Bill Text: NY A05499 | 2019-2020 | General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relates to the licensure of athletic trainers; adds athletic trainers to the list of persons and officials required to report cases of suspected child abuse or maltreatment.
Spectrum: Slight Partisan Bill (Democrat 12-4)
Status: (Introduced - Dead) 2020-05-11 - print number 5499b [A05499 Detail]
Download: New_York-2019-A05499-Introduced.html
Bill Title: Relates to the licensure of athletic trainers; adds athletic trainers to the list of persons and officials required to report cases of suspected child abuse or maltreatment.
Spectrum: Slight Partisan Bill (Democrat 12-4)
Status: (Introduced - Dead) 2020-05-11 - print number 5499b [A05499 Detail]
Download: New_York-2019-A05499-Introduced.html
STATE OF NEW YORK ________________________________________________________________________ 5499 2019-2020 Regular Sessions IN ASSEMBLY February 12, 2019 ___________ Introduced by M. of A. SOLAGES -- read once and referred to the Commit- tee on Higher Education AN ACT to amend the education law, in relation to the licensure of athletic trainers; and to amend the social services law, in relation to adding athletic trainers to the list of persons and officials required to report cases of suspected child abuse or maltreatment The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Section 8351 of the education law, as amended by chapter 2 658 of the laws of 1993, is amended to read as follows: 3 § 8351. [Definition.] Definitions. As used in this article: 4 1. "athletic trainer" means any person who is duly [certified] 5 licensed in accordance with this article to perform athletic training 6 under the supervision of a physician [and limits his or her practice to7secondary schools, institutions of postsecondary education, professional8athletic organizations, or a person who, under the supervision of a9physician, carries out comparable functions on orthopedic athletic inju-10ries, excluding spinal cord injuries, in a health care organization.11Supervision of an athletic trainer by a physician shall be continuous12but shall not be construed as requiring the physical presence of the13supervising physician at the time and place where such services are14performed.15The scope of work described herein shall not be construed as authoriz-16ing the reconditioning of neurologic injuries, conditions or disease]. 17 2. "emergent" means a serious, unexpected and often dangerous situ- 18 ation requiring immediate action. 19 3. "supervision" shall mean by a physician and shall be continuous but 20 shall not be construed as requiring the physical presence of the super- 21 vising physician at the time and place where such services are 22 performed, and shall further include use of standard written protocols EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD09434-01-9A. 5499 2 1 for athletic training services developed in consultation with the super- 2 vising physician. 3 § 2. Section 8352 of the education law, as amended by chapter 658 of 4 the laws of 1993, is amended to read as follows: 5 § 8352. Definition of practice of athletic training. [The practice of6the profession of athletic training is defined as the application of7principles, methods and procedures for managing athletic injuries, which8shall include the preconditioning, conditioning and reconditioning of an9individual who has suffered an athletic injury through the use of appro-10priate preventative and supportive devices, under the supervision of a11physician and recognizing illness and referring to the appropriate12medical professional with implementation of treatment pursuant to physi-13cian's orders.] 1. The practice of the profession of athletic training 14 is performed by athletic trainers. It includes the prevention, recogni- 15 tion, examination, evaluation, assessment, management, treatment and 16 rehabilitation of neuromusculoskeletal injuries that occur in active 17 individuals and the work is performed under the supervision of a physi- 18 cian pursuant to a standard written protocol. Athletic training involves 19 the recognition, evaluation, and assistance in the management of sport- 20 related illnesses and medical conditions, pursuant to the athletic 21 trainer's education, experience, and competencies. The practice of 22 athletic training may include use of various clinically appropriate 23 therapeutic modalities and techniques pursuant to the athletic trainer's 24 education and training as determined by the department. Supervision by 25 a physician shall be continuous but shall not be construed as requiring 26 the physical presence of the supervising physician at the time and place 27 where such services are performed. 28 2. The scope of work described in this section shall not be construed 29 as authorizing the management and treatment of acute, subacute, or 30 chronic neurological pathologies and comorbidities or neurological 31 disease processes with the exception of initial evaluation and triage of 32 emergent neurological conditions such as potential concussions, spinal 33 cord injuries or nerve injuries resulting from participation in an 34 athletic endeavor, while training, engaging in performing arts, public 35 protection or emergency services, or during adaptive athletics. Further, 36 athletic trainers shall work with individuals pursuant to standard writ- 37 ten protocol to manage, monitor and treat such injuries after an indi- 38 vidual has been cleared by a supervising physician to begin rehabili- 39 tation for participation in an athletic endeavor, while training, 40 engaging in performing arts, public protection or emergency services, or 41 during adaptive athletics. Athletic training includes instruction to 42 coaches, athletes, active individuals, parents, medical personnel and 43 communities in the area of care and prevention of [athletic] neuromuscu- 44 loskeletal injuries. Supervision by a physician shall include standard 45 written protocols for athletic training services. 46 [The scope of work described herein shall not be construed as author-47izing the reconditioning of neurologic injuries, conditions or disease.] 48 § 3. Section 8353 of the education law, as added by chapter 798 of the 49 laws of 1992, is amended to read as follows: 50 § 8353. Use of the title "[certified] athletic trainer". Only a 51 person [certified] licensed or otherwise authorized under this article 52 shall practice athletic training or use the title "[certified] athletic 53 trainer" or the abbreviation "AT". 54 § 4. Section 8354 of the education law, as added by chapter 798 of the 55 laws of 1992, is amended to read as follows:A. 5499 3 1 § 8354. State committee for athletic trainers. A state committee for 2 athletic trainers shall be appointed by the board of regents, upon the 3 recommendation of the commissioner and shall assist on matters of 4 [certification] professional licensing and professional conduct in 5 accordance with section six thousand five hundred eight of this title. 6 The committee shall consist of [five] seven members [who], five of whom 7 are athletic trainers [certified] licensed in this state, one practicing 8 physician who is licensed in this state to practice as an orthopedic 9 surgeon, a primary care/family practice physician, a sports medicine 10 practitioner, or a neurologist, and one public member that is a consumer 11 of the profession. The committee shall assist the state board for medi- 12 cine in athletic training matters. Nominations and terms of office of 13 the members of the state committee for athletic trainers shall conform 14 to the corresponding provisions relating thereto for state boards under 15 article one hundred thirty of this chapter. [Notwithstanding the forego-16ing, the members of the first committee need not be certified prior to17their appointment to the committee.] 18 § 5. Section 8355 of the education law, as added by chapter 798 of the 19 laws of 1992, is amended to read as follows: 20 § 8355. Requirements and procedure for professional [certification] 21 licensure. [For certification as a certified] To qualify for a license 22 as an athletic trainer under this article, an applicant shall fulfill 23 the following requirements: 24 1. Application: file an application with the department; 25 2. Education: have received an education including a bachelor's, its 26 equivalent or higher degree in accordance with the commissioner's regu- 27 lations, provided however, as of December thirty-first, two thousand 28 twenty-six, applicants must have received a master's degree, its equiv- 29 alent or higher in accordance with the commissioner's regulations; 30 3. Experience: have experience in accordance with the commissioner's 31 regulations; 32 4. Examination: pass an examination in accordance with the commission- 33 er's regulations; 34 5. Age: be at least twenty-one years of age; [and] 35 6. Fees: pay a fee for an initial [certificate] license of one hundred 36 dollars to the department; and a fee of fifty dollars for each triennial 37 registration period[.]; and 38 7. Character: be of good moral character as determined by the depart- 39 ment. 40 § 6. Section 8356 of the education law, as amended by chapter 658 of 41 the laws of 1993, is amended to read as follows: 42 § 8356. [Special provisions. A person shall be certified without exam-43ination provided that, within three years from the effective date of44regulations implementing the provisions of this article, the individual:451. files an application and pays the appropriate fees to the depart-46ment; and472. meets the requirements of subdivisions two and five of section48eight thousand three hundred fifty-five of this article and who in addi-49tion:50(a) has been actively engaged in the profession of athletic training51for a minimum of four years during the seven years immediately preceding52the effective date of this article; or53(b) is certified by a United States certifying body acceptable to the54department.] Exempt persons. 1. Nothing contained in this article shall 55 prohibit:A. 5499 4 1 (a) the practice of athletic training that is an integral part of a 2 program of study by students enrolled in an athletic training program 3 approved by the department or the substantial equivalent as determined 4 by the department. Students enrolled in an approved athletic training 5 program shall be identified as "athletic training students" and shall 6 only practice athletic training under the direction and immediate super- 7 vision of an athletic trainer currently licensed under this article. An 8 athletic training student shall not hold himself or herself out as a 9 licensed athletic trainer; or 10 (b) the practice of athletic training by any person who is appropri- 11 ately authorized and in good standing to practice athletic training in 12 another state from acting as an athletic trainer without a New York 13 state license solely for the following purposes: 14 (1) clinical education, practice demonstrations or clinical research 15 that is within the practice of athletic training in connection with a 16 program of basic clinical education, graduate education, or post-gradu- 17 ate education in an approved school of athletic training, or in a clin- 18 ical facility, or a health care agency, or for the purposes of continu- 19 ing education not to exceed a duration of_thirty_days in any calendar 20 year, and any athletic trainer who is licensed in another state or coun- 21 try, who is visiting an athletic training program, conducting clinical 22 education or clinical research shall be under the supervision of an 23 athletic trainer licensed in the state and such practice shall be limit- 24 ed to such instruction or research; or 25 (2) assisting in the care of athletes in a specific sanctioned athlet- 26 ic event. 27 2. Any person practicing athletic training in this state pursuant to 28 this subdivision shall be subject to personal and subject matter juris- 29 diction and the disciplinary and regulatory authority of the board of 30 regents as if he or she is a licensee and as if the exemption pursuant 31 to this subdivision is a license. Such individuals shall consent to the 32 appointment of the secretary of state or other public official accepta- 33 ble to the department, in such athletic trainers' states of licensure as 34 the athletic trainers' agents upon whom process may be served in any 35 actions or proceedings by the department against such athletic trainers. 36 Such individuals shall comply with the provisions of this article, the 37 rules of the board of regents and the regulations of the commissioner 38 relating to professional misconduct, disciplinary proceedings and penal- 39 ties for professional misconduct. 40 3. (a) Any athletic trainer who is licensed and in good standing in 41 another state or territory, and who has a written agreement to provide 42 athletic training services to athletes and team personnel of a United 43 States sports team recognized by the United States Olympic Committee or 44 an out-of-state secondary school, an institution of postsecondary educa- 45 tion, a professional athletic organization sports team, or a performing 46 arts troupe, may provide athletic training services to such athletes and 47 team personnel at a discrete sanctioned team sporting event or perform- 48 ance in this state as defined by the commissioner in regulations, 49 provided such services are provided only to such athletes and team 50 personnel at the discrete sanctioned team sporting event or performance. 51 Any such athletic training services shall be provided only five days 52 before through three days after each discrete sanctioned team sporting 53 event or traveling performance. 54 (b) Any person practicing as an athletic trainer in this state pursu- 55 ant to this subdivision shall be subject to the personal and subject 56 matter jurisdiction and disciplinary and regulatory authority of theA. 5499 5 1 board of regents as if he or she is a licensee and as if the exemption 2 pursuant to this subdivision is a license. Such individual shall comply 3 with applicable provisions of the rules of the board of regents, and the 4 regulations of the commissioner, relating to professional misconduct, 5 disciplinary proceedings and penalties for professional misconduct. 6 § 7. The education law is amended by adding two new sections 8356-a 7 and 8356-b to read as follows: 8 § 8356-a. Mandatory continuing education. 1. (a) Each licensed athlet- 9 ic trainer required under this article to register triennially with the 10 department to practice in the state shall comply with the provisions of 11 the mandatory continuing education requirements prescribed in subdivi- 12 sion two of this section except as set forth in paragraphs (b) and (c) 13 of this subdivision. Licensed athletic trainers who do not satisfy the 14 mandatory continuing education requirements shall not practice until 15 they have met such requirements, and they have been issued a registra- 16 tion certificate, except that a licensed athletic trainer may practice 17 without having met such requirements if he or she is issued a condi- 18 tional registration certificate pursuant to subdivision three of this 19 section. 20 (b) Each licensed athletic trainer shall be exempt from the mandatory 21 continuing education requirement for the triennial registration period 22 during which he or she is first licensed. In accordance with the intent 23 of this section, adjustment to the mandatory continuing education 24 requirement may be granted by the department for reasons of health 25 certified by an appropriate health care professional, for extended 26 active duty with the armed forces of the United States, or for other 27 good cause acceptable to the department which may prevent compliance. 28 (c) A licensed athletic trainer not engaged in practice, as determined 29 by the department, shall be exempt from the mandatory continuing educa- 30 tion requirement upon the filing of a statement with the department 31 declaring such status. Any licensee who returns to the practice of 32 athletic training during the triennial registration period shall notify 33 the department prior to reentering the profession and shall meet such 34 mandatory education requirements as shall be prescribed by regulations 35 of the commissioner. 36 2. During each triennial registration period, an applicant for regis- 37 tration as a licensed athletic trainer shall complete a minimum of 38 forty-five hours of acceptable formal continuing education, as specified 39 in subdivision four of this section. Any licensed athletic trainer whose 40 first registration date following the effective date of this section 41 occurs less than three years from such effective date, but on or after 42 January first, two thousand twenty, shall complete continuing education 43 hours on a prorated basis at the rate of one hour per month for the 44 period beginning January first, two thousand twenty and then fifteen 45 hours per year until his or her first registration date thereafter. A 46 licensee who has not satisfied the mandatory continuing education 47 requirements shall not be issued a triennial registration certificate by 48 the department and shall not practice unless and until a conditional 49 registration certificate is issued as provided for in subdivision three 50 of this section. Continuing education hours taken during one triennium 51 may not be transferred to a subsequent triennium. 52 3. The department, in its discretion, may issue a conditional regis- 53 tration to a licensee who fails to meet the continuing education 54 requirements established in subdivision two of this section but who 55 agrees to make up any deficiencies and complete any additional education 56 which the department may require. The fee for such a conditional regis-A. 5499 6 1 tration shall be the same as, and in addition to, the fee for the trien- 2 nial registration. The duration of such conditional registration shall 3 be determined by the department but shall not exceed one year. Any 4 licensee who is notified of the denial of registration for failure to 5 submit evidence, satisfactory to the department, of required continuing 6 education and who practices without such registration may be subject to 7 disciplinary proceedings pursuant to section sixty-five hundred ten of 8 this title. 9 4. As used in subdivision two of this section, "acceptable formal 10 education" shall mean formal courses of learning which contribute to 11 professional practice in athletic training and which meet the standards 12 prescribed by regulations of the commissioner. Such formal courses of 13 learning shall include, but not be limited to, collegiate level credit 14 and non-credit courses, professional development programs and technical 15 sessions offered by national, state and local professional associations, 16 and any other organized educational and technical programs acceptable to 17 the department. The department may, in its discretion and as needed to 18 contribute to the health and welfare of the public, require the 19 completion of continuing education courses in specific subjects to 20 fulfill this mandatory continuing education requirement. Continuing 21 education courses must be taken from a provider approved by the depart- 22 ment, based upon an application and fee pursuant to the regulations of 23 the commissioner. 24 5. A licensed athletic trainer shall maintain adequate documentation 25 of completion of acceptable formal continuing education and shall 26 provide such documentation at the request of the department. Failure to 27 provide such documentation upon the request of the department shall be 28 an act of misconduct subject to disciplinary proceedings pursuant to 29 section sixty-five hundred ten of this title. 30 6. The mandatory continuing education fee shall be payable on or 31 before the first day of each triennial registration period, and shall be 32 paid in addition to the triennial registration fee required by section 33 eighty-three hundred fifty-five of this article. 34 § 8356-b. Special provisions. Any person who is certified as an 35 athletic trainer by the department on the effective date of this section 36 shall have one year from the effective date to apply for and qualify for 37 licensure as an athletic trainer without meeting any additional require- 38 ments. 39 § 8. Section 8357 of the education law, as added by chapter 798 of the 40 laws of 1992, is amended to read as follows: 41 § 8357. Non-liability of [certified] licensed athletic trainers for 42 first aid or emergency treatment. Notwithstanding any inconsistent 43 provision of any general, special or local law, any [certified] licensed 44 athletic trainer who voluntarily and without the expectation of monetary 45 compensation renders first aid or emergency treatment at the scene of an 46 accident or other emergency, outside a hospital, doctor's office or any 47 other place having proper and necessary athletic training equipment, to 48 a person who is unconscious, ill or injured, shall not be liable for 49 damages for injuries alleged to have been sustained by such person or 50 for damages for the death of such person alleged to have occurred by 51 reason of an act or omission in the rendering of such first aid or emer- 52 gency treatment unless it is established that such injuries were or such 53 death was caused by gross negligence on the part of such athletic train- 54 er. Nothing in this section shall be deemed or construed to relieve a 55 [certified] licensed athletic trainer from liability for damages for 56 injuries or death caused by an act or omission on the part of an athlet-A. 5499 7 1 ic trainer while rendering professional services in the normal and ordi- 2 nary course of his or her practice. 3 § 9. Section 8358 of the education law is renumbered section 8359 and 4 a new section 8358 is added to read as follows: 5 § 8358. Limited permits. The following requirements for a limited 6 permit shall apply to all professions licensed or certified pursuant to 7 this article: 8 1. The department may issue a limited permit to an applicant who meets 9 all qualifications for licensure, except the examination, in accordance 10 with regulations promulgated therefor. 11 2. Limited permits shall be for one year; such limited permits may not 12 be renewed. 13 3. The fee for each limited permit and for each renewal shall be 14 seventy dollars. 15 4. A limited permit holder shall practice only under the supervision 16 of a physician as determined in accordance with the commissioner's regu- 17 lations. 18 § 10. Paragraph a of subdivision 3 of section 6507 of the education 19 law, as amended by chapter 554 of the laws of 2013, is amended to read 20 as follows: 21 a. Establish standards for preprofessional and professional education, 22 experience and licensing examinations as required to implement the arti- 23 cle for each profession. Notwithstanding any other provision of law, the 24 commissioner shall establish standards requiring that all persons apply- 25 ing, on or after January first, nineteen hundred ninety-one, initially, 26 or for the renewal of, a license, registration or limited permit to be a 27 physician, chiropractor, dentist, registered nurse, podiatrist, optome- 28 trist, psychiatrist, psychologist, licensed master social worker, 29 licensed clinical social worker, licensed creative arts therapist, 30 licensed marriage and family therapist, licensed mental health counse- 31 lor, licensed psychoanalyst, dental hygienist, licensed behavior 32 analyst, [or] certified behavior analyst assistant or athletic trainer 33 shall, in addition to all the other licensure, certification or permit 34 requirements, have completed two hours of coursework or training regard- 35 ing the identification and reporting of child abuse and maltreatment. 36 The coursework or training shall be obtained from an institution or 37 provider which has been approved by the department to provide such 38 coursework or training. The coursework or training shall include infor- 39 mation regarding the physical and behavioral indicators of child abuse 40 and maltreatment and the statutory reporting requirements set out in 41 sections four hundred thirteen through four hundred twenty of the social 42 services law, including but not limited to, when and how a report must 43 be made, what other actions the reporter is mandated or authorized to 44 take, the legal protections afforded reporters, and the consequences for 45 failing to report. Such coursework or training may also include informa- 46 tion regarding the physical and behavioral indicators of the abuse of 47 individuals with mental retardation and other developmental disabilities 48 and voluntary reporting of abused or neglected adults to the office [of49mental retardation and] for people with developmental disabilities or 50 the local adult protective services unit. Each applicant shall provide 51 the department with documentation showing that he or she has completed 52 the required training. The department shall provide an exemption from 53 the child abuse and maltreatment training requirements to any applicant 54 who requests such an exemption and who shows, to the department's satis- 55 faction, that there would be no need because of the nature of his or her 56 practice for him or her to complete such training;A. 5499 8 1 § 11. Section 6505-b of the education law, as amended by chapter 10 of 2 the laws of 2018, is amended to read as follows: 3 § 6505-b. Course work or training in infection control practices. 4 Every dentist, registered nurse, licensed practical nurse, podiatrist, 5 optometrist, athletic trainer and dental hygienist practicing in the 6 state shall, on or before July first, nineteen hundred ninety-four and 7 every four years thereafter, complete course work or training appropri- 8 ate to the professional's practice approved by the department regarding 9 infection control, which shall include sepsis, and barrier precautions, 10 including engineering and work practice controls, in accordance with 11 regulatory standards promulgated by the department, in consultation with 12 the department of health, which shall be consistent, as far as appropri- 13 ate, with such standards adopted by the department of health pursuant to 14 section two hundred thirty-nine of the public health law to prevent the 15 transmission of HIV, HBV, HCV and infections that could lead to sepsis 16 in the course of professional practice. Each such professional shall 17 document to the department at the time of registration commencing with 18 the first registration after July first, nineteen hundred ninety-four 19 that the professional has completed course work or training in accord- 20 ance with this section, provided, however that a professional subject to 21 the provisions of paragraph (f) of subdivision one of section twenty- 22 eight hundred five-k of the public health law shall not be required to 23 so document. The department shall provide an exemption from this 24 requirement to anyone who requests such an exemption and who (i) clearly 25 demonstrates to the department's satisfaction that there would be no 26 need for him or her to complete such course work or training because of 27 the nature of his or her practice or (ii) that he or she has completed 28 course work or training deemed by the department to be equivalent to the 29 course work or training approved by the department pursuant to this 30 section. The department shall consult with organizations representative 31 of professions, institutions and those with expertise in infection 32 control and HIV, HBV, HCV and infections that could lead to sepsis with 33 respect to the regulatory standards promulgated pursuant to this 34 section. 35 § 12. Paragraph (a) of subdivision 1 of section 413 of the social 36 services law, as amended by section 7 of part C of chapter 57 of the 37 laws of 2018, is amended to read as follows: 38 (a) The following persons and officials are required to report or 39 cause a report to be made in accordance with this title when they have 40 reasonable cause to suspect that a child coming before them in their 41 professional or official capacity is an abused or maltreated child, or 42 when they have reasonable cause to suspect that a child is an abused or 43 maltreated child where the parent, guardian, custodian or other person 44 legally responsible for such child comes before them in their profes- 45 sional or official capacity and states from personal knowledge facts, 46 conditions or circumstances which, if correct, would render the child an 47 abused or maltreated child: any physician; registered physician assist- 48 ant; surgeon; medical examiner; coroner; dentist; dental hygienist; 49 osteopath; optometrist; chiropractor; podiatrist; resident; intern; 50 athletic trainer; psychologist; registered nurse; social worker; emer- 51 gency medical technician; licensed creative arts therapist; licensed 52 marriage and family therapist; licensed mental health counselor; 53 licensed psychoanalyst; licensed behavior analyst; certified behavior 54 analyst assistant; hospital personnel engaged in the admission, examina- 55 tion, care or treatment of persons; a Christian Science practitioner; 56 school official, which includes but is not limited to school teacher,A. 5499 9 1 school guidance counselor, school psychologist, school social worker, 2 school nurse, school administrator or other school personnel required to 3 hold a teaching or administrative license or certificate; full or part- 4 time compensated school employee required to hold a temporary coaching 5 license or professional coaching certificate; social services worker; 6 employee of a publicly-funded emergency shelter for families with chil- 7 dren; director of a children's overnight camp, summer day camp or trav- 8 eling summer day camp, as such camps are defined in section thirteen 9 hundred ninety-two of the public health law; day care center worker; 10 school-age child care worker; provider of family or group family day 11 care; employee or volunteer in a residential care facility for children 12 that is licensed, certified or operated by the office of children and 13 family services; or any other child care or foster care worker; mental 14 health professional; substance abuse counselor; alcoholism counselor; 15 all persons credentialed by the office of alcoholism and substance abuse 16 services; employees, who are expected to have regular and substantial 17 contact with children, of a health home or health home care management 18 agency contracting with a health home as designated by the department of 19 health and authorized under section three hundred sixty-five-l of this 20 chapter or such employees who provide home and community based services 21 under a demonstration program pursuant to section eleven hundred fifteen 22 of the federal social security act who are expected to have regular and 23 substantial contact with children; peace officer; police officer; 24 district attorney or assistant district attorney; investigator employed 25 in the office of a district attorney; or other law enforcement official. 26 § 13. This act shall take effect two years after it shall have become 27 a law, provided, however, that section 8356-a of the education law as 28 added by section seven of this act shall take effect five years after 29 this act shall have become a law. Effective immediately, the addition, 30 amendment and/or repeal of any rule or regulation necessary for the 31 implementation of this act on its effective date are authorized to be 32 made and completed on or before such date.