S T A T E O F N E W Y O R K
________________________________________________________________________
49
2023-2024 Regular Sessions
I N A S S E M B L Y
(PREFILED)
January 4, 2023
___________
Introduced by M. of A. L. ROSENTHAL, BENEDETTO, ROZIC, FORREST, BURGOS,
McDONOUGH, RA -- Multi-Sponsored by -- M. of A. STIRPE -- read once
and referred to the Committee on Higher Education
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:
Section 1. Legislative intent and findings. The legislature finds that
while significant steps have been taken through legislation in response
to the COVID-19 crisis in New York State, much more must be done to
combat the continued threat to public health and safety presented by
COVID-19 and future pandemics including identifying risk factors, devel-
oping responses, and increasing access to treatment.
The legislature intends to build on the initial efforts of the execu-
tive and legislature in responding to the COVID-19 crisis by recognizing
the significant role genetic counselors play in identifying genetic
variants through predictive testing, investigating underlying genomic
susceptibilities and deciphering complex testing infrastructures, culmi-
nating in the critical counseling of patients and educating other health
care providers.
The legislature finds that the state's mission to ensure preparedness
against future health crises through data collection, research, and
access to safe care will be advanced through the licensure of genetic
counselors and the active engagement of these uniquely trained practi-
tioners and researchers in the making of informed personal health care
decisions and the development of effective health care policies.
§ 2. The education law is amended by adding a new article 142 to read
as follows:
ARTICLE 142
GENETIC COUNSELING
EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD00935-01-3
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SECTION 7050. INTRODUCTION.
7051. PRACTICE OF GENETIC COUNSELING AND USE OF THE TITLE
"GENETIC COUNSELOR".
7052. STATE BOARD FOR GENETIC COUNSELING.
7053. REQUIREMENTS FOR A PROFESSIONAL LICENSE.
7054. EXEMPT PERSONS.
7055. LIMITED PERMITS.
7056. SPECIAL PROVISIONS.
§ 7050. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSING OF GENETIC
COUNSELORS. THE GENERAL PROVISIONS FOR ALL PROFESSIONS CONTAINED IN
ARTICLE ONE HUNDRED THIRTY OF THIS TITLE APPLY TO THIS ARTICLE.
§ 7051. PRACTICE OF GENETIC COUNSELING AND USE OF THE TITLE "GENETIC
COUNSELOR". 1. THE "PRACTICE OF GENETIC COUNSELING" SHALL MEAN THE
COMMUNICATION TO AND EDUCATION OF HUMAN CLIENTS, THEIR FAMILIES, OTHER
HEALTH CARE PROFESSIONALS AND THE GENERAL PUBLIC WITH REGARD TO GENETIC
TESTING, INDIVIDUAL FAMILY HISTORIES, OR OTHER GENETIC, PERSONAL MEDICAL
HISTORY, AND TECHNICAL INFORMATION ASSOCIATED WITH THE OCCURRENCE, RISK
OF OCCURRENCE OR RECURRENCE, OF A GENETIC OR HEREDITARY CONDITION OR
BIRTH DEFECT. A PRACTITIONER OF GENETIC COUNSELING SHALL SEEK TO
PROMOTE DECISION-MAKING FOR THEIR CLIENT WHICH RESPECTS THE CLIENT'S
CULTURE, LANGUAGE, TRADITION, LIFESTYLE, RELIGION, BELIEFS AND VALUES.
GENETIC COUNSELING SHALL INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING:
(A) OBTAIN AND EVALUATE PERSONAL AND FAMILY MEDICAL HISTORY TO DETER-
MINE GENETIC RISK FOR GENETIC CONDITIONS AND DISEASES IN A HUMAN CLIENT,
HIS OR HER OFFSPRING, AND OTHER FAMILY MEMBERS;
(B) EDUCATE CLIENTS REGARDING THE MEANS TO ASSESS AND MANAGE RISK FOR
GENETIC CONDITIONS AND DISEASE;
(C) IDENTIFY AND ORDER GENETIC LABORATORY TESTS AND COORDINATE OTHER
DIAGNOSTIC STUDIES AS APPROPRIATE FOR THE GENETIC ASSESSMENT;
(D) INTEGRATE GENETIC LABORATORY TEST RESULTS AND OTHER DIAGNOSTIC
STUDIES WITH PERSONAL AND FAMILY MEDICAL HISTORY TO ASSESS AND COMMUNI-
CATE RISK FACTORS FOR GENETIC CONDITIONS;
(E) EXPLAIN TO A CLIENT THE CLINICAL IMPLICATIONS OF GENETIC LABORATO-
RY TESTS AND OTHER DIAGNOSTIC STUDIES AND THEIR RESULTS; AND
(F) MAINTAIN WRITTEN DOCUMENTATION OF THE GENETIC COUNSELING SERVICES
PERFORMED FOR CLIENTS AND HEALTH CARE PROFESSIONALS.
2. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO AUTHORIZE A LICENSED
GENETIC COUNSELOR TO DIAGNOSE OR TREAT ANY GENETIC DISEASE OR MEDICAL
CONDITION, PRACTICE PSYCHOTHERAPY, OR PRACTICE ANY OTHER PROFESSION THAT
IS LICENSED UNDER THIS TITLE. THIS INCLUDES, BUT MAY NOT BE LIMITED TO,
THE FOLLOWING:
(A) PRESCRIBE OR ADMINISTER DRUGS AS DEFINED IN THIS CHAPTER OR AS A
TREATMENT, THERAPY, OR PROFESSIONAL SERVICES IN THE PRACTICE OF HIS OR
HER PROFESSION;
(B) USE INVASIVE PROCEDURES AS A TREATMENT, THERAPY, OR PROFESSIONAL
SERVICE IN THE PRACTICE OF HIS OR HER PROFESSION. FOR THE PURPOSES OF
THIS SUBDIVISION, "INVASIVE PROCEDURE" MEANS ANY PROCEDURE IN WHICH
HUMAN TISSUE IS CUT, ALTERED, OR OTHERWISE INFILTRATED BY MECHANICAL OR
OTHER MEANS. INVASIVE PROCEDURES SHALL INCLUDE SURGERY, LASERS, IONIZING
RADIATION, THERAPEUTIC ULTRASOUND, OR ELECTROCONVULSIVE THERAPY; OR
(C) PROVIDE PSYCHOTHERAPY AS DEFINED IN SUBDIVISION TWO OF SECTION
EIGHTY-FOUR HUNDRED ONE OF THIS TITLE.
3. IF IN THE COURSE OF PROVIDING GENETIC COUNSELING TO ANY CLIENT, A
GENETIC COUNSELOR FINDS ANY INDICATION OF DISEASE OR CONDITION THAT MAY
REQUIRE MEDICAL ASSESSMENT, THE GENETIC COUNSELOR SHALL REFER THAT
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CLIENT TO A LICENSED PHYSICIAN, OR AS APPROPRIATE, ANOTHER HEALTH CARE
PROFESSIONAL LICENSED PURSUANT TO THIS TITLE.
4. ONLY A PERSON LICENSED OR EXEMPT UNDER THIS ARTICLE SHALL PRACTICE
GENETIC COUNSELING. ONLY A PERSON LICENSED UNDER THIS ARTICLE SHALL USE
THE TITLE "LICENSED GENETIC COUNSELOR" AND USE THE LETTERS "L.G.C."
AFTER HIS OR HER NAME OR ANY WORDS OR LETTERS, ABBREVIATIONS OR INSIGNIA
INDICATING OR IMPLYING THAT A PERSON IS LICENSED PURSUANT TO THIS ARTI-
CLE.
5. THE PROVISIONS OF THIS ARTICLE SHALL NOT PROHIBIT ANY LICENSED
GENETIC COUNSELOR EMPLOYED BY ANY ORGANIZATION OR ENTITY WHO IS PROVID-
ING OCCASIONAL SERVICES FROM ENGAGING IN THE PRACTICE OF GENETIC COUN-
SELING, SUBJECT TO THE LIMITATIONS PRESCRIBED BY THE DEPARTMENT, IN
CONSULTATION WITH THE STATE BOARD FOR GENETIC COUNSELING AND THE
PROVISION OF SUCH OCCASIONAL SERVICES SHALL BE DEEMED NOT TO BE THE
PRACTICE OF A PROFESSION FOR PURPOSES OF ALL APPLICABLE PARTNERSHIP,
CORPORATION OR LIMITED LIABILITY COMPANY LAWS AND REGULATIONS.
§ 7052. STATE BOARD FOR GENETIC COUNSELING. 1. A STATE BOARD FOR
GENETIC COUNSELING SHALL BE APPOINTED BY THE BOARD OF REGENTS UPON THE
RECOMMENDATION OF THE COMMISSIONER, PRIOR TO THE EFFECTIVE DATE OF THIS
ARTICLE, AND SHALL ASSIST ON MATTERS OF PROFESSIONAL LICENSING AND
PROFESSIONAL CONDUCT IN ACCORDANCE WITH SECTION SIXTY-FIVE HUNDRED EIGHT
OF THIS TITLE. MEMBERS OF THE FIRST BOARD NEED NOT BE LICENSED PRIOR TO
THEIR APPOINTMENT TO SUCH BOARD. AN EXECUTIVE SECRETARY TO THE BOARD
SHALL BE APPOINTED BY THE BOARD OF REGENTS ON RECOMMENDATION OF THE
COMMISSIONER.
2. THE BOARD SHALL CONSIST OF SEVEN INDIVIDUALS, TO BE COMPOSED OF THE
FOLLOWING:
(A) FIVE LICENSED GENETIC COUNSELORS,
(B) ONE LICENSED PHYSICIAN, AND
(C) A PUBLIC REPRESENTATIVE AS DEFINED IN PARAGRAPH B OF SUBDIVISION
ONE OF SECTION SIXTY-FIVE HUNDRED EIGHT OF THIS TITLE.
3. BOARD MEMBERS SHALL BE APPOINTED FOR TERMS OF FIVE YEARS. THE TERMS
OF THE FIRST APPOINTED MEMBERS SHALL BE STAGGERED SO THAT TWO MEMBERS
ARE APPOINTED FOR THREE YEARS, THREE MEMBERS ARE APPOINTED FOR FOUR
YEARS AND TWO MEMBERS ARE APPOINTED FOR FIVE YEARS.
§ 7053. REQUIREMENTS FOR A PROFESSIONAL LICENSE. TO QUALIFY FOR A
LICENSE AS A "LICENSED GENETIC COUNSELOR", AN APPLICANT SHALL FULFILL
THE FOLLOWING REQUIREMENTS:
1. APPLICATION: FILE AN APPLICATION WITH THE DEPARTMENT;
2. EDUCATION: HAVE RECEIVED A MASTER'S DEGREE OR HIGHER IN GENETIC
COUNSELING OR HUMAN GENETICS FROM A PROGRAM REGISTERED BY THE DEPART-
MENT, OR DETERMINED BY THE DEPARTMENT TO BE THE SUBSTANTIAL EQUIVALENT,
IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS. APPROPRIATE COURSE-
WORK SHALL BE DETERMINED IN ACCORDANCE WITH THE COMMISSIONER'S REGU-
LATIONS ON RECOMMENDATIONS OF THE STATE BOARD FOR GENETIC COUNSELING;
3. EXPERIENCE: EXPERIENCE ACCEPTABLE TO THE DEPARTMENT;
4. EXAMINATION: PASS AN EXAMINATION SATISFACTORY TO THE DEPARTMENT AND
IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS;
5. AGE: BE AT LEAST TWENTY-ONE YEARS OF AGE;
6. CHARACTER: BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART-
MENT;
7. FEES: PAY A FEE OF THREE HUNDRED DOLLARS TO THE DEPARTMENT FOR AN
INITIAL LICENSE AND TWO HUNDRED DOLLARS FOR EACH SUBSEQUENT TRIENNIAL
RE-REGISTRATION OF A LICENSE.
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§ 7054. EXEMPT PERSONS. 1. SO LONG AS THE PERSON DOES NOT HOLD HIM OR
HERSELF OUT TO THE PUBLIC AS A GENETIC COUNSELOR, THE PROVISIONS OF THIS
ARTICLE SHALL NOT APPLY TO:
A. A LICENSED HEALTH CARE PROFESSIONAL LICENSED UNDER THIS TITLE WHO
IS PRACTICING WITHIN THE SCOPE OF PRACTICE AS DEFINED IN THIS TITLE;
B. A STUDENT OR INTERN ENROLLED IN A MASTER'S OR HIGHER PROGRAM REGIS-
TERED OR APPROVED BY THE DEPARTMENT WHERE THE STUDENT OR INTERN IS
ENGAGED IN ACTIVITIES CONSTITUTING THE PRACTICE OF A PROFESSION AS
DEFINED IN THIS TITLE, WHOSE SCOPE OF PRACTICE INCLUDES GENETIC COUN-
SELING; PROVIDED, HOWEVER, SUCH ACTIVITIES SHALL BE PART OF A SUPERVISED
TRAINING PROGRAM UNDER A LICENSED GENETIC COUNSELOR OR AN APPROPRIATE
HEALTH CARE PROFESSIONAL LICENSED PURSUANT TO THIS TITLE IN ACCORDANCE
WITH THE COMMISSIONER'S REGULATIONS; AND
C. AN EMPLOYEE OF THE STATE DEPARTMENT OF HEALTH IN THE PROVISION OF
EDUCATION REGARDING CONDITIONS INCLUDED ON THE NEWBORN SCREENING PANELS.
2. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED AS PROHIBITING COUN-
SELING SERVICES PROVIDED BY AN ATTORNEY WITHIN HIS OR HER USUAL PRAC-
TICE, RAPE CRISIS COUNSELOR WITHIN HIS OR HER USUAL COUNSELING DUTIES,
OR PASTORAL COUNSELING BY A CLERGY MEMBER WORKING WITHIN HIS OR HER
MINISTERIAL CHARGE OF OBLIGATION.
§ 7055. LIMITED PERMITS. LIMITED PERMITS MAY BE ISSUED BY THE DEPART-
MENT TO AUTHORIZE THE PRACTICE OF THE PROFESSION UNDER A LICENSED GENET-
IC COUNSELOR OR PHYSICIAN PURSUANT TO THE COMMISSIONER'S REGULATIONS:
1. THE DEPARTMENT MAY ISSUE A LIMITED PERMIT TO AN APPLICANT WHO MEETS
ALL QUALIFICATIONS FOR LICENSURE AS A GENETIC COUNSELOR, EXCEPT THOSE
RELATING TO THE EXAMINATION AND EXPERIENCE, IN ACCORDANCE WITH THE
COMMISSIONER'S REGULATIONS.
2. LIMITED PERMITS SHALL BE FOR ONE YEAR. SUCH PERMITS MAY BE EXTENDED
AT THE DISCRETION OF THE DEPARTMENT, FOR ONE ADDITIONAL YEAR.
3. THE FEE FOR EACH LIMITED PERMIT AND FOR EACH RENEWAL SHALL BE
SEVENTY DOLLARS.
§ 7056. SPECIAL PROVISIONS. 1. ANY INDIVIDUAL WHO MEETS THE REQUIRE-
MENTS FOR A LICENSE ESTABLISHED IN THIS ARTICLE, EXCEPT FOR EXAMINATION,
EXPERIENCE AND EDUCATION, AND WHO IS CERTIFIED BY A NATIONAL CERTIFYING
BODY HAVING CERTIFICATION STANDARDS ACCEPTABLE TO THE DEPARTMENT, MAY BE
LICENSED WITHOUT MEETING ADDITIONAL REQUIREMENTS AS TO EXAMINATION,
EXPERIENCE, OR EDUCATION, PROVIDED THAT SUCH INDIVIDUAL SUBMITS AN
APPLICATION TO THE DEPARTMENT WITHIN TWO YEARS OF THE EFFECTIVE DATE OF
THIS ARTICLE.
2. ANY INDIVIDUAL WHO MEETS THE REQUIREMENTS FOR A LICENSE ESTABLISHED
IN THIS ARTICLE, EXCEPT FOR EXAMINATION, MAY BE LICENSED WITHOUT EXAM-
INATION, PROVIDED THAT THE PERSON COMPLETED THE EDUCATION REQUIREMENT
PRIOR TO TWO THOUSAND EIGHT, SUBMITS EVIDENCE OF A MINIMUM OF TEN YEARS
EMPLOYMENT AS A GENETIC COUNSELOR, SUBMITS EXPERIENCE ACCEPTABLE TO THE
DEPARTMENT AND SUBMITS AN APPLICATION TO THE DEPARTMENT WITHIN TWO YEARS
OF THE EFFECTIVE DATE OF THIS ARTICLE.
§ 3. Severability. If any clause, sentence, paragraph, section or part
of this act shall be adjudged by any court of competent jurisdiction to
be invalid and after exhaustion of all further judicial review, the
judgment shall not affect, impair or invalidate the remainder thereof,
but shall be confined in its operation to the clause, sentence, para-
graph, section or part of this act directly involved in the controversy
in which the judgment shall have been rendered.
§ 4. This act shall take effect two years after it shall have become a
law; provided, however, that the state education department is author-
ized to promulgate any and all rules and regulations and take any other
A. 49 5
measure necessary to implement this act, including, but not limited to,
the appointment of board members pursuant to section 7052 of the educa-
tion law, as added by section two of this act on or before such effec-
tive date.