Bill Text: NY S02904 | 2013-2014 | General Assembly | Amended
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Provides for the licensing of genetic counselors; creates the state committee for genetic counseling.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2014-06-13 - PRINT NUMBER 2904B [S02904 Detail]
Download: New_York-2013-S02904-Amended.html
Bill Title: Provides for the licensing of genetic counselors; creates the state committee for genetic counseling.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2014-06-13 - PRINT NUMBER 2904B [S02904 Detail]
Download: New_York-2013-S02904-Amended.html
S T A T E O F N E W Y O R K ________________________________________________________________________ S. 2904--A A. 3350--A 2013-2014 Regular Sessions S E N A T E - A S S E M B L Y January 24, 2013 ___________ IN SENATE -- Introduced by Sens. LAVALLE, LARKIN -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education -- 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 IN ASSEMBLY -- Introduced by M. of A. SWEENEY, MILLMAN, PAULIN, GALEF, ROSENTHAL -- Multi-Sponsored by -- M. of A. DINOWITZ, HOOPER, MARKEY, WEISENBERG -- read once and referred to the Committee on Higher Educa- tion -- recommitted to the Committee on Higher Education in accordance with Assembly Rule 3, sec. 2 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee AN ACT to amend the education law, in relation to licensing of genetic counselors THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The education law is amended by adding a new article 142 2 to read as follows: 3 ARTICLE 142 4 GENETIC COUNSELING 5 SECTION 7050. INTRODUCTION. 6 7051. DEFINITIONS. 7 7052. THE PRACTICE OF GENETIC COUNSELING. 8 7053. STATE COMMITTEE FOR GENETIC COUNSELING. 9 7054. REQUIREMENTS FOR A PROFESSIONAL LICENSE. 10 7055. EXEMPT PERSONS. 11 7056. LIMITED PERMITS. 12 7057. VISITING GENETIC COUNSELORS. 13 7058. TELEHEALTH SERVICES. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD04709-02-4 S. 2904--A 2 A. 3350--A 1 S 7050. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSING OF GENETIC 2 COUNSELORS. THE GENERAL PROVISIONS FOR ALL PROFESSIONS CONTAINED IN 3 ARTICLE ONE HUNDRED THIRTY OF THIS TITLE APPLY TO THIS ARTICLE. 4 S 7051. DEFINITIONS. AS USED IN THIS ARTICLE: 5 1. THE TERM "GENETIC COUNSELOR" SHALL MEAN A HEALTH PROFESSIONAL WHO 6 IS ACADEMICALLY AND CLINICALLY PREPARED TO PROVIDE GENETIC COUNSELING 7 SERVICES TO INDIVIDUALS AND FAMILIES SEEKING INFORMATION ABOUT THE 8 OCCURRENCE, RISK OF OCCURRENCE OR RECURRENCE, OF GENETIC/MEDICAL CONDI- 9 TIONS AND DISEASES. 10 2. THE TERM "LICENSED GENETIC COUNSELOR" SHALL MEAN A GENETIC COUNSE- 11 LOR LICENSED PURSUANT TO THIS ARTICLE. 12 3. THE TERM "CERTIFIED GENETIC COUNSELOR" SHALL MEAN A GENETIC COUNSE- 13 LOR WITH A MASTER'S DEGREE IN GENETIC COUNSELING FROM AN AMERICAN 14 COLLEGE OF GENETIC COUNSELING ACCREDITED PROGRAM AND WHO HAS PASSED THE 15 CERTIFICATION EXAMINATION OF THE AMERICAN BOARD OF GENETIC COUNSELORS. 16 S 7052. THE PRACTICE OF GENETIC COUNSELING. 1. THE "PRACTICE OF GENET- 17 IC COUNSELING" SHALL MEAN THE COMMUNICATION TO AND EDUCATION OF CLIENTS, 18 THEIR FAMILIES, OTHER HEALTH CARE PROFESSIONALS AND THE GENERAL PUBLIC 19 WITH REGARDS TO GENETIC TESTING, INDIVIDUAL FAMILY HISTORIES, OR OTHER 20 GENETIC, MEDICAL, AND TECHNICAL INFORMATION ASSOCIATED WITH THE OCCUR- 21 RENCE, RISK OF OCCURRENCE OR RECURRENCE, OF A GENETIC OR HEREDITARY 22 CONDITION OR BIRTH DEFECT IN A COMPREHENSIVE, UNDERSTANDABLE, ETHICAL 23 MANNER. A PRACTITIONER OF GENETIC COUNSELING SHALL SEEK TO PROMOTE 24 DECISION-MAKING IN AN UNBIASED, NON-COERCIVE MANNER WHICH RESPECTS THE 25 INDIVIDUAL'S CULTURE, LANGUAGE, TRADITION, LIFESTYLE, RELIGION, BELIEFS 26 AND VALUES. GENETIC COUNSELING SHALL INCLUDE, BUT NOT BE LIMITED TO, 27 THE FOLLOWING: 28 (A) OBTAIN AND EVALUATE INDIVIDUAL, FAMILY, AND MEDICAL HISTORIES TO 29 DETERMINE GENETIC RISK FOR GENETIC/MEDICAL CONDITIONS AND DISEASES IN A 30 PATIENT, HIS OR HER OFFSPRING, AND OTHER FAMILY MEMBERS; 31 (B) DISCUSS THE FEATURES, NATURAL HISTORY, MEANS OF DIAGNOSIS, GENETIC 32 AND ENVIRONMENTAL FACTORS, AND MANAGEMENT OF RISK FOR GENETIC/MEDICAL 33 CONDITIONS AND DISEASES; 34 (C) IDENTIFY AND COORDINATE GENETIC LABORATORY TESTS AND OTHER DIAG- 35 NOSTIC STUDIES AS APPROPRIATE FOR THE GENETIC ASSESSMENT; 36 (D) INTEGRATE GENETIC LABORATORY TEST RESULTS AND OTHER DIAGNOSTIC 37 STUDIES WITH PERSONAL AND FAMILY MEDICAL HISTORY TO ASSESS AND COMMUNI- 38 CATE RISK FACTORS FOR GENETIC/MEDICAL CONDITIONS AND DISEASES; 39 (E) EXPLAIN THE CLINICAL IMPLICATIONS OF GENETIC LABORATORY TESTS AND 40 OTHER DIAGNOSTIC STUDIES AND THEIR RESULTS; 41 (F) EVALUATE THE CLIENT'S OR FAMILY'S RESPONSES TO THE CONDITION OR 42 RISK OF RECURRENCE AND PROVIDE CLIENT-CENTERED COUNSELING AND ANTICIPA- 43 TORY GUIDANCE; 44 (G) IDENTIFY AND UTILIZE COMMUNITY RESOURCES THAT PROVIDE MEDICAL, 45 EDUCATIONAL, FINANCIAL, AND PSYCHOSOCIAL SUPPORT AND ADVOCACY; AND 46 (H) PROVIDE WRITTEN DOCUMENTATION OF MEDICAL, GENETIC, AND COUNSELING 47 INFORMATION FOR PATIENTS AND HEALTH CARE PROFESSIONALS IN ACCORDANCE 48 WITH MEDICAL STANDARDS AND PRIVACY LAWS. 49 2. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO AUTHORIZE A LICENSED 50 GENETIC COUNSELOR TO DIAGNOSE OR TREAT ANY GENETIC DISEASE OR CONDITION. 51 LICENSED GENETIC COUNSELORS ARE REQUIRED TO ENSURE THAT PATIENT/CLIENT 52 CONFIDENTIALITY AND INFORMED CONSENT ARE MAINTAINED CONSISTENT WITH 53 EXISTING FEDERAL AND STATE LAW. 54 3. PRACTICE OF GENETIC COUNSELING, AND USE OF THE TITLES "GENETIC 55 COUNSELOR" AND "LICENSED GENETIC COUNSELOR" AND THE USE OF THE LETTERS 56 "L.G.C." AFTER THE NAME SHALL BE RESERVED EXCLUSIVELY TO PERSONS S. 2904--A 3 A. 3350--A 1 LICENSED PURSUANT TO THIS ARTICLE. ONLY A PERSON LICENSED OR EXEMPT 2 UNDER THIS ARTICLE SHALL PRACTICE GENETIC COUNSELING OR USE THE TITLE 3 "GENETIC COUNSELOR". ONLY A PERSON LICENSED UNDER THIS ARTICLE SHALL USE 4 THE TITLE "LICENSED GENETIC COUNSELOR" OR ANY OTHER DESIGNATION TENDING 5 TO IMPLY THAT A PERSON IS LICENSED TO PRACTICE GENETIC COUNSELING. 6 S 7053. STATE COMMITTEE FOR GENETIC COUNSELING. 1. A STATE COMMITTEE 7 FOR GENETIC COUNSELING SHALL BE APPOINTED BY THE BOARD OF REGENTS UPON 8 THE RECOMMENDATION OF THE COMMISSIONER AND SHALL ASSIST ON MATTERS OF 9 LICENSURE AND PROFESSIONAL CONDUCT IN ACCORDANCE WITH SECTION SIXTY-FIVE 10 HUNDRED EIGHT OF THIS TITLE. NOTWITHSTANDING THE PROVISIONS OF SECTION 11 SIXTY-FIVE HUNDRED EIGHT OF THIS TITLE, THE COMMITTEE SHALL ASSIST THE 12 BOARD FOR MEDICINE SOLELY IN GENETIC COUNSELING MATTERS. MEMBERS OF THE 13 FIRST COMMITTEE NEED NOT BE LICENSED PRIOR TO THEIR APPOINTMENT TO SUCH 14 COMMITTEE. THE TERMS OF THE FIRST APPOINTED MEMBERS SHALL BE STAGGERED 15 SO THAT TWO MEMBERS ARE APPOINTED FOR THREE YEARS, THREE MEMBERS ARE 16 APPOINTED FOR FOUR YEARS AND TWO MEMBERS ARE APPOINTED FOR FIVE YEARS. 17 AN EXECUTIVE SECRETARY TO THE COMMITTEE SHALL BE APPOINTED BY THE BOARD 18 OF REGENTS ON THE RECOMMENDATIONS OF THE COMMISSIONER. 19 2. THE COMMITTEE SHALL CONSIST OF SEVEN INDIVIDUALS, TO BE COMPOSED OF 20 THE FOLLOWING: 21 (A) FIVE LICENSED GENETIC COUNSELORS WITH A MINIMUM OF FIVE YEARS 22 EXPERIENCE, INCLUDING AT LEAST THREE YEARS OF FIELD EXPERIENCE WORKING 23 WITH PATIENTS OR THE GENERAL PUBLIC IN THE FIELD OF GENETIC COUNSELING; 24 (B) ONE LICENSED MEDICAL GENETICIST; AND 25 (C) A REPRESENTATIVE OF THE PUBLIC AT LARGE. 26 3. BOARD MEMBERS SHALL BE APPOINTED FOR TERMS OF FIVE YEARS. VACANCIES 27 SHORT OF A FULL TERM SHALL BE FILLED TO COMPLETE THE TIME REMAINING IN 28 THE TERM OF THE MEMBER VACATING. 29 S 7054. REQUIREMENTS FOR A PROFESSIONAL LICENSE. TO QUALIFY FOR A 30 LICENSE AS A "LICENSED GENETIC COUNSELOR", AN APPLICANT SHALL FULFILL 31 THE FOLLOWING REQUIREMENTS: 32 1. APPLICATION: FILE AN APPLICATION WITH THE DEPARTMENT; 33 2. EDUCATION: HAVE RECEIVED A MASTER'S OR DOCTORAL DEGREE IN GENETIC 34 COUNSELING FROM A PROGRAM REGISTERED BY THE DEPARTMENT, OR DETERMINED BY 35 THE DEPARTMENT TO BE THE SUBSTANTIAL EQUIVALENT, IN ACCORDANCE WITH THE 36 COMMISSIONER'S REGULATIONS. APPROPRIATE COURSEWORK SHALL BE DETERMINED 37 IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS ON RECOMMENDATIONS OF 38 THE STATE COMMITTEE FOR GENETIC COUNSELING; 39 3. EXPERIENCE: HAVE GENETIC COUNSELING EXPERIENCE SATISFACTORY TO THE 40 DEPARTMENT AS DEFINED IN SECTION SEVEN THOUSAND FIFTY-THREE OF THIS 41 ARTICLE AND IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS. SUCH 42 EXPERIENCE SHALL INCLUDE, BUT NOT BE LIMITED TO REQUIRED DOCUMENTATION 43 OF SUPERVISED CASE-WORK AND OTHER EDUCATIONAL EXPERIENCES DEEMED ACCEPT- 44 ABLE TO THE DEPARTMENT; 45 4. EXAMINATION: PASS THE AMERICAN BOARD OF GENETIC COUNSELING (ABGC) 46 EXAMINATION FOR CERTIFICATION OR HAVE PASSED A PREVIOUS EXAMINATION 47 ACCEPTED BY THE ABGC FOR CERTIFICATION; 48 5. AGE: BE AT LEAST TWENTY-ONE YEARS OF AGE; 49 6. CHARACTER: BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART- 50 MENT; 51 7. FEES: PAY A FEE OF THREE HUNDRED DOLLARS TO THE DEPARTMENT FOR AN 52 INITIAL LICENSE AND TWO HUNDRED DOLLARS FOR EACH SUBSEQUENT RE-REGISTRA- 53 TION OF A LICENSE; AND 54 8. CONTINUING EDUCATION: AT THE TIME OF RE-REGISTRATION WITH THE 55 DEPARTMENT, EACH APPLICANT SHALL PRESENT SATISFACTORY DOCUMENTATION TO 56 THE STATE COMMITTEE FOR GENETIC COUNSELING THAT SINCE LAST REGISTRATION S. 2904--A 4 A. 3350--A 1 THEY ATTENDED THE EDUCATION PROGRAMS CONDUCTED BY THE NATIONAL SOCIETY 2 OF GENETIC COUNSELORS IN CONCORDANCE WITH THE AMERICAN BOARD OF GENETIC 3 COUNSELING OR THE EQUIVALENT OF SUCH EDUCATIONAL PROGRAMS AS APPROVED 4 BY THE STATE COMMITTEE FOR GENETIC COUNSELING IN ACCORDANCE WITH THE 5 COMMISSIONER'S REGULATIONS. THE DEPARTMENT SHALL TRIENNIALLY RE-REGIS- 6 TER A LICENSE UPON RECEIPT OF A RE-REGISTRATION APPLICATION. THE 7 DEPARTMENT IS AUTHORIZED AND DIRECTED, IN CONSULTATION WITH THE STATE 8 COMMITTEE ESTABLISHED IN SECTION SEVEN THOUSAND FIFTY-THREE OF THIS 9 ARTICLE, TO ESTABLISH CRITERIA AS A CONDITION OF LICENSURE RE-REGISTRA- 10 TION FOR CONTINUING EDUCATION OF GENETIC COUNSELORS INCLUDING, BUT NOT 11 LIMITED TO THE NUMBER OF HOURS AND/OR EDUCATION UNITS NECESSARY TO 12 COMPLETE CONTINUING EDUCATION REQUIREMENTS. 13 S 7055. EXEMPT PERSONS. THIS ARTICLE DOES NOT PROHIBIT THE PRACTICE OF 14 GENETIC COUNSELING BY LICENSED PHYSICIANS OR OTHER LICENSED PROFES- 15 SIONALS PURSUANT TO TITLE EIGHT OF THIS CHAPTER TO OPERATE WITHIN THE 16 SCOPE OF THEIR PROFESSION'S LICENSE. SUCH EXEMPT PERSONS ARE PROHIBITED 17 FROM USING THE TITLE "LICENSED GENETIC COUNSELOR" AS PROVIDED FOR IN 18 THIS ARTICLE. 19 S 7056. LIMITED PERMITS. PERMITS LIMITED AS TO ELIGIBILITY, PRACTICE 20 AND DURATION SHALL BE ISSUED BY THE DEPARTMENT TO ELIGIBLE APPLICANTS, 21 AS FOLLOWS: 22 1. THE DEPARTMENT MAY ISSUE A LIMITED PERMIT TO AN APPLICANT WHO MEETS 23 ALL QUALIFICATIONS FOR LICENSURE AS A GENETIC COUNSELOR, EXCEPT THE 24 EXAMINATION AND/OR EXPERIENCE REQUIREMENTS, IN ACCORDANCE WITH REGU- 25 LATIONS PROMULGATED BY THE DEPARTMENT. 26 2. THE DEPARTMENT MAY ISSUE LIMITED PERMITS TO FOREIGN TRAINED GENETIC 27 COUNSELORS THAT APPLY IF THEY MEET THE REQUIREMENTS FOR LICENSURE PURSU- 28 ANT TO SECTION SEVEN THOUSAND FIFTY-FOUR OF THIS ARTICLE. 29 3. LIMITED PERMITS SHALL BE FOR ONE YEAR. LIMITED PERMITS MAY BE 30 RE-REGISTERED, AT THE DISCRETION OF THE DEPARTMENT, FOR ONE ADDITIONAL 31 YEAR. 32 4. AN INDIVIDUAL WITH A LIMITED PERMIT SHALL BE AUTHORIZED TO PRACTICE 33 GENETIC COUNSELING ONLY UNDER THE SUPERVISION OF A LICENSED GENETIC 34 COUNSELOR, OR LICENSED PHYSICIAN. SUPERVISION SHALL MEAN THE REVIEW OF 35 GENETIC COUNSELING AS PROVIDED BY SECTION SEVEN THOUSAND FIFTY-TWO OF 36 THIS ARTICLE AND CASE MANAGEMENT AS APPROPRIATE THAT INCLUDE REGULAR 37 CHART REVIEWS OF CLIENTS WITH THE LIMITED PERMITTEE AND THE SUPERVISOR. 38 5. THE FEE FOR EACH LIMITED PERMIT AND FOR EACH RE-REGISTRATION SHALL 39 BE TWO HUNDRED DOLLARS. 40 S 7057. VISITING GENETIC COUNSELORS. VISITING CERTIFIED OR LICENSED 41 GENETIC COUNSELORS FROM OUTSIDE THE STATE PERFORMING SERVICES FOR A 42 PERIOD OF LESS THAN FIFTEEN DAYS, ANNUALLY, SHALL BE EXEMPT FROM NEW 43 YORK STATE LICENSURE. VISITING GENETIC COUNSELORS MUST BE LICENSED IN 44 THEIR HOME STATE IF LICENSURE IS AVAILABLE. VISITING CERTIFIED OR 45 LICENSED GENETIC COUNSELORS, FROM OUTSIDE THE STATE, PERFORMING SERVICES 46 FOR A PERIOD OF FIFTEEN DAYS OR MORE, ANNUALLY, MUST APPLY FOR NEW YORK 47 STATE LICENSURE WITHIN SIXTY DAYS OF PROVIDING SERVICES IN NEW YORK 48 STATE. SUCH APPLICANTS MAY CONTINUE TO PROVIDE SERVICES UNTIL NEW YORK 49 STATE LICENSURE IS GRANTED OR DENIED. 50 S 7058. TELEHEALTH SERVICES. GENETIC COUNSELORS PROVIDING TELEHEALTH 51 SERVICES TO NEW YORK STATE RESIDENTS MUST HAVE OR APPLY FOR NEW YORK 52 STATE LICENSURE. AS USED IN THIS SECTION "TELEHEALTH SERVICES" SHALL 53 MEAN THE PROVISION OF GENETIC COUNSELING THROUGH THE USE OF SECURE TELE- 54 COMMUNICATIONS TECHNOLOGY. 55 S 2. Severability. If any clause, sentence, paragraph, section or part 56 of this act shall be adjudged by any court of competent jurisdiction to S. 2904--A 5 A. 3350--A 1 be invalid and after exhaustion of all further judicial review, the 2 judgment shall not affect, impair or invalidate the remainder thereof, 3 but shall be confined in its operation to the clause, sentence, para- 4 graph, section or part of this act directly involved in the controversy 5 in which the judgment shall have been rendered. 6 S 3. This act shall take effect immediately; provided, however, that 7 within two years of the effective date of this act, the addition, amend- 8 ment and/or repeal of any rule or regulation necessary for the implemen- 9 tation of this act on its effective date are authorized and directed to 10 be made and completed on or before such effective date; provided, 11 further, that with respect to those persons who are licensed under arti- 12 cle 142 of the education law on or before the triennial registration 13 period next succeeding the effective date of this act, the continuing 14 education requirements set forth in this act need not be completed until 15 after the second triennial registration period.