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
                           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.
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