Bill Text: NY S04498 | 2017-2018 | General Assembly | Introduced


Bill Title: Provides for the certification of psychologists to prescribe drugs.

Spectrum: Slight Partisan Bill (Republican 2-1)

Status: (Introduced - Dead) 2018-01-03 - REFERRED TO HIGHER EDUCATION [S04498 Detail]

Download: New_York-2017-S04498-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          4498
                               2017-2018 Regular Sessions
                    IN SENATE
                                    February 16, 2017
                                       ___________
        Introduced  by  Sen.  LANZA  -- read twice and ordered printed, and when
          printed to be committed to the Committee on Higher Education
        AN ACT to amend the education law,  in  relation  to  granting  licensed
          psychologists prescriptive authority
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Section 7601-a of the education law, as  added  by  chapter
     2  676 of the laws of 2002, is amended to read as follows:
     3    § 7601-a. Definition of the practice of psychology. 1. The practice of
     4  psychology  is the observation, description, evaluation, interpretation,
     5  and modification of behavior for the purpose of preventing or  eliminat-
     6  ing  symptomatic, maladaptive or undesired behavior; enhancing interper-
     7  sonal relationships, personal, group or organizational effectiveness and
     8  work and/or life adjustment;  and  improving  behavioral  health  and/or
     9  mental  health.  The practice includes, but is not limited to psycholog-
    10  ical (including neuropsychological) testing and counseling;  psychoanal-
    11  ysis;  psychotherapy;  the  diagnosis  and treatment of mental, nervous,
    12  emotional, cognitive or behavioral disorders, disabilities, ailments  or
    13  illnesses,  alcoholism,  substance abuse, disorders of habit or conduct,
    14  the psychological aspects of physical illness, accident, injury or disa-
    15  bility, psychological aspects of  learning  (including  learning  disor-
    16  ders);  [and]  the  use  of  accepted  classification  systems;  and the
    17  prescription of appropriate drugs in accordance with section seventy-six
    18  hundred one-b of this article.  The prescription of drugs by a  psychol-
    19  ogist  is  authorized  only in accordance with the provisions of section
    20  seventy-six hundred one-b of this article and the regulations promulgat-
    21  ed pursuant thereto.
    22    2. The term "diagnosis and treatment" means the appropriate psycholog-
    23  ical diagnosis and the ordering or providing of treatment  according  to
    24  need. Treatment includes, but is not limited to counseling, psychothera-
    25  py,  marital  or family therapy, psychoanalysis, and other psychological
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD07648-01-7

        S. 4498                             2
     1  interventions, including verbal, behavioral, or other appropriate  means
     2  as  defined  in  regulations  promulgated  by  the commissioner; and for
     3  psychologists certified pursuant to section seventy-six hundred one-b of
     4  this article, the prescription of drugs.
     5    §  2.  The  education law is amended by adding a new section 7601-b to
     6  read as follows:
     7    § 7601-b. Certification to use therapeutic drugs.  1. Definitions.  As
     8  used in this section, the following terms shall have the following mean-
     9  ings:
    10    a. "Board" means the state board for psychology.
    11    b.  "Controlled  substance"  means  any  drug  substance  or immediate
    12  precursor enumerated in schedules  1-5  of  the  U.S.  Drug  Enforcement
    13  Administration  Controlled  Substance Act and as provided for in article
    14  thirty-three of the public health law.
    15    c. "Psychologists authorized  to  prescribe"  means  any  psychologist
    16  licensed  pursuant  to this article who has undergone specialized educa-
    17  tion and training in preparation for prescriptive practice and  who  has
    18  passed  an  examination  accepted  by the board relevant to establishing
    19  competence for prescribing, and  who  has  received  from  the  board  a
    20  certificate  granting prescriptive authority, which has not been revoked
    21  or suspended.
    22    d. "Clinical experience" means a period of supervised clinical  train-
    23  ing  and  practice  in  which  clinical  diagnoses and interventions are
    24  learned and which are conducted and supervised as part of  the  training
    25  program.
    26    e.  "Prescription"  is  an  order  for a drug, laboratory test, or any
    27  medicine, device or treatment,  including  controlled  substances,  such
    28  terms as defined in article one hundred thirty-seven of this title.
    29    f. "Prescriptive authority" means the authority to prescribe, adminis-
    30  ter,  discontinue  and/or distribute without charge, drugs or controlled
    31  substances recognized in or customarily used in the diagnosis, treatment
    32  and management of individuals with psychiatric, mental, cognitive, nerv-
    33  ous, emotional or behavioral disorders,  or  other  procedures  directly
    34  related thereto within the scope of practice of psychology in accordance
    35  with rules and regulations adopted by the board.
    36    2. Certification. a. The board shall certify licensed psychologists to
    37  exercise prescriptive authority in accordance with the applicable feder-
    38  al  laws, and the provisions of article one hundred thirty-seven of this
    39  title and article thirty-three of the public health law.
    40    b. The board shall develop and implement procedures for reviewing  the
    41  education  and  training  credentials for such certification process, in
    42  accordance with the standards of professional practice.
    43    3. Initial application  requirements  for  prescriptive  authority.  A
    44  psychologist licensed pursuant to this article who applies for prescrip-
    45  tive  authority shall demonstrate all of the following by official tran-
    46  script or other official evidence satisfactory to the board:
    47    a. The psychologist must hold a current  license  issued  pursuant  to
    48  this  article  to  provide health care services as a psychologist in the
    49  state;
    50    b. As defined by the board, and consistent with the established  poli-
    51  cies  of the American Psychological Association for educating and train-
    52  ing psychologists in preparation for prescriptive authority:
    53    (i) The psychologist must have  completed  an  organized  sequence  of
    54  study in an organized program offering intensive didactic education, and
    55  including  the following core areas of instruction: basic life sciences,
    56  neurosciences, clinical and research pharmacology and  psychopharmacolo-

        S. 4498                             3
     1  gy, clinical medicine and pathophysiology, physical assessment and labo-
     2  ratory  exams,  clinical  pharmacotherapeutics,  research, professional,
     3  ethical and legal issues. The didactic portion of  the  education  shall
     4  consist of an appropriate number of didactic hours to ensure acquisition
     5  of  the necessary knowledge and skills to prescribe in a safe and effec-
     6  tive manner; and
     7    (ii) The psychologist must have obtained relevant clinical  experience
     8  sufficient  to  attain competency in the psychopharmacological treatment
     9  of a diverse patient population under the direction of qualified practi-
    10  tioners as determined by the board;
    11    c. The psychologist must pass an examination developed by a nationally
    12  recognized body (e.g., the American Psychological Association's Practice
    13  Organization's College of Professional Psychology) and approved  by  the
    14  board.
    15    4. Renewal of prescriptive authority.  a. The board shall prescribe by
    16  rule  a  method for the renewal of prescriptive authority at the time of
    17  or in conjunction with the renewal of licenses issued pursuant  to  this
    18  article.
    19    b.  Each applicant for renewal of prescriptive authority shall present
    20  satisfactory evidence to the board demonstrating the completion of twen-
    21  ty-five contact hours of continuing education  instruction  relevant  to
    22  prescriptive authority during the previous licensure renewal period.
    23    5.  Prescribing  practices.   a. Psychologists authorized to prescribe
    24  shall  be  authorized  to  prescribe,  administer,  discontinue   and/or
    25  distribute  without charge, drugs or controlled substances recognized in
    26  or customarily used in the diagnosis, treatment and management of  indi-
    27  viduals  with  psychiatric,  mental,  cognitive,  nervous,  emotional or
    28  behavioral disorders and relevant to  the  practice  of  psychology,  or
    29  other  procedures  directly related thereto within the scope of practice
    30  of psychology in accordance with rules and regulations  adopted  by  the
    31  board.
    32    b.  No psychologist shall issue a prescription unless the psychologist
    33  holds a valid certificate of prescriptive authority.
    34    c. Each prescription issued by a prescribing psychologist shall:
    35    (i) Comply with all applicable state and federal laws and  regulations
    36  relating to such prescription; and
    37    (ii)  Be identified as written by the prescribing psychologist in such
    38  manner as determined by the board in accordance with title four of arti-
    39  cle thirty-three of the public health law.
    40    d. A record of all prescriptions shall be maintained in the  patient's
    41  record.
    42    e.  A psychologist shall not delegate the authority to prescribe drugs
    43  to any other person.
    44    6. Controlled substance prescriptive authority. a.  When authorized to
    45  prescribe controlled substances, psychologists authorized  to  prescribe
    46  shall file in a timely manner their Drug Enforcement Agency registration
    47  and number with the board.
    48    b.  The  board  shall  maintain  current records of every psychologist
    49  authorized to prescribe, including his or her  Drug  Enforcement  Agency
    50  registration and number.
    51    7.  Interaction  with  the state board of pharmacy. a. The board shall
    52  transmit to the state board of pharmacy an initial list of psychologists
    53  authorized to prescribe containing the following information:
    54    (i) the name of the psychologist;
    55    (ii) the psychologist's identification number assigned by  the  board;
    56  and

        S. 4498                             4
     1    (iii) the effective date of prescriptive authority.
     2    b. The board shall promptly forward to the state board of pharmacy any
     3  additions to the initial list as new certificates are issued.
     4    c.  The  board  shall  notify  the state board of pharmacy in a timely
     5  manner upon termination, suspension or reinstatement of a psychologist's
     6  prescriptive authority.
     7    8. Powers and duties of the board.  The board shall  promulgate  rules
     8  and regulations for denying, modifying, suspending or revoking the pres-
     9  criptive authority or license of a psychologist authorized to prescribe.
    10  The  board shall also have the power to require remediation of any defi-
    11  ciencies in the training or practice pattern of the medical psychologist
    12  or prescribing psychologist when, in the judgment  of  the  board,  such
    13  deficiencies  could  reasonably  be  expected  to jeopardize the health,
    14  safety or welfare of the public.
    15    § 3. This act shall take effect on the first of January next  succeed-
    16  ing  the  date  on  which it shall have become a law; provided, however,
    17  that effective immediately, the addition, amendment and/or repeal of any
    18  rule or regulation necessary for the implementation of this act  on  its
    19  effective  date  are authorized and directed to be made and completed on
    20  or before such effective date.
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