIOUS  MENTAL
   37  PROCESS  USING  CERTAIN  TECHNIQUES, SUCH AS FOCUSING ATTENTION OR MAIN-
   38  TAINING A SPECIFIC POSTURE TO SUSPEND THE STREAM OF THOUGHTS  AND  RELAX
   39  THE  BODY  AND  MIND).  A  PHYSICIAN  MUST  SUPERVISE  THE PRACTICE OF A
   40  LICENSED NATUROPATHY PRACTITIONER.
   41    S 6578. TITLE AND DESIGNATION.   ONLY A  PERSON  LICENSED  UNDER  THIS
   42  ARTICLE  MAY  USE  ANY  OR  ALL  OF THE FOLLOWING TERMS, CONSISTENT WITH
   43  ACADEMIC DEGREES EARNED: "DOCTOR OF NATUROPATHY", "DOCTOR OF NATUROPATH-
   44  IC MEDICINE" OR  ITS  ABBREVIATION,  "ND",  "NATUROPATH",  "NATUROPATHIC
   45  DOCTOR"  OR  "LICENSED NATUROPATH".   HOWEVER, NONE OF SUCH TERMS OR ANY
   46  COMBINATION OF SUCH TERMS SHALL BE SO USED TO CONVEY THE IDEA  THAT  THE
   47  INDIVIDUAL WHO USES SUCH TERM PRACTICES ANYTHING OTHER THAN NATUROPATHY.
   48    S  6579.  QUALIFICATIONS  FOR  LICENSURE.  TO QUALIFY FOR A LICENSE TO
   49  PRACTICE NATUROPATHY, AN APPLICANT SHALL FULFILL THE FOLLOWING  REQUIRE-
   50  MENTS:
   51    1. APPLICATION. FILE AN APPLICATION WITH THE DEPARTMENT;
   52    2.  EDUCATION. HAVE RECEIVED A DOCTORAL DEGREE OR DIPLOMA AS A NATURO-
   53  PATHIC DOCTOR (ND) OR  DOCTOR  OF  NATUROPATHIC  MEDICINE  (ND)  FROM  A
   54  PROGRAM  OF NATUROPATHIC MEDICINE REGISTERED BY THE DEPARTMENT OR DETER-
   55  MINED BY THE DEPARTMENT THAT MEETS NATIONALLY  RECOGNIZED  ACCREDITATION
       S. 1803--E                          3
    1  STANDARDS  SATISFACTORY  TO THE BOARD AND DETERMINED TO BE SUBSTANTIALLY
    2  EQUIVALENT AND IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
    3    3. EXPERIENCE. AS OF THE YEAR TWO THOUSAND FIFTEEN, HAVE SATISFACTORI-
    4  LY  COMPLETED  AN APPROVED CLINICAL POST-GRADUATE RESIDENCY TRAINING, OF
    5  NOT LESS THAN TWELVE MONTHS DURATION, UNDER THE DIRECT SUPERVISION OF  A
    6  GRADUATE  OF  AN APPROVED PROGRAM WITH A MINIMUM OF TWO YEARS OF PROFES-
    7  SIONAL CLINICAL ACTIVITY AND IN ACCORDANCE WITH THE COMMISSIONER'S REGU-
    8  LATIONS;
    9    4. EXAMINATION. PASS AN EXAMINATION THAT MEETS  NATIONALLY  RECOGNIZED
   10  TEST  DEVELOPMENT  STANDARDS  AND  TEST  COMPETENCIES  FOR  NATUROPATHIC
   11  DOCTORS SATISFACTORY TO THE BOARD AND IN ACCORDANCE WITH THE COMMISSION-
   12  ER'S REGULATIONS;
   13    5. AGE. BE AT LEAST TWENTY-ONE YEARS OF AGE;
   14    6. CHARACTER. BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE  DEPART-
   15  MENT; AND
   16    7.  FEES.  PAY  A FEE OF THREE HUNDRED FIFTY DOLLARS TO THE DEPARTMENT
   17  FOR AN INITIAL LICENSE AND A FEE OF FIVE HUNDRED DOLLARS FOR EACH TRIEN-
   18  NIAL REGISTRATION PERIOD.
   19    S 6580. STATE BOARD FOR NATUROPATHY. A  STATE  BOARD  FOR  NATUROPATHY
   20  SHALL  BE APPOINTED BY THE BOARD OF REGENTS ON THE RECOMMENDATION OF THE
   21  COMMISSIONER FOR THE PURPOSE OF ASSISTING THE BOARD OF REGENTS  AND  THE
   22  DEPARTMENT  ON  MATTERS  OF LICENSING AND REGULATION. THE BOARD SHALL BE
   23  COMPOSED OF SIX LICENSED MEMBERS FROM THE PROFESSION  LICENSED  PURSUANT
   24  TO THIS ARTICLE AND TWO PUBLIC REPRESENTATIVES WHO DO NOT HOLD INTERESTS
   25  IN THE ORGANIZATION, FINANCING, OR DELIVERY OF NATUROPATHIC SERVICES AND
   26  ONE LICENSED PHYSICIAN WHO IS EITHER A DOCTOR OF MEDICINE OR A DOCTOR OF
   27  OSTEOPATHY.  MEMBERS  OF  THE  FIRST BOARD NEED NOT BE LICENSED PRIOR TO
   28  THEIR APPOINTMENT TO THE BOARD BUT SHALL HAVE MET ALL OTHER REQUIREMENTS
   29  OF LICENSING UNDER SUBDIVISION TWO OF SECTION SIXTY-FIVE HUNDRED  SEVEN-
   30  TY-NINE  OF THIS ARTICLE AND SHALL HAVE RESIDED IN THE STATE OF NEW YORK
   31  FOR AT LEAST TWO YEARS PRECEDING THEIR APPOINTMENT TO THE INITIAL BOARD.
   32  THE TERMS OF THE FIRST APPOINTED MEMBERS  SHALL  BE  STAGGERED  SO  THAT
   33  THREE ARE APPOINTED FOR THREE YEARS, THREE ARE APPOINTED FOR FOUR YEARS,
   34  AND  THREE  ARE  APPOINTED FOR FIVE YEARS. AN EXECUTIVE SECRETARY TO THE
   35  BOARD SHALL BE APPOINTED BY THE BOARD OF REGENTS  ON  RECOMMENDATION  OF
   36  THE COMMISSIONER.
   37    S  6581.  EXEMPTIONS.  NOTHING  CONTAINED  IN  THIS  ARTICLE  SHALL BE
   38  CONSTRUED TO AFFECT OR PREVENT THE FOLLOWING:
   39    1. A LICENSED PHYSICIAN FROM  PRACTICING  HIS  OR  HER  PROFESSION  AS
   40  DEFINED   UNDER   ARTICLES   ONE  HUNDRED  THIRTY-ONE  AND  ONE  HUNDRED
   41  THIRTY-ONE-B OF THIS TITLE; A REGISTERED PROFESSIONAL NURSE OR A  CERTI-
   42  FIED  NURSE  PRACTITIONER  PRACTICING  HIS  OR HER PROFESSION AS DEFINED
   43  UNDER ARTICLE ONE  HUNDRED  THIRTY-NINE  OF  THIS  TITLE;  OR  QUALIFIED
   44  MEMBERS  OF  OTHER PROFESSIONS LICENSED UNDER THIS TITLE FROM PERFORMING
   45  THE PRACTICE OF THEIR PROFESSIONS, EXCEPT THAT SUCH PERSONS MAY NOT HOLD
   46  THEMSELVES OUT UNDER THE TITLE NATUROPATH OR  AS PERFORMING NATUROPATHY;
   47    2. A STUDENT, INTERN OR RESIDENT IN, AND  AS  PART  OF,  A  SUPERVISED
   48  EDUCATIONAL PROGRAM IN AN INSTITUTION APPROVED BY THE DEPARTMENT;
   49    3.  THE  USE BY NON-NATUROPATHIC DOCTORS, OF THERAPIES USED BY NATURO-
   50  PATHIC DOCTORS, INCLUDING, BUT  NOT  LIMITED  TO  HOMEOPATHIC  REMEDIES,
   51  NUTRITIONAL  AND  DIETARY  SUPPLEMENTS,  HERBS, AND SUCH FORCES AS HEAT,
   52  COLD, WATER, TOUCH AND LIGHT.
   53    S 6582. SPECIAL PROVISIONS.   THE COMMISSIONER MAY  ADOPT  SUCH  REGU-
   54  LATIONS  AS APPROPRIATE TO LICENSE INDIVIDUALS WHO MEET THE REQUIREMENTS
   55  FOR LICENSE ESTABLISHED IN THIS ARTICLE,  EXCEPT  FOR  EXAMINATION  AND,
   56  WHOSE  STANDARDS ARE ACCEPTABLE TO THE COMMISSIONER. THE APPLICANT SHALL
       S. 1803--E                          4
    1  SUBMIT WITHIN ONE HUNDRED EIGHTY DAYS OF  THE  EFFECTIVE  DATE  OF  THIS
    2  SECTION  EVIDENCE  SATISFACTORY  TO  THE  DEPARTMENT OF HAVING GRADUATED
    3  PRIOR TO NINETEEN HUNDRED EIGHTY-SEVEN FROM AN APPROVED PROGRAM.
    4    S  6583.  PROHIBITIONS. A NATUROPATHY PRACTITIONER LICENSED UNDER THIS
    5  ARTICLE SHALL BE PROHIBITED FROM:
    6    1. PRESCRIBING OR ADMINISTERING  DRUGS  WHICH  WOULD  BE  PREPARED  OR
    7  DISPENSED BY A STATE LICENSED PHARMACIST; AND AS DEFINED IN THIS CHAPTER
    8  AS A TREATMENT, THERAPY OR PROFESSIONAL SERVICE IN THE PRACTICE OF NATU-
    9  ROPATHY; AND
   10    2. USING INVASIVE PROCEDURES IN TESTING OR AS A TREATMENT, THERAPY, OR
   11  PROFESSIONAL  SERVICE  IN  THE  PRACTICE OF NATUROPATHY. FOR PURPOSES OF
   12  THIS SUBDIVISION, "INVASIVE PROCEDURE"  MEANS  ANY  PROCEDURE  IN  WHICH
   13  HUMAN  TISSUE IS CUT, ALTERED, OR OTHERWISE INFILTRATED BY MECHANICAL OR
   14  OTHER MEANS.  INVASIVE PROCEDURE INCLUDES BUT IS NOT LIMITED TO SURGERY,
   15  LASERS, GIVING INJECTIONS, DRAWING BLOOD, IONIZING RADIATION,  THERAPEU-
   16  TIC  ULTRASOUND,  ELECTROCONVULSIVE THERAPY, ELECTRICAL SHOCK THERAPY OR
   17  ELECTROMYOGRAPHY; AND
   18    3. PRACTICING OR CLAIMING TO PRACTICE AS A MEDICAL DOCTOR,  OSTEOPATH,
   19  DENTIST,  PODIATRIST,  OPTOMETRIST,  PSYCHOLOGIST,  REGISTERED  PRACTICE
   20  NURSE, ADVANCE PRACTICE PROFESSIONAL NURSE, MIDWIFE,  PHYSICIAN  ASSIST-
   21  ANT,  CHIROPRACTOR,  PHYSICAL  THERAPIST,  ACUPUNCTURIST,  MENTAL HEALTH
   22  THERAPIST OR ANY OTHER HEALTH CARE PROFESSIONAL NOT AUTHORIZED  IN  THIS
   23  CHAPTER; AND
   24    4.  USING ANESTHESIA OR ANY OTHER MEANS OF SEDATION IN THE PRACTICE OF
   25  NATUROPATHY; AND
   26    5. PROVIDING OBSTETRICAL SERVICES; AND
   27    6. PROVIDING PSYCHOTHERAPY SERVICES; AND
   28    7. ORDERING OR INTERPRETING  X-RAYS  AND  MAGNETIC  RESONANCE  IMAGING
   29  STUDIES; AND
   30    8. ORDERING OR INTERPRETING DIAGNOSTIC TESTS; AND
   31    9. SETTING FRACTURES.
   32    ENGAGING  IN  ANY  OF  THE  ACTIVITIES SET FORTH IN THIS SECTION SHALL
   33  CONSTITUTE  PROFESSIONAL  MISCONDUCT  PURSUANT  TO  SECTION   SIXTY-FIVE
   34  HUNDRED NINE OF THIS TITLE.
   35    S  6584.  MANDATORY CONTINUING COMPETENCY. 1. A. EACH LICENSED NATURO-
   36  PATH REQUIRED UNDER  THIS  ARTICLE  TO  REGISTER  TRIENNIALLY  WITH  THE
   37  DEPARTMENT  TO PRACTICE IN THE STATE SHALL COMPLY WITH THE PROVISIONS OF
   38  THE MANDATORY CONTINUING COMPETENCY REQUIREMENTS PRESCRIBED IN  SUBDIVI-
   39  SION  TWO  OF  THIS SECTION, EXCEPT AS PROVIDED IN PARAGRAPHS B AND C OF
   40  THIS SUBDIVISION. LICENSED NATUROPATHS WHO DO NOT SATISFY THE  MANDATORY
   41  CONTINUING  COMPETENCY  REQUIREMENTS SHALL NOT BE AUTHORIZED TO PRACTICE
   42  UNTIL THEY HAVE MET SUCH REQUIREMENTS,  AND  THEY  HAVE  BEEN  ISSUED  A
   43  REGISTRATION CERTIFICATE, EXCEPT THAT A LICENSED NATUROPATH MAY PRACTICE
   44  WITHOUT  HAVING  MET  SUCH  REQUIREMENTS IF HE OR SHE IS ISSUED A CONDI-
   45  TIONAL REGISTRATION PURSUANT TO SUBDIVISION THREE OF THIS SECTION.
   46    B. ADJUSTMENT TO THE MANDATORY CONTINUING COMPETENCY REQUIREMENTS  MAY
   47  BE GRANTED BY THE DEPARTMENT FOR REASONS OF HEALTH OF THE LICENSEE WHERE
   48  CERTIFIED  BY  AN  APPROPRIATE  HEALTH  CARE  PROFESSIONAL, FOR EXTENDED
   49  ACTIVE DUTY WITH THE ARMED FORCES OF THE UNITED  STATES,  OR  FOR  OTHER
   50  GOOD CAUSE ACCEPTABLE TO THE DEPARTMENT WHICH MAY PREVENT COMPLIANCE.
   51    C. A LICENSED NATUROPATH NOT ENGAGED IN PRACTICE, AS DETERMINED BY THE
   52  DEPARTMENT,  SHALL  BE  EXEMPT  FROM THE MANDATORY CONTINUING COMPETENCY
   53  REQUIREMENT UPON THE FILING OF A STATEMENT WITH THE DEPARTMENT DECLARING
   54  SUCH STATUS. ANY LICENSEE WHO RETURNS TO THE PRACTICE OF LICENSED  NATU-
   55  ROPATH DURING THE TRIENNIAL REGISTRATION PERIOD SHALL NOTIFY THE DEPART-
   56  MENT  PRIOR  TO  REENTERING THE PROFESSION AND SHALL MEET SUCH MANDATORY
       S. 1803--E                          5
    1  CONTINUING COMPETENCY REQUIREMENTS AS SHALL BE PRESCRIBED BY REGULATIONS
    2  OF THE COMMISSIONER.
    3    2.  A.  DURING  EACH  TRIENNIAL  REGISTRATION  PERIOD AN APPLICANT FOR
    4  REGISTRATION AS A LICENSED NATUROPATH SHALL COMPLETE A MINIMUM OF  THIR-
    5  TY-SIX  HOURS  OF  LEARNING  ACTIVITIES  WHICH  CONTRIBUTE TO CONTINUING
    6  COMPETENCE, AS SPECIFIED IN SUBDIVISION FOUR OF THIS  SECTION,  PROVIDED
    7  FURTHER  THAT  AT  LEAST  TWENTY-FOUR  HOURS  SHALL BE IN AREAS OF STUDY
    8  PERTINENT TO THE SCOPE OF PRACTICE OF NATUROPATHY.   WITH THE  EXCEPTION
    9  OF CONTINUING EDUCATION HOURS TAKEN DURING THE REGISTRATION PERIOD IMME-
   10  DIATELY  PRECEDING THE EFFECTIVE DATE OF THIS SECTION, CONTINUING EDUCA-
   11  TION HOURS TAKEN DURING ONE TRIENNIUM MAY NOT BE TRANSFERRED TO A SUBSE-
   12  QUENT TRIENNIUM.
   13    B. ANY LICENSED NATUROPATH WHOSE FIRST REGISTRATION DATE FOLLOWING THE
   14  EFFECTIVE DATE OF THIS SECTION OCCURS LESS THAN THREE  YEARS  FROM  SUCH
   15  EFFECTIVE DATE, SHALL COMPLETE CONTINUING COMPETENCY HOURS ON A PRORATED
   16  BASIS  AT  THE  RATE OF ONE-HALF HOUR PER MONTH FOR THE PERIOD BEGINNING
   17  JANUARY FIRST, TWO THOUSAND TWELVE, UP TO THE FIRST REGISTRATION DATE.
   18    C. THEREAFTER, A LICENSEE WHO HAS NOT SATISFIED THE MANDATORY CONTINU-
   19  ING COMPETENCY REQUIREMENTS SHALL NOT BE ISSUED A TRIENNIAL REGISTRATION
   20  CERTIFICATE BY THE DEPARTMENT AND SHALL NOT PRACTICE UNLESS AND UNTIL  A
   21  CONDITIONAL REGISTRATION CERTIFICATE IS ISSUED AS PROVIDED FOR IN SUBDI-
   22  VISION THREE OF THIS SECTION.
   23    3.  THE  DEPARTMENT, IN ITS DISCRETION, MAY ISSUE A CONDITIONAL REGIS-
   24  TRATION TO A LICENSEE  WHO  FAILS  TO  MEET  THE  CONTINUING  COMPETENCY
   25  REQUIREMENTS  ESTABLISHED  IN  SUBDIVISION  TWO OF THIS SECTION, BUT WHO
   26  AGREES TO MAKE UP ANY DEFICIENCIES AND COMPLETE ANY ADDITIONAL  LEARNING
   27  ACTIVITIES WHICH THE DEPARTMENT MAY REQUIRE.
   28    THE  FEE FOR SUCH A CONDITIONAL REGISTRATION SHALL BE THE SAME AS, AND
   29  IN ADDITION TO, THE FEE FOR THE TRIENNIAL REGISTRATION. THE DURATION  OF
   30  SUCH  CONDITIONAL REGISTRATION SHALL BE DETERMINED BY THE DEPARTMENT BUT
   31  SHALL NOT EXCEED ONE YEAR. ANY LICENSEE WHO IS NOTIFIED OF THE DENIAL OF
   32  REGISTRATION FOR FAILURE TO SUBMIT EVIDENCE, SATISFACTORY TO THE DEPART-
   33  MENT, OF REQUIRED CONTINUING  COMPETENCY  LEARNING  ACTIVITIES  AND  WHO
   34  PRACTICES  WITHOUT  SUCH  REGISTRATION, SHALL BE SUBJECT TO DISCIPLINARY
   35  PROCEEDINGS PURSUANT TO SECTION SIXTY-FIVE HUNDRED TEN OF THIS TITLE.
   36    4. AS USED IN SUBDIVISION TWO OF THIS  SECTION,  "ACCEPTABLE  LEARNING
   37  ACTIVITIES" SHALL MEAN ACTIVITIES WHICH CONTRIBUTE TO PROFESSIONAL PRAC-
   38  TICE  IN  NATUROPATHIC MEDICINE, AND WHICH MEET THE STANDARDS PRESCRIBED
   39  IN THE REGULATIONS OF THE COMMISSIONER. SUCH LEARNING  ACTIVITIES  SHALL
   40  INCLUDE,  BUT  NOT BE LIMITED TO, COLLEGIATE LEVEL CREDIT AND NON-CREDIT
   41  COURSES, SELF-STUDY  ACTIVITIES,  INDEPENDENT  STUDY,  FORMAL  MENTORING
   42  ACTIVITIES, PUBLICATIONS IN PROFESSIONAL JOURNALS, PROFESSIONAL DEVELOP-
   43  MENT  PROGRAMS  AND  TECHNICAL SESSIONS; SUCH LEARNING ACTIVITIES MAY BE
   44  OFFERED AND SPONSORED BY NATIONAL, STATE AND LOCAL PROFESSIONAL  ASSOCI-
   45  ATIONS  AND OTHER ORGANIZATIONS OR PARTIES ACCEPTABLE TO THE DEPARTMENT,
   46  AND ANY OTHER ORGANIZED EDUCATIONAL AND  TECHNICAL  LEARNING  ACTIVITIES
   47  ACCEPTABLE  TO THE DEPARTMENT. THE DEPARTMENT MAY, IN ITS DISCRETION AND
   48  AS NEEDED TO CONTRIBUTE TO THE HEALTH AND WELFARE OF THE PUBLIC, REQUIRE
   49  THE COMPLETION OF CONTINUING COMPETENCY LEARNING ACTIVITIES IN  SPECIFIC
   50  SUBJECTS  TO  FULFILL  THIS MANDATORY CONTINUING COMPETENCY REQUIREMENT.
   51  LEARNING ACTIVITIES MUST BE TAKEN FROM A SPONSOR APPROVED BY THE DEPART-
   52  MENT, PURSUANT TO THE  REGULATIONS OF THE COMMISSIONER.
   53    5. LICENSED  NATUROPATHS  SHALL  MAINTAIN  ADEQUATE  DOCUMENTATION  OF
   54  COMPLETION OF:
       S. 1803--E                          6
    1    A. A LEARNING PLAN THAT SHALL RECORD CURRENT AND ANTICIPATED ROLES AND
    2  RESPONSIBILITIES  BUT  SHALL  NOT  REQUIRE THE RECORDS OF PEER REVIEW OR
    3  SELF-ASSESSMENT OF COMPETENCIES; AND
    4    B.  ACCEPTABLE  CONTINUING  COMPETENCY  LEARNING  ACTIVITIES AND SHALL
    5  PROVIDE SUCH DOCUMENTATION AT THE REQUEST OF THE DEPARTMENT.
    6    6. THE MANDATORY CONTINUING COMPETENCY FEE SHALL BE FIFTY DOLLARS  FOR
    7  LICENSED  NATUROPATHS,  SHALL  BE  PAYABLE ON OR BEFORE THE FIRST DAY OF
    8  EACH TRIENNIAL REGISTRATION PERIOD, AND SHALL BE PAID IN ADDITION TO THE
    9  TRIENNIAL REGISTRATION FEE REQUIRED BY SECTION SIXTY-FIVE HUNDRED SEVEN-
   10  TY-NINE OF THIS ARTICLE.
   11    S 3. Subdivision (a) of section 1203 of the limited liability  company
   12  law,  as separately amended by chapters 420 and 676 of the laws of 2002,
   13  is amended to read as follows:
   14    (a) Notwithstanding the education law or any other provision  of  law,
   15  one  or more professionals each of whom is authorized by law to render a
   16  professional service within the state, or one or more professionals,  at
   17  least  one of whom is authorized by law to render a professional service
   18  within the state, may form,  or  cause  to  be  formed,  a  professional
   19  service  limited liability company for pecuniary profit under this arti-
   20  cle for the purpose of rendering the professional service or services as
   21  such professionals are authorized to practice. With respect to a profes-
   22  sional service limited  liability  company  formed  to  provide  medical
   23  services  as  such  services are defined in article 131 of the education
   24  law, each member of such limited  liability  company  must  be  licensed
   25  pursuant  to  article  131  of the education law to practice medicine in
   26  this state.  WITH RESPECT TO A PROFESSIONAL  SERVICE  LIMITED  LIABILITY
   27  COMPANY  FORMED  TO  PROVIDE  NATUROPATHIC SERVICES AS SUCH SERVICES ARE
   28  DEFINED IN ARTICLE 132-A OF THE  EDUCATION  LAW,  EACH  MEMBER  OF  SUCH
   29  LIMITED  LIABILITY COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF
   30  THE EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS STATE. With respect to
   31  a professional service  limited  liability  company  formed  to  provide
   32  dental  services  as  such  services  are  defined in article 133 of the
   33  education law, each member of such limited  liability  company  must  be
   34  licensed  pursuant  to  article  133  of  the  education law to practice
   35  dentistry in this state. With respect to a professional service  limited
   36  liability company formed to provide veterinary services as such services
   37  are  defined  in  article  135 of the education law, each member of such
   38  limited liability company must be licensed pursuant to  article  135  of
   39  the  education  law  to practice veterinary medicine in this state. With
   40  respect to a professional service limited liability  company  formed  to
   41  provide  professional  engineering, land surveying, architectural and/or
   42  landscape architectural services as such services are defined in article
   43  145, article 147 and article 148 of the education law,  each  member  of
   44  such limited liability company must be licensed pursuant to article 145,
   45  article  147  and/or article 148 of the education law to practice one or
   46  more of such professions in this state. With respect to  a  professional
   47  service  limited  liability  company formed to provide licensed clinical
   48  social work services as such services are defined in article 154 of  the
   49  education  law,  each  member of such limited liability company shall be
   50  licensed pursuant to article  154  of  the  education  law  to  practice
   51  licensed  clinical  social work in this state. With respect to a profes-
   52  sional service limited liability company formed to provide creative arts
   53  therapy services as such services are defined  in  article  163  of  the
   54  education  law,  each  member  of such limited liability company must be
   55  licensed pursuant to article 163 of the education law to practice  crea-
   56  tive  arts therapy in this state. With respect to a professional service
       S. 1803--E                          7
    1  limited liability company formed to provide marriage and family  therapy
    2  services  as  such  services are defined in article 163 of the education
    3  law, each member of such limited  liability  company  must  be  licensed
    4  pursuant  to  article  163 of the education law to practice marriage and
    5  family therapy in this state. With respect  to  a  professional  service
    6  limited  liability  company  formed  to provide mental health counseling
    7  services as such services are defined in article 163  of  the  education
    8  law,  each  member  of  such  limited liability company must be licensed
    9  pursuant to article 163 of the education law to practice  mental  health
   10  counseling in this state. With respect to a professional service limited
   11  liability  company  formed  to  provide  psychoanalysis services as such
   12  services are defined in article 163 of the education law, each member of
   13  such limited liability company must be licensed pursuant to article  163
   14  of the education law to practice psychoanalysis in this state.  In addi-
   15  tion  to  engaging  in  such  profession  or professions, a professional
   16  service limited liability company may engage in any  other  business  or
   17  activities  as  to which a limited liability company may be formed under
   18  section two hundred one of this  chapter.    Notwithstanding  any  other
   19  provision  of  this  section,  a  professional service limited liability
   20  company (i) authorized to  practice  law  may  only  engage  in  another
   21  profession  or  business  or  activities  or  (ii) which is engaged in a
   22  profession or other business or  activities  other  than  law  may  only
   23  engage in the practice of law, to the extent not prohibited by any other
   24  law of this state or any rule adopted by the appropriate appellate divi-
   25  sion of the supreme court or the court of appeals.
   26    S  4. Subdivision (b) of section 1207 of the limited liability company
   27  law, as separately amended by chapters 420 and 676 of the laws of  2002,
   28  is amended to read as follows:
   29    (b)  with  respect to a professional service limited liability company
   30  formed to provide medical services as such services are defined in arti-
   31  cle 131 of the education law, each  member  of  such  limited  liability
   32  company must be licensed pursuant to article 131 of the education law to
   33  practice medicine in this state.  WITH RESPECT TO A PROFESSIONAL SERVICE
   34  LIMITED  LIABILITY  COMPANY  FORMED  TO PROVIDE NATUROPATHIC SERVICES AS
   35  SUCH SERVICES ARE DEFINED IN ARTICLE 132-A OF THE  EDUCATION  LAW,  EACH
   36  MEMBER  OF  SUCH  LIMITED LIABILITY COMPANY MUST BE LICENSED PURSUANT TO
   37  ARTICLE 132-A OF THE EDUCATION  LAW  TO  PRACTICE  NATUROPATHY  IN  THIS
   38  STATE.  With respect to a professional service limited liability company
   39  formed to provide dental services as such services are defined in  arti-
   40  cle  133  of  the  education  law, each member of such limited liability
   41  company must be licensed pursuant to article 133 of the education law to
   42  practice dentistry in this state. With respect to a professional service
   43  limited liability company formed to provide veterinary services as  such
   44  services are defined in article 135 of the education law, each member of
   45  such  limited liability company must be licensed pursuant to article 135
   46  of the education law to practice veterinary medicine in this state. With
   47  respect to a professional service limited liability  company  formed  to
   48  provide  professional  engineering, land surveying, architectural and/or
   49  landscape architectural services as such services are defined in article
   50  145, article 147 and article 148 of the education law,  each  member  of
   51  such limited liability company must be licensed pursuant to article 145,
   52  article  147  and/or article 148 of the education law to practice one or
   53  more of such professions in this state. With respect to  a  professional
   54  service  limited  liability  company formed to provide licensed clinical
   55  social work services as such services are defined in article 154 of  the
   56  education  law,  each  member of such limited liability company shall be
       S. 1803--E                          8
    1  licensed pursuant to article  154  of  the  education  law  to  practice
    2  licensed  clinical  social work in this state. With respect to a profes-
    3  sional service limited liability company formed to provide creative arts
    4  therapy  services  as  such  services  are defined in article 163 of the
    5  education law, each member of such limited  liability  company  must  be
    6  licensed  pursuant to article 163 of the education law to practice crea-
    7  tive arts therapy in this state. With respect to a professional  service
    8  limited  liability company formed to provide marriage and family therapy
    9  services as such services are defined in article 163  of  the  education
   10  law,  each  member  of  such  limited liability company must be licensed
   11  pursuant to article 163 of the education law to  practice  marriage  and
   12  family  therapy  in  this  state. With respect to a professional service
   13  limited liability company formed to  provide  mental  health  counseling
   14  services  as  such  services are defined in article 163 of the education
   15  law, each member of such limited  liability  company  must  be  licensed
   16  pursuant  to  article 163 of the education law to practice mental health
   17  counseling in this state. With respect to a professional service limited
   18  liability company formed to  provide  psychoanalysis  services  as  such
   19  services are defined in article 163 of the education law, each member of
   20  such  limited liability company must be licensed pursuant to article 163
   21  of the education law to practice psychoanalysis in this state.
   22    S 5. Subdivision (a) of section 1301 of the limited liability  company
   23  law,  as separately amended by chapters 420 and 676 of the laws of 2002,
   24  is amended to read as follows:
   25    (a) "Foreign professional service limited liability company"  means  a
   26  professional  service  limited liability company, whether or not denomi-
   27  nated as such, organized under the laws of  a  jurisdiction  other  than
   28  this state, (i) each of whose members and managers, if any, is a profes-
   29  sional  authorized  by  law to render a professional service within this
   30  state and who is or has been engaged in the practice of such  profession
   31  in  such professional service limited liability company or a predecessor
   32  entity, or will engage in the practice of such profession in the profes-
   33  sional service limited liability company within thirty days of the  date
   34  such  professional becomes a member, or each of whose members and manag-
   35  ers, if any, is a professional at least one of such members  is  author-
   36  ized  by  law to render a professional service within this state and who
   37  is or has been engaged in  the  practice  of  such  profession  in  such
   38  professional  service limited liability company or a predecessor entity,
   39  or will engage in the practice of such profession  in  the  professional
   40  service  limited  liability  company within thirty days of the date such
   41  professional becomes a member, or  (ii)  authorized  by,  or  holding  a
   42  license,  certificate,  registration  or  permit issued by the licensing
   43  authority pursuant to,  the  education  law  to  render  a  professional
   44  service within this state; except that all members and managers, if any,
   45  of  a  foreign  professional  service  limited  liability  company  that
   46  provides health services in this state shall be licensed in this  state.
   47  WITH RESPECT TO A FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
   48  FORMED  TO PROVIDE NATUROPATHIC SERVICES AS SUCH SERVICES ARE DEFINED IN
   49  ARTICLE 132-A OF THE EDUCATION LAW, EACH MEMBER OF SUCH LIMITED  LIABIL-
   50  ITY  COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE EDUCATION
   51  LAW TO PRACTICE NATUROPATHY IN THIS STATE. With  respect  to  a  foreign
   52  professional service limited liability company which provides veterinary
   53  services  as  such  services are defined in article 135 of the education
   54  law, each member of such foreign professional service limited  liability
   55  company  shall  be licensed pursuant to article 135 of the education law
   56  to practice veterinary medicine. With respect to a foreign  professional
       S. 1803--E                          9
    1  service  limited  liability  company  which provides medical services as
    2  such services are defined in article 131  of  the  education  law,  each
    3  member  of  such  foreign professional service limited liability company
    4  must  be  licensed pursuant to article 131 of the education law to prac-
    5  tice medicine in this state.   With respect to  a  foreign  professional
    6  service limited liability company which provides dental services as such
    7  services are defined in article 133 of the education law, each member of
    8  such  foreign  professional  service  limited  liability company must be
    9  licensed pursuant to article  133  of  the  education  law  to  practice
   10  dentistry  in this state. With respect to a foreign professional service
   11  limited liability company which provides professional engineering,  land
   12  surveying, architectural and/or landscape architectural services as such
   13  services  are defined in article 145, article 147 and article 148 of the
   14  education law, each member of such foreign professional service  limited
   15  liability  company must be licensed pursuant to article 145, article 147
   16  and/or article 148 of the education law to practice one or more of  such
   17  professions  in  this  state.  With  respect  to  a foreign professional
   18  service limited  liability  company  which  provides  licensed  clinical
   19  social  work services as such services are defined in article 154 of the
   20  education law, each member of such foreign professional service  limited
   21  liability  company  shall  be  licensed  pursuant  to article 154 of the
   22  education law to practice clinical  social  work  in  this  state.  With
   23  respect  to  a  foreign  professional  service limited liability company
   24  which provides creative arts  therapy  services  as  such  services  are
   25  defined in article 163 of the education law, each member of such foreign
   26  professional service limited liability company must be licensed pursuant
   27  to article 163 of the education law to practice creative arts therapy in
   28  this  state.  With  respect  to  a  foreign professional service limited
   29  liability company which provides marriage and family therapy services as
   30  such services are defined in article 163  of  the  education  law,  each
   31  member  of  such  foreign professional service limited liability company
   32  must be licensed pursuant to article 163 of the education law  to  prac-
   33  tice  marriage  and  family  therapy  in  this  state. With respect to a
   34  foreign professional service limited liability  company  which  provides
   35  mental  health counseling services as such services are defined in arti-
   36  cle 163 of the education law, each member of such  foreign  professional
   37  service  limited  liability company must be licensed pursuant to article
   38  163 of the education law to practice mental health  counseling  in  this
   39  state.  With respect to a foreign professional service limited liability
   40  company which provides psychoanalysis  services  as  such  services  are
   41  defined in article 163 of the education law, each member of such foreign
   42  professional service limited liability company must be licensed pursuant
   43  to  article  163 of the education law to practice psychoanalysis in this
   44  state.
   45    S 6. Subdivision (q) of section 121-1500 of the  partnership  law,  as
   46  separately  amended  by  chapters  420  and  676 of the laws of 2002, is
   47  amended to read as follows:
   48    (q) Each partner of a registered limited liability partnership  formed
   49  to  provide  medical services in this state must be licensed pursuant to
   50  article 131 of the education law to practice medicine in this state  and
   51  each  partner  of  a  registered limited liability partnership formed to
   52  provide dental services in this state must be licensed pursuant to arti-
   53  cle 133 of the education law to practice dentistry in this state.   EACH
   54  PARTNER  OF A REGISTERED LIMITED LIABILITY PARTNERSHIP FORMED TO PROVIDE
   55  NATUROPATHIC SERVICES IN THIS STATE MUST BE LICENSED PURSUANT TO ARTICLE
   56  132-A OF THE EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS  STATE.  Each
       S. 1803--E                         10
    1  partner  of a registered limited liability partnership formed to provide
    2  veterinary services in this state must be licensed pursuant  to  article
    3  135  of the education law to practice veterinary medicine in this state.
    4  Each  partner  of  a  registered limited liability partnership formed to
    5  provide professional engineering, land surveying,  architectural  and/or
    6  landscape architectural services in this state must be licensed pursuant
    7  to  article  145, article 147 and/or article 148 of the education law to
    8  practice one or more of such professions in this state. Each partner  of
    9  a  registered  limited  liability partnership formed to provide licensed
   10  clinical social work services in this state must be licensed pursuant to
   11  article 154 of the education law to practice  clinical  social  work  in
   12  this  state.  Each partner of a registered limited liability partnership
   13  formed to provide creative arts therapy services in this state  must  be
   14  licensed  pursuant to article 163 of the education law to practice crea-
   15  tive arts therapy in this state. Each partner of  a  registered  limited
   16  liability  partnership  formed  to  provide  marriage and family therapy
   17  services in this state must be licensed pursuant to article 163  of  the
   18  education  law  to  practice  marriage and family therapy in this state.
   19  Each partner of a registered limited  liability  partnership  formed  to
   20  provide mental health counseling services in this state must be licensed
   21  pursuant  to  article 163 of the education law to practice mental health
   22  counseling in this state. Each partner of a registered limited liability
   23  partnership formed to provide psychoanalysis services in this state must
   24  be licensed pursuant to article 163 of the  education  law  to  practice
   25  psychoanalysis in this state.
   26    S  7.  Subdivision  (q) of section 121-1502 of the partnership law, as
   27  amended by chapter 230 of the laws  of  2004,  is  amended  to  read  as
   28  follows:
   29    (q)  Each  partner  of  a  foreign limited liability partnership which
   30  provides medical services in this state must  be  licensed  pursuant  to
   31  article  131  of the education law to practice medicine in the state and
   32  each partner of a foreign limited liability partnership  which  provides
   33  dental services in the state must be licensed pursuant to article 133 of
   34  the  education law to practice dentistry in this state.  EACH PARTNER OF
   35  A FOREIGN LIMITED  LIABILITY  PARTNERSHIP  WHICH  PROVIDES  NATUROPATHIC
   36  SERVICES IN THIS STATE MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE
   37  EDUCATION  LAW  TO PRACTICE NATUROPATHY IN THIS STATE. Each partner of a
   38  foreign limited liability partnership which provides veterinary  service
   39  in  the state shall be licensed pursuant to article 135 of the education
   40  law to practice veterinary medicine in this state.  Each  partner  of  a
   41  foreign  limited liability partnership which provides professional engi-
   42  neering, land surveying, architectural  and/or  landscape  architectural
   43  services in this state must be licensed pursuant to article 145, article
   44  147  and/or  article 148 of the education law to practice one or more of
   45  such professions. Each partner of a foreign limited  liability  partner-
   46  ship which provides licensed clinical social work services in this state
   47  must  be  licensed pursuant to article 154 of the education law to prac-
   48  tice licensed clinical social work in this  state.  Each  partner  of  a
   49  foreign limited liability partnership which provides creative arts ther-
   50  apy  services  in this state must be licensed pursuant to article 163 of
   51  the education law to practice creative arts therapy in this state.  Each
   52  partner  of  a  foreign  limited  liability  partnership  which provides
   53  marriage and family therapy services in  this  state  must  be  licensed
   54  pursuant  to  article  163 of the education law to practice marriage and
   55  family therapy in this state. Each partner of a foreign limited  liabil-
   56  ity partnership which provides mental health counseling services in this
       S. 1803--E                         11
    1  state  must  be licensed pursuant to article 163 of the education law to
    2  practice mental health counseling in  this  state.  Each  partner  of  a
    3  foreign  limited  liability  partnership  which  provides psychoanalysis
    4  services  in  this state must be licensed pursuant to article 163 of the
    5  education law to practice psychoanalysis in this state.
    6    S 8. Paragraph (a) of subdivision 1  of  section  413  of  the  social
    7  services  law,  as amended by chapter 91 of the laws of 2011, is amended
    8  to read as follows:
    9    (a) The following persons and officials  are  required  to  report  or
   10  cause  a  report to be made in accordance with this title when they have
   11  reasonable cause to suspect that a child coming  before  them  in  their
   12  professional  or  official capacity is an abused or maltreated child, or
   13  when they have reasonable cause to suspect that a child is an abused  or
   14  maltreated  child  where the parent, guardian, custodian or other person
   15  legally responsible for such child comes before them  in  their  profes-
   16  sional  or  official  capacity and states from personal knowledge facts,
   17  conditions or circumstances which, if correct, would render the child an
   18  abused or maltreated child: any physician; registered physician  assist-
   19  ant;  surgeon;  medical  examiner;  coroner;  dentist; dental hygienist;
   20  osteopath; optometrist; chiropractor; podiatrist;  LICENSED  NATUROPATH;
   21  resident;  intern;  psychologist; registered nurse; social worker; emer-
   22  gency medical technician; licensed  creative  arts  therapist;  licensed
   23  marriage   and  family  therapist;  licensed  mental  health  counselor;
   24  licensed psychoanalyst; hospital personnel  engaged  in  the  admission,
   25  examination,  care  or treatment of persons; a Christian Science practi-
   26  tioner; school official, which includes but is  not  limited  to  school
   27  teacher,  school  guidance counselor, school psychologist, school social
   28  worker, school nurse, school administrator  or  other  school  personnel
   29  required  to  hold  a teaching or administrative license or certificate;
   30  social services worker; director of a children's overnight camp,  summer
   31  day  camp  or  traveling  summer  day camp, as such camps are defined in
   32  section thirteen hundred ninety-two of the public health law;  day  care
   33  center worker; school-age child care worker; provider of family or group
   34  family  day  care;  employee or volunteer in a residential care facility
   35  defined in subdivision four of section four  hundred  twelve-a  of  this
   36  title  or  any  other  child  care  or foster care worker; mental health
   37  professional;  substance  abuse  counselor;  alcoholism  counselor;  all
   38  persons  credentialed  by  the  office of alcoholism and substance abuse
   39  services; peace officer; police officer; district attorney or  assistant
   40  district  attorney;  investigator  employed  in the office of a district
   41  attorney; or other law enforcement official.
   42    S 9. This act shall take effect on  the  three  hundred  sixtieth  day
   43  after it shall have become a law; provided however, that effective imme-
   44  diately, the addition, amendment and/or repeal of any rule or regulation
   45  necessary  for  the  implementation of this act on its effective date is
   46  authorized and directed to be made and completed by the commissioner  of
   47  education and the board of regents on or before such effective date.
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