RETRIEVE BILL
 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                           424
 
                               2003-2004 Regular Sessions
 
                    IN SENATE
 
                                    January 10, 2003
                                       ___________
 
        Introduced  by  Sen. JOHNSON -- read twice and ordered printed, and when
          printed to be committed to the Committee on Labor
 
        AN ACT to amend the workers' compensation law, in relation  to  enabling
          chiropractors  to provide second opinions and provide certain services
          without employer authorization; to amend the real property tax law, in
          relation to enabling chiropractors to certify disability; to amend the
          vehicle and traffic law, in  relation  to  enabling  chiropractors  to
          certify  disability for the purpose of issuance of handicapped license
          plates and registration; to amend the civil practice law and rules, in
          relation to the statute of limitations  for  chiropractic  malpractice
          actions;  and  to  amend  the  education  law, in relation to enabling
          chiropractors to be employed by school  districts  to  assist  medical
          inspectors and giving chiropractors good samaritan immunity
 
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 5 of section 13-a of the workers'  compensation
     2  law,  as  added by chapter 21 of the laws of 1991, is amended to read as
     3  follows:
     4    (5)  No  claim  for  specialist  consultations,  surgical  operations,
     5  physiotherapeutic or occupational therapy procedures, x-ray examinations
     6  or  special  diagnostic  laboratory tests costing more than five hundred
     7  dollars shall be valid and enforceable, as against such employer, unless
     8  such special services shall have been authorized by the employer  or  by
     9  the  board, or unless such authorization has been unreasonably withheld,
    10  or withheld for a period of more than thirty calendar days from  receipt
    11  of  a  request  for  authorization,  or unless such special services are
    12  required in an emergency, provided, however, that the basis for a denial
    13  of such authorization by the employer must be  based  on  a  conflicting
    14  second opinion rendered by a physician or chiropractor authorized by the
    15  workers' compensation board.
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD03109-01-3

        S. 424                              2
 
     1    §  2.  Paragraph  (a) of subdivision 3 of section 13-l of the workers'
     2  compensation law, as amended by chapter 473 of  the  laws  of  2000,  is
     3  amended to read as follows:
     4    (a) No claim for chiropractic care or treatment costing more than five
     5  hundred  dollars shall be valid and enforceable, or against such employ-
     6  er, unless such care or treatment shall  have  been  authorized  by  the
     7  employer  or  by  the  board.  Notwithstanding  the  above, no claim for
     8  chiropractic care or treatment shall be valid and enforceable as against
     9  the employer or employees unless within forty-eight hours following  the
    10  first treatment the chiropractor giving such care or treatment furnishes
    11  to  the  employer and directly to the chair a preliminary notice of such
    12  injury and treatment, and within fifteen days thereafter a more complete
    13  report and subsequent thereto progress reports as requested  in  writing
    14  by  the chair, board, employer or insurance carrier, at intervals of not
    15  less than three weeks apart or at less frequent intervals  if  requested
    16  on  forms  prescribed  by the chair. The board may excuse the failure to
    17  give such notices within the designated periods when it finds it  to  be
    18  in the interest of justice to do so.
    19    §  3.  Subdivision  2 of section 459 of the real  property tax law, as
    20  added by chapter 200 of the laws of 1983, is amended to read as follows:
    21    2. To qualify as physically disabled for the purposes of this section,
    22  an individual shall submit to the assessor a certified statement from  a
    23  physician  or  chiropractor  licensed to practice in the state on a form
    24  prescribed and made available by the state board which states  that  the
    25  individual  has  a  permanent  physical  impairment  which substantially
    26  limits one or more of such individual's major  life  activities,  except
    27  that an individual who has obtained a certificate from the state commis-
    28  sion for the blind and visually handicapped stating that such individual
    29  is  legally  blind  may submit such certificate in lieu of a physician's
    30  certified statement.
    31    § 4. Subdivision 4 and paragraph (b) of subdivision 5 of section 404-a
    32  of the vehicle and traffic law, as amended by chapter 686 of the laws of
    33  1994, are amended to read as follows:
    34    4. Issue of plates. The commissioner shall issue  sets  of  plates  to
    35  such  person  in  accordance  with  subdivision two of this section with
    36  proof of such disability of such person or such members  of  his  family
    37  certified  by a physician, chiropractor or podiatrist pursuant to subdi-
    38  vision four-a of this section, to the satisfaction of  the  commissioner
    39  who is empowered to carry out the effects of this section by formulating
    40  rules and regulations.
    41    For  the  purposes of this section, a "severely disabled person" shall
    42  mean any person having any one or more  of  the  following  impairments,
    43  disabilities or conditions which are permanent in nature:
    44    (a) Has limited or no use of one or both lower limbs;
    45    (b) Has a neuro-muscular dysfunction which severely limits mobility;
    46    (c)  Has  a  physical or mental impairment or condition which is other
    47  than those specified above, but is of such nature as to  impose  unusual
    48  hardship  in  utilization  of  public transportation facilities and such
    49  condition is certified by a physician duly licensed to practice medicine
    50  in this state, or, pursuant to subdivision four-a  of  this  section,  a
    51  podiatrist  duly licensed to practice podiatry in this state, as consti-
    52  tuting an equal degree of disability (specifying the  particular  condi-
    53  tion)  so  as  to  prevent such person from getting around without great
    54  difficulty in accordance with subdivision two of this section; or
    55    (d) A blind person.

        S. 424                              3
 
     1    (b) The commissioner may require the  applicant  for  registration  to
     2  furnish such proof of his disability or such proof of disability of such
     3  members  of  his  family  from  a  physician, chiropractor or podiatrist
     4  pursuant to subdivision four-a of  this  section,  as  the  commissioner
     5  deems  necessary  either  for  initial  registration or renewal thereof;
     6  provided, however, that a handicapped or disabled  permit  issued  by  a
     7  municipality  to  such  applicant  pursuant  to  section  twelve hundred
     8  three-a of this chapter shall be deemed sufficient proof  of  disability
     9  for purposes of this paragraph.
    10    § 5. Subdivision 6 of section 214 of the civil practice law and rules,
    11  as  amended  by  chapter  623 of the laws of 1996, is amended to read as
    12  follows:
    13    6. an action to recover damages for malpractice, other  than  medical,
    14  dental, chiropractic or podiatric malpractice, regardless of whether the
    15  underlying theory is based in contract or tort; and
    16    §  6. Section 214-a of the civil practice law and rules, as amended by
    17  chapter 485 of the laws of 1986, is amended to read as follows:
    18    § 214-a. Action for medical, dental, chiropractic or  podiatric  malp-
    19  ractice  to be commenced within two years and six months; exceptions. An
    20  action for medical, dental, chiropractic or podiatric  malpractice  must
    21  be  commenced  within  two  years and six months of the act, omission or
    22  failure complained of or last treatment where there is continuous treat-
    23  ment for the same illness, injury or condition which gave  rise  to  the
    24  said  act, omission or failure; provided, however, that where the action
    25  is based upon the discovery of a foreign  object  in  the  body  of  the
    26  patient, the action may be commenced within one year of the date of such
    27  discovery  or  of  the date of discovery of facts which would reasonably
    28  lead to such discovery, whichever is earlier. For the  purpose  of  this
    29  section  the  term "continuous treatment" shall not include examinations
    30  undertaken at the request of the patient for the sole purpose of  ascer-
    31  taining  the  state  of the patient's condition. For the purpose of this
    32  section the term "foreign object" shall not include a chemical compound,
    33  fixation device or prosthetic aid or device.
    34    § 7. Section 6556 of the education law is  amended  by  adding  a  new
    35  subdivision 3 to read as follows:
    36    3.  Notwithstanding any inconsistent provision of any general, special
    37  or local law, any licensed chiropractor who voluntarily and without  the
    38  expectation  of  monetary  compensation  renders  first aid or emergency
    39  treatment at the scene of an accident  or  other  emergency,  outside  a
    40  hospital, doctor's office or any other place having proper equipment, to
    41  a  person  who  is  unconscious, ill or injured, shall not be liable for
    42  damages for injuries alleged to have been sustained by  such  person  or
    43  for  damages  for  the  death of such person alleged to have occurred by
    44  reason of an act or omission in the rendering of such first aid or emer-
    45  gency treatment unless it is established  that  such  injuries  or  such
    46  death  was  caused by gross negligence on the part of such chiropractor.
    47  Nothing in this subdivision shall be deemed or construed  to  relieve  a
    48  licensed  chiropractor  from liability for damages for injuries or death
    49  caused by an act or omission on the part of a chiropractor while render-
    50  ing professional services in the normal and ordinary course of his prac-
    51  tice.
    52    § 8. Paragraph b of subdivision 1 and subdivision 2 of section 902  of
    53  the  education  law,  paragraph b of subdivision 1 as amended by chapter
    54  600 of the laws of 2002, are amended to read as follows:
    55    b. Any such board or trustees may employ one or  more  school  nurses,
    56  who  shall be registered nurses graduated from schools of nursing regis-

        S. 424                              4
 
     1  tered by the regents and  authorized  to  practice  as  such,  and  such
     2  dentists,  dental  hygienists, chiropractors and nutritionists as may be
     3  required. Such nurses, dentists, dental  hygienists,  chiropractors  and
     4  nutritionists when so employed shall aid the inspector employed pursuant
     5  to  paragraph  a  of  this subdivision of the district and shall perform
     6  such duties including health instruction for the benefit of  the  public
     7  schools  as  may be prescribed by such board or trustees. Any such board
     8  or trustees may employ an optometrist or oculist to make  eye  tests  of
     9  the pupils attending such school, who shall assist such inspector.
    10    2. A medical inspector, school nurse, optometrist or oculist, dentist,
    11  dental  hygienist,  chiropractor  or nutritionist may be employed by the
    12  trustees or boards of education of two or more school districts, and the
    13  compensation of such inspector, school nurse or  other  assistants,  and
    14  the  expenses incurred in making inspections of pupils as provided here-
    15  in, shall be borne jointly by such districts, and be  apportioned  among
    16  them  according to the assessed valuation of the taxable property there-
    17  in. The trustees or boards of education of two or more school  districts
    18  in  a  supervisory district may authorize the district superintendent of
    19  such district to employ one  or  more  school  nurses,  optometrists  or
    20  oculists, dentists, dental hygienists, chiropractors or nutritionists to
    21  perform  services  including  health  instruction in such districts; the
    22  compensation of such school nurse or nurses or other  experts  shall  be
    23  fixed  by the district superintendent, and the compensation and expenses
    24  incurred by them in  caring  for  the  health  of  the  pupils  of  such
    25  districts,  as provided herein, shall be borne jointly by such districts
    26  and be apportioned by the district superintendent among  them  according
    27  to the assessed valuation of the taxable property therein.
    28    § 9. This act shall take effect immediately.