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