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

NOTE: There are more recent revisions of this legislation. Read Latest Draft
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--C
                              2011-2012 Regular Sessions
                                   I N  S E N A T E
                                   January 12, 2011
                                      ___________
       Introduced  by  Sens.  LAVALLE,  ADDABBO,  AVELLA, BONACIC, DIAZ, DILAN,
         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 Higher Education in
         accordance with Senate Rule 6, sec. 8 --  committee  discharged,  bill
         amended,  ordered reprinted as amended and recommitted to said commit-
         tee
       AN ACT to amend the education law, the limited liability company law and
         the partnership law, in relation to the practice of  naturopathy;  and
         to  amend  the  social  services  law, in relation to the reporting of
         child abuse
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Legislative intent.  In order to protect the public health,
    2  safety  and  welfare  of  the citizens who desire naturopathic care, the
    3  legislature finds it is necessary to regulate the practice of  naturopa-
    4  thy by providing licensure for qualified practitioners. It is the legis-
    5  lature's  intent that only practitioners who meet and maintain standards
    6  of competence are recognized by the public as licensed naturopaths.  The
    7  legislature   recognizes   that,   unlike   other   currently   licensed
    8  professions, naturopathic doctors are formally educated in  the  use  of
    9  natural therapies, natural substances and pharmacological substances for
   10  common  health conditions and disease prevention.  Naturopaths serve the
   11  public as experts in drug/nutrient and drug/herb interactions.
   12    S 2. The education law is amended by adding a  new  article  132-A  to
   13  read as follows:
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD01174-08-2
       S. 1803--C                          2
    1                                ARTICLE 132-A
    2                                 NATUROPATHS
    3  SECTION 6575. INTRODUCTION.
    4          6576. DEFINITIONS.
    5          6577. DEFINITION OF THE PRACTICE OF NATUROPATHY.
    6          6578. TITLE AND DESIGNATION.
    7          6579. QUALIFICATIONS FOR LICENSURE.
    8          6580. STATE BOARD FOR NATUROPATHY.
    9          6581. EXEMPTIONS.
   10          6582. SPECIAL PROVISIONS.
   11          6583. PROHIBITIONS.
   12          6584. MANDATORY CONTINUING COMPETENCY.
   13    S  6575. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSURE AND REGU-
   14  LATION OF NATUROPATHIC DOCTORS TO PRACTICE NATUROPATHY  IN  THIS  STATE.
   15  THE  GENERAL  PROVISIONS  FOR  ALL  PROFESSIONS CONTAINED IN ARTICLE ONE
   16  HUNDRED THIRTY, AS ADDED BY CHAPTER NINE  HUNDRED  EIGHTY-SEVEN  OF  THE
   17  LAWS  OF NINETEEN HUNDRED SEVENTY-ONE, OF THIS TITLE APPLY TO THIS ARTI-
   18  CLE.
   19    S 6576. DEFINITIONS. FOR  THE  PURPOSES  OF  THIS  ARTICLE,  THE  TERM
   20  "BOARD" MEANS THE STATE BOARD FOR NATUROPATHY.
   21    S  6577.  DEFINITION  OF THE PRACTICE OF NATUROPATHY.  THE PRACTICE OF
   22  NATUROPATHY BY A LICENSED NATUROPATHY PRACTITIONER INVOLVES THE APPLICA-
   23  TION OF NON-PHARMACEUTICAL AND NON-SURGICAL TREATMENTS, WHICH COMPLEMENT
   24  MEDICAL TREATMENT AS DEFINED  PURSUANT  TO  SECTION  SIXTY-FIVE  HUNDRED
   25  TWENTY-ONE  OF  THIS  TITLE,  TO  ENCOURAGE  AND  FACILITATE  THE BODY'S
   26  SELF-HEALING PROCESS. THE PRACTICE OF NATUROPATHY BY A LICENSED  NATURO-
   27  PATHY  DOCTOR  INVOLVES THE APPLICATION OF THE FOLLOWING HEALING SYSTEMS
   28  OF PHYSICAL, NUTRITIONAL OR NATURAL  AGENT  REGIMENS;  DIETARY  CHANGES;
   29  VITAMINS,  MINERALS  AND  OTHER DIETARY SUPPLEMENTS AND OVER-THE-COUNTER
   30  HERBAL MEDICINE; COUNSELING AND EDUCATION ON LIFESTYLE CHANGES; HOMEOPA-
   31  THY; HYDROTHERAPY, MANIPULATION AND MOBILIZATION; EXERCISE  THERAPY  AND
   32  MIND-BODY  THERAPIES  SUCH  AS  YOGA  AND MEDITATION (A CONSCIOUS MENTAL
   33  PROCESS USING CERTAIN TECHNIQUES, SUCH AS FOCUSING  ATTENTION  OR  MAIN-
   34  TAINING  A  SPECIFIC POSTURE TO SUSPEND THE STREAM OF THOUGHTS AND RELAX
   35  THE BODY AND MIND).  A  PHYSICIAN  MUST  SUPERVISE  THE  PRACTICE  OF  A
   36  LICENSED NATUROPATHY PRACTITIONER.
   37    S  6578.  TITLE  AND  DESIGNATION.   ONLY A PERSON LICENSED UNDER THIS
   38  ARTICLE MAY USE ANY OR ALL  OF  THE  FOLLOWING  TERMS,  CONSISTENT  WITH
   39  ACADEMIC DEGREES EARNED: "DOCTOR OF NATUROPATHY", "DOCTOR OF NATUROPATH-
   40  IC  MEDICINE"  OR  ITS  ABBREVIATION,  "ND", "NATUROPATH", "NATUROPATHIC
   41  DOCTOR" OR "LICENSED NATUROPATH".  HOWEVER, NONE OF SUCH  TERMS  OR  ANY
   42  COMBINATION  OF  SUCH TERMS SHALL BE SO USED TO CONVEY THE IDEA THAT THE
   43  INDIVIDUAL WHO USES SUCH TERM PRACTICES ANYTHING OTHER THAN NATUROPATHY.
   44    S 6579. QUALIFICATIONS FOR LICENSURE. TO  QUALIFY  FOR  A  LICENSE  TO
   45  PRACTICE  NATUROPATHY, AN APPLICANT SHALL FULFILL THE FOLLOWING REQUIRE-
   46  MENTS:
   47    1. APPLICATION. FILE AN APPLICATION WITH THE DEPARTMENT;
   48    2. EDUCATION. HAVE RECEIVED A DOCTORAL DEGREE OR DIPLOMA AS A  NATURO-
   49  PATHIC  DOCTOR  (ND)  OR  DOCTOR  OF  NATUROPATHIC  MEDICINE (ND) FROM A
   50  PROGRAM OF NATUROPATHIC MEDICINE REGISTERED BY THE DEPARTMENT OR  DETER-
   51  MINED  BY  THE DEPARTMENT THAT MEETS NATIONALLY RECOGNIZED ACCREDITATION
   52  STANDARDS SATISFACTORY TO THE BOARD AND DETERMINED TO  BE  SUBSTANTIALLY
   53  EQUIVALENT AND IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
   54    3. EXPERIENCE. AS OF THE YEAR TWO THOUSAND FIFTEEN, HAVE SATISFACTORI-
   55  LY  COMPLETED  AN APPROVED CLINICAL POST-GRADUATE RESIDENCY TRAINING, OF
   56  NOT LESS THAN TWELVE MONTHS DURATION, UNDER THE DIRECT SUPERVISION OF  A
       S. 1803--C                          3
    1  GRADUATE  OF  AN APPROVED PROGRAM WITH A MINIMUM OF TWO YEARS OF PROFES-
    2  SIONAL CLINICAL ACTIVITY AND IN ACCORDANCE WITH THE COMMISSIONER'S REGU-
    3  LATIONS;
    4    4.  EXAMINATION.  PASS AN EXAMINATION THAT MEETS NATIONALLY RECOGNIZED
    5  TEST  DEVELOPMENT  STANDARDS  AND  TEST  COMPETENCIES  FOR  NATUROPATHIC
    6  DOCTORS SATISFACTORY TO THE BOARD AND IN ACCORDANCE WITH THE COMMISSION-
    7  ER'S REGULATIONS;
    8    5. AGE. BE AT LEAST TWENTY-ONE YEARS OF AGE;
    9    6.  CHARACTER. BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART-
   10  MENT; AND
   11    7. FEES. PAY A FEE OF THREE HUNDRED FIFTY DOLLARS  TO  THE  DEPARTMENT
   12  FOR AN INITIAL LICENSE AND A FEE OF FIVE HUNDRED DOLLARS FOR EACH TRIEN-
   13  NIAL REGISTRATION PERIOD.
   14    S  6580.  STATE  BOARD  FOR NATUROPATHY. A STATE BOARD FOR NATUROPATHY
   15  SHALL BE APPOINTED BY THE BOARD OF REGENTS ON THE RECOMMENDATION OF  THE
   16  COMMISSIONER  FOR  THE PURPOSE OF ASSISTING THE BOARD OF REGENTS AND THE
   17  DEPARTMENT ON MATTERS OF LICENSING AND REGULATION. THE  BOARD  SHALL  BE
   18  COMPOSED  OF  SIX LICENSED MEMBERS FROM THE PROFESSION LICENSED PURSUANT
   19  TO THIS ARTICLE AND TWO PUBLIC REPRESENTATIVES WHO DO NOT HOLD INTERESTS
   20  IN THE ORGANIZATION, FINANCING, OR DELIVERY OF NATUROPATHIC SERVICES AND
   21  ONE LICENSED PHYSICIAN WHO IS EITHER A DOCTOR OF MEDICINE OR A DOCTOR OF
   22  OSTEOPATHY. MEMBERS OF THE FIRST BOARD NEED NOT  BE  LICENSED  PRIOR  TO
   23  THEIR APPOINTMENT TO THE BOARD BUT SHALL HAVE MET ALL OTHER REQUIREMENTS
   24  OF  LICENSING UNDER SUBDIVISION TWO OF SECTION SIXTY-FIVE HUNDRED SEVEN-
   25  TY-NINE OF THIS ARTICLE AND SHALL HAVE RESIDED IN THE STATE OF NEW  YORK
   26  FOR AT LEAST TWO YEARS PRECEDING THEIR APPOINTMENT TO THE INITIAL BOARD.
   27  THE  TERMS  OF  THE  FIRST  APPOINTED MEMBERS SHALL BE STAGGERED SO THAT
   28  THREE ARE APPOINTED FOR THREE YEARS, THREE ARE APPOINTED FOR FOUR YEARS,
   29  AND THREE ARE APPOINTED FOR FIVE YEARS. AN EXECUTIVE  SECRETARY  TO  THE
   30  BOARD  SHALL  BE  APPOINTED BY THE BOARD OF REGENTS ON RECOMMENDATION OF
   31  THE COMMISSIONER.
   32    S 6581.  EXEMPTIONS.  NOTHING  CONTAINED  IN  THIS  ARTICLE  SHALL  BE
   33  CONSTRUED TO AFFECT OR PREVENT THE FOLLOWING:
   34    1.  A  LICENSED  PHYSICIAN  FROM  PRACTICING  HIS OR HER PROFESSION AS
   35  DEFINED  UNDER  ARTICLES  ONE  HUNDRED  THIRTY-ONE   AND   ONE   HUNDRED
   36  THIRTY-ONE-B  OF THIS TITLE; A REGISTERED PROFESSIONAL NURSE OR A CERTI-
   37  FIED NURSE PRACTITIONER PRACTICING HIS  OR  HER  PROFESSION  AS  DEFINED
   38  UNDER  ARTICLE  ONE  HUNDRED  THIRTY-NINE  OF  THIS  TITLE; OR QUALIFIED
   39  MEMBERS OF OTHER PROFESSIONS LICENSED UNDER THIS TITLE  FROM  PERFORMING
   40  THE PRACTICE OF THEIR PROFESSIONS, EXCEPT THAT SUCH PERSONS MAY NOT HOLD
   41  THEMSELVES OUT UNDER THE TITLE NATUROPATH OR  AS PERFORMING NATUROPATHY;
   42    2.  A  STUDENT,  INTERN  OR  RESIDENT IN, AND AS PART OF, A SUPERVISED
   43  EDUCATIONAL PROGRAM IN AN INSTITUTION APPROVED BY THE DEPARTMENT;
   44    3. THE USE BY NON-NATUROPATHIC DOCTORS, OF THERAPIES USED  BY  NATURO-
   45  PATHIC  DOCTORS,  INCLUDING,  BUT  NOT  LIMITED TO HOMEOPATHIC REMEDIES,
   46  NUTRITIONAL AND DIETARY SUPPLEMENTS, HERBS, AND  SUCH  FORCES  AS  HEAT,
   47  COLD, WATER, TOUCH AND LIGHT.
   48    S  6582.  SPECIAL  PROVISIONS.   THE COMMISSIONER MAY ADOPT SUCH REGU-
   49  LATIONS AS APPROPRIATE TO LICENSE INDIVIDUALS WHO MEET THE  REQUIREMENTS
   50  FOR  LICENSE  ESTABLISHED  IN  THIS ARTICLE, EXCEPT FOR EXAMINATION AND,
   51  WHOSE STANDARDS ARE ACCEPTABLE TO THE COMMISSIONER. THE APPLICANT  SHALL
   52  SUBMIT  WITHIN  ONE  HUNDRED  EIGHTY  DAYS OF THE EFFECTIVE DATE OF THIS
   53  SECTION EVIDENCE SATISFACTORY TO  THE  DEPARTMENT  OF  HAVING  GRADUATED
   54  PRIOR TO NINETEEN HUNDRED EIGHTY-SEVEN FROM AN APPROVED PROGRAM.
   55    S  6583.  PROHIBITIONS. A NATUROPATHY PRACTITIONER LICENSED UNDER THIS
   56  ARTICLE SHALL BE PROHIBITED FROM:
       S. 1803--C                          4
    1    1. PRESCRIBING OR ADMINISTERING DRUGS AS DEFINED IN THIS CHAPTER AS  A
    2  TREATMENT,  THERAPY OR PROFESSIONAL SERVICE IN THE PRACTICE OF NATUROPA-
    3  THY; AND
    4    2. USING INVASIVE PROCEDURES IN TESTING OR AS A TREATMENT, THERAPY, OR
    5  PROFESSIONAL  SERVICE  IN  THE  PRACTICE OF NATUROPATHY. FOR PURPOSES OF
    6  THIS SUBDIVISION, "INVASIVE PROCEDURE"  MEANS  ANY  PROCEDURE  IN  WHICH
    7  HUMAN  TISSUE IS CUT, ALTERED, OR OTHERWISE INFILTRATED BY MECHANICAL OR
    8  OTHER MEANS WITH THE EXCEPTION OF DRAWING  BLOOD.    INVASIVE  PROCEDURE
    9  INCLUDES  BUT  IS  NOT  LIMITED  TO  SURGERY, LASERS, GIVING INJECTIONS,
   10  IONIZING RADIATION, THERAPEUTIC ULTRASOUND,  ELECTROCONVULSIVE  THERAPY,
   11  ELECTRICAL SHOCK THERAPY OR ELECTROMYOGRAPHY; AND
   12    3.  PRACTICING OR CLAIMING TO PRACTICE AS A MEDICAL DOCTOR, OSTEOPATH,
   13  DENTIST,  PODIATRIST,  OPTOMETRIST,  PSYCHOLOGIST,  REGISTERED  PRACTICE
   14  NURSE,  ADVANCE  PRACTICE PROFESSIONAL NURSE, MIDWIFE, PHYSICIAN ASSIST-
   15  ANT, CHIROPRACTOR,  PHYSICAL  THERAPIST,  ACUPUNCTURIST,  MENTAL  HEALTH
   16  THERAPIST  OR  ANY OTHER HEALTH CARE PROFESSIONAL NOT AUTHORIZED IN THIS
   17  CHAPTER; AND
   18    4. USING ANESTHESIA OR ANY OTHER MEANS OF SEDATION IN THE PRACTICE  OF
   19  NATUROPATHY; AND
   20    5. PROVIDING OBSTETRICAL SERVICES; AND
   21    6. PROVIDING PSYCHOTHERAPY SERVICES; AND
   22    7. INTERPRETING X-RAYS AND MAGNETIC RESONANCE IMAGING STUDIES; AND
   23    8. INTERPRETING DIAGNOSTIC TESTS; AND
   24    9. SETTING FRACTURES.
   25    ENGAGING  IN  ANY  OF  THE  ACTIVITIES SET FORTH IN THIS SECTION SHALL
   26  CONSTITUTE  PROFESSIONAL  MISCONDUCT  PURSUANT  TO  SECTION   SIXTY-FIVE
   27  HUNDRED NINE OF THIS TITLE.
   28    S  6584.  MANDATORY CONTINUING COMPETENCY. 1. A. EACH LICENSED NATURO-
   29  PATH REQUIRED UNDER  THIS  ARTICLE  TO  REGISTER  TRIENNIALLY  WITH  THE
   30  DEPARTMENT  TO PRACTICE IN THE STATE SHALL COMPLY WITH THE PROVISIONS OF
   31  THE MANDATORY CONTINUING COMPETENCY REQUIREMENTS PRESCRIBED IN  SUBDIVI-
   32  SION  TWO  OF  THIS SECTION, EXCEPT AS PROVIDED IN PARAGRAPHS B AND C OF
   33  THIS SUBDIVISION. LICENSED NATUROPATHS WHO DO NOT SATISFY THE  MANDATORY
   34  CONTINUING  COMPETENCY  REQUIREMENTS SHALL NOT BE AUTHORIZED TO PRACTICE
   35  UNTIL THEY HAVE MET SUCH REQUIREMENTS,  AND  THEY  HAVE  BEEN  ISSUED  A
   36  REGISTRATION CERTIFICATE, EXCEPT THAT A LICENSED NATUROPATH MAY PRACTICE
   37  WITHOUT  HAVING  MET  SUCH  REQUIREMENTS IF HE OR SHE IS ISSUED A CONDI-
   38  TIONAL REGISTRATION PURSUANT TO SUBDIVISION THREE OF THIS SECTION.
   39    B. ADJUSTMENT TO THE MANDATORY CONTINUING COMPETENCY REQUIREMENTS  MAY
   40  BE GRANTED BY THE DEPARTMENT FOR REASONS OF HEALTH OF THE LICENSEE WHERE
   41  CERTIFIED  BY  AN  APPROPRIATE  HEALTH  CARE  PROFESSIONAL, FOR EXTENDED
   42  ACTIVE DUTY WITH THE ARMED FORCES OF THE UNITED  STATES,  OR  FOR  OTHER
   43  GOOD CAUSE ACCEPTABLE TO THE DEPARTMENT WHICH MAY PREVENT COMPLIANCE.
   44    C. A LICENSED NATUROPATH NOT ENGAGED IN PRACTICE, AS DETERMINED BY THE
   45  DEPARTMENT,  SHALL  BE  EXEMPT  FROM THE MANDATORY CONTINUING COMPETENCY
   46  REQUIREMENT UPON THE FILING OF A STATEMENT WITH THE DEPARTMENT DECLARING
   47  SUCH STATUS. ANY LICENSEE WHO RETURNS TO THE PRACTICE OF LICENSED  NATU-
   48  ROPATH DURING THE TRIENNIAL REGISTRATION PERIOD SHALL NOTIFY THE DEPART-
   49  MENT  PRIOR  TO  REENTERING THE PROFESSION AND SHALL MEET SUCH MANDATORY
   50  CONTINUING COMPETENCY REQUIREMENTS AS SHALL BE PRESCRIBED BY REGULATIONS
   51  OF THE COMMISSIONER.
   52    2. A. DURING EACH  TRIENNIAL  REGISTRATION  PERIOD  AN  APPLICANT  FOR
   53  REGISTRATION  AS A LICENSED NATUROPATH SHALL COMPLETE A MINIMUM OF THIR-
   54  TY-SIX HOURS OF  LEARNING  ACTIVITIES  WHICH  CONTRIBUTE  TO  CONTINUING
   55  COMPETENCE,  AS  SPECIFIED IN SUBDIVISION FOUR OF THIS SECTION, PROVIDED
   56  FURTHER THAT AT LEAST TWENTY-FOUR HOURS  SHALL  BE  IN  AREAS  OF  STUDY
       S. 1803--C                          5
    1  PERTINENT  TO  THE SCOPE OF PRACTICE OF NATUROPATHY.  WITH THE EXCEPTION
    2  OF CONTINUING EDUCATION HOURS TAKEN DURING THE REGISTRATION PERIOD IMME-
    3  DIATELY PRECEDING THE EFFECTIVE DATE OF THIS SECTION, CONTINUING  EDUCA-
    4  TION HOURS TAKEN DURING ONE TRIENNIUM MAY NOT BE TRANSFERRED TO A SUBSE-
    5  QUENT TRIENNIUM.
    6    B. ANY LICENSED NATUROPATH WHOSE FIRST REGISTRATION DATE FOLLOWING THE
    7  EFFECTIVE  DATE  OF  THIS SECTION OCCURS LESS THAN THREE YEARS FROM SUCH
    8  EFFECTIVE DATE, SHALL COMPLETE CONTINUING COMPETENCY HOURS ON A PRORATED
    9  BASIS AT THE RATE OF ONE-HALF HOUR PER MONTH FOR  THE  PERIOD  BEGINNING
   10  JANUARY FIRST, TWO THOUSAND TWELVE, UP TO THE FIRST REGISTRATION DATE.
   11    C. THEREAFTER, A LICENSEE WHO HAS NOT SATISFIED THE MANDATORY CONTINU-
   12  ING COMPETENCY REQUIREMENTS SHALL NOT BE ISSUED A TRIENNIAL REGISTRATION
   13  CERTIFICATE  BY THE DEPARTMENT AND SHALL NOT PRACTICE UNLESS AND UNTIL A
   14  CONDITIONAL REGISTRATION CERTIFICATE IS ISSUED AS PROVIDED FOR IN SUBDI-
   15  VISION THREE OF THIS SECTION.
   16    3. THE DEPARTMENT, IN ITS DISCRETION, MAY ISSUE A  CONDITIONAL  REGIS-
   17  TRATION  TO  A  LICENSEE  WHO  FAILS  TO  MEET THE CONTINUING COMPETENCY
   18  REQUIREMENTS ESTABLISHED IN SUBDIVISION TWO OF  THIS  SECTION,  BUT  WHO
   19  AGREES  TO MAKE UP ANY DEFICIENCIES AND COMPLETE ANY ADDITIONAL LEARNING
   20  ACTIVITIES WHICH THE DEPARTMENT MAY REQUIRE.
   21    THE FEE FOR SUCH A CONDITIONAL REGISTRATION SHALL BE THE SAME AS,  AND
   22  IN  ADDITION TO, THE FEE FOR THE TRIENNIAL REGISTRATION. THE DURATION OF
   23  SUCH CONDITIONAL REGISTRATION SHALL BE DETERMINED BY THE DEPARTMENT  BUT
   24  SHALL NOT EXCEED ONE YEAR. ANY LICENSEE WHO IS NOTIFIED OF THE DENIAL OF
   25  REGISTRATION FOR FAILURE TO SUBMIT EVIDENCE, SATISFACTORY TO THE DEPART-
   26  MENT,  OF  REQUIRED  CONTINUING  COMPETENCY  LEARNING ACTIVITIES AND WHO
   27  PRACTICES WITHOUT SUCH REGISTRATION, SHALL BE  SUBJECT  TO  DISCIPLINARY
   28  PROCEEDINGS PURSUANT TO SECTION SIXTY-FIVE HUNDRED TEN OF THIS TITLE.
   29    4.  AS  USED  IN SUBDIVISION TWO OF THIS SECTION, "ACCEPTABLE LEARNING
   30  ACTIVITIES" SHALL MEAN ACTIVITIES WHICH CONTRIBUTE TO PROFESSIONAL PRAC-
   31  TICE IN NATUROPATHIC MEDICINE, AND WHICH MEET THE  STANDARDS  PRESCRIBED
   32  IN  THE  REGULATIONS OF THE COMMISSIONER. SUCH LEARNING ACTIVITIES SHALL
   33  INCLUDE, BUT NOT BE LIMITED TO, COLLEGIATE LEVEL CREDIT  AND  NON-CREDIT
   34  COURSES,  SELF-STUDY  ACTIVITIES,  INDEPENDENT  STUDY,  FORMAL MENTORING
   35  ACTIVITIES, PUBLICATIONS IN PROFESSIONAL JOURNALS, PROFESSIONAL DEVELOP-
   36  MENT PROGRAMS AND TECHNICAL SESSIONS; SUCH LEARNING  ACTIVITIES  MAY  BE
   37  OFFERED  AND SPONSORED BY NATIONAL, STATE AND LOCAL PROFESSIONAL ASSOCI-
   38  ATIONS AND OTHER ORGANIZATIONS OR PARTIES ACCEPTABLE TO THE  DEPARTMENT,
   39  AND  ANY  OTHER  ORGANIZED EDUCATIONAL AND TECHNICAL LEARNING ACTIVITIES
   40  ACCEPTABLE TO THE DEPARTMENT. THE DEPARTMENT MAY, IN ITS DISCRETION  AND
   41  AS NEEDED TO CONTRIBUTE TO THE HEALTH AND WELFARE OF THE PUBLIC, REQUIRE
   42  THE  COMPLETION OF CONTINUING COMPETENCY LEARNING ACTIVITIES IN SPECIFIC
   43  SUBJECTS TO FULFILL THIS MANDATORY  CONTINUING  COMPETENCY  REQUIREMENT.
   44  LEARNING ACTIVITIES MUST BE TAKEN FROM A SPONSOR APPROVED BY THE DEPART-
   45  MENT, PURSUANT TO THE  REGULATIONS OF THE COMMISSIONER.
   46    5.  LICENSED  NATUROPATHS  SHALL  MAINTAIN  ADEQUATE  DOCUMENTATION OF
   47  COMPLETION OF:
   48    A. A LEARNING PLAN THAT SHALL RECORD CURRENT AND ANTICIPATED ROLES AND
   49  RESPONSIBILITIES BUT SHALL NOT REQUIRE THE RECORDS  OF  PEER  REVIEW  OR
   50  SELF-ASSESSMENT OF COMPETENCIES; AND
   51    B.  ACCEPTABLE  CONTINUING  COMPETENCY  LEARNING  ACTIVITIES AND SHALL
   52  PROVIDE SUCH DOCUMENTATION AT THE REQUEST OF THE DEPARTMENT.
   53    6. THE MANDATORY CONTINUING COMPETENCY FEE SHALL BE FIFTY DOLLARS  FOR
   54  LICENSED  NATUROPATHS,  SHALL  BE  PAYABLE ON OR BEFORE THE FIRST DAY OF
   55  EACH TRIENNIAL REGISTRATION PERIOD, AND SHALL BE PAID IN ADDITION TO THE
       S. 1803--C                          6
    1  TRIENNIAL REGISTRATION FEE REQUIRED BY SECTION SIXTY-FIVE HUNDRED SEVEN-
    2  TY-NINE OF THIS ARTICLE.
    3    S  3. Subdivision (a) of section 1203 of the limited liability company
    4  law, as separately amended by chapters 420 and 676 of the laws of  2002,
    5  is amended to read as follows:
    6    (a)  Notwithstanding  the education law or any other provision of law,
    7  one or more professionals each of whom is authorized by law to render  a
    8  professional  service within the state, or one or more professionals, at
    9  least one of whom is authorized by law to render a professional  service
   10  within  the  state,  may  form,  or  cause  to be formed, a professional
   11  service limited liability company for pecuniary profit under this  arti-
   12  cle for the purpose of rendering the professional service or services as
   13  such professionals are authorized to practice. With respect to a profes-
   14  sional  service  limited  liability  company  formed  to provide medical
   15  services as such services are defined in article 131  of  the  education
   16  law,  each  member  of  such  limited liability company must be licensed
   17  pursuant to article 131 of the education law  to  practice  medicine  in
   18  this  state.    WITH RESPECT TO A PROFESSIONAL SERVICE LIMITED LIABILITY
   19  COMPANY FORMED TO PROVIDE NATUROPATHIC SERVICES  AS  SUCH  SERVICES  ARE
   20  DEFINED  IN  ARTICLE  132-A  OF  THE  EDUCATION LAW, EACH MEMBER OF SUCH
   21  LIMITED LIABILITY COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A  OF
   22  THE EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS STATE. With respect to
   23  a  professional  service  limited  liability  company  formed to provide
   24  dental services as such services are  defined  in  article  133  of  the
   25  education  law,  each  member  of such limited liability company must be
   26  licensed pursuant to article  133  of  the  education  law  to  practice
   27  dentistry  in this state. With respect to a professional service limited
   28  liability company formed to provide veterinary services as such services
   29  are defined in article 135 of the education law,  each  member  of  such
   30  limited  liability  company  must be licensed pursuant to article 135 of
   31  the education law to practice veterinary medicine in  this  state.  With
   32  respect  to  a  professional service limited liability company formed to
   33  provide professional engineering, land surveying,  architectural  and/or
   34  landscape architectural services as such services are defined in article
   35  145,  article  147  and article 148 of the education law, each member of
   36  such limited liability company must be licensed pursuant to article 145,
   37  article 147 and/or article 148 of the education law to practice  one  or
   38  more  of  such professions in this state. With respect to a professional
   39  service limited liability company formed to  provide  licensed  clinical
   40  social  work services as such services are defined in article 154 of the
   41  education law, each member of such limited liability  company  shall  be
   42  licensed  pursuant  to  article  154  of  the  education law to practice
   43  licensed clinical social work in this state. With respect to  a  profes-
   44  sional service limited liability company formed to provide creative arts
   45  therapy  services  as  such  services  are defined in article 163 of the
   46  education law, each member of such limited  liability  company  must  be
   47  licensed  pursuant to article 163 of the education law to practice crea-
   48  tive arts therapy in this state. With respect to a professional  service
   49  limited  liability company formed to provide marriage and family therapy
   50  services as such services are defined in article 163  of  the  education
   51  law,  each  member  of  such  limited liability company must be licensed
   52  pursuant to article 163 of the education law to  practice  marriage  and
   53  family  therapy  in  this  state. With respect to a professional service
   54  limited liability company formed to  provide  mental  health  counseling
   55  services  as  such  services are defined in article 163 of the education
   56  law, each member of such limited  liability  company  must  be  licensed
       S. 1803--C                          7
    1  pursuant  to  article 163 of the education law to practice mental health
    2  counseling in this state. With respect to a professional service limited
    3  liability company formed to  provide  psychoanalysis  services  as  such
    4  services are defined in article 163 of the education law, each member of
    5  such  limited liability company must be licensed pursuant to article 163
    6  of the education law to practice psychoanalysis in this state.  In addi-
    7  tion to engaging in  such  profession  or  professions,  a  professional
    8  service  limited  liability  company may engage in any other business or
    9  activities as to which a limited liability company may be  formed  under
   10  section  two  hundred  one  of this chapter.   Notwithstanding any other
   11  provision of this section,  a  professional  service  limited  liability
   12  company  (i)  authorized  to  practice  law  may  only engage in another
   13  profession or business or activities or  (ii)  which  is  engaged  in  a
   14  profession  or  other  business  or  activities  other than law may only
   15  engage in the practice of law, to the extent not prohibited by any other
   16  law of this state or any rule adopted by the appropriate appellate divi-
   17  sion of the supreme court or the court of appeals.
   18    S 4. Subdivision (b) of section 1207 of the limited liability  company
   19  law,  as separately amended by chapters 420 and 676 of the laws of 2002,
   20  is amended to read as follows:
   21    (b) with respect to a professional service limited  liability  company
   22  formed to provide medical services as such services are defined in arti-
   23  cle  131  of  the  education  law, each member of such limited liability
   24  company must be licensed pursuant to article 131 of the education law to
   25  practice medicine in this state.  WITH RESPECT TO A PROFESSIONAL SERVICE
   26  LIMITED LIABILITY COMPANY FORMED TO  PROVIDE  NATUROPATHIC  SERVICES  AS
   27  SUCH  SERVICES  ARE  DEFINED IN ARTICLE 132-A OF THE EDUCATION LAW, EACH
   28  MEMBER OF SUCH LIMITED LIABILITY COMPANY MUST BE  LICENSED  PURSUANT  TO
   29  ARTICLE  132-A  OF  THE  EDUCATION  LAW  TO PRACTICE NATUROPATHY IN THIS
   30  STATE. With respect to a professional service limited liability  company
   31  formed  to provide dental services as such services are defined in arti-
   32  cle 133 of the education law, each  member  of  such  limited  liability
   33  company must be licensed pursuant to article 133 of the education law to
   34  practice dentistry in this state. With respect to a professional service
   35  limited  liability company formed to provide veterinary services as such
   36  services are defined in article 135 of the education law, each member of
   37  such limited liability company must be licensed pursuant to article  135
   38  of the education law to practice veterinary medicine in this state. With
   39  respect  to  a  professional service limited liability company formed to
   40  provide professional engineering, land surveying,  architectural  and/or
   41  landscape architectural services as such services are defined in article
   42  145,  article  147  and article 148 of the education law, each member of
   43  such limited liability company must be licensed pursuant to article 145,
   44  article 147 and/or article 148 of the education law to practice  one  or
   45  more  of  such professions in this state. With respect to a professional
   46  service limited liability company formed to  provide  licensed  clinical
   47  social  work services as such services are defined in article 154 of the
   48  education law, each member of such limited liability  company  shall  be
   49  licensed  pursuant  to  article  154  of  the  education law to practice
   50  licensed clinical social work in this state. With respect to  a  profes-
   51  sional service limited liability company formed to provide creative arts
   52  therapy  services  as  such  services  are defined in article 163 of the
   53  education law, each member of such limited  liability  company  must  be
   54  licensed  pursuant to article 163 of the education law to practice crea-
   55  tive arts therapy in this state. With respect to a professional  service
   56  limited  liability company formed to provide marriage and family therapy
       S. 1803--C                          8
    1  services as such services are defined in article 163  of  the  education
    2  law,  each  member  of  such  limited liability company must be licensed
    3  pursuant to article 163 of the education law to  practice  marriage  and
    4  family  therapy  in  this  state. With respect to a professional service
    5  limited liability company formed to  provide  mental  health  counseling
    6  services  as  such  services are defined in article 163 of the education
    7  law, each member of such limited  liability  company  must  be  licensed
    8  pursuant  to  article 163 of the education law to practice mental health
    9  counseling in this state. With respect to a professional service limited
   10  liability company formed to  provide  psychoanalysis  services  as  such
   11  services are defined in article 163 of the education law, each member of
   12  such  limited liability company must be licensed pursuant to article 163
   13  of the education law to practice psychoanalysis in this state.
   14    S 5. Subdivision (a) of section 1301 of the limited liability  company
   15  law,  as separately amended by chapters 420 and 676 of the laws of 2002,
   16  is amended to read as follows:
   17    (a) "Foreign professional service limited liability company"  means  a
   18  professional  service  limited liability company, whether or not denomi-
   19  nated as such, organized under the laws of  a  jurisdiction  other  than
   20  this state, (i) each of whose members and managers, if any, is a profes-
   21  sional  authorized  by  law to render a professional service within this
   22  state and who is or has been engaged in the practice of such  profession
   23  in  such professional service limited liability company or a predecessor
   24  entity, or will engage in the practice of such profession in the profes-
   25  sional service limited liability company within thirty days of the  date
   26  such  professional becomes a member, or each of whose members and manag-
   27  ers, if any, is a professional at least one of such members  is  author-
   28  ized  by  law to render a professional service within this state and who
   29  is or has been engaged in  the  practice  of  such  profession  in  such
   30  professional  service limited liability company or a predecessor entity,
   31  or will engage in the practice of such profession  in  the  professional
   32  service  limited  liability  company within thirty days of the date such
   33  professional becomes a member, or  (ii)  authorized  by,  or  holding  a
   34  license,  certificate,  registration  or  permit issued by the licensing
   35  authority pursuant to,  the  education  law  to  render  a  professional
   36  service within this state; except that all members and managers, if any,
   37  of  a  foreign  professional  service  limited  liability  company  that
   38  provides health services in this state shall be licensed in this  state.
   39  WITH RESPECT TO A FOREIGN PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
   40  FORMED  TO PROVIDE NATUROPATHIC SERVICES AS SUCH SERVICES ARE DEFINED IN
   41  ARTICLE 132-A OF THE EDUCATION LAW, EACH MEMBER OF SUCH LIMITED  LIABIL-
   42  ITY  COMPANY MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE EDUCATION
   43  LAW TO PRACTICE NATUROPATHY IN THIS STATE. With  respect  to  a  foreign
   44  professional service limited liability company which provides veterinary
   45  services  as  such  services are defined in article 135 of the education
   46  law, each member of such foreign professional service limited  liability
   47  company  shall  be licensed pursuant to article 135 of the education law
   48  to practice veterinary medicine. With respect to a foreign  professional
   49  service  limited  liability  company  which provides medical services as
   50  such services are defined in article 131  of  the  education  law,  each
   51  member  of  such  foreign professional service limited liability company
   52  must be licensed pursuant to article 131 of the education law  to  prac-
   53  tice  medicine  in  this state.   With respect to a foreign professional
   54  service limited liability company which provides dental services as such
   55  services are defined in article 133 of the education law, each member of
   56  such foreign professional service  limited  liability  company  must  be
       S. 1803--C                          9
    1  licensed  pursuant  to  article  133  of  the  education law to practice
    2  dentistry in this state. With respect to a foreign professional  service
    3  limited  liability company which provides professional engineering, land
    4  surveying, architectural and/or landscape architectural services as such
    5  services  are defined in article 145, article 147 and article 148 of the
    6  education law, each member of such foreign professional service  limited
    7  liability  company must be licensed pursuant to article 145, article 147
    8  and/or article 148 of the education law to practice one or more of  such
    9  professions  in  this  state.  With  respect  to  a foreign professional
   10  service limited  liability  company  which  provides  licensed  clinical
   11  social  work services as such services are defined in article 154 of the
   12  education law, each member of such foreign professional service  limited
   13  liability  company  shall  be  licensed  pursuant  to article 154 of the
   14  education law to practice clinical  social  work  in  this  state.  With
   15  respect  to  a  foreign  professional  service limited liability company
   16  which provides creative arts  therapy  services  as  such  services  are
   17  defined in article 163 of the education law, each member of such foreign
   18  professional service limited liability company must be licensed pursuant
   19  to article 163 of the education law to practice creative arts therapy in
   20  this  state.  With  respect  to  a  foreign professional service limited
   21  liability company which provides marriage and family therapy services as
   22  such services are defined in article 163  of  the  education  law,  each
   23  member  of  such  foreign professional service limited liability company
   24  must be licensed pursuant to article 163 of the education law  to  prac-
   25  tice  marriage  and  family  therapy  in  this  state. With respect to a
   26  foreign professional service limited liability  company  which  provides
   27  mental  health counseling services as such services are defined in arti-
   28  cle 163 of the education law, each member of such  foreign  professional
   29  service  limited  liability company must be licensed pursuant to article
   30  163 of the education law to practice mental health  counseling  in  this
   31  state.  With respect to a foreign professional service limited liability
   32  company which provides psychoanalysis  services  as  such  services  are
   33  defined in article 163 of the education law, each member of such foreign
   34  professional service limited liability company must be licensed pursuant
   35  to  article  163 of the education law to practice psychoanalysis in this
   36  state.
   37    S 6. Subdivision (q) of section 121-1500 of the  partnership  law,  as
   38  separately  amended  by  chapters  420  and  676 of the laws of 2002, is
   39  amended to read as follows:
   40    (q) Each partner of a registered limited liability partnership  formed
   41  to  provide  medical services in this state must be licensed pursuant to
   42  article 131 of the education law to practice medicine in this state  and
   43  each  partner  of  a  registered limited liability partnership formed to
   44  provide dental services in this state must be licensed pursuant to arti-
   45  cle 133 of the education law to practice dentistry in this state.   EACH
   46  PARTNER  OF A REGISTERED LIMITED LIABILITY PARTNERSHIP FORMED TO PROVIDE
   47  NATUROPATHIC SERVICES IN THIS STATE MUST BE LICENSED PURSUANT TO ARTICLE
   48  132-A OF THE EDUCATION LAW TO PRACTICE NATUROPATHY IN THIS  STATE.  Each
   49  partner  of a registered limited liability partnership formed to provide
   50  veterinary services in this state must be licensed pursuant  to  article
   51  135  of the education law to practice veterinary medicine in this state.
   52  Each partner of a registered limited  liability  partnership  formed  to
   53  provide  professional  engineering, land surveying, architectural and/or
   54  landscape architectural services in this state must be licensed pursuant
   55  to article 145, article 147 and/or article 148 of the education  law  to
   56  practice  one or more of such professions in this state. Each partner of
       S. 1803--C                         10
    1  a registered limited liability partnership formed  to  provide  licensed
    2  clinical social work services in this state must be licensed pursuant to
    3  article  154  of  the  education law to practice clinical social work in
    4  this  state.  Each partner of a registered limited liability partnership
    5  formed to provide creative arts therapy services in this state  must  be
    6  licensed  pursuant to article 163 of the education law to practice crea-
    7  tive arts therapy in this state. Each partner of  a  registered  limited
    8  liability  partnership  formed  to  provide  marriage and family therapy
    9  services in this state must be licensed pursuant to article 163  of  the
   10  education  law  to  practice  marriage and family therapy in this state.
   11  Each partner of a registered limited  liability  partnership  formed  to
   12  provide mental health counseling services in this state must be licensed
   13  pursuant  to  article 163 of the education law to practice mental health
   14  counseling in this state. Each partner of a registered limited liability
   15  partnership formed to provide psychoanalysis services in this state must
   16  be licensed pursuant to article 163 of the  education  law  to  practice
   17  psychoanalysis in this state.
   18    S  7.  Subdivision  (q) of section 121-1502 of the partnership law, as
   19  amended by chapter 230 of the laws  of  2004,  is  amended  to  read  as
   20  follows:
   21    (q)  Each  partner  of  a  foreign limited liability partnership which
   22  provides medical services in this state must  be  licensed  pursuant  to
   23  article  131  of the education law to practice medicine in the state and
   24  each partner of a foreign limited liability partnership  which  provides
   25  dental services in the state must be licensed pursuant to article 133 of
   26  the  education law to practice dentistry in this state.  EACH PARTNER OF
   27  A FOREIGN LIMITED  LIABILITY  PARTNERSHIP  WHICH  PROVIDES  NATUROPATHIC
   28  SERVICES IN THIS STATE MUST BE LICENSED PURSUANT TO ARTICLE 132-A OF THE
   29  EDUCATION  LAW  TO PRACTICE NATUROPATHY IN THIS STATE. Each partner of a
   30  foreign limited liability partnership which provides veterinary  service
   31  in  the state shall be licensed pursuant to article 135 of the education
   32  law to practice veterinary medicine in this state.  Each  partner  of  a
   33  foreign  limited liability partnership which provides professional engi-
   34  neering, land surveying, architectural  and/or  landscape  architectural
   35  services in this state must be licensed pursuant to article 145, article
   36  147  and/or  article 148 of the education law to practice one or more of
   37  such professions. Each partner of a foreign limited  liability  partner-
   38  ship which provides licensed clinical social work services in this state
   39  must  be  licensed pursuant to article 154 of the education law to prac-
   40  tice licensed clinical social work in this  state.  Each  partner  of  a
   41  foreign limited liability partnership which provides creative arts ther-
   42  apy  services  in this state must be licensed pursuant to article 163 of
   43  the education law to practice creative arts therapy in this state.  Each
   44  partner  of  a  foreign  limited  liability  partnership  which provides
   45  marriage and family therapy services in  this  state  must  be  licensed
   46  pursuant  to  article  163 of the education law to practice marriage and
   47  family therapy in this state. Each partner of a foreign limited  liabil-
   48  ity partnership which provides mental health counseling services in this
   49  state  must  be licensed pursuant to article 163 of the education law to
   50  practice mental health counseling in  this  state.  Each  partner  of  a
   51  foreign  limited  liability  partnership  which  provides psychoanalysis
   52  services in this state must be licensed pursuant to article 163  of  the
   53  education law to practice psychoanalysis in this state.
   54    S  8.  Paragraph  (a)  of  subdivision  1 of section 413 of the social
   55  services law, as amended by chapter 91 of the laws of 2011,  is  amended
   56  to read as follows:
       S. 1803--C                         11
    1    (a)  The  following  persons  and  officials are required to report or
    2  cause a report to be made in accordance with this title when  they  have
    3  reasonable  cause  to  suspect  that a child coming before them in their
    4  professional or official capacity is an abused or maltreated  child,  or
    5  when  they have reasonable cause to suspect that a child is an abused or
    6  maltreated child where the parent, guardian, custodian or  other  person
    7  legally  responsible  for  such child comes before them in their profes-
    8  sional or official capacity and states from  personal  knowledge  facts,
    9  conditions or circumstances which, if correct, would render the child an
   10  abused  or maltreated child: any physician; registered physician assist-
   11  ant; surgeon; medical  examiner;  coroner;  dentist;  dental  hygienist;
   12  osteopath;  optometrist;  chiropractor; podiatrist; LICENSED NATUROPATH;
   13  resident; intern; psychologist; registered nurse; social  worker;  emer-
   14  gency  medical  technician;  licensed  creative arts therapist; licensed
   15  marriage  and  family  therapist;  licensed  mental  health   counselor;
   16  licensed  psychoanalyst;  hospital  personnel  engaged in the admission,
   17  examination, care or treatment of persons; a Christian  Science  practi-
   18  tioner;  school  official,  which  includes but is not limited to school
   19  teacher, school guidance counselor, school psychologist,  school  social
   20  worker,  school  nurse,  school  administrator or other school personnel
   21  required to hold a teaching or administrative  license  or  certificate;
   22  social  services worker; director of a children's overnight camp, summer
   23  day camp or traveling summer day camp, as  such  camps  are  defined  in
   24  section  thirteen  hundred ninety-two of the public health law; day care
   25  center worker; school-age child care worker; provider of family or group
   26  family day care; employee or volunteer in a  residential  care  facility
   27  defined  in  subdivision  four  of section four hundred twelve-a of this
   28  title or any other child care  or  foster  care  worker;  mental  health
   29  professional;  substance  abuse  counselor;  alcoholism  counselor;  all
   30  persons credentialed by the office of  alcoholism  and  substance  abuse
   31  services;  peace officer; police officer; district attorney or assistant
   32  district attorney; investigator employed in the  office  of  a  district
   33  attorney; or other law enforcement official.
   34    S  9.  This  act  shall  take effect on the three hundred sixtieth day
   35  after it shall have become a law; provided however, that effective imme-
   36  diately, the addition, amendment and/or repeal of any rule or regulation
   37  necessary for the implementation of this act on its effective  date  are
   38  authorized  and directed to be made and completed by the commissioner of
   39  education and the board of regents on or before such effective date.
feedback