LBD09434-05-0
 S. 5127--A                          2
 
 IN ACTIVE INDIVIDUALS.   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.
   (B)  THE  WORK OF ATHLETIC TRAINING IS PERFORMED UNDER THE SUPERVISION
 OF A PHYSICIAN PURSUANT TO A  STANDARD  WRITTEN  PROTOCOL  FOR  ATHLETIC
 TRAINING  SERVICES.  SUPERVISION  BY A PHYSICIAN 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.
   (C) THE PRACTICE OF ATHLETIC TRAINING MAY INCLUDE USE OF VARIOUS CLIN-
 ICALLY APPROPRIATE THERAPEUTIC MODALITES AND TECHNIQUES.
   (D) The scope of work described [herein  shall  not  be  construed  as
 authorizing  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 RESULTING FROM PARTICIPATION IN  AN  ATHLETIC  ENDEAVOR,  WHILE
 TRAINING,  OR  ENGAGED  IN PERFORMING ARTS, PUBLIC PROTECTION, EMERGENCY
 SERVICES, OR MILITARY SERVICE, OR DURING ADAPTIVE ATHLETICS.   ONCE  THE
 INDIVIDUAL HAS BEEN CLEARED BY A SUPERVISING PHYSICIAN, AFTER SUSTAINING
 SUCH  AN  INJURY,  THE  ATHLETIC  TRAINER SHALL WORK WITH THE INDIVIDUAL
 PURSUANT TO STANDARD WRITTEN PROTOCOL TO MANAGE, MONITOR AND TREAT  SUCH
 INJURIES  FOR  PARTICIPATION IN REHABILITATION FOR AN ATHLETIC ENDEAVOR,
 WHILE TRAINING, ENGAGING IN PERFORMING ARTS, PUBLIC PROTECTION, EMERGEN-
 CY SERVICES, MILITARY SERVICES OR DURING ADAPTIVE ATHLETICS.    ATHLETIC
 TRAINERS SHALL WORK WITH INDIVIDUALS PURSUANT TO STANDARD WRITTEN PROTO-
 COL  TO  MANAGE,  MONITOR  AND  TREAT SUCH INJURIES FOR PARTICIPATION IN
 REHABILITATION FOR AN ATHLETIC ENDEAVOR,  WHILE  TRAINING,  ENGAGING  IN
 PERFORMING   ARTS,   PUBLIC  PROTECTION,  EMERGENCY  SERVICES,  MILITARY
 SERVICES OR DURING ADAPTIVE ATHLETICS.
   (E) ATHLETIC TRAINING INCLUDES EDUCATION AND INSTRUCTION  TO  COACHES,
 ATHLETES, ACTIVE INDIVIDUALS, PARENTS, MEDICAL PERSONNEL AND COMMUNITIES
 IN  THE AREA OF CARE AND PREVENTION OF ATHLETIC INJURIES, SPORTS-RELATED
 ILLNESSES AND MEDICAL CONDITIONS.
   2. 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  MECHAN-
 ICAL  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.
   § 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] DEFINITIONS RELATED TO 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 appropriate preventative and support-
 ive devices, under  the  supervision  of  a  physician  and  recognizing
 illness  and  referring  to  the  appropriate  medical professional with
 S. 5127--A                          3
 implementation of treatment pursuant  to  physician's  orders.  Athletic
 training  includes  instruction  to  coaches, athletes, parents, medical
 personnel and communities in the area of care and prevention of athletic
 injuries.
   The scope of work described herein shall not be construed as authoriz-
 ing  the  reconditioning of neurologic injuries, conditions or disease.]
 AS USED IN THIS ARTICLE, THE FOLLOWING TERMS SHALL  HAVE  THE  FOLLOWING
 MEANINGS:
   1.  "EMERGENT"  SHALL  MEAN  A SERIOUS, UNEXPECTED AND OFTEN DANGEROUS
 SITUATION REQUIRING IMMEDIATE ACTION.
   2. "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.
   3.  "SPORT-RELATED  ILLNESSES  AND  MEDICAL CONDITIONS" SHALL MEAN 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  TRAINER,  ACTING WITH THE CONSENT AND UNDER THE DIRECTION OF A
 PHYSICIAN.
   4. "STANDARD WRITTEN PROTOCOL" SHALL MEAN 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.
   5.  "ACTIVE  INDIVIDUAL" SHALL MEAN 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 INDIVID-
 UALS  INVOLVED  IN  PUBLIC  PROTECTION,  EMERGENCY SERVICES, OR MILITARY
 SERVICE, OR INDIVIDUALS INVOLVED IN ADAPTIVE ATHLETICS.
   6. "ATHLETIC INJURY" SHALL MEAN ANY INJURY SUSTAINED AS  A  RESULT  OF
 PARTICIPATION  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.
   § 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]  LICENSED athletic trainer".
 Only a person [certified] LICENSED or otherwise  authorized  under  this
 article  shall  PRACTICE ATHLETIC TRAINING OR use the title "[certified]
 LICENSED athletic trainer" OR THE ABBREVIATION "AT" IN  CONNECTION  WITH
 HIS  OR  HER  NAME  OR  WITH ANY TRADE NAME IN THE CONDUCT OF HIS OR HER
 PROFESSION.
   § 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
 S. 5127--A                          4
 
 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-EIGHT,  APPLICANTS  MUST  HAVE  RECEIVED  A  MASTER'S DEGREE, ITS
 EQUIVALENT 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.  Section 8356 of the education law, as amended by chapter 658  of
 the laws of 1993, is amended to read as follows:
   § 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
 ACCEPTABLE BY THE DEPARTMENT OR THE SUBSTANTIAL EQUIVALENT AS DETERMINED
 S. 5127--A                          5
 
 BY  THE  DEPARTMENT.  STUDENTS  ENROLLED IN AN ATHLETIC TRAINING PROGRAM
 DETERMINED AS ACCEPTABLE  BY  THE  DEPARTMENT  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 DISCRETE 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
 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
 S. 5127--A                          6
 
 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.
   §  7.  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
 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
 S. 5127--A                          7
 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. FOR PURPOSES OF THIS SECTION:
   (A) "ACCEPTABLE LEARNING ACTIVITIES" SHALL INCLUDE, BUT NOT BE LIMITED
 TO, FORMAL COURSES OF LEARNING WHICH CONTRIBUTE TO PROFESSIONAL PRACTICE
 IN  PSYCHOLOGY  AND/OR  SELF-STUDY ACTIVITIES; INDEPENDENT STUDY; FORMAL
 MENTORING ACTIVITIES; PUBLICATION IN PROFESSIONAL JOURNALS; OR LECTURES,
 WHICH MEET THE STANDARDS PRESCRIBED BY REGULATIONS OF THE  COMMISSIONER;
 AND
   (B) "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 ORGANIZATIONS ACCEPTABLE TO  THE
 DEPARTMENT,  AND  ANY OTHER ORGANIZED EDUCATIONAL AND TECHNICAL PROGRAMS
 ACCEPTABLE TO THE DEPARTMENT.   FORMAL COURSES SHALL  BE  TAKEN  FROM  A
 SPONSOR  APPROVED  BY THE DEPARTMENT, BASED UPON AN APPLICATION AND FEE,
 PURSUANT TO THE REGULATIONS OF THE COMMISSIONER.
   5.  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 CREDITS IN SPECIFIC SUBJECTS TO FULFILL THIS MANDA-
 TORY CONTINUING EDUCATION REQUIREMENT.
   6. 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.
   7.  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
 LICENSURE AS AN ATHLETIC TRAINER WITHOUT MEETING ANY ADDITIONAL REQUIRE-
 MENTS.
   § 8. 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
 S. 5127--A                          8
 
 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.
   §  9. 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.
   §  10.  Paragraph  a of subdivision 3 of section 6507 of the education
 law, as amended by chapter 672 of the laws of 2019, 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
 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  for
 people  with  developmental  disabilities  or the local adult protective
 services unit. Each applicant shall provide the department with documen-
 S. 5127--A                          9
 
 tation showing that he or she has completed the required  training.  The
 department shall provide an exemption from the child abuse and maltreat-
 ment  training  requirements  to  any  applicant  who  requests  such an
 exemption  and  who  shows, to the department's satisfaction, that there
 would be no need because of the nature of his or her practice for him or
 her to complete such training;
   § 11. 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.
   §  12.  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-
 S. 5127--A                         10
 
 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.
   §  13. 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  seven 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.