Bill Text: NY S02992 | 2009-2010 | General Assembly | Amended
Bill Title: Expands the definition of the practice of podiatry to include conditions of the ankle and all soft tissue structures of the leg below the knee anatomically affecting the foot and ankle; establishes podiatrists licensed prior to the effective date of this act need to be certified to operate on the ankle; provides for the conducting of office-based surgery by podiatrists; directs the department of health to study the feasibility of a podiatrist profiling program; authorizes the calling of a physician as an expert witness in a podiatric medical malpractice cause of action.
Spectrum: Moderate Partisan Bill (Democrat 6-1)
Status: (Engrossed - Dead) 2010-06-22 - referred to higher education [S02992 Detail]
Download: New_York-2009-S02992-Amended.html
S T A T E O F N E W Y O R K
________________________________________________________________________
2992--B
Cal. No. 656
2009-2010 Regular Sessions
I N S E N A T E
March 9, 2009
___________
Introduced by Sens. KLEIN, ADAMS, HASSELL-THOMPSON, MAZIARZ, ONORATO,
OPPENHEIMER, THOMPSON -- read twice and ordered printed, and when
printed to be committed to the Committee on Higher Education --
committee discharged, bill amended, ordered reprinted as amended and
recommitted to said committee -- recommitted to the Committee on High-
er Education in accordance with Senate Rule 6, sec. 8 -- reported
favorably from said committee, ordered to first and second report,
ordered to a third reading, amended and ordered reprinted, retaining
its place in the order of third reading
AN ACT to amend the education law, the public health law and the civil
practice law and rules, in relation to the practice of podiatry
THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:
1 Section 1. Section 7001 of the education law, as amended by chapter
2 677 of the laws of 1996, is amended to read as follows:
3 S 7001. Definition of practice of podiatry. 1. The practice of the
4 profession of podiatry is defined as diagnosing, treating, operating and
5 prescribing for any disease, injury, deformity or other condition of the
6 foot, [and may include] ANKLE AND ALL SOFT TISSUE STRUCTURES OF THE LEG
7 BELOW THE DISTAL TIBIAL TUBEROCITY. SURGICAL TREATMENT OF THE ANKLE
8 SHALL NOT EXTEND BEYOND THE TIBIAL METAPHYSEAL FLAIR; PROVIDED, HOWEVER,
9 THAT SUCH SURGICAL TREATMENT MAY EXTEND TO THE DISTAL TIBIAL TUBEROCITY
10 AS NECESSARY FOR THE TREATMENT OF THE ANKLE, INCLUDING, BUT NOT LIMITED
11 TO, THE APPLICATION OF EXTERNAL FIXATION; AND PROVIDED, FURTHER, THAT
12 SUCH TREATMENT SHALL NOT INCLUDE PILON FRACTURES. THE PRACTICE OF PODIA-
13 TRY INCLUDES performing physical evaluations in conjunction with [the
14 provision of] podiatric treatment. Podiatrists [may] SHALL ONLY treat
15 traumatic open wound fractures [only] AND PROVIDE SURGICAL MANAGEMENT OF
16 COMPLICATED FRACTURES OF THE ANKLE in hospitals [, as defined in] OR
17 AMBULATORY SURGERY CENTERS CERTIFIED PURSUANT TO article twenty-eight of
18 the public health law. FOR THE PURPOSES OF THIS ARTICLE, THE TERM
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02162-06-0
S. 2992--B 2
1 "ANKLE" SHALL BE DEFINED AS THE DISTAL METAPHYSIS AND EPIPHYSIS OF THE
2 TIBIA AND FIBULA, THE ARTICULAR CARTILAGE OF THE DISTAL TIBIA AND DISTAL
3 FIBULA, THE LIGAMENTS THAT CONNECT THE DISTAL METAPHYSIS AND EPIPHYSIS
4 OF THE TIBIA AND FIBULA AND TALUS, AND THE PORTIONS OF SKIN, SUBCUTANE-
5 OUS TISSUE, FASCIA, MUSCLES, TENDONS AND NERVES AT OR BELOW THE LEVEL OF
6 THE MYOTENDINOUS JUNCTION OF THE TRICEPS SURAE.
7 2. [The practice of podiatry shall not include treating any part of
8 the human body other than the foot, nor treating fractures of the
9 malleoli or cutting operations upon the malleoli. Podiatrists licensed
10 to practice, but not authorized to prescribe or administer narcotics
11 prior to the effective date of this subdivision, may do so only after
12 certification by the department in accordance with the qualifications
13 established by the commissioner.] The practice of podiatry shall include
14 administering only local anesthetics for therapeutic purposes as well as
15 for anesthesia and treatment under general anesthesia administered by
16 authorized persons.
17 3. PODIATRISTS LICENSED TO PRACTICE PRIOR TO THE EFFECTIVE DATE OF
18 THIS SUBDIVISION MAY PERFORM SURGICAL TREATMENT OF THE ANKLE ONLY AFTER
19 CERTIFICATION BY THE DEPARTMENT IN ACCORDANCE WITH THE QUALIFICATIONS
20 ESTABLISHED BY THE COMMISSIONER. QUALIFICATIONS TO OPERATE ON THE ANKLE,
21 PURSUANT TO THIS SUBDIVISION, SHALL INCLUDE, BUT NOT BE LIMITED TO: THE
22 SUCCESSFUL COMPLETION OF A RESIDENCY PROGRAM OR PROGRAMS, APPROVED BY
23 THE COUNCIL ON PODIATRIC MEDICAL EDUCATION; OR COMPLETION OF A POST-SEC-
24 ONDARY ACCREDITED EDUCATIONAL PROGRAM ACCEPTABLE TO THE COMMISSIONER
25 WITH DEMONSTRATED COMPETENCY IN THE SURGICAL TREATMENT OF THE REAR FOOT
26 AND ANKLE; OR CERTIFICATION BY THE AMERICAN BOARD OF PODIATRIC SURGERY
27 OR A NATIONAL CERTIFYING BOARD HAVING CERTIFICATION STANDARDS ACCEPTABLE
28 TO THE COMMISSIONER.
29 S 2. Paragraph (i) of subdivision 1 of section 230-d of the public
30 health law, as added by chapter 365 of the laws of 2007, is amended to
31 read as follows:
32 (i) "Licensee" shall mean an individual licensed or otherwise author-
33 ized under [articles] ARTICLE one hundred thirty-one [or], one hundred
34 thirty-one-B OR ONE HUNDRED FORTY-ONE of the education law.
35 S 3. Section 2995-d of the public health law is amended by adding a
36 new subdivision 4-a to read as follows:
37 4-A. IN COOPERATION WITH THE EDUCATION DEPARTMENT, STUDY HEALTH CARE
38 PRACTITIONER DATA RELATING TO PODIATRISTS. SUCH STUDY SHALL INCLUDE
39 CONSIDERATION OF WHETHER AN INDIVIDUAL PODIATRIST PROFILING PROGRAM
40 SHOULD BE ESTABLISHED AND OUTLINE AN APPROPRIATE METHOD TO DEVELOP AND
41 IMPLEMENT SUCH A PROFILING PROGRAM IF SUCH A PROGRAM IS DETERMINED BY
42 THE DEPARTMENT TO BE IN THE PUBLIC INTEREST. SUCH PROGRAM AND RECOMMEN-
43 DATIONS MAY BE SIMILAR TO THE PHYSICIAN PROFILES ESTABLISHED PURSUANT TO
44 SECTION TWENTY-NINE HUNDRED NINETY-FIVE-A OF THIS TITLE. SUCH A PROPOSED
45 PODIATRIST PROFILING PROGRAM, IF SUCH A PROGRAM IS DETERMINED BY THE
46 DEPARTMENT TO BE IN THE PUBLIC INTEREST, SHOULD BE CAPABLE OF PRESENT-
47 ING, IN A COST EFFECTIVE MANNER, RELEVANT MEDICAL AND TREATMENT INFORMA-
48 TION IN A FORMAT THAT IS EASILY UNDERSTOOD BY AND MADE AVAILABLE TO THE
49 GENERAL PUBLIC. SUCH STUDY AND ITS FINDINGS SHALL BE SUBMITTED TO THE
50 GOVERNOR, THE TEMPORARY PRESIDENT OF THE SENATE, THE SPEAKER OF THE
51 ASSEMBLY, THE MINORITY LEADER OF THE SENATE AND THE MINORITY LEADER OF
52 THE ASSEMBLY ON OR BEFORE JUNE FIRST, TWO THOUSAND FIFTEEN;
53 S 4. Paragraph 1 of subdivision (d) of section 3101 of the civil prac-
54 tice law and rules is amended by adding a new subparagraph (iv) to read
55 as follows:
S. 2992--B 3
1 (IV) IN AN ACTION FOR PODIATRIC MEDICAL MALPRACTICE, A PHYSICIAN MAY
2 BE CALLED AS AN EXPERT WITNESS AT TRIAL.
3 S 5. This act shall take effect 18 months after it shall have become a
4 law; provided, however, that effective immediately, the addition, amend-
5 ment and/or repeal of any rule or regulation necessary for the implemen-
6 tation of the provisions of this act on its effective date are author-
7 ized and directed to be made and completed on or before such effective
8 date.
