LBD09434-02-9
A. 5499--A 2
INDIVIDUALS ENGAGE IN ACTIVITIES THAT REQUIRE A HIGH DEGREE OF PHYSICAL
EXERTION, THAT INVOLVE TRAINING AND WHERE INJURY OCCURS DURING SUCH
TRAINING OR ATHLETIC ENDEAVOR, INCLUDING BUT NOT LIMITED TO ATHLETIC
INDIVIDUALS, PERFORMING ARTISTS, AND INDIVIDUALS INVOLVED IN PUBLIC
PROTECTION, EMERGENCY SERVICES, OR MILITARY SERVICE, OR INDIVIDUALS
INVOLVED IN ADAPTIVE ATHLETICS. ATHLETIC TRAINERS RECOGNIZE, EVALUATE,
AND ASSIST IN THE MANAGEMENT OF SPORT-RELATED ILLNESSES AND MEDICAL
CONDITIONS. ATHLETIC TRAINERS MAY USE VARIOUS CLINICALLY APPROPRIATE
THERAPEUTIC MODALITIES AND TECHNIQUES. SUPERVISION BY A PHYSICIAN SHALL
BE CONTINUOUS BUT SHALL NOT BE CONSTRUED AS REQUIRING THE PHYSICAL PRES-
ENCE OF THE SUPERVISING PHYSICIAN AT THE TIME AND PLACE WHERE SUCH
SERVICES ARE PERFORMED.
The scope of work described [herein shall not be construed as author-
izing the reconditioning of neurologic injuries, conditions or disease]
IN THIS SECTION SHALL NOT BE CONSTRUED AS AUTHORIZING THE MANAGEMENT AND
TREATMENT OF ACUTE, SUBACUTE, OR CHRONIC NEUROLOGICAL PATHOLOGIES AND
COMORBIDITIES OR NEUROLOGICAL DISEASE PROCESSES WITH THE EXCEPTION OF
INITIAL EVALUATION AND TRIAGE OF EMERGENT NEUROLOGICAL CONDITIONS SUCH
AS POTENTIAL CONCUSSIONS, SPINAL CORD INJURIES OR NERVE INJURIES RESULT-
ING FROM PARTICIPATION IN AN ATHLETIC ENDEAVOR, WHILE TRAINING, OR
ENGAGED IN PERFORMING ARTS, PUBLIC PROTECTION, EMERGENCY SERVICES, OR
MILITARY SERVICE, OR DURING ADAPTIVE ATHLETICS. FURTHER, ATHLETIC TRAIN-
ERS SHALL WORK WITH INDIVIDUALS PURSUANT TO STANDARD WRITTEN PROTOCOL TO
MANAGE, MONITOR AND TREAT SUCH INJURIES AFTER AN INDIVIDUAL HAS BEEN
CLEARED BY A SUPERVISING PHYSICIAN TO BEGIN REHABILITATION FOR PARTIC-
IPATION IN AN ATHLETIC ENDEAVOR, TRAINING, PERFORMING ARTS, PUBLIC
PROTECTION OR EMERGENCY SERVICES, OR DURING ADAPTIVE ATHLETICS.
2. "EMERGENT" MEANS A SERIOUS, UNEXPECTED AND OFTEN DANGEROUS SITU-
ATION REQUIRING IMMEDIATE ACTION.
3. "SUPERVISION" SHALL MEAN BY A PHYSICIAN AND SHALL BE CONTINUOUS BUT
SHALL NOT BE CONSTRUED AS REQUIRING THE PHYSICAL PRESENCE OF THE SUPER-
VISING PHYSICIAN AT THE TIME AND PLACE WHERE SUCH SERVICES ARE
PERFORMED, AND SHALL FURTHER INCLUDE USE OF STANDARD WRITTEN PROTOCOLS
FOR ATHLETIC TRAINING SERVICES DEVELOPED IN CONSULTATION WITH THE SUPER-
VISING PHYSICIAN.
4. "SPORT-RELATED ILLNESSES AND MEDICAL CONDITIONS" MEANS ANY DISEASE,
DISORDER, SICKNESS OR AFFLICTION THAT ARISES FROM OR IS A MANIFESTATION
OF A PHYSICALLY ACTIVE INDIVIDUAL'S PARTICIPATION IN AN EXERCISE, A
SPORT, A GAME, A RECREATIONAL ACTIVITY OR OTHER ACTIVITY, OR ANY OTHER
CONDITION, THAT MAY REQUIRE IMMEDIATE INTERVENTION BY AN ATHLETIC TRAIN-
ER, ACTING WITH THE CONSENT AND UNDER THE DIRECTION OF A PHYSICIAN.
5. "STANDARD WRITTEN PROTOCOL" MEANS A WRITTEN AGREEMENT OR OTHER
DOCUMENT DEVELOPED IN CONJUNCTION WITH THE SUPERVISING PHYSICIAN, WHICH
IDENTIFIES AND IS SIGNED BY THE SUPERVISING PHYSICIAN AND THE LICENSED
ATHLETIC TRAINER, AND DESCRIBES THE MANNER AND FREQUENCY IN WHICH THE
LICENSED ATHLETIC TRAINER REGULARLY COMMUNICATES WITH THE SUPERVISING
PHYSICIAN AND INCLUDES STANDARD OPERATING PROCEDURES, DEVELOPED IN
AGREEMENT WITH THE SUPERVISING PHYSICIAN AND LICENSED ATHLETIC TRAINER,
THAT THE LICENSED ATHLETIC TRAINER FOLLOWS WHEN NOT DIRECTLY SUPERVISED
ONSITE BY THE SUPERVISING PHYSICIAN.
6. "ACTIVE INDIVIDUAL" IS ONE WHO ENGAGES IN ACTIVITIES THAT REQUIRE A
HIGH DEGREE OF PHYSICAL EXERTION, THAT INVOLVE TRAINING AND WHERE INJURY
OCCURS DURING SUCH TRAINING OR ATHLETIC ENDEAVOR, INCLUDING BUT NOT
LIMITED TO ATHLETIC INDIVIDUALS, PERFORMING ARTISTS AND INDIVIDUALS
INVOLVED IN PUBLIC PROTECTION, EMERGENCY SERVICES, OR MILITARY SERVICE,
OR INDIVIDUALS INVOLVED IN ADAPTIVE ATHLETICS.
A. 5499--A 3
7. "ATHLETIC INJURY" MEANS ANY INJURY SUSTAINED AS A RESULT OF PARTIC-
IPATION IN AN EXERCISE, A SPORT, A GAME, A RECREATIONAL ACTIVITY OR ANY
OTHER ACTIVITY THAT REQUIRES A LEVEL OF STRENGTH, FLEXIBILITY OR AGILITY
THAT IS COMPARABLE TO THE LEVEL OF STRENGTH, FLEXIBILITY OR AGILITY
REQUIRED FOR AN EXERCISE, A SPORT, A GAME OR A RECREATIONAL ACTIVITY.
§ 2. Section 8352 of the education law, as amended by chapter 658 of
the laws of 1993, is amended to read as follows:
§ 8352. Definition of practice of athletic training. [The practice of
the profession of athletic training is defined as the application of
principles, methods and procedures for managing athletic injuries, which
shall include the preconditioning, conditioning and reconditioning of an
individual who has suffered an athletic injury through the use of appro-
priate preventative and supportive devices, under the supervision of a
physician and recognizing illness and referring to the appropriate
medical professional with implementation of treatment pursuant to physi-
cian's orders.] 1. THE PRACTICE OF THE PROFESSION OF ATHLETIC TRAINING
IS PERFORMED BY ATHLETIC TRAINERS. IT INCLUDES THE PREVENTION, RECOGNI-
TION, EXAMINATION, EVALUATION, ASSESSMENT, MANAGEMENT, TREATMENT AND
REHABILITATION OF ATHLETIC INJURIES THATOCCUR IN ACTIVE INDIVIDUALS AND
THE WORK IS PERFORMED UNDER THE SUPERVISION OF A PHYSICIAN PURSUANT TO A
STANDARD WRITTEN PROTOCOL. ATHLETIC TRAINING INVOLVES THE RECOGNITION,
EVALUATION, AND ASSISTANCE IN THE MANAGEMENT OF SPORT-RELATED ILLNESSES
AND MEDICAL CONDITIONS, PURSUANT TO THE ATHLETIC TRAINER'S EDUCATION,
EXPERIENCE, AND COMPETENCIES. THE PRACTICE OF ATHLETIC TRAINING MAY
INCLUDE USE OF VARIOUS CLINICALLY APPROPRIATE THERAPEUTIC MODALITIES AND
TECHNIQUES. SUPERVISION BY A PHYSICIAN SHALL BE CONTINUOUS BUT SHALL
NOT BE CONSTRUED AS REQUIRING THE PHYSICAL PRESENCE OF THE SUPERVISING
PHYSICIAN AT THE TIME AND PLACE WHERE SUCH SERVICES ARE PERFORMED.
2. THE SCOPE OF WORK DESCRIBED IN THIS SECTION SHALL NOT BE CONSTRUED
AS AUTHORIZING THE MANAGEMENT AND TREATMENT OF ACUTE, SUBACUTE, OR
CHRONIC NEUROLOGICAL PATHOLOGIES AND COMORBIDITIES OR NEUROLOGICAL
DISEASE PROCESSES WITH THE EXCEPTION OF INITIAL EVALUATION AND TRIAGE OF
EMERGENT NEUROLOGICAL CONDITIONS SUCH AS POTENTIAL CONCUSSIONS, SPINAL
CORD INJURIES OR NERVE INJURIES RESULTING FROM PARTICIPATION IN AN
ATHLETIC ENDEAVOR, WHILE TRAINING, ENGAGING IN PERFORMING ARTS, PUBLIC
PROTECTION OR EMERGENCY SERVICES, OR DURING ADAPTIVE ATHLETICS. FURTHER,
ATHLETIC TRAINERS SHALL WORK WITH INDIVIDUALS PURSUANT TO STANDARD WRIT-
TEN PROTOCOL TO MANAGE, MONITOR AND TREAT SUCH INJURIES AFTER AN INDI-
VIDUAL HAS BEEN CLEARED BY A SUPERVISING PHYSICIAN TO BEGIN REHABILI-
TATION FOR PARTICIPATION IN AN ATHLETIC ENDEAVOR, WHILE TRAINING,
ENGAGING IN PERFORMING ARTS, PUBLIC PROTECTION, EMERGENCY SERVICES,
MILITARY SERVICES OR DURING ADAPTIVE ATHLETICS. Athletic training
includes EDUCATION AND instruction to coaches, athletes, ACTIVE INDIVID-
UALS, parents, medical personnel and communities in the area of care and
prevention of athletic injuries, SPORTS-RELATED ILLNESSES AND MEDICAL
CONDITIONS. SUPERVISION BY A PHYSICIAN SHALL INCLUDE STANDARD WRITTEN
PROTOCOLS FOR ATHLETIC TRAINING SERVICES.
[The scope of work described herein shall not be construed as author-
izing the reconditioning of neurologic injuries, conditions or disease.]
§ 3. Section 8353 of the education law, as added by chapter 798 of the
laws of 1992, is amended to read as follows:
§ 8353. Use of the title "[certified] athletic trainer". Only a
person [certified] LICENSED or otherwise authorized under this article
shall PRACTICE ATHLETIC TRAINING OR use the title "[certified] athletic
trainer" OR THE ABBREVIATION "AT".
A. 5499--A 4
§ 4. Section 8354 of the education law, as added by chapter 798 of the
laws of 1992, is amended to read as follows:
§ 8354. State committee for athletic trainers. A state committee for
athletic trainers shall be appointed by the board of regents, upon the
recommendation of the commissioner and shall assist on matters of
[certification] PROFESSIONAL LICENSING and professional conduct in
accordance with section six thousand five hundred eight of this title.
The committee shall consist of [five] SEVEN members [who], FIVE OF WHOM
are athletic trainers [certified] LICENSED in this state, ONE PRACTICING
PHYSICIAN WHO IS LICENSED IN THIS STATE TO PRACTICE AS AN ORTHOPEDIC
SURGEON, A PRIMARY CARE/FAMILY PRACTICE PHYSICIAN, A SPORTS MEDICINE
PRACTITIONER, OR A NEUROLOGIST, AND ONE PUBLIC MEMBER THAT IS A CONSUMER
OF THE PROFESSION. The committee shall assist the state board for medi-
cine in athletic training matters. Nominations and terms of office of
the members of the state committee for athletic trainers shall conform
to the corresponding provisions relating thereto for state boards under
article one hundred thirty OF TITLE EIGHT of this chapter. [Notwith-
standing the foregoing, the members of the first committee need not be
certified prior to their appointment to the committee.]
§ 5. Section 8355 of the education law, as added by chapter 798 of the
laws of 1992, is amended to read as follows:
§ 8355. Requirements and procedure for professional [certification]
LICENSURE. [For certification as a certified] TO QUALIFY FOR A LICENSE
AS AN athletic trainer under this article, an applicant shall fulfill
the following requirements:
1. Application: file an application with the department;
2. Education: have received an education including a bachelor's, its
equivalent or higher degree in accordance with the commissioner's regu-
lations, PROVIDED HOWEVER, AS OF DECEMBER THIRTY-FIRST, TWO THOUSAND
TWENTY-SIX, APPLICANTS MUST HAVE RECEIVED A MASTER'S DEGREE, ITS EQUIV-
ALENT OR HIGHER IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
3. Experience: have experience in accordance with the commissioner's
regulations;
4. Examination: pass an examination in accordance with the commission-
er's regulations;
5. Age: be at least twenty-one years of age; [and]
6. Fees: pay a fee for an initial [certificate] LICENSE of one hundred
dollars to the department; and a fee of fifty dollars for each triennial
registration period[.]; AND
7. CHARACTER: BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART-
MENT.
§ 6. The education law is amended by adding a new section 8355-a to
read as follows:
§ 8355-A. BOUNDARIES OF PROFESSIONAL PRACTICE. ANY INDIVIDUAL WHOSE
LICENSE OR AUTHORITY TO PRACTICE DERIVES FROM THE PROVISIONS OF THIS
ARTICLE SHALL BE PROHIBITED FROM PRESCRIBING ANY MEDICATION OR
CONTROLLED SUBSTANCE OR PERFORMING SURGERY, SUTURING, OR ANY INVASIVE
PROCEDURES, IN WHICH HUMAN TISSUE IS CUT, ALTERED, OR OTHERWISE PIERCED
BY MECHANICAL OR OTHER MEANS, INCLUDING NEEDLES, EXCEPT THAT NOTHING IN
THIS SECTION SHALL BE CONSTRUED TO PROHIBIT THE USE OF AN EPINEPHRINE
AUTO-INJECTOR DEVICE PURSUANT TO SECTION THREE THOUSAND-C OF THE PUBLIC
HEALTH LAW.
§ 7. Section 8356 of the education law, as amended by chapter 658 of
the laws of 1993, is amended to read as follows:
A. 5499--A 5
§ 8356. [Special provisions. A person shall be certified without exam-
ination provided that, within three years from the effective date of
regulations implementing the provisions of this article, the individual:
1. files an application and pays the appropriate fees to the depart-
ment; and
2. meets the requirements of subdivisions two and five of section
eight thousand three hundred fifty-five of this article and who in addi-
tion:
(a) has been actively engaged in the profession of athletic training
for a minimum of four years during the seven years immediately preceding
the effective date of this article; or
(b) is certified by a United States certifying body acceptable to the
department.] EXEMPT PERSONS. 1. NOTHING CONTAINED IN THIS ARTICLE SHALL
PROHIBIT:
(A) THE PRACTICE OF ATHLETIC TRAINING THAT IS AN INTEGRAL PART OF A
PROGRAM OF STUDY BY STUDENTS ENROLLED IN AN ATHLETIC TRAINING PROGRAM
APPROVED BY THE DEPARTMENT OR THE SUBSTANTIAL EQUIVALENT AS DETERMINED
BY THE DEPARTMENT. STUDENTS ENROLLED IN AN APPROVED ATHLETIC TRAINING
PROGRAM SHALL BE IDENTIFIED AS "ATHLETIC TRAINING STUDENTS" AND SHALL
ONLY PRACTICE ATHLETIC TRAINING UNDER THE DIRECTION AND SUPERVISION OF
AN ATHLETIC TRAINER CURRENTLY LICENSED UNDER THIS ARTICLE. AN ATHLETIC
TRAINING STUDENT SHALL NOT HOLD HIMSELF OR HERSELF OUT AS A LICENSED
ATHLETIC TRAINER; OR
(B) THE PRACTICE OF ATHLETIC TRAINING BY ANY PERSON WHO IS APPROPRI-
ATELY AUTHORIZED AND IN GOOD STANDING TO PRACTICE ATHLETIC TRAINING IN
ANOTHER STATE FROM ACTING AS AN ATHLETIC TRAINER WITHOUT A NEW YORK
STATE LICENSE SOLELY FOR THE FOLLOWING PURPOSES:
(1) CLINICAL EDUCATION, PRACTICE DEMONSTRATIONS OR CLINICAL RESEARCH
THAT IS WITHIN THE PRACTICE OF ATHLETIC TRAINING IN CONNECTION WITH A
PROGRAM OF BASIC CLINICAL EDUCATION, GRADUATE EDUCATION, OR POST-GRADU-
ATE EDUCATION IN AN APPROVED SCHOOL OF ATHLETIC TRAINING, OR IN A CLIN-
ICAL FACILITY, OR A HEALTH CARE AGENCY, OR FOR THE PURPOSES OF CONTINU-
ING EDUCATION NOT TO EXCEED A DURATION OF_THIRTY_DAYS IN ANY CALENDAR
YEAR, AND ANY ATHLETIC TRAINER WHO IS LICENSED IN ANOTHER STATE OR COUN-
TRY, WHO IS VISITING AN ATHLETIC TRAINING PROGRAM, CONDUCTING CLINICAL
EDUCATION OR CLINICAL RESEARCH SHALL BE UNDER THE SUPERVISION OF AN
ATHLETIC TRAINER LICENSED IN THE STATE AND SUCH PRACTICE SHALL BE LIMIT-
ED TO SUCH INSTRUCTION OR RESEARCH; OR
(2) ASSISTING IN THE CARE OF ATHLETES IN A SPECIFIC SANCTIONED ATHLET-
IC EVENT.
2. ANY PERSON PRACTICING ATHLETIC TRAINING IN THIS STATE PURSUANT TO
THIS SUBDIVISION SHALL BE SUBJECT TO PERSONAL AND SUBJECT MATTER JURIS-
DICTION AND THE DISCIPLINARY AND REGULATORY AUTHORITY OF THE BOARD OF
REGENTS AS IF HE OR SHE IS A LICENSEE AND AS IF THE EXEMPTION PURSUANT
TO THIS SUBDIVISION IS A LICENSE. SUCH INDIVIDUALS SHALL CONSENT TO THE
APPOINTMENT OF THE SECRETARY OF STATE OR OTHER PUBLIC OFFICIAL ACCEPTA-
BLE TO THE DEPARTMENT, IN SUCH ATHLETIC TRAINERS' STATES OF LICENSURE AS
THE ATHLETIC TRAINERS' AGENTS UPON WHOM PROCESS MAY BE SERVED IN ANY
ACTIONS OR PROCEEDINGS BY THE DEPARTMENT AGAINST SUCH ATHLETIC TRAINERS.
SUCH INDIVIDUALS SHALL COMPLY WITH THE PROVISIONS OF THIS ARTICLE, THE
RULES OF THE BOARD OF REGENTS AND THE REGULATIONS OF THE COMMISSIONER
RELATING TO PROFESSIONAL MISCONDUCT, DISCIPLINARY PROCEEDINGS AND PENAL-
TIES FOR PROFESSIONAL MISCONDUCT.
3. (A) ANY ATHLETIC TRAINER WHO IS LICENSED AND IN GOOD STANDING IN
ANOTHER STATE OR TERRITORY, AND WHO HAS A WRITTEN AGREEMENT TO PROVIDE
ATHLETIC TRAINING SERVICES TO ATHLETES AND TEAM PERSONNEL OF A UNITED
A. 5499--A 6
STATES SPORTS TEAM RECOGNIZED BY THE UNITED STATES OLYMPIC COMMITTEE OR
AN OUT-OF-STATE SECONDARY SCHOOL, AN INSTITUTION OF POSTSECONDARY EDUCA-
TION, A PROFESSIONAL ATHLETIC ORGANIZATION SPORTS TEAM, OR A PERFORMING
ARTS TROUPE, MAY PROVIDE ATHLETIC TRAINING SERVICES TO SUCH ATHLETES AND
TEAM PERSONNEL AT A DISCRETE SANCTIONED TEAM SPORTING EVENT OR PERFORM-
ANCE IN THIS STATE AS DEFINED BY THE COMMISSIONER IN REGULATIONS,
PROVIDED SUCH SERVICES ARE PROVIDED ONLY TO SUCH ATHLETES AND TEAM
PERSONNEL AT THE DISCRETE SANCTIONED TEAM SPORTING EVENT OR PERFORMANCE.
ANY SUCH ATHLETIC TRAINING SERVICES SHALL BE PROVIDED ONLY FIVE DAYS
BEFORE THROUGH THREE DAYS AFTER EACH DISCRETE SANCTIONED TEAM SPORTING
EVENT OR TRAVELING PERFORMANCE.
(B) ANY PERSON PRACTICING AS AN ATHLETIC TRAINER IN THIS STATE PURSU-
ANT TO THIS SUBDIVISION SHALL BE SUBJECT TO THE PERSONAL AND SUBJECT
MATTER JURISDICTION AND DISCIPLINARY AND REGULATORY AUTHORITY OF THE
BOARD OF REGENTS AS IF HE OR SHE IS A LICENSEE AND AS IF THE EXEMPTION
PURSUANT TO THIS SUBDIVISION IS A LICENSE. SUCH INDIVIDUAL SHALL COMPLY
WITH APPLICABLE PROVISIONS OF THE RULES OF THE BOARD OF REGENTS, AND THE
REGULATIONS OF THE COMMISSIONER, RELATING TO PROFESSIONAL MISCONDUCT,
DISCIPLINARY PROCEEDINGS AND PENALTIES FOR PROFESSIONAL MISCONDUCT.
4. THIS ARTICLE SHALL NOT BE CONSTRUED TO PROHIBIT QUALIFIED MEMBERS
OF OTHER LICENSED OR LEGALLY RECOGNIZED PROFESSIONS FROM PERFORMING WORK
INCIDENTAL TO THE PRACTICE OF THEIR PROFESSION, EXCEPT THAT SUCH PERSONS
MAY NOT HOLD THEMSELVES OUT UNDER THE TITLE ATHLETIC TRAINER OR AS
PERFORMING ATHLETIC TRAINING.
§ 8. The education law is amended by adding two new sections 8356-a
and 8356-b to read as follows:
§ 8356-A. MANDATORY CONTINUING EDUCATION. 1. (A) EACH LICENSED ATHLET-
IC TRAINER REQUIRED UNDER THIS ARTICLE TO REGISTER TRIENNIALLY WITH THE
DEPARTMENT TO PRACTICE IN THE STATE SHALL COMPLY WITH THE PROVISIONS OF
THE MANDATORY CONTINUING EDUCATION REQUIREMENTS PRESCRIBED IN SUBDIVI-
SION TWO OF THIS SECTION EXCEPT AS SET FORTH IN PARAGRAPHS (B) AND (C)
OF THIS SUBDIVISION. LICENSED ATHLETIC TRAINERS WHO DO NOT SATISFY THE
MANDATORY CONTINUING EDUCATION REQUIREMENTS SHALL NOT PRACTICE UNTIL
THEY HAVE MET SUCH REQUIREMENTS, AND THEY HAVE BEEN ISSUED A REGISTRA-
TION CERTIFICATE, EXCEPT THAT A LICENSED ATHLETIC TRAINER MAY PRACTICE
WITHOUT HAVING MET SUCH REQUIREMENTS IF HE OR SHE IS ISSUED A CONDI-
TIONAL REGISTRATION CERTIFICATE PURSUANT TO SUBDIVISION THREE OF THIS
SECTION.
(B) EACH LICENSED ATHLETIC TRAINER SHALL BE EXEMPT FROM THE MANDATORY
CONTINUING EDUCATION REQUIREMENT FOR THE TRIENNIAL REGISTRATION PERIOD
DURING WHICH HE OR SHE IS FIRST LICENSED. IN ACCORDANCE WITH THE INTENT
OF THIS SECTION, ADJUSTMENT TO THE MANDATORY CONTINUING EDUCATION
REQUIREMENT MAY BE GRANTED BY THE DEPARTMENT FOR REASONS OF HEALTH
CERTIFIED BY AN APPROPRIATE HEALTH CARE PROFESSIONAL, FOR EXTENDED
ACTIVE DUTY WITH THE ARMED FORCES OF THE UNITED STATES, OR FOR OTHER
GOOD CAUSE ACCEPTABLE TO THE DEPARTMENT WHICH MAY PREVENT COMPLIANCE.
(C) A LICENSED ATHLETIC TRAINER NOT ENGAGED IN PRACTICE, AS DETERMINED
BY THE DEPARTMENT, SHALL BE EXEMPT FROM THE MANDATORY CONTINUING EDUCA-
TION REQUIREMENT UPON THE FILING OF A STATEMENT WITH THE DEPARTMENT
DECLARING SUCH STATUS. ANY LICENSEE WHO RETURNS TO THE PRACTICE OF
ATHLETIC TRAINING DURING THE TRIENNIAL REGISTRATION PERIOD SHALL NOTIFY
THE DEPARTMENT PRIOR TO REENTERING THE PROFESSION AND SHALL MEET SUCH
MANDATORY EDUCATION REQUIREMENTS AS SHALL BE PRESCRIBED BY REGULATIONS
OF THE COMMISSIONER.
2. DURING EACH TRIENNIAL REGISTRATION PERIOD, AN APPLICANT FOR REGIS-
TRATION AS A LICENSED ATHLETIC TRAINER SHALL COMPLETE A MINIMUM OF
A. 5499--A 7
FORTY-FIVE HOURS OF ACCEPTABLE FORMAL CONTINUING EDUCATION, AS SPECIFIED
IN SUBDIVISION FOUR OF THIS SECTION. ANY LICENSED ATHLETIC TRAINER WHOSE
FIRST REGISTRATION DATE FOLLOWING THE EFFECTIVE DATE OF THIS SECTION
OCCURS LESS THAN THREE YEARS FROM SUCH EFFECTIVE DATE, BUT ON OR AFTER
JANUARY FIRST, TWO THOUSAND TWENTY, SHALL COMPLETE CONTINUING EDUCATION
HOURS ON A PRORATED BASIS AT THE RATE OF ONE HOUR PER MONTH FOR THE
PERIOD BEGINNING JANUARY FIRST, TWO THOUSAND TWENTY AND THEN FIFTEEN
HOURS PER YEAR UNTIL HIS OR HER FIRST REGISTRATION DATE THEREAFTER. A
LICENSEE WHO HAS NOT SATISFIED THE MANDATORY CONTINUING EDUCATION
REQUIREMENTS SHALL NOT BE ISSUED A TRIENNIAL REGISTRATION CERTIFICATE BY
THE DEPARTMENT AND SHALL NOT PRACTICE UNLESS AND UNTIL A CONDITIONAL
REGISTRATION CERTIFICATE IS ISSUED AS PROVIDED FOR IN SUBDIVISION THREE
OF THIS SECTION. CONTINUING EDUCATION HOURS TAKEN DURING ONE TRIENNIUM
MAY NOT BE TRANSFERRED TO A SUBSEQUENT TRIENNIUM.
3. THE DEPARTMENT, IN ITS DISCRETION, MAY ISSUE A CONDITIONAL REGIS-
TRATION TO A LICENSEE WHO FAILS TO MEET THE CONTINUING EDUCATION
REQUIREMENTS ESTABLISHED IN SUBDIVISION TWO OF THIS SECTION BUT WHO
AGREES TO MAKE UP ANY DEFICIENCIES AND COMPLETE ANY ADDITIONAL EDUCATION
WHICH THE DEPARTMENT MAY REQUIRE. THE FEE FOR SUCH A CONDITIONAL REGIS-
TRATION SHALL BE THE SAME AS, AND IN ADDITION TO, THE FEE FOR THE TRIEN-
NIAL REGISTRATION. THE DURATION OF SUCH CONDITIONAL REGISTRATION SHALL
BE DETERMINED BY THE DEPARTMENT BUT SHALL NOT EXCEED ONE YEAR. ANY
LICENSEE WHO IS NOTIFIED OF THE DENIAL OF REGISTRATION FOR FAILURE TO
SUBMIT EVIDENCE, SATISFACTORY TO THE DEPARTMENT, OF REQUIRED CONTINUING
EDUCATION AND WHO PRACTICES WITHOUT SUCH REGISTRATION MAY BE SUBJECT TO
DISCIPLINARY PROCEEDINGS PURSUANT TO SECTION SIXTY-FIVE HUNDRED TEN OF
THIS TITLE.
4. AS USED IN SUBDIVISION TWO OF THIS SECTION, "ACCEPTABLE FORMAL
EDUCATION" SHALL MEAN FORMAL COURSES OF LEARNING WHICH CONTRIBUTE TO
PROFESSIONAL PRACTICE IN ATHLETIC TRAINING AND WHICH MEET THE STANDARDS
PRESCRIBED BY REGULATIONS OF THE COMMISSIONER. SUCH FORMAL COURSES OF
LEARNING SHALL INCLUDE, BUT NOT BE LIMITED TO, COLLEGIATE LEVEL CREDIT
AND NON-CREDIT COURSES, PROFESSIONAL DEVELOPMENT PROGRAMS AND TECHNICAL
SESSIONS OFFERED BY NATIONAL, STATE AND LOCAL PROFESSIONAL ASSOCIATIONS,
AND ANY OTHER ORGANIZED EDUCATIONAL AND TECHNICAL PROGRAMS ACCEPTABLE TO
THE DEPARTMENT. THE DEPARTMENT MAY, IN ITS DISCRETION AND AS NEEDED TO
CONTRIBUTE TO THE HEALTH AND WELFARE OF THE PUBLIC, REQUIRE THE
COMPLETION OF CONTINUING EDUCATION COURSES IN SPECIFIC SUBJECTS TO
FULFILL THIS MANDATORY CONTINUING EDUCATION REQUIREMENT. CONTINUING
EDUCATION COURSES MUST BE TAKEN FROM A PROVIDER APPROVED BY THE DEPART-
MENT, BASED UPON AN APPLICATION AND FEE PURSUANT TO THE REGULATIONS OF
THE COMMISSIONER.
5. A LICENSED ATHLETIC TRAINER SHALL MAINTAIN ADEQUATE DOCUMENTATION
OF COMPLETION OF ACCEPTABLE FORMAL CONTINUING EDUCATION AND SHALL
PROVIDE SUCH DOCUMENTATION AT THE REQUEST OF THE DEPARTMENT. FAILURE TO
PROVIDE SUCH DOCUMENTATION UPON THE REQUEST OF THE DEPARTMENT SHALL BE
AN ACT OF MISCONDUCT SUBJECT TO DISCIPLINARY PROCEEDINGS PURSUANT TO
SECTION SIXTY-FIVE HUNDRED TEN OF THIS TITLE.
6. THE MANDATORY CONTINUING EDUCATION FEE SHALL BE PAYABLE ON OR
BEFORE THE FIRST DAY OF EACH TRIENNIAL REGISTRATION PERIOD, AND SHALL BE
PAID IN ADDITION TO THE TRIENNIAL REGISTRATION FEE REQUIRED BY SECTION
EIGHTY-THREE HUNDRED FIFTY-FIVE OF THIS ARTICLE.
§ 8356-B. SPECIAL PROVISIONS. ANY PERSON WHO IS CERTIFIED AS AN
ATHLETIC TRAINER BY THE DEPARTMENT ON THE EFFECTIVE DATE OF THIS SECTION
SHALL HAVE ONE YEAR FROM THE EFFECTIVE DATE TO APPLY FOR AND QUALIFY FOR
A. 5499--A 8
LICENSURE AS AN ATHLETIC TRAINER WITHOUT MEETING ANY ADDITIONAL REQUIRE-
MENTS.
§ 9. Section 8357 of the education law, as added by chapter 798 of the
laws of 1992, is amended to read as follows:
§ 8357. Non-liability of [certified] LICENSED athletic trainers for
first aid or emergency treatment. Notwithstanding any inconsistent
provision of any general, special or local law, any [certified] LICENSED
athletic trainer who voluntarily and without the expectation of monetary
compensation renders first aid or emergency treatment at the scene of an
accident or other emergency, outside a hospital, doctor's office or any
other place having proper and necessary athletic training equipment, to
a person who is unconscious, ill or injured, shall not be liable for
damages for injuries alleged to have been sustained by such person or
for damages for the death of such person alleged to have occurred by
reason of an act or omission in the rendering of such first aid or emer-
gency treatment unless it is established that such injuries were or such
death was caused by gross negligence on the part of such athletic train-
er. Nothing in this section shall be deemed or construed to relieve a
[certified] LICENSED athletic trainer from liability for damages for
injuries or death caused by an act or omission on the part of an athlet-
ic trainer while rendering professional services in the normal and ordi-
nary course of his or her practice.
§ 10. Section 8358 of the education law is renumbered section 8359 and
a new section 8358 is added to read as follows:
§ 8358. LIMITED PERMITS. THE FOLLOWING REQUIREMENTS FOR A LIMITED
PERMIT SHALL APPLY TO ALL PROFESSIONS LICENSED OR CERTIFIED PURSUANT TO
THIS ARTICLE:
1. THE DEPARTMENT MAY ISSUE A LIMITED PERMIT TO AN APPLICANT WHO MEETS
ALL QUALIFICATIONS FOR LICENSURE, EXCEPT THE EXAMINATION, IN ACCORDANCE
WITH REGULATIONS PROMULGATED THEREFOR.
2. LIMITED PERMITS SHALL BE FOR ONE YEAR; SUCH LIMITED PERMITS MAY NOT
BE RENEWED.
3. THE FEE FOR EACH LIMITED PERMIT AND FOR EACH RENEWAL SHALL BE
SEVENTY DOLLARS.
4. A LIMITED PERMIT HOLDER SHALL PRACTICE ONLY UNDER THE SUPERVISION
OF A PHYSICIAN AS DETERMINED IN ACCORDANCE WITH THE COMMISSIONER'S REGU-
LATIONS.
§ 11. Paragraph a of subdivision 3 of section 6507 of the education
law, as amended by chapter 554 of the laws of 2013, is amended to read
as follows:
a. Establish standards for preprofessional and professional education,
experience and licensing examinations as required to implement the arti-
cle for each profession. Notwithstanding any other provision of law, the
commissioner shall establish standards requiring that all persons apply-
ing, on or after January first, nineteen hundred ninety-one, initially,
or for the renewal of, a license, registration or limited permit to be a
physician, chiropractor, dentist, registered nurse, podiatrist, optome-
trist, psychiatrist, psychologist, licensed master social worker,
licensed clinical social worker, licensed creative arts therapist,
licensed marriage and family therapist, licensed mental health counse-
lor, licensed psychoanalyst, dental hygienist, licensed behavior
analyst, [or] certified behavior analyst assistant, OR ATHLETIC TRAINER
shall, in addition to all the other licensure, certification or permit
requirements, have completed two hours of coursework or training regard-
ing the identification and reporting of child abuse and maltreatment.
The coursework or training shall be obtained from an institution or
A. 5499--A 9
provider which has been approved by the department to provide such
coursework or training. The coursework or training shall include infor-
mation regarding the physical and behavioral indicators of child abuse
and maltreatment and the statutory reporting requirements set out in
sections four hundred thirteen through four hundred twenty of the social
services law, including but not limited to, when and how a report must
be made, what other actions the reporter is mandated or authorized to
take, the legal protections afforded reporters, and the consequences for
failing to report. Such coursework or training may also include informa-
tion regarding the physical and behavioral indicators of the abuse of
individuals with mental retardation and other developmental disabilities
and voluntary reporting of abused or neglected adults to the office [of
mental retardation and] FOR PEOPLE WITH developmental disabilities or
the local adult protective services unit. Each applicant shall provide
the department with documentation showing that he or she has completed
the required training. The department shall provide an exemption from
the child abuse and maltreatment training requirements to any applicant
who requests such an exemption and who shows, to the department's satis-
faction, that there would be no need because of the nature of his or her
practice for him or her to complete such training;
§ 12. Section 6505-b of the education law, as amended by chapter 10 of
the laws of 2018, is amended to read as follows:
§ 6505-b. Course work or training in infection control practices.
Every dentist, registered nurse, licensed practical nurse, podiatrist,
optometrist, ATHLETIC TRAINER and dental hygienist practicing in the
state shall, on or before July first, nineteen hundred ninety-four and
every four years thereafter, complete course work or training appropri-
ate to the professional's practice approved by the department regarding
infection control, which shall include sepsis, and barrier precautions,
including engineering and work practice controls, in accordance with
regulatory standards promulgated by the department, in consultation with
the department of health, which shall be consistent, as far as appropri-
ate, with such standards adopted by the department of health pursuant to
section two hundred thirty-nine of the public health law to prevent the
transmission of HIV, HBV, HCV and infections that could lead to sepsis
in the course of professional practice. Each such professional shall
document to the department at the time of registration commencing with
the first registration after July first, nineteen hundred ninety-four
that the professional has completed course work or training in accord-
ance with this section, provided, however that a professional subject to
the provisions of paragraph (f) of subdivision one of section twenty-
eight hundred five-k of the public health law shall not be required to
so document. The department shall provide an exemption from this
requirement to anyone who requests such an exemption and who (i) clearly
demonstrates to the department's satisfaction that there would be no
need for him or her to complete such course work or training because of
the nature of his or her practice or (ii) that he or she has completed
course work or training deemed by the department to be equivalent to the
course work or training approved by the department pursuant to this
section. The department shall consult with organizations representative
of professions, institutions and those with expertise in infection
control and HIV, HBV, HCV and infections that could lead to sepsis with
respect to the regulatory standards promulgated pursuant to this
section.
A. 5499--A 10
§ 13. Paragraph (a) of subdivision 1 of section 413 of the social
services law, as amended by section 7 of part C of chapter 57 of the
laws of 2018, is amended to read as follows:
(a) The following persons and officials are required to report or
cause a report to be made in accordance with this title when they have
reasonable cause to suspect that a child coming before them in their
professional or official capacity is an abused or maltreated child, or
when they have reasonable cause to suspect that a child is an abused or
maltreated child where the parent, guardian, custodian or other person
legally responsible for such child comes before them in their profes-
sional or official capacity and states from personal knowledge facts,
conditions or circumstances which, if correct, would render the child an
abused or maltreated child: any physician; registered physician assist-
ant; surgeon; medical examiner; coroner; dentist; dental hygienist;
osteopath; optometrist; chiropractor; podiatrist; resident; intern;
ATHLETIC TRAINER; psychologist; registered nurse; social worker; emer-
gency medical technician; licensed creative arts therapist; licensed
marriage and family therapist; licensed mental health counselor;
licensed psychoanalyst; licensed behavior analyst; certified behavior
analyst assistant; hospital personnel engaged in the admission, examina-
tion, care or treatment of persons; a Christian Science practitioner;
school official, which includes but is not limited to school teacher,
school guidance counselor, school psychologist, school social worker,
school nurse, school administrator or other school personnel required to
hold a teaching or administrative license or certificate; full or part-
time compensated school employee required to hold a temporary coaching
license or professional coaching certificate; social services worker;
employee of a publicly-funded emergency shelter for families with chil-
dren; director of a children's overnight camp, summer day camp or trav-
eling summer day camp, as such camps are defined in section thirteen
hundred ninety-two of the public health law; day care center worker;
school-age child care worker; provider of family or group family day
care; employee or volunteer in a residential care facility for children
that is licensed, certified or operated by the office of children and
family services; or any other child care or foster care worker; mental
health professional; substance abuse counselor; alcoholism counselor;
all persons credentialed by the office of alcoholism and substance abuse
services; employees, who are expected to have regular and substantial
contact with children, of a health home or health home care management
agency contracting with a health home as designated by the department of
health and authorized under section three hundred sixty-five-l of this
chapter or such employees who provide home and community based services
under a demonstration program pursuant to section eleven hundred fifteen
of the federal social security act who are expected to have regular and
substantial contact with children; peace officer; police officer;
district attorney or assistant district attorney; investigator employed
in the office of a district attorney; or other law enforcement official.
§ 14. This act shall take effect two years after it shall have become
a law, provided, however, that section 8356-a of the education law as
added by section eight of this act shall take effect five years after
this act shall have become a law. Effective immediately, the addition,
amendment and/or repeal of any rule or regulation necessary for the
implementation of this act on its effective date are authorized to be
made and completed on or before such date.