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.