S T A T E O F N E W Y O R K ________________________________________________________________________ 4820 2015-2016 Regular Sessions I N S E N A T E April 20, 2015 ___________ Introduced by Sens. LAVALLE, LARKIN -- read twice and ordered printed, and when printed to be committed to the Committee on Higher Education AN ACT to amend the education law, in relation to licensing of genetic counselors THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. The education law is amended by adding a new article 142 2 to read as follows: 3 ARTICLE 142 4 GENETIC COUNSELING 5 SECTION 7050. INTRODUCTION. 6 7051. DEFINITIONS. 7 7052. PRACTICE OF GENETIC COUNSELING AND USE OF THE TITLE 8 "GENETIC COUNSELOR". 9 7053. STATE COMMITTEE FOR GENETIC COUNSELING. 10 7054. REQUIREMENTS FOR A PROFESSIONAL LICENSE. 11 7055. EXEMPT PERSONS. 12 7056. LIMITED PERMITS. 13 7057. SPECIAL PROVISION. 14 7058. BOUNDARIES OF PROFESSIONAL PRACTICE. 15 7059. MANDATORY CONTINUING EDUCATION. 16 S 7050. INTRODUCTION. THIS ARTICLE APPLIES TO THE LICENSING OF GENETIC 17 COUNSELORS. THE GENERAL PROVISIONS FOR ALL PROFESSIONS CONTAINED IN 18 ARTICLE ONE HUNDRED THIRTY OF THIS TITLE APPLY TO THIS ARTICLE. 19 S 7051. DEFINITIONS. AS USED IN THIS ARTICLE: 20 1. THE TERM "GENETIC COUNSELOR" SHALL MEAN A HEALTH PROFESSIONAL WHO 21 IS ACADEMICALLY AND CLINICALLY PREPARED TO PROVIDE GENETIC COUNSELING 22 SERVICES TO INDIVIDUALS AND FAMILIES SEEKING INFORMATION ABOUT THE 23 OCCURRENCE, RISK OF OCCURRENCE OR RECURRENCE, OF GENETIC/MEDICAL CONDI- 24 TIONS AND DISEASES. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD03054-01-5 S. 4820 2 1 2. THE TERM "LICENSED GENETIC COUNSELOR" SHALL MEAN A GENETIC COUNSE- 2 LOR LICENSED PURSUANT TO THIS ARTICLE. 3 3. THE TERM "CERTIFIED GENETIC COUNSELOR" SHALL MEAN A GENETIC COUNSE- 4 LOR WITH A MASTER'S OR DOCTORAL DEGREE IN GENETIC COUNSELING FROM AN 5 ACCREDITED GENETIC COUNSELING PROGRAM OR EQUIVALENT AND WHO HAS PASSED 6 THE CERTIFICATION EXAMINATION IN GENETIC COUNSELING ACCEPTABLE TO THE 7 DEPARTMENT. 8 S 7052. PRACTICE OF GENETIC COUNSELING AND USE OF THE TITLE "GENETIC 9 COUNSELOR". 1. THE "PRACTICE OF GENETIC COUNSELING" SHALL MEAN THE 10 COMMUNICATION TO AND EDUCATION OF CLIENTS, THEIR FAMILIES, OTHER HEALTH 11 CARE PROFESSIONALS AND THE GENERAL PUBLIC WITH REGARD TO GENETIC TEST- 12 ING, INDIVIDUAL FAMILY HISTORIES, OR OTHER GENETIC, MEDICAL, AND TECHNI- 13 CAL INFORMATION ASSOCIATED WITH THE OCCURRENCE, RISK OF OCCURRENCE OR 14 RECURRENCE, OF A GENETIC OR HEREDITARY CONDITION OR BIRTH DEFECT. A 15 PRACTITIONER OF GENETIC COUNSELING SHALL SEEK TO PROMOTE DECISION-MAKING 16 FOR THEIR CLIENT WHICH RESPECTS THE CLIENT'S CULTURE, LANGUAGE, TRADI- 17 TION, LIFESTYLE, RELIGION, BELIEFS AND VALUES. GENETIC COUNSELING SHALL 18 INCLUDE, BUT NOT BE LIMITED TO, THE FOLLOWING: 19 (A) OBTAIN AND EVALUATE INDIVIDUAL, FAMILY, AND MEDICAL HISTORIES TO 20 DETERMINE GENETIC RISK FOR GENETIC/MEDICAL CONDITIONS AND DISEASES IN A 21 PATIENT, HIS OR HER OFFSPRING, AND OTHER FAMILY MEMBERS; 22 (B) DISCUSS THE FEATURES, NATURAL HISTORY, MEANS OF DIAGNOSIS, GENETIC 23 AND ENVIRONMENTAL FACTORS, AND MANAGEMENT OF RISK FOR GENETIC/MEDICAL 24 CONDITIONS AND DISEASES; 25 (C) IDENTIFY AND COORDINATE GENETIC LABORATORY TESTS AND OTHER DIAG- 26 NOSTIC STUDIES AS APPROPRIATE FOR THE GENETIC ASSESSMENT; 27 (D) INTEGRATE GENETIC LABORATORY TEST RESULTS AND OTHER DIAGNOSTIC 28 STUDIES WITH PERSONAL AND FAMILY MEDICAL HISTORY TO ASSESS AND COMMUNI- 29 CATE RISK FACTORS FOR GENETIC/MEDICAL CONDITIONS AND DISEASES; 30 (E) EXPLAIN THE CLINICAL IMPLICATIONS OF GENETIC LABORATORY TESTS AND 31 OTHER DIAGNOSTIC STUDIES AND THEIR RESULTS; 32 (F) EVALUATE THE CLIENT'S OR FAMILY'S RESPONSES TO THE CONDITION OR 33 RISK OF RECURRENCE AND PROVIDE CLIENT-CENTERED COUNSELING AND ANTICIPA- 34 TORY GUIDANCE; 35 (G) IDENTIFY AND UTILIZE COMMUNITY RESOURCES THAT PROVIDE MEDICAL, 36 EDUCATIONAL, FINANCIAL, AND PSYCHOSOCIAL SUPPORT AND ADVOCACY; AND 37 (H) PROVIDE WRITTEN DOCUMENTATION OF MEDICAL, GENETIC, AND COUNSELING 38 INFORMATION FOR PATIENTS AND HEALTH CARE PROFESSIONALS. 39 2. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED TO AUTHORIZE A LICENSED 40 GENETIC COUNSELOR TO DIAGNOSE OR TREAT ANY GENETIC DISEASE OR MEDICAL 41 CONDITION. 42 3. IF IN THE COURSE OF PROVIDING GENETIC COUNSELING TO ANY PATIENT, A 43 GENETIC COUNSELOR FINDS ANY INDICATION OF DISEASE OR CONDITION THAT 44 REQUIRES MEDICAL ASSESSMENT, THE GENETIC COUNSELOR SHALL REFER THAT 45 PATIENT TO A LICENSED PHYSICIAN. 46 4. ONLY A PERSON LICENSED, OR WITH A LIMITED PERMIT OR EXEMPT UNDER 47 THIS ARTICLE SHALL PRACTICE GENETIC COUNSELING. ONLY A PERSON LICENSED 48 OR HOLDING A LIMITED PERMIT UNDER THIS ARTICLE SHALL USE THE TITLE 49 "LICENSED GENETIC COUNSELOR" AND USE THE LETTERS "L.G.C." AFTER HIS OR 50 HER NAME. ANY PERSON WHO DOES NOT HAVE A VALID LICENSE OR LIMITED PERMIT 51 AS A GENETIC COUNSELOR SHALL NOT USE IN CONNECTION WITH HIS OR HER NAME 52 OR PLACE OF BUSINESS THE TITLE "GENETIC COUNSELOR", "LICENSED GENETIC 53 COUNSELOR", "GENE COUNSELOR", "GENOMIC COUNSELOR", "GENETIC ASSOCIATE", 54 OR ANY WORDS OR LETTERS, ABBREVIATIONS OR INSIGNIA INDICATING OR IMPLY- 55 ING THAT A PERSON HAS MET THE QUALIFICATIONS FOR OR HAS THE LICENSE 56 ISSUED PURSUANT TO THE PROVISIONS OF THIS ARTICLE. S. 4820 3 1 S 7053. STATE COMMITTEE FOR GENETIC COUNSELING. 1. A STATE COMMITTEE 2 FOR GENETIC COUNSELING SHALL BE APPOINTED BY THE BOARD OF REGENTS UPON 3 THE RECOMMENDATION OF THE COMMISSIONER AND SHALL ASSIST ON MATTERS OF 4 LICENSURE AND PROFESSIONAL CONDUCT IN ACCORDANCE WITH SECTION SIXTY-FIVE 5 HUNDRED EIGHT OF THIS TITLE. NOTWITHSTANDING THE PROVISIONS OF SECTION 6 SIXTY-FIVE HUNDRED EIGHT OF THIS TITLE, THE COMMITTEE SHALL ASSIST THE 7 BOARD FOR MEDICINE SOLELY IN GENETIC COUNSELING MATTERS. MEMBERS OF THE 8 FIRST COMMITTEE NEED NOT BE LICENSED PRIOR TO THEIR APPOINTMENT TO SUCH 9 COMMITTEE. THE TERMS OF THE FIRST APPOINTED MEMBERS SHALL BE STAGGERED 10 SO THAT TWO MEMBERS ARE APPOINTED FOR THREE YEARS, THREE MEMBERS ARE 11 APPOINTED FOR FOUR YEARS AND TWO MEMBERS ARE APPOINTED FOR FIVE YEARS. 12 AN EXECUTIVE SECRETARY TO THE COMMITTEE SHALL BE APPOINTED BY THE BOARD 13 OF REGENTS ON THE RECOMMENDATION OF THE COMMISSIONER. 14 2. THE COMMITTEE SHALL CONSIST OF SEVEN INDIVIDUALS, TO BE COMPOSED OF 15 THE FOLLOWING: 16 (A) FIVE LICENSED GENETIC COUNSELORS, 17 (B) ONE LICENSED PHYSICIAN, AND 18 (C) A REPRESENTATIVE OF THE PUBLIC AT LARGE WHO IS NOT INVOLVED IN THE 19 ORGANIZATION, FINANCING OR DELIVERY OF THE PROFESSION. 20 3. COMMITTEE MEMBERS SHALL BE APPOINTED FOR TERMS OF FIVE YEARS. 21 S 7054. REQUIREMENTS FOR A PROFESSIONAL LICENSE. TO QUALIFY FOR A 22 LICENSE AS A "LICENSED GENETIC COUNSELOR", AN APPLICANT SHALL FULFILL 23 THE FOLLOWING REQUIREMENTS: 24 1. APPLICATION: FILE AN APPLICATION WITH THE DEPARTMENT; 25 2. EDUCATION: HAVE RECEIVED A MASTER'S OR DOCTORAL DEGREE IN GENETIC 26 COUNSELING FROM A PROGRAM REGISTERED BY THE DEPARTMENT, OR DETERMINED BY 27 THE DEPARTMENT TO BE THE SUBSTANTIAL EQUIVALENT, IN ACCORDANCE WITH THE 28 COMMISSIONER'S REGULATIONS. APPROPRIATE COURSEWORK SHALL BE DETERMINED 29 IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS ON RECOMMENDATIONS OF 30 THE STATE COMMITTEE FOR GENETIC COUNSELING; 31 3. EXPERIENCE: EXPERIENCE ACCEPTABLE TO THE DEPARTMENT; 32 4. EXAMINATION: PASS A GENETIC COUNSELING EXAMINATION SATISFACTORY TO 33 THE COMMITTEE AND IN ACCORDANCE WITH THE COMMISSIONER'S REGULATIONS; 34 5. AGE: BE AT LEAST TWENTY-ONE YEARS OF AGE; 35 6. CHARACTER: BE OF GOOD MORAL CHARACTER AS DETERMINED BY THE DEPART- 36 MENT; 37 7. FEES: PAY A FEE OF THREE HUNDRED DOLLARS TO THE DEPARTMENT FOR AN 38 INITIAL LICENSE AND TWO HUNDRED DOLLARS FOR EACH SUBSEQUENT TRIENNIAL 39 RE-REGISTRATION OF A LICENSE. 40 S 7055. EXEMPT PERSONS. THIS ARTICLE DOES NOT PROHIBIT THE PRACTICE OF 41 GENETIC COUNSELING BY LICENSED PHYSICIANS OR OTHER LICENSED PROFES- 42 SIONALS PURSUANT TO TITLE EIGHT OF THIS CHAPTER TO OPERATE WITHIN THE 43 SCOPE OF THEIR PROFESSION'S LICENSE. SUCH EXEMPT PERSONS ARE PROHIBITED 44 FROM USING THE TITLE "GENETIC COUNSELOR" OR "LICENSED GENETIC COUNSELOR" 45 AS PROVIDED FOR IN THIS ARTICLE. THE FOLLOWING INDIVIDUALS MAY ENGAGE 46 IN THE PRACTICE OF GENETIC COUNSELING WITHOUT BEING LICENSED UNDER THIS 47 ARTICLE: 48 1. A LICENSED HEALTH CARE PROFESSIONAL PRACTICING WITHIN THE PROFES- 49 SIONAL'S SCOPE OF PRACTICE; 50 2. A STUDENT OR INTERN ENROLLED IN AN APPROVED ACADEMIC PROGRAM 51 ENGAGED IN ACTIVITIES CONSTITUTING THE PRACTICE OF A REGULATED OCCUPA- 52 TION OR PROFESSION; PROVIDED, HOWEVER, SUCH ACTIVITIES SHALL BE PART OF 53 A SUPERVISED TRAINING PROGRAM; 54 3. AN EMPLOYEE OF THE STATE DEPARTMENT OF HEALTH IN THE PROVISION OF 55 EDUCATION REGARDING SINGLE GENE CONDITIONS, INCLUDING SICKLE CELL, 56 CYSTIC FIBROSIS, AND HEMOGLOBINOPATHIES; S. 4820 4 1 4. NOTHING IN THIS ARTICLE SHALL BE CONSTRUED AS PROHIBITING SERVICES 2 PROVIDED BY AN ATTORNEY, RAPE CRISIS COUNSELOR, OR CLERGY MEMBER WORKING 3 WITHIN HIS OR HER MINISTERIAL CHARGE OF OBLIGATION, PROVIDED SUCH 4 SERVICES ARE NOT WITHIN THE SCOPE OF PRACTICE FOR GENETIC COUNSELING. 5 S 7056. LIMITED PERMITS. PERMITS LIMITED AS TO ELIGIBILITY, PRACTICE 6 AND DURATION SHALL BE ISSUED BY THE DEPARTMENT TO ELIGIBLE APPLICANTS, 7 AS FOLLOWS: 8 1. THE DEPARTMENT MAY ISSUE A LIMITED PERMIT TO AN APPLICANT WHO MEETS 9 ALL QUALIFICATIONS FOR LICENSURE AS A GENETIC COUNSELOR, EXCEPT THOSE 10 RELATING TO THE EXAMINATION. 11 2. LIMITED PERMITS SHALL BE FOR ONE YEAR. LIMITED PERMITS MAY BE 12 RE-REGISTERED, AT THE DISCRETION OF THE DEPARTMENT, FOR ONE ADDITIONAL 13 YEAR. 14 3. THE FEE FOR EACH LIMITED PERMIT AND FOR EACH RE-REGISTRATION SHALL 15 BE SEVENTY DOLLARS. 16 S 7057. SPECIAL PROVISION. ANY PERSON WHO POSSESSES A MASTER'S OR 17 DOCTORAL DEGREE OF GENETIC COUNSELING SATISFACTORY TO THE DEPARTMENT, ON 18 THE EFFECTIVE DATE OF THIS SECTION, WHO HAS FIFTEEN YEARS POST-GRADUATE 19 GENETIC COUNSELOR EMPLOYMENT AND MEETS THE REQUIREMENTS FOR A LICENSE 20 PURSUANT TO THIS ARTICLE, EXCEPT FOR EXAMINATION, AND WHO FILES WITH THE 21 DEPARTMENT WITHIN ONE YEAR OF THE EFFECTIVE DATE OF THIS SECTION SHALL 22 BE LICENSED AS A LICENSED GENETIC COUNSELOR. 23 S 7058. BOUNDARIES OF PROFESSIONAL PRACTICE. ANY INDIVIDUAL WHOSE 24 LICENSE OR AUTHORITY TO PRACTICE DERIVES FROM THE PROVISIONS OF THIS 25 ARTICLE SHALL BE PROHIBITED FROM: 26 1. PRESCRIBING OR ADMINISTERING DRUGS AS DEFINED IN THIS CHAPTER OR AS 27 A TREATMENT, THERAPY, OR PROFESSIONAL SERVICE IN THE PRACTICE OF HIS OR 28 HER PROFESSION; 29 2. USING INVASIVE PROCEDURES AS A TREATMENT, THERAPY, OR PROFESSIONAL 30 SERVICE IN THE PRACTICE OF HIS OR HER PROFESSION. FOR PURPOSES OF THIS 31 SUBDIVISION, "INVASIVE PROCEDURE" MEANS ANY PROCEDURE IN WHICH HUMAN 32 TISSUE IS CUT, ALTERED, OR OTHERWISE INFILTRATED BY MECHANICAL OR OTHER 33 MEANS. INVASIVE PROCEDURE INCLUDES SURGERY, LASERS, IONIZING RADIATION, 34 THERAPEUTIC ULTRASOUND, OR ELECTROCONVULSIVE THERAPY; OR 35 3. PROVIDING PSYCHOTHERAPY OUTSIDE THE SCOPE OF PRACTICE OF A LICENSED 36 GENETIC COUNSELOR. 37 S 7059. MANDATORY CONTINUING EDUCATION. 1. A. EACH LICENSED GENETIC 38 COUNSELOR REQUIRED UNDER THIS ARTICLE TO REGISTER TRIENNIALLY WITH THE 39 DEPARTMENT TO PRACTICE IN THE STATE, SHALL COMPLY WITH PROVISIONS OF THE 40 MANDATORY CONTINUING EDUCATION REQUIREMENTS PRESCRIBED IN SUBDIVISION 41 TWO OF THIS SECTION EXCEPT AS SET FORTH IN PARAGRAPHS B AND C OF THIS 42 SUBDIVISION. LICENSED GENETIC COUNSELORS WHO DO NOT SATISFY THE MANDATO- 43 RY CONTINUING EDUCATION REQUIREMENTS SHALL NOT PRACTICE UNTIL THEY HAVE 44 MET SUCH REQUIREMENTS, AND THEY HAVE BEEN ISSUED A REGISTRATION CERTIF- 45 ICATE, EXCEPT THAT A LICENSED GENETIC COUNSELOR MAY PRACTICE WITHOUT 46 HAVING MET SUCH REQUIREMENTS IF HE OR SHE IS ISSUED A CONDITIONAL REGIS- 47 TRATION CERTIFICATE PURSUANT TO SUBDIVISION THREE OF THIS SECTION. 48 B. IN ACCORD WITH THE INTENT OF THIS SECTION, ADJUSTMENT TO THE MANDA- 49 TORY CONTINUING EDUCATION REQUIREMENT MAY BE GRANTED BY THE DEPARTMENT 50 FOR REASONS OF HEALTH CERTIFIED BY AN APPROPRIATE HEALTH CARE PROFES- 51 SIONAL, FOR EXTENDED ACTIVE DUTY WITH THE ARMED FORCES OF THE UNITED 52 STATES, OR FOR OTHER GOOD CAUSE ACCEPTABLE TO THE DEPARTMENT WHICH MAY 53 PREVENT COMPLIANCE. 54 C. A LICENSED GENETIC COUNSELOR NOT ENGAGED IN PRACTICE AS DETERMINED 55 BY THE DEPARTMENT, SHALL BE EXEMPT FROM THE MANDATORY CONTINUING EDUCA- 56 TION REQUIREMENT UPON THE FILING OF A STATEMENT WITH THE DEPARTMENT S. 4820 5 1 DECLARING SUCH STATUS. ANY LICENSEE WHO RETURNS TO THE PRACTICE OF 2 GENETIC COUNSELING DURING THE TRIENNIAL REGISTRATION PERIOD SHALL NOTIFY 3 THE DEPARTMENT PRIOR TO REENTERING THE PROFESSION AND SHALL MEET SUCH 4 MANDATORY EDUCATION REQUIREMENTS AS SHALL BE PRESCRIBED BY REGULATIONS 5 OF THE COMMISSIONER. 6 2. DURING EACH TRIENNIAL REGISTRATION PERIOD AN APPLICANT FOR REGIS- 7 TRATION AS A LICENSED GENETIC COUNSELOR SHALL COMPLETE A MINIMUM OF 8 FORTY-FIVE HOURS OF ACCEPTABLE FORMAL CONTINUING EDUCATION. ANY LICENSED 9 GENETIC COUNSELOR WHOSE FIRST REGISTRATION DATE FOLLOWING THE EFFECTIVE 10 DATE OF THIS SECTION OCCURS LESS THAN THREE YEARS FROM SUCH EFFECTIVE 11 DATE, SHALL COMPLETE CONTINUING EDUCATION HOURS ON A PRORATED BASIS. A 12 LICENSEE WHO HAS NOT SATISFIED THE MANDATORY CONTINUING EDUCATION 13 REQUIREMENT SHALL NOT BE ISSUED A TRIENNIAL REGISTRATION CERTIFICATE BY 14 THE DEPARTMENT AND SHALL NOT PRACTICE UNLESS AND UNTIL A CONDITIONAL 15 REGISTRATION IS ISSUED AS PROVIDED FOR IN SUBDIVISION THREE OF THIS 16 SECTION. CONTINUING EDUCATION HOURS TAKEN DURING ONE TRIENNIUM MAY NOT 17 BE TRANSFERRED TO THE SUBSEQUENT TRIENNIUM. 18 3. THE DEPARTMENT, IN ITS DISCRETION, MAY ISSUE A CONDITIONAL REGIS- 19 TRATION TO A LICENSEE WHO FAILS TO MEET THE CONTINUING EDUCATION 20 REQUIREMENTS ESTABLISHED IN SUBDIVISION TWO OF THIS SECTION BUT WHO 21 AGREES TO MAKE UP ANY DEFICIENCIES AND COMPLETE ANY ADDITIONAL EDUCATION 22 WHICH THE DEPARTMENT MAY REQUIRE. THE FEE FOR SUCH A CONDITIONAL REGIS- 23 TRATION SHALL BE THE SAME AS, AND IN ADDITION TO, THE FEE FOR THE TRIEN- 24 NIAL REGISTRATION. THE DURATION OF SUCH CONDITIONAL REGISTRATION SHALL 25 BE DETERMINED BY THE DEPARTMENT BUT SHALL NOT EXCEED ONE YEAR. ANY 26 LICENSEE WHO IS NOTIFIED OF THE DENIAL OF REGISTRATION FOR FAILURE TO 27 SUBMIT EVIDENCE, SATISFACTORY TO THE DEPARTMENT, OF REQUIRED CONTINUING 28 EDUCATION AND WHO PRACTICES GENETIC COUNSELING WITHOUT SUCH REGISTRA- 29 TION, MAY BE SUBJECT TO THE DISCIPLINARY PROCEEDINGS PURSUANT TO SECTION 30 SIXTY-FIVE HUNDRED TEN OF THIS CHAPTER. 31 4. FOR THE PURPOSES OF THIS SECTION, "ACCEPTABLE FORMAL CONTINUING 32 EDUCATION" SHALL MEAN FORMAL COURSES OF LEARNING WHICH CONTRIBUTE TO 33 PROFESSIONAL PRACTICE IN GENETIC COUNSELING AND WHICH MEET THE STANDARDS 34 PRESCRIBED BY REGULATIONS OF THE COMMISSIONER. THE DEPARTMENT MAY, IN 35 ITS DISCRETION AND AS NEEDED TO CONTRIBUTE TO THE HEALTH AND WELFARE OF 36 THE PUBLIC, REQUIRE THE COMPLETION OF CONTINUING EDUCATION COURSES IN 37 SPECIFIC SUBJECTS. TO FULFILL THIS MANDATORY CONTINUING EDUCATION 38 REQUIREMENT, COURSES MUST BE TAKEN FROM A SPONSOR APPROVED BY THE 39 DEPARTMENT, PURSUANT TO THE REGULATIONS OF THE COMMISSIONER. 40 5. LICENSED GENETIC COUNSELORS SHALL MAINTAIN ADEQUATE DOCUMENTATION 41 OF COMPLETION OF ACCEPTABLE FORMAL CONTINUING EDUCATION AND SHALL 42 PROVIDE SUCH DOCUMENTATION AT THE REQUEST OF THE DEPARTMENT. FAILURE TO 43 PROVIDE SUCH DOCUMENTATION UPON THE REQUEST OF THE DEPARTMENT SHALL BE 44 AN ACT OF MISCONDUCT SUBJECT TO DISCIPLINARY PROCEEDINGS PURSUANT TO 45 SECTION SIXTY-FIVE HUNDRED TEN OF THIS CHAPTER. 46 THE MANDATORY CONTINUING EDUCATION FEE SHALL BE FORTY-FIVE DOLLARS, 47 SHALL BE PAYABLE ON OR BEFORE THE FIRST DAY OF EACH TRIENNIAL REGISTRA- 48 TION PERIOD, AND SHALL BE PAID IN ADDITION TO THE TRIENNIAL REGISTRATION 49 FEE REQUIRED BY SECTION SIXTY-EIGHT HUNDRED FIVE OF THIS ARTICLE. 50 S 2. Severability. If any clause, sentence, paragraph, section or part 51 of this act shall be adjudged by any court of competent jurisdiction to 52 be invalid and after exhaustion of all further judicial review, the 53 judgment shall not affect, impair or invalidate the remainder thereof, 54 but shall be confined in its operation to the clause, sentence, para- 55 graph, section or part of this act directly involved in the controversy 56 in which the judgment shall have been rendered. S. 4820 6 1 S 3. This act shall take effect eighteen months after it shall have 2 become a law; provided, however, that the state education department is 3 authorized to promulgate any and all rules and regulations and take any 4 other measure necessary to implement this act on or before its effective 5 date, and provided further that section 7059 of article 142 of the 6 education law, as added by section one of this act shall take effect 7 three years after the effective date of this act.