NY State Senate Bill 2025-S8341

Senate Bill S8341

2025-2026 Legislative Session

Establishes a temporary practice authorization pilot program for certain medical and dental professionals to practice in underserved areas

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Current Bill Status - In Senate Committee Rules Committee

Introduced
- In Committee Assembly
- In Committee Senate
- On Floor Calendar Assembly
- On Floor Calendar Senate
- Passed Assembly
- Passed Senate
Delivered to Governor
Signed By Governor

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	Assembly Actions - Lowercase Senate Actions - UPPERCASE
Jun 03, 2025	referred to rules

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2025-S8341 (ACTIVE) - Details

See Assembly Version of this Bill:: A8472
Current Committee:: Senate Rules
Law Section:: Education Law
Laws Affected:: Amd §§6907, 6958, 6525, 6546 & 6605, Ed L

2025-S8341 (ACTIVE) - Summary

Establishes a temporary practice authorization pilot program for certain medical and dental professionals to practice in underserved areas.

2025-S8341 (ACTIVE) - Sponsor Memo

                                 
BILL NUMBER: S8341

SPONSOR: STAVISKY
 
TITLE OF BILL:

An act to amend the education law, in relation to establishing a tempo-
rary practice authorization pilot program for certain medical and dental
professionals to practice in underserved areas; and providing for the
repeal of such provisions upon expiration thereof

 
PURPOSE:

To grant out-of-state licensed medical and dental professionals who have
applied for licensure in New York temporary authorization, for up to six
months, to practice in counties or facilities designated as underserved,
pending full New York licensure

 
SUMMARY OF SPECIFIC PROVISIONS:

Section 1 amends Education Law § 6907 to grant temporary authorization
to out-of-state registered professional nurses, licensed practical nurs-
es, and nurse practitioners to practice in a county or facility desig-

nated by the federal government as medically underserved, pending full
licensure.

Section 2 amends Education Law § 6958 to grant temporary authorization
to out-of-state licensed midwives to practice in a county or facility
designated by the federal government as medically underserved, pending
full licensure.

Section 3 amends Education Law § 6525 to grant temporary authorization
to out-of-state board-certified physicians to practice in a county or
facility designated by the federal government as medically underserved,
pending full licensure.

Section 4 amends Education Law § 6546 to grant temporary authorization
to out-of-state licensed physician assistants to practice in a county or
facility designated by the federal government as medically underserved,
pending full licensure.

Section 5 amends Education Law § 6605 to grant temporary authorization
to out-of-state licensed dentists to practice in a county or facility
designated by the federal government as underserved in the discipline of
dental health, pending full licensure.

Section 6 requires the education commissioner to provide a report evalu-
ating the pilot program.

Section 7 establishes the effective and repeal dates.

 
JUSTIFICATION:

This bill increases healthcare staffing resources, including registered
nurses, licensed practical nurses and nurse practitioners, in designated
shortage areas by creating a pilot program to permit certain out-of-
state practitioners to receive a 180-day temporary license upon their
application for a permanent New York license. The temporary license will
be issued to out-of-state nurses, nurse-midwives, physician assistants,
physicians and dentists so they may immediately begin working in hospi-
tals, nursing homes and other facilities in New York's underserved
areas. The bill does not apply to "travel" nurses or any other health
care professional employed by an employment agency. Instead, to qualify
for a temporary license, the employer must be a health care facility.

According to the federal government, New York state has primary care
health professional shortages in 119 geographic areas and facilities,
and dental health professional shortages in 117 facilities.' These shor-
tages occur throughout the state, in rural and urban areas. New York
particularly needs more nurses in these areas, but New York facilities
often have difficulty recruiting out-of-state practitioners because New
York, unlike other states in the country, does not permit out-of-state
practitioners to practice in the interim period during which the Depart-
ment of Education (SED) accepts and reviews an application for permanent
licensure.

To determine the pilot program's effectiveness, this bill directs SED to
provide an annual written evaluation examining its success at increasing
the healthcare workforce in identified shortage areas.  Similar work-
force studies have already been successfully undertaken in the past by
the Center for Health Workforce Studies at the School of Public Health,
State University of New York (SUNY) at Albany.2

It is important to note that this bill does not create a "compact", as
it does not permit out-of-state practitioners to work in New York under
the authority of their out-of-state license. Rather, the pilot program
aims to improve staffing in healthcare facilities in shortage areas by
enabling the facilities to hire and employ licensed out-of-state medical
and dental practitioners who have received, and will practice under, a
temporary New York State license issued by SED. Authority to practice
under the temporary license ends after no more than 180 days. By
increasing staff resources in medically underserved areas, facilities
will improve access to patient care.

 
LEGISLATIVE HISTORY:

New bill.

 
FISCAL IMPLICATIONS:

Minimal.

 
EFFECTIVE DATE:
This act shall take effect immediately and shall expire and be deemed
repealed 3 years after it shall have become a law.
1 Bureau of Health Workforce, Health Resources and Services Adminis-
tration, U.S. Department of Health & Human Services. Designated Health
Professional Shortage Areas Statistics, Second Quarter of Fiscal Year
2025 Designated HPSA Quarterly Summary.  As of March 31, 2025.
2 Center for Health Workforce Studies, School of Public Health, Univer-
sity at Albany, State University of New York. The Health Care Workforce
in New York State: Trends in the Supply of and Demand for Health Care
Workers, April 2023.

2025-S8341 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   8341
 
                        2025-2026 Regular Sessions
 
                             I N  S E N A T E
 
                               June 3, 2025
                                ___________
 
 Introduced  by Sen. STAVISKY -- read twice and ordered printed, and when
   printed to be committed to the Committee on Rules
 
 AN ACT to amend the education law, in relation to establishing a  tempo-
   rary  practice  authorization  pilot  program  for certain medical and
   dental professionals to practice in underserved areas;  and  providing
   for the repeal of such provisions upon expiration thereof
 
   THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. Section 6907 of the education law, as  amended  by  chapter
 994  of  the laws of 1971 and as renumbered by chapter 50 of the laws of
 1972, subdivision 2 as amended by chapter  315  of  the  laws  of  1981,
 subdivision  4 as amended by chapter 62 of the laws of 1989 and subdivi-
 sion 5 as amended by chapter 110 of the laws of 1972, is amended to read
 as follows:
   § 6907. Limited permits.  1. GRADUATE NURSES. (A) A permit to practice
 as a registered professional nurse or a permit to practice as a licensed
 practical nurse may be issued by the department upon the  filing  of  an
 application  for  a  license  as a registered professional nurse or as a
 licensed practical nurse and submission of such other information as the
 department may require to (i) graduates of schools of nursing registered
 by the department, (ii) graduates of  schools  of  nursing  approved  in
 another state, province, or country or (iii) applicants for a license in
 practical  nursing  whose preparation is determined by the department to
 be the equivalent of that required in this state.
   [2.] (B) Such limited permit shall expire one year from  the  date  of
 issuance  or  upon  notice  to  the applicant by the department that the
 application for license has been denied, or ten days after  notification
 to  the  applicant of failure on the professional licensing examination,
 whichever shall first occur.  Notwithstanding the  foregoing  provisions
 of  this [subdivision] PARAGRAPH, if the applicant is waiting the result
 of a licensing examination at the time such limited permit expires, such
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD11922-04-5

 S. 8341                             2
 
 permit shall continue to be valid until ten days after  notification  to
 the applicant of the results of such examination.
   [3.] (C) A limited permit shall entitle the holder to practice nursing
 only under the supervision of a nurse currently registered in this state
 and with the endorsement of the employing agency.
   [4.  Fees.]  (D)  The fee for each limited permit shall be thirty-five
 dollars.
   [5.] (E) Graduates of schools of nursing registered by the  department
 may  be employed to practice nursing under supervision of a professional
 nurse currently registered in this state and with the endorsement of the
 employing agency for ninety days immediately following graduation from a
 program in nursing and pending receipt of a limited permit for which  an
 application has been filed as provided in this section.
   2. TEMPORARY PRACTICE AUTHORIZATION PILOT PROGRAM. (A) THERE IS HEREBY
 ESTABLISHED  A  TEMPORARY  PRACTICE  AUTHORIZATION PILOT PROGRAM FOR THE
 PURPOSE OF ALLOWING THE TEMPORARY PRACTICE  OF  REGISTERED  PROFESSIONAL
 NURSES,  LICENSED  PRACTICAL NURSES, AND NURSE PRACTITIONERS IN A COUNTY
 OR FACILITY DESIGNATED BY THE FEDERAL  GOVERNMENT  AS  MEDICALLY  UNDER-
 SERVED.
   (B)  REGISTERED  PROFESSIONAL NURSE OR LICENSED PRACTICAL NURSE. (I) A
 PERSON WHO IS CURRENTLY LICENSED AND IN GOOD STANDING IN  ANOTHER  STATE
 OR  TERRITORY  OF  THE UNITED STATES TO PRACTICE AS A REGISTERED PROFES-
 SIONAL NURSE OR A LICENSED PRACTICAL NURSE MAY BE TEMPORARILY AUTHORIZED
 TO PRACTICE SUCH LICENSED PROFESSION PURSUANT TO THIS ARTICLE PENDING  A
 DETERMINATION  ON  LICENSURE  FOR  WHICH  AN  APPLICATION HAS BEEN FILED
 PURSUANT TO THIS ARTICLE, PROVIDED: (1) SUCH APPLICANT HAS OBTAINED  THE
 ENDORSEMENT  OF  AN EMPLOYING HEALTH CARE FACILITY THAT IS AUTHORIZED TO
 PROVIDE PROFESSIONAL NURSING SERVICES; (2) THE POSITION IS LOCATED WITH-
 IN A  COUNTY  OR  FACILITY  DESIGNATED  BY  THE  FEDERAL  GOVERNMENT  AS
 MEDICALLY  UNDERSERVED;  AND  (3)  THE  APPLICANT  IS NOT EMPLOYED BY AN
 EMPLOYMENT AGENCY AS DEFINED IN SUBDIVISION TWO OF SECTION  ONE  HUNDRED
 SEVENTY-ONE OF THE GENERAL BUSINESS LAW.
   (II)  PRIOR  TO  COMMENCING  PRACTICE, THE APPLICANT AND AN AUTHORIZED
 REPRESENTATIVE OF THE EMPLOYING FACILITY SHALL JOINTLY  PROVIDE  WRITTEN
 NOTICE TO THE DEPARTMENT, IN A FORM AND FORMAT ACCEPTABLE TO THE DEPART-
 MENT  THAT  THE  APPLICANT  INTENDS  TO PRACTICE IN A COUNTY OR FACILITY
 DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY  UNDERSERVED  AND  THE
 APPLICANT  SHALL  PAY A FEE DETERMINED BY THE DEPARTMENT. SUCH TEMPORARY
 AUTHORIZATION SHALL BE AWARDED IMMEDIATELY UPON  PROVIDING  SUCH  NOTICE
 AND  PAYING SUCH FEE AND SHALL EXPIRE IN ONE HUNDRED EIGHTY DAYS, OR TEN
 DAYS AFTER NOTIFICATION THAT THE APPLICANT DOES NOT MEET THE  QUALIFICA-
 TIONS FOR LICENSURE AS A REGISTERED PROFESSIONAL NURSE OR LICENSED PRAC-
 TICAL NURSE, WHICHEVER SHALL OCCUR FIRST.
   (C)  NURSE PRACTITIONER. (I) A PERSON WHO IS CURRENTLY LICENSED AND IN
 GOOD STANDING IN ANOTHER STATE OR TERRITORY  OF  THE  UNITED  STATES  TO
 PRACTICE  AS A NURSE PRACTITIONER MAY BE TEMPORARILY AUTHORIZED TO PRAC-
 TICE AS A NURSE PRACTITIONER PURSUANT TO THIS ARTICLE  IN  COLLABORATION
 WITH  A NEW YORK STATE LICENSED PHYSICIAN IN ACCORDANCE WITH SUBDIVISION
 THREE OF SECTION SIXTY-NINE HUNDRED TWO OF THIS ARTICLE PENDING A DETER-
 MINATION ON LICENSURE FOR WHICH AN APPLICATION HAS BEEN  FILED  PURSUANT
 TO  THIS ARTICLE, PROVIDED: (1) SUCH APPLICANT HAS OBTAINED THE ENDORSE-
 MENT OF AN EMPLOYING HEALTH CARE FACILITY THAT IS AUTHORIZED TO  PROVIDE
 NURSE PRACTITIONER SERVICES; (2) THE POSITION IS LOCATED WITHIN A COUNTY
 OR  FACILITY  DESIGNATED  BY  THE FEDERAL GOVERNMENT AS MEDICALLY UNDER-
 SERVED; AND (3) THE APPLICANT IS NOT EMPLOYED BY AN EMPLOYMENT AGENCY AS
 S. 8341                             3
 
 DEFINED IN SUBDIVISION TWO OF SECTION ONE  HUNDRED  SEVENTY-ONE  OF  THE
 GENERAL BUSINESS LAW.
   (II)  PRIOR  TO  COMMENCING  PRACTICE,  THE  APPLICANT AND SUPERVISING
 PHYSICIAN OF  THE  EMPLOYING  FACILITY  SHALL  JOINTLY  PROVIDE  WRITTEN
 NOTIFICATION  TO  THE DEPARTMENT, IN A FORM AND FORMAT ACCEPTABLE TO THE
 DEPARTMENT, THAT SUCH APPLICANT INTENDS  TO  PRACTICE  IN  A  COUNTY  OR
 FACILITY  DESIGNATED  BY THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED
 AND THE APPLICANT SHALL PAY A FEE DETERMINED  BY  THE  DEPARTMENT.  SUCH
 TEMPORARY AUTHORIZATION SHALL BE AWARDED IMMEDIATELY UPON PROVIDING SUCH
 NOTICE  AND PAYING SUCH FEE AND SHALL EXPIRE IN ONE HUNDRED EIGHTY DAYS,
 OR TEN DAYS AFTER NOTIFICATION THAT THE  APPLICANT  DOES  NOT  MEET  THE
 QUALIFICATIONS  FOR  LICENSURE  AS A NURSE PRACTITIONER, WHICHEVER SHALL
 OCCUR FIRST.
   § 2. Section 6958 of the education law, as added by chapter 327 of the
 laws of 1992, is amended to read as follows:
   § 6958. Limited permit.  1. LIMITED PERMIT TO PRACTICE MIDWIFERY.  (A)
 A  limited  permit to practice midwifery may be granted for a period not
 to exceed twelve months to an individual who has to the satisfaction  of
 the  department  met  all the requirements of section sixty-nine hundred
 fifty-five of this article, but  has  not  yet  passed  the  examination
 required by subdivision three of such section.
   [2.] (B) A limited permit shall entitle the holder to practice midwif-
 ery  only  under  the  direct supervision of a licensed physician who is
 authorized under section sixty-nine hundred fifty-one of this article or
 a licensed midwife.
   2. TEMPORARY PRACTICE AUTHORIZATION PILOT PROGRAM. (A) THERE IS HEREBY
 ESTABLISHED A TEMPORARY PRACTICE AUTHORIZATION  PILOT  PROGRAM  FOR  THE
 PURPOSE  OF  ALLOWING THE TEMPORARY PRACTICE OF MIDWIFERY IN A COUNTY OR
 FACILITY DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED.
   (B) A PERSON WHO IS CURRENTLY LICENSED AND IN GOOD STANDING IN ANOTHER
 STATE OR TERRITORY OF THE UNITED STATES TO  PRACTICE  MIDWIFERY  MAY  BE
 TEMPORARILY  AUTHORIZED TO PRACTICE MIDWIFERY AS PART OF A COLLABORATIVE
 RELATIONSHIP IN ACCORDANCE WITH SECTION SIXTY-NINE HUNDRED FIFTY-ONE  OF
 THIS ARTICLE WITH A NEW YORK STATE LICENSED PHYSICIAN PENDING A DETERMI-
 NATION  ON LICENSURE FOR WHICH AN APPLICATION HAS BEEN FILED PURSUANT TO
 THIS ARTICLE, PROVIDED: (I) SUCH APPLICANT HAS OBTAINED THE  ENDORSEMENT
 OF  AN  EMPLOYING  HEALTH  CARE  FACILITY  THAT IS AUTHORIZED TO PROVIDE
 MIDWIFERY SERVICES; (II) THE POSITION IS  LOCATED  WITHIN  A  COUNTY  OR
 FACILITY  DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED;
 (III) SUCH APPLICANT HAS RECEIVED A DEGREE  IN  MIDWIFERY  FROM  A  DULY
 ACCREDITED  GRADUATE  SCHOOL LOCATED IN THE UNITED STATES OR CANADA; AND
 (IV) THE APPLICANT IS NOT EMPLOYED BY AN EMPLOYMENT AGENCY AS DEFINED IN
 SUBDIVISION TWO OF SECTION ONE HUNDRED SEVENTY-ONE OF THE GENERAL  BUSI-
 NESS LAW.
   (C) PRIOR TO COMMENCING PRACTICE, THE APPLICANT AND SUPERVISING PHYSI-
 CIAN  SHALL JOINTLY PROVIDE WRITTEN NOTIFICATION TO THE DEPARTMENT, IN A
 FORM AND FORMAT  ACCEPTABLE  TO  THE  DEPARTMENT,  THAT  SUCH  APPLICANT
 INTENDS  TO  PRACTICE  IN A COUNTY OR FACILITY DESIGNATED BY THE FEDERAL
 GOVERNMENT AS MEDICALLY UNDERSERVED AND THE APPLICANT SHALL  PAY  A  FEE
 DETERMINED  BY  THE  DEPARTMENT.  SUCH  TEMPORARY AUTHORIZATION SHALL BE
 AWARDED IMMEDIATELY UPON PROVIDING SUCH NOTICE AND PAYING SUCH  FEE  AND
 SHALL  EXPIRE  IN ONE HUNDRED EIGHTY DAYS OR TEN DAYS AFTER NOTIFICATION
 THAT THE APPLICANT DOES NOT MEET THE QUALIFICATIONS FOR LICENSURE  AS  A
 NURSE-MIDWIFE, WHICHEVER SHALL OCCUR FIRST.
   § 3. Section 6525 of the education law, as added by chapter 987 of the
 laws  of 1971, paragraph 1 of subdivision 1 as amended by chapter 133 of
 S. 8341                             4

 the laws of 1982 and subdivision 4 as amended by chapter 62 of the  laws
 of 1989, is amended to read as follows:
   § 6525. Limited  permits.  1. PHYSICIANS. Permits limited as to eligi-
 bility, practice and duration, shall be  issued  by  the  department  to
 eligible applicants, as follows:
   [1.] (A) Eligibility[:]. The following persons shall be eligible for a
 limited permit:
   [(1)]  (I)  A  person who fulfills all requirements for a license as a
 physician except those relating to the examination  and  citizenship  or
 permanent residence in the United States;
   [(2)]  (II)  A foreign physician who holds a standard certificate from
 the educational council for foreign medical graduates or who has  passed
 an  examination  satisfactory  to  the  state  board for medicine and in
 accordance with the commissioner's regulations; or
   [(3)] (III) A foreign physician or a foreign intern  who  is  in  this
 country on a non-immigration visa for the continuation of medical study,
 pursuant to the exchange student program of the United States department
 of state.
   [2.]  (B)  Limit of practice. A permittee shall be authorized to prac-
 tice medicine only under the supervision of  a  licensed  physician  and
 only in a public, voluntary, or proprietary hospital.
   [3.]  (C) Duration. A limited permit shall be valid for two years.  It
 may be renewed biennially at the discretion of the department.
   [4.] (D) Fees. The fee for each limited permit and  for  each  renewal
 shall be [one hundred five dollars] AS DETERMINED BY THE DEPARTMENT.
   2. TEMPORARY PRACTICE AUTHORIZATION PILOT PROGRAM. (A) THERE IS HEREBY
 ESTABLISHED  A  TEMPORARY  PRACTICE  AUTHORIZATION PILOT PROGRAM FOR THE
 PURPOSE OF ALLOWING THE TEMPORARY PRACTICE OF MEDICINE IN  A  COUNTY  OR
 FACILITY DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED.
   (B) A PERSON WHO IS CURRENTLY LICENSED AND IN GOOD STANDING IN ANOTHER
 STATE  OR  TERRITORY  OF  THE  UNITED STATES TO PRACTICE MEDICINE MAY BE
 TEMPORARILY AUTHORIZED TO PRACTICE MEDICINE  PURSUANT  TO  THIS  CHAPTER
 UNDER  THE SUPERVISION OF A NEW YORK STATE LICENSED PHYSICIAN, PENDING A
 DETERMINATION ON LICENSURE FOR  WHICH  AN  APPLICATION  HAS  BEEN  FILED
 PURSUANT  TO  SECTION  SIXTY-FIVE  HUNDRED  TWENTY-FOUR OF THIS ARTICLE,
 PROVIDED: (I) SUCH APPLICANT HAS OBTAINED THE ENDORSEMENT OF AN  EMPLOY-
 ING  HEALTH  CARE  FACILITY  THAT IS AUTHORIZED BY NEW YORK STATE LAW TO
 PROVIDE MEDICAL SERVICES; (II) THE POSITION IS LOCATED WITHIN  A  COUNTY
 OR  FACILITY  DESIGNATED  BY  THE FEDERAL GOVERNMENT AS MEDICALLY UNDER-
 SERVED; (III) THE APPLICANT HAS GRADUATED FROM A DULY ACCREDITED  SCHOOL
 OF  MEDICINE LOCATED IN THE UNITED STATES OR CANADA; (IV) SUCH APPLICANT
 IS CURRENTLY BOARD CERTIFIED BY A PHYSICIAN CERTIFICATION BOARD ACCEPTA-
 BLE TO THE DEPARTMENT; AND (V) THE  APPLICANT  IS  NOT  EMPLOYED  BY  AN
 EMPLOYMENT  AGENCY  AS DEFINED IN SUBDIVISION TWO OF SECTION ONE HUNDRED
 SEVENTY-ONE OF THE GENERAL BUSINESS LAW.
   (C) PRIOR TO COMMENCING PRACTICE, THE APPLICANT AND SUPERVISING PHYSI-
 CIAN SHALL JOINTLY PROVIDE WRITTEN NOTIFICATION TO THE DEPARTMENT, IN  A
 FORM  AND  FORMAT  ACCEPTABLE  TO  THE  DEPARTMENT,  THAT SUCH APPLICANT
 INTENDS TO PRACTICE IN A COUNTY OR FACILITY DESIGNATED  BY  THE  FEDERAL
 GOVERNMENT  AS  MEDICALLY  UNDERSERVED AND THE APPLICANT SHALL PAY A FEE
 DETERMINED BY THE DEPARTMENT.  SUCH  TEMPORARY  AUTHORIZATION  SHALL  BE
 AWARDED  IMMEDIATELY  UPON PROVIDING SUCH NOTICE AND PAYING SUCH FEE AND
 SHALL EXPIRE IN ONE HUNDRED EIGHTY DAYS OR TEN DAYS  AFTER  NOTIFICATION
 THAT  THE  APPLICANT DOES NOT MEET THE QUALIFICATIONS FOR LICENSURE AS A
 PHYSICIAN, WHICHEVER SHALL OCCUR FIRST.
 S. 8341                             5
 
   (D) ANY PERSON PRACTICING AS A PHYSICIAN IN NEW YORK STATE PURSUANT TO
 THIS SUBDIVISION SHALL BE SUBJECT TO THE  PERSONAL  AND  SUBJECT  MATTER
 JURISDICTION  AND  DISCIPLINARY AND REGULATORY AUTHORITY OF THE BOARD OF
 REGENTS AND THE STATE BOARD FOR PROFESSIONAL MEDICAL CONDUCT ESTABLISHED
 PURSUANT  TO  SECTION  TWO HUNDRED THIRTY OF THE PUBLIC HEALTH LAW AS IF
 THEY WERE A LICENSEE AND AS IF THE AUTHORIZATION PURSUANT TO THIS SUBDI-
 VISION WERE A LICENSE.  SUCH  PHYSICIAN  SHALL  COMPLY  WITH  APPLICABLE
 PROVISIONS  OF THIS TITLE, THE PUBLIC HEALTH LAW, THE RULES OF THE BOARD
 OF REGENTS, THE STATE BOARD FOR PROFESSIONAL MEDICAL CONDUCT ESTABLISHED
 PURSUANT TO SECTION TWO HUNDRED THIRTY OF THE PUBLIC HEALTH LAW, AND THE
 REGULATIONS OF THE COMMISSIONER AND THE COMMISSIONER OF HEALTH, RELATING
 TO PROFESSIONAL MISCONDUCT, DISCIPLINARY PROCEEDINGS AND  PENALTIES  FOR
 PROFESSIONAL   MISCONDUCT.   FAILURE   TO  ADHERE  TO  THE  NOTIFICATION
 PROVISIONS OF THIS SUBDIVISION MAY BE CONSIDERED  UNAUTHORIZED  PRACTICE
 PURSUANT TO SECTION SIXTY-FIVE HUNDRED TWELVE OF THIS TITLE.
   §  4.  Section  6546 of the education law, as amended by chapter 48 of
 the laws of 2012, is amended to read as follows:
   §  6546. Limited permits. 1. PHYSICIAN ASSISTANTS. Permits limited  as
 to eligibility, practice and duration, shall be issued by the department
 to eligible applicants, as follows:
   [1.]  (A)  Eligibility.  A  person who fulfills all requirements to be
 licensed as a physician assistant except that relating to  the  examina-
 tion shall be eligible for a limited permit.
   [2.]  (B)  Limit of practice. A permittee shall be authorized to prac-
 tice as a physician assistant only under the  direct  supervision  of  a
 physician.
   [3.]  (C)  Duration.  A  limited permit shall expire one year from the
 date of issuance or upon notice to the permittee by the department  that
 the application for a license has been denied. A limited permit shall be
 extended  upon  application  for  one additional year, provided that the
 permittee's request for such extension is endorsed by  a  physician  who
 either  has supervised or will supervise the permittee, except that such
 extension may be denied by the department for cause which shall be stat-
 ed in writing. If the permittee is awaiting the results of  a  licensing
 examination  at  the time such limited permit expires, such permit shall
 continue to be valid until ten days after notification to the  permittee
 of the result of such examination.
   [4.]  (D)  Fees. The fee for each limited permit shall be [one hundred
 five dollars] AS DETERMINED BY THE DEPARTMENT.
   2. TEMPORARY PRACTICE AUTHORIZATION PILOT  PROGRAM.  THERE  IS  HEREBY
 ESTABLISHED  A  TEMPORARY  PRACTICE  AUTHORIZATION PILOT PROGRAM FOR THE
 PURPOSE OF ALLOWING THE TEMPORARY PRACTICE AS A PHYSICIAN ASSISTANT IN A
 COUNTY OR FACILITY DESIGNATED BY THE  FEDERAL  GOVERNMENT  AS  MEDICALLY
 UNDERSERVED.
   (A) A PERSON WHO IS CURRENTLY LICENSED AND IN GOOD STANDING IN ANOTHER
 STATE  OR  TERRITORY  OF  THE  UNITED  STATES TO PRACTICE AS A PHYSICIAN
 ASSISTANT MAY BE TEMPORARILY  AUTHORIZED  TO  PRACTICE  AS  A  PHYSICIAN
 ASSISTANT  UNDER THE SUPERVISION OF A NEW YORK STATE LICENSED PHYSICIAN,
 PENDING A DETERMINATION ON LICENSURE FOR WHICH AN APPLICATION  HAS  BEEN
 FILED  PURSUANT TO SECTION SIXTY-FIVE HUNDRED FORTY-ONE OF THIS ARTICLE,
 PROVIDED: (I) SUCH APPLICANT HAS OBTAINED THE ENDORSEMENT OF AN  EMPLOY-
 ING HEALTH CARE FACILITY THAT IS AUTHORIZED TO PROVIDE MEDICAL SERVICES;
 (II)  THE  POSITION IS LOCATED WITHIN A COUNTY OR FACILITY DESIGNATED BY
 THE FEDERAL GOVERNMENT AS MEDICALLY UNDERSERVED; (III) THE APPLICANT HAS
 RECEIVED A DEGREE IN PHYSICIAN ASSISTANT STUDIES FROM A DULY  ACCREDITED
 GRADUATE  SCHOOL  LOCATED  IN  THE UNITED STATES OR CANADA; AND (IV) THE
 S. 8341                             6
 
 APPLICANT IS NOT EMPLOYED BY AN EMPLOYMENT AGENCY AS DEFINED IN SUBDIVI-
 SION TWO OF SECTION ONE HUNDRED SEVENTY-ONE OF THE GENERAL BUSINESS LAW.
   (B) PRIOR TO COMMENCING PRACTICE, THE APPLICANT AND SUPERVISING PHYSI-
 CIAN  SHALL JOINTLY PROVIDE WRITTEN NOTIFICATION TO THE DEPARTMENT, IN A
 FORM AND FORMAT  ACCEPTABLE  TO  THE  DEPARTMENT,  THAT  SUCH  APPLICANT
 INTENDS  TO  PRACTICE  AS  A PHYSICIAN ASSISTANT IN A COUNTY OR FACILITY
 DESIGNATED BY THE FEDERAL GOVERNMENT AS MEDICALLY  UNDERSERVED  AND  THE
 APPLICANT  SHALL  PAY A FEE DETERMINED BY THE DEPARTMENT. SUCH TEMPORARY
 AUTHORIZATION SHALL BE AWARDED IMMEDIATELY UPON  PROVIDING  SUCH  NOTICE
 AND  PAYING  SUCH FEE AND SHALL EXPIRE IN ONE HUNDRED EIGHTY DAYS OR TEN
 DAYS AFTER NOTIFICATION THAT THE APPLICANT DOES NOT MEET THE  QUALIFICA-
 TIONS  FOR  LICENSURE  AS  A  PHYSICIAN ASSISTANT, WHICHEVER SHALL OCCUR
 FIRST.
   § 5. Section 6605 of the education law, as amended by  chapter  40  of
 the  laws of 1982, subdivision 4 as amended by chapter 57 of the laws of
 1999 and subdivision 5 as added by chapter 436 of the laws of  2009,  is
 amended to read as follows:
   § 6605. Limited  permits.  1. GRADUATE DENTISTS. (A) On recommendation
 of the board, the department may issue a limited permit to a graduate of
 a dental college who meets the educational qualifications for  admission
 to  the  licensing examination in dentistry for employment in a hospital
 or dental facility approved by an appropriate agency,  while  under  the
 direction  or supervision of a licensed dentist. No such permit shall be
 issued or renewed unless such graduate has a bona fide offer of a  posi-
 tion in such a hospital or dental facility.
   [2.]  (B)  On  recommendation of the board, the department may issue a
 limited permit for instructing in dentistry to a  dentist  not  licensed
 under this article to be employed by a registered school of dentistry or
 dental  hygiene  to  instruct and supervise clinical dentistry or dental
 hygiene for students in such a registered school in the state, and in so
 doing to practice dentistry as defined in this article, but only on  the
 premises of such registered school or such other premises as may be used
 for  instruction  in the program of education conducted by such institu-
 tion. No person shall be permitted or authorized to instruct and  super-
 vise  clinical  dentistry for students unless such person is licensed in
 this state or holds the foregoing  limited  permit  for  instructing  in
 dentistry.
   [3.]  (C) The holder of a limited permit under this [section] SUBDIVI-
 SION may practice dentistry, as defined in this article, but only in the
 performance of duties required by the position  for  which  the  limited
 permit  is  issued.    Nothing  in  this  [section] SUBDIVISION shall be
 construed to authorize such unlicensed dentist to engage in the  private
 practice of dentistry.
   [4.]  (D)  A  limited permit under this [section] SUBDIVISION shall be
 valid for one year or until ten days after notification of denial of  an
 application  for  license. A limited permit may be renewed for one year,
 except if the applicant is serving in a residency program in a  hospital
 or  school  of  dentistry in this state. A limited permit may be renewed
 annually for the duration of such residency program. The  fee  for  each
 limited permit and for each renewal shall be one hundred five dollars.
   [5.]  (E)  Notwithstanding  [subdivision  one]  PARAGRAPH  (A) of this
 [section] SUBDIVISION, dental school  graduates  who  meet  the  license
 requirement  for education pursuant to subdivision two of section sixty-
 six hundred four of this article shall be deemed to  be  exempt  persons
 pursuant  to section sixty-six hundred ten of this article and shall not
 be required to obtain a limited permit, provided that they are  employed
 S. 8341                             7
 
 in  an  approved residency program for the purpose of fulfilling initial
 licensure requirements pursuant to section  sixty-six  hundred  four  of
 this  article.  Not  later  than sixty days after entry into an approved
 residency program, the dental resident shall register on a form accepta-
 ble  to the commissioner and pay to the department a residency registra-
 tion fee established by the department, which residency registration fee
 shall be reasonable and shall not exceed the limited permit  fee  speci-
 fied  in [subdivision four] PARAGRAPH (D) of this [section] SUBDIVISION.
 All persons deemed exempt pursuant to this [section]  SUBDIVISION  shall
 be  subject  to  all  provisions  of  article one hundred thirty of this
 title, including but not limited to  having  disciplinary  action  taken
 against their residency registration status.
   2. TEMPORARY PRACTICE AUTHORIZATION PILOT PROGRAM. (A) NOTWITHSTANDING
 ANY  OTHER  PROVISION  OF  THIS  SECTION,  THERE IS HEREBY ESTABLISHED A
 TEMPORARY PRACTICE AUTHORIZATION PILOT PROGRAM FOR THE PURPOSE OF ALLOW-
 ING THE TEMPORARY PRACTICE OF DENTISTRY IN A COUNTY OR  FACILITY  DESIG-
 NATED  BY  THE  FEDERAL  GOVERNMENT  AS UNDERSERVED IN THE DISCIPLINE OF
 DENTAL HEALTH.
   (B) A PERSON WHO IS CURRENTLY LICENSED AND IN GOOD STANDING IN ANOTHER
 STATE OR TERRITORY OF THE UNITED STATES TO  PRACTICE  DENTISTRY  MAY  BE
 TEMPORARILY  AUTHORIZED  TO PRACTICE DENTISTRY PURSUANT TO THIS SUBDIVI-
 SION UNDER THE SUPERVISION OF A NEW YORK STATE LICENSED DENTIST, PENDING
 A DETERMINATION ON LICENSURE FOR WHICH AN  APPLICATION  HAS  BEEN  FILED
 PURSUANT  TO  SECTION  SIXTY-SIX HUNDRED FOUR OF THIS ARTICLE, PROVIDED:
 (I) SUCH APPLICANT HAS OBTAINED THE ENDORSEMENT OF A HOSPITAL OR  DENTAL
 FACILITY  THAT  IS  AUTHORIZED  BY  NEW YORK STATE LAW TO PROVIDE DENTAL
 SERVICES; (II) THE POSITION IS  LOCATED  WITHIN  A  COUNTY  OR  FACILITY
 DESIGNATED BY THE FEDERAL GOVERNMENT AS UNDERSERVED IN THE DISCIPLINE OF
 DENTAL  HEALTH; (III) THE APPLICANT HAS GRADUATED FROM A DULY ACCREDITED
 SCHOOL OF DENTISTRY LOCATED IN THE UNITED STATES OR CANADA; AND (IV) THE
 APPLICANT IS NOT EMPLOYED BY AN EMPLOYMENT AGENCY AS DEFINED IN SUBDIVI-
 SION TWO OF SECTION ONE HUNDRED SEVENTY-ONE OF THE GENERAL BUSINESS LAW.
   (C) PRIOR  TO  COMMENCING  PRACTICE,  THE  APPLICANT  AND  SUPERVISING
 DENTIST SHALL JOINTLY PROVIDE WRITTEN NOTIFICATION TO THE DEPARTMENT, IN
 A  FORM  AND  FORMAT  ACCEPTABLE  TO THE DEPARTMENT, THAT SUCH APPLICANT
 INTENDS TO PRACTICE AS A DENTIST IN A COUNTY OR FACILITY  DESIGNATED  BY
 THE FEDERAL GOVERNMENT AS UNDERSERVED IN THE DISCIPLINE OF DENTAL HEALTH
 AND  THE  APPLICANT  SHALL  PAY A FEE DETERMINED BY THE DEPARTMENT. SUCH
 TEMPORARY AUTHORIZATION SHALL BE AWARDED IMMEDIATELY UPON PROVIDING SUCH
 NOTICE AND PAYING SUCH FEE AND SHALL EXPIRE IN ONE HUNDRED  EIGHTY  DAYS
 OR  TEN  DAYS  AFTER  NOTIFICATION  THAT THE APPLICANT DOES NOT MEET THE
 QUALIFICATIONS FOR LICENSURE AS A DENTIST, WHICHEVER SHALL OCCUR FIRST.
   § 6. Not later than June thirtieth of the year following the effective
 date of this  act,  and  annually  thereafter,  the  commissioner  shall
 provide the governor, the temporary president of the senate, the minori-
 ty leader of the senate, the speaker of the assembly, the minority lead-
 er of the assembly, the chair of the senate standing committee on higher
 education,  and  the chair of the assembly committee on higher education
 with a written evaluation of the pilot program established by this  act.
 Such  evaluation  shall, at a minimum, address the overall effectiveness
 of the pilot program at increasing the health care workforce in  identi-
 fied  shortage  areas and whether continuation or expansion of the pilot
 program established by this act is recommended. The  written  evaluation
 shall be made publicly available on the office's website.
   §  7.  This  act shall take effect immediately and shall expire and be
 deemed repealed 3 years after such date.

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Senate Bill S8341

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Toby Ann Stavisky