Laws, Rules & Regulations
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Rules of the Board of Regents
Part 29, Unprofessional Conduct
Effective November 23, 2006
- Unprofessional conduct shall be the conduct prohibited by
this section. The provisions of these rules applicable to a
particular profession may define additional acts or omissions as
unprofessional conduct and may establish exceptions to these
general prohibitions.
- Unprofessional conduct in the practice of any profession
licensed, certified or registered pursuant to title VIII of the
Education Law, except for cases involving those professions
licensed, certified or registered pursuant to the provisions of
Article 131 or 131-B of such law in which a statement of charges
of professional misconduct was not served on or before July 26,
1991, the effective date of Chapter 606 of the Laws of 1991,
shall include:
- willful or grossly negligent failure to comply with
substantial provisions of Federal, State or local laws, rules or
regulations governing the practice of the profession;
- exercising undue influence on the patient or client,
including the promotion of the sale of services, goods,
appliances or drugs in such manner as to exploit the patient or
client for the financial gain of the practitioner or of a third
party;
- directly or indirectly offering, giving, soliciting, or
receiving or agreeing to receive, any fee or other consideration
to or from a third party for the referral of a patient or client
or in connection with the performance of professional
services;
- permitting any person to share in the fees for professional
services, other than: a partner, employee, associate in a
professional firm or corporation, professional subcontractor or
consultant authorized to practice the same profession, or a
legally authorized trainee practicing under the supervision of a
licensed practitioner. This prohibition shall include any
arrangement or agreement whereby the amount received in payment
for furnishing space, facilities, equipment or personnel services
used by a professional licensee constitutes a percentage of, or
is otherwise dependent upon, the income or receipts of the
licensee from such practice, except as otherwise provided by law
with respect to a facility licensed pursuant to Article 28 of the
Public Health Law or Article 13 of the Mental Hygiene Law;
- conduct in the practice of a profession which evidences moral
unfitness to practice the profession;
- willfully making or filing a false report, or failing to file
a report required by law or by the Education Department, or
willfully impeding or obstructing such filing, or inducing
another person to do so;
- failing to make available to a patient or client, upon
request, copies of documents in the possession or under the
control of the licensee which have been prepared for and paid for
by the patient or client;
- revealing of personally identifiable facts, data or
information obtained in a professional capacity without the prior
consent of the patient or client, except as authorized or
required by law;
- practicing or offering to practice beyond the scope permitted
by law, or accepting and performing professional responsibilities
which the licensee knows or has reason to know that he or she is
not competent to perform, or performing without adequate
supervision professional services which the licensee is
authorized to perform only under the supervision of a licensed
professional, except in an emergency situation where a
person's life or health is in danger;
- delegating professional responsibilities to a person when the
licensee delegating such responsibilities knows or has reason to
know that such person is not qualified, by training, by
experience or by licensure, to perform them;
- performing professional services which have not been duly
authorized by the patient or client or his or her legal
representative;
- advertising or soliciting for patronage that is not in the
public interest:
- Advertising or soliciting not in the public interest shall
include, but not be limited to, advertising or soliciting
that:
- is false, fraudulent, deceptive or misleading;
- guarantees any service;
- makes any claim relating to professional services or products
or the cost or price therefore which cannot be substantiated by
the licensee, who shall have the burden of proof;
- makes claims of professional superiority which cannot be
substantiated by the licensee, who shall have the burden of
proof; or
- offers bonuses or inducements in any form other than a
discount or reduction in an established fee or price for a
professional service or product.
- The following shall be deemed appropriate means of informing
the public of the availability of professional services:
- informational advertising not contrary to the foregoing
prohibitions; and
- the advertising in a newspaper, periodical or professional
directory or on radio or television of fixed prices, or a stated
range of prices, for specified routine professional services,
provided that if there is an additional charge for related
services which are an integral part of the overall service being
provided by the licensee, the advertisement shall so state, and
provided further that the advertisement indicates the period of
time for which the advertised prices shall be in effect.
-
- all licensees placing advertisements shall maintain, or cause
to be maintained, an exact copy of each advertisement,
transcript, tape or videotape thereof as appropriate for the
medium used, for a period of one year after its last appearance.
This copy shall be made available for inspection upon demand of
the Education Department;
- a licensee shall not compensate or give anything of value to
representatives of the press, radio, television or other
communications media in anticipation of or in return for
professional publicity in a news item;
- Testimonials, demonstrations, dramatizations, or other
portrayals of professional practice are permissible provided that
they otherwise comply with the rules of professional conduct and
further provided that the following conditions are
satisfied:
- the patient or client expressly authorizes the portrayal in
writing;
- appropriate disclosure is included to prevent any misleading
information or imagery as to the identity of the patient or
client;
- reasonable disclaimers are included as to any statements made
or results achieved in a particular matter;
- the use of fictional situations or characters may be used if
no testimonials are included; and
- fictional client testimonials are not permitted;
- failing to respond within 30 days to written communications
from the Education Department or the Department of Health and to
make available any relevant records with respect to an inquiry or
complaint about the licensee's unprofessional conduct. The
period of 30 days shall commence on the date when such
communication was delivered personally to the licensee. If the
communication is sent from either department by registered or
certified mail, with return receipt requested, to the address
appearing in the last registration, the period of 30 days shall
commence on the date of delivery to the licensee, as indicated by
the return receipt;
- violating any term of probation or condition or limitation
imposed on the licensee by the Board of Regents pursuant to
Education Law, Section 6511.
- Unprofessional conduct shall also include, in the professions
of: acupuncture, athletic training, audiology, certified dental
assisting, chiropractic, creative arts therapy, dental hygiene,
dentistry, dietetics/nutrition, licensed practical nursing,
marriage and family therapy, massage therapy, medicine, mental
health counseling, midwifery, occupational therapy, ophthalmic
dispensing, optometry, pharmacy, physical therapist assistant,
physical therapy, physician assistant, podiatry, psychoanalysis,
psychology, registered professional nursing, respiratory therapy,
respiratory therapy technician, social work, specialist
assistant, occupational therapy assistant, speech-language
pathology, except for cases involving those professions licensed,
certified or registered pursuant to the provisions of Article 131
or 131-B of the Education Law in which a statement of charges of
professional misconduct was not served on or before July 26,
1991, the effective date of Chapter 606 of the Laws of
1991:
- abandoning or neglecting a patient or client under and in
need of immediate professional care, without making reasonable
arrangements for the continuation of such care, or abandoning a
professional employment by a group practice, hospital, clinic or
other health care facility, without reasonable notice and under
circumstances which seriously impair the delivery of professional
care to patients or clients;
- willfully harassing, abusing or intimidating a patient either
physically or verbally;
- failing to maintain a record for each patient which
accurately reflects the evaluation and treatment of the patient.
Unless otherwise provided by law, all patient records must be
retained for at least six years. Obstetrical records and records
of minor patients must be retained for at least six years, and
until one year after the minor patient reaches the age of 21
years;
- using the word "Doctor" in offering to perform
professional services without also indicating the profession in
which the licensee holds a doctorate;
- failing to exercise appropriate supervision over persons who
are authorized to practice only under the supervision of the
licensed professional;
- guaranteeing that satisfaction or a cure will result from the
performance of professional services;
- ordering of excessive tests, treatment, or use of treatment
facilities not warranted by the condition of the patient;
- claiming or using any secret or special method of treatment
which the licensee refuses to divulge to the State Board for the
profession;
- failing to wear an identifying badge, which shall be
conspicuously displayed and legible, indicating the
practitioner's name and professional title authorized
pursuant to the Education Law, while practicing as an employee or
operator of a hospital, clinic, group practice or
multiprofessional facility, registered pharmacy, or at a
commercial establishment offering health services to the
public;
- entering into an arrangement or agreement with a pharmacy for
the compounding and/or dispensing of coded or specially marked
prescriptions;
- with respect to all professional practices conducted under an
assumed name, other than facilities licensed pursuant to Article
28 of the Public Health Law or Article 13 of the Mental Hygiene
Law, failing to post conspicuously at the site of such practice
the names and the licensure field of all of the principal
professional licensees engaged in practice at that site (i.e.,
principal partners, officers or principal shareholders);
- issuing prescriptions for drugs and devices which do not
contain the following information: the date written, the
prescriber's name, address, telephone number, profession and
registration number, the patient's name, address and age, the
name, strength and quantity of the prescribed drug or device, as
well as the directions for use by the patient. In addition, all
prescriptions for controlled substances shall meet the
requirements of Article 33 of the Public Health Law; and
- failing to use scientifically accepted infection prevention
techniques appropriate to each profession for the cleaning and
sterilization or disinfection of instruments, devices, materials
and work surfaces, utilization of protective garb, use of covers
for contamination-prone equipment and the handling of sharp
instruments. Such techniques shall include but not be limited
to:
- wearing of appropriate protective gloves at all times when
touching blood, saliva, other body fluids or secretions, mucous
membranes, nonintact skin, blood-soiled items or bodily
fluid-soiled items, contaminated surfaces, and sterile body
areas, and during instrument cleaning and decontamination
procedures;
- discarding gloves used following treatment of a patient and
changing to new gloves if torn or damaged during treatment of a
patient; washing hands and donning new gloves prior to performing
services for another patient; and washing hands and other skin
surfaces immediately if contaminated with blood or other body
fluids;
- wearing of appropriate masks, gowns or aprons, and protective
eyewear or chin-length plastic face shields whenever splashing or
spattering of blood or other body fluids is likely to occur;
- sterilizing equipment and devices that enter the
patient's vascular system or other normally sterile areas of
the body;
- sterilizing equipment and devices that touch intact mucous
membranes but do not penetrate the patient's body or using
high-level disinfection for equipment and devices which cannot be
sterilized prior to use for a patient;
- using appropriate agents, including but not limited to
detergents for cleaning all equipment and devices prior a
sterilization or disinfection;
- cleaning, by the use of appropriate agents, including but not
limited to detergents, equipment and devices which do not touch
the patient or that only touch the intact skin of the
patient;
- maintaining equipment and devices used for sterilization
according to the manufacturer's instructions;
- adequately monitoring the performance of all personnel,
licensed or unlicensed, for whom the licensee is responsible
regarding infection control techniques;
- placing disposable used syringes, needles, scalpel blades,
and other sharp instruments in appropriate puncture-resistant
containers for disposal; and placing reusable needles, scalpel
blades, and other sharp instruments in appropriate
puncture-resistant containers until appropriately cleaned and
sterilized;
- maintaining appropriate ventilation devices to minimize the
need for emergency mouth-to-mouth resuscitation;
- refraining from all direct patient care and handling of
patient care equipment when the health care professional has
exudative lesions or weeping dermatitis and the condition has not
been medically evaluated and determined to be safe or capable of
being safely protected against in providing direct patient care
or in handling patient care equipment; and
- placing all specimens of blood and body fluids in
well-constructed containers with secure lids to prevent leaking;
and cleaning any spill of blood or other body fluid with an
appropriate detergent and appropriate chemical germicide.
- Unprofessional conduct shall also include, in those
professions specified in Section 18 of the Public Health Law and
in the professions of acupuncture, creative arts therapy,
marriage and family therapy, massage therapy, mental health
counseling, and psychoanalysis, failing to provide access by
qualified persons to patient information in accordance with the
standards set forth in Section 18 of the Public Health Law. In
the professions of acupuncture, creative arts therapy, marriage
and family therapy, massage therapy, mental health counseling,
and psychoanalysis, qualified persons may appeal the denial of
access to patient information in the manner set forth in Section
18 of the Public Health Law to a record access committee
appointed by the executive secretary of the appropriate State
Board. Such record access review committees shall consist of not
less than three, nor more than five members of the appropriate
State Board.
- Unprofessional conduct shall also include, in the professions
of architecture and landscape architecture, engineering and land
surveying:
- being associated in a professional capacity with any project
or practice known to the licensee to be fraudulent or dishonest
in character, or not reporting knowledge of such fraudulence or
dishonesty to the Education Department;
- failing to report in writing to the owner or to the
owner's designated agent any unauthorized or improperly
authorized substantial disregard by any contractor of plans or
specifications for construction or fabrication, when professional
observation or supervision of the work is provided for in the
agreement between the owner and the design professional or when
supervision of the work is under the control of the design
professional;
- certifying by affixing the licensee's signature and seal
to documents for which the professional services have not been
performed by, or thoroughly reviewed by, the licensee; or failing
to prepare and retain a written evaluation of the professional
services represented by such documents in accordance with the
following requirements:
- a licensee who signs and seals documents not prepared by the
licensee or by an employee under the licensee's direct
supervision shall prepare, and retain for a period of not less
than six years, a thorough written evaluation of the professional
services represented by the documents, including but not limited
to drawings, specifications, reports, design calculations and
references to applicable codes and standards. Such written
evaluation shall clearly identify the project and the documents
to which it relates, the source of the documents and the name of
the person or organization for which the written evaluation was
conducted, and the date of the evaluation, and the seal and
signature of the licensee shall also be affixed thereto; and
- nothing in this paragraph shall be construed as authorizing
the practice of a design profession in this State by persons
other than those authorized to practice pursuant to the
provisions of Article 145, 147 or 148 of the Education Law;
- failure by a licensee to maintain for at least six years all
preliminary and final plans, documents, computations, records and
professional evaluations prepared by the licensee, or the
licensee's employees, relating to work to which the licensee
has affixed his seal and signature;
- having a substantial financial interest, without the
knowledge and approval of the client or employer, in any products
or in the bids or earnings of any contractor, manufacturer or
supplier on work for which the professional has
responsibility;
- permitting any person to share in the fees for professional
services, other than: a partner, employee, associate in a
professional firm or corporation, subcontractor or consultant.
This prohibition shall include any arrangement or agreement
whereby the amount received in payment for furnishing space,
facilities, equipment, or personnel services used by a
professional licensee constitutes a percentage of or is otherwise
dependent upon the income or receipts of the licensee from such
practice. This provision shall apply in lieu of Section
29.1(b)(4) of this Part;
- accepting any form of compensation from more than one party
for services on the same project without fully disclosing the
circumstances and receiving approval from all interested
parties;
- participating as a member, advisor or employee or a
government body in those actions or deliberations which pertain
to services provided by the practitioner or his or her
organization for such government body; or
- in the profession of land surveying, the revision,
alteration, or update of any existing boundary survey without
adequate confirmation of relevant boundary lines and monuments.
To be adequate, such confirmation shall include a reasonable
field verification and shall be sufficiently extensive to
reasonably ensure the accuracy of the revision, alteration, or
update, as appropriate to the circumstances of the revision,
alteration, or update.
- Unprofessional conduct shall not be construed to
include:
- the employment, with the knowledge of the client, of
qualified consultants to perform work in which the consultant has
special expertise. This provision shall apply in conjunction with
Section 29.1(b)(9) of this Part; and
- participation as a delegator, or delegatee in delegating or
accepting delegation, through an intermediate entity not
authorized to provide professional design services, of
specifically defined work involving the performance of a design
function requiring a professional license, under the following
terms, conditions and limitations:
- such specifically defined design work shall be limited to
project components ancillary to the main components of the
project;
- the delegator shall specify in writing to the delegatee all
parameters which the design must satisfy;
- the design function shall be required to be performed in
accordance with performance specifications established by the
delegator;
- the delegatee shall be required to be licensed or otherwise
legally authorized to perform the design work involved and shall
be required to sign and certify any design prepared;
- the delegator shall be required to review and approve the
design submitted by the delegatee for conformance with the
established specifications and parameters and such determination
shall be in writing; and
- the delegator shall be required to determine that the design
prepared by the delegatee conforms to the overall project design
and can be integrated into such design and such determination
shall be in writing.
- As used in paragraph (2) of this subdivision:
- Delegator means a primary design team or team of
design professionals which may be composed of professional
engineers, land surveyors, architects and landscape architects
acting either alone or in combination, licensed and registered in
accordance with Articles 145, 147 or 148 of the Education Law,
and authorized to provide the services being delegated.
- Intermediate entity means a person or entity,
typically a contractor or subcontractor, responsible for
performing the work under the contract for construction.
- Delegatee means a design professional, licensed and
registered in accordance with Articles 145, 147 or 148 of the
Education Law, who is employed or retained by the intermediate
entity to produce design work in compliance with the performance
requirements and parameters specified by a delegator.
- Certify means a written statement by a licensee
confirming responsibility for the work and attesting that the
work prepared meets the specifications (as well as conforming to
governing codes applicable at the time the work was prepared),
and conforms to prevailing standards of practice.
- Unprofessional conduct in the practice of medicine shall
include all conduct prohibited by Sections 29.1 and 29.2 of this
Part except as provided in this section, and shall also include
the following:
- knowingly or willfully performing a complete or partial
autopsy on a deceased person without lawful authority;
- failing to comply with a signed agreement to practice
medicine in New York State in an area designated by the
Commissioner of Education as having a shortage of physicians or
refusing to repay medical education costs in lieu of such
required service, or failing to comply with any provision of a
written agreement with the State or any municipality within which
the licensee has agreed to provide medical service, or refusing
to repay funds in lieu of such service as consideration of awards
made by the State or any municipality thereof for his or her
professional education in medicine, or failing to comply with any
agreement entered into to aid his or her medical education;
- a physician who prescribes or dispenses lenses or frames for
the correction of vision shall be subject to the provisions of
Sections 29.8 and 29.9 of this Part relating to unprofessional
conduct in optometry and/or ophthalmic dispensing;
- in the conduct of psychological research, failing to
undertake reasonable efforts to remove the possible harmful
aftereffects of emotional stress as soon as the design of the
research permits, or failing to inform prospective research
subjects or their authorized representatives fully of the danger
of serious aftereffects, if such danger exists, before they are
utilized as research subjects;
- in the interpretation of the provisions of Section 29.1(b)(5)
of this Part and in the treatment of sexual dysfunction as well
as in other areas of the practice of psychiatry:
- immoral conduct shall include any physical contact of a
sexual nature between physician and patient; but immoral conduct
shall not include the use of films and/or other audiovisual aids
with individuals or groups in the development of appropriate
responses to overcome sexual dysfunction;
- in therapy groups, immoral conduct shall include activities
which promote explicit physical sexual contact between group
members during sessions.
Unprofessional conduct in the practice of dentistry and dental
hygiene shall include all conduct prohibited by Sections 29.1 and
29.2 of this Part except as provided in this section, and shall
also include the following:
- Failing to comply with a signed agreement to practice
dentistry in New York State in an area designated by the
Commissioner of Education as having a shortage of dentists or
refusing to repay dental education costs in lieu of such required
service, or failing to comply with any provision of a written
agreement with the State or any municipality within which the
licensee has agreed to provide dental service, or refusing to
repay funds in lieu of such service as consideration of awards
made by the State or any municipality thereof for his or her
professional education in dentistry, or failing to comply with
any agreement entered into to aid his or her dental
education.
- Claiming professional superiority or special professional
abilities, attainments, methods or resources, except that a
practitioner who has completed a program of specialty training
approved by the Board of Regents in a specialty recognized as
such by the Board of Regents, or who can demonstrate to the
satisfaction of the department the completion of the substantial
equivalent of such a program, may advertise or otherwise indicate
the specialty. A practitioner who has completed all of the
requirements for specialty qualification except an examination
may advertise or otherwise indicate the additional training which
has been acquired. The phrase practice limited to shall
be deemed a claim of special professional abilities, and may be
used only by dentists who have completed specialty training
satisfactory to the department or dentists who have restricted
their practice to a dental specialty prior to January 1, 1979.
This subdivision shall apply in addition to Section
29.1(b)(12)(i)(f) of this Part.
- Unprofessional conduct in the practice of veterinary medicine
shall include all conduct prohibited by Section 29.1 of this Part
except as provided in this section, and shall also include the
following:
- claiming or using any secret or special method of treatment
which the licensee refuses to divulge to the State Board for the
Professions;
- failing to exercise adequate supervision over persons who are
authorized to practice only under the supervision of the
licensee;
- failing to maintain adequate records of visits, diagnoses and
prescribed treatments for a period of at least three years;
- using the word "Doctor" in offering to perform
professional services without also indicating that the licensee
holds a doctorate in veterinary medicine;
- claiming professional superiority or special professional
abilities, attainments, methods or resources, except that a
specialist may indicate a specialty that has been recognized as
such by the Board of Regents. This provision shall apply in lieu
of Section 29.1(b)(12)(i)(f) of this Part;
- guaranteeing that satisfaction or a cure will result from the
performance of professional services;
- excessive administering of treatment or use of treatment
facilities not warranted by the condition of the animal
patient;
- abandoning or neglecting an animal patient under and in need
of immediate care, without making reasonable arrangements for the
continuation of such care; or
- entering into an arrangement or agreement with a pharmacy for
the compounding and/or dispensing of coded or specially marked
prescriptions.
- Distribution of information to members of a union,
association or other organized group which has a contractual
arrangement with a practitioner or practitioners for the
provision of veterinary services at specific prices, which state
the details of the arrangement including the names, addresses and
telephone numbers of the participating practitioners, shall be
deemed an appropriate means of informing the public of the
availability of services.
- The requirements of this section set forth for written
prescriptions shall also be applicable to electronically
transmitted prescriptions, as defined in Section 63.6(a)(7) of
this Title, unless otherwise indicated. Unprofessional conduct in
the practice of pharmacy shall include all conduct prohibited by
Sections 29.1 and 29.2 of this Part except as provided in this
section, and shall also include the following:
- Dispensing a written prescription which does not bear the
name, address and age of the patient for whom it is intended; the
date on which it was written; the name, strength, if applicable,
and the quantity of the drug prescribed; directions for use, if
applicable; and, the name, address, telephone number, profession
and signature of the prescriber; provided that the pharmacist may
record on the prescription the address and age of the patient,
the strength and quantity of the drug prescribed, the directions
for use and the prescriber's address, telephone number and
profession if these are missing or unclear. If the address and
age of the patient and the address, telephone number and
profession of the prescriber are missing from the prescription,
the pharmacist shall not be required to enter any of these items
on the prescription if the information is otherwise readily
available in the records of the pharmacy. Prescription labels
must be legible. An order for a drug to be dispensed for an
inpatient in a health care facility by the pharmacy of that
facility may be transmitted to the pharmacy in accordance with
written procedures approved by the medical or other authorized
board of the facility. The items of information required by this
paragraph which are found in the records regularly maintained by
the facility and which are not essential to the execution of the
order need not appear on the order which is transmitted to the
pharmacy. A drug which is dispensed for an inpatient in a health
care facility by the pharmacy of that facility may be labeled in
accordance with the policy adopted by the medical or other
authorized board of the facility. That policy shall insure that
all the information required by law to be placed on prescription
labels is readily available to all concerned parties and that
accuracy and safety prevail in the dispensing process. The
address of a patient in a hospital or other health care facility
may, for the purpose of a prescription, be that of the facility.
An order for a drug for a particular patient issued by a
practitioner authorized to prescribe, and transmitted to a
pharmacy for dispensing, shall constitute a prescription.
Prescriptions written for controlled substances shall meet the
requirements of Article 33 of the Public Health Law.
- Failure by a pharmacist to reduce to writing a prescription
transmitted orally, which writing shall include all the
information required by paragraph (1) of this subdivision and the
signature or readily identifiable initials of the receiver of the
oral prescription, provided that oral prescriptions for
controlled substances shall meet the requirements of Article 33
of the Public Health Law.
- Failure by a pharmacist dispensing a prescription to enter on
the prescription the date of dispensing and to sign or initial
legibly the prescription in such a manner as not to interfere
with any other information on the prescription; provided that
when the prescription is dispensed by an intern, the prescription
shall bear the signature or readily identifiable initials of the
intern and of the pharmacist who is supervising the intern.
- Refilling a prescription without entering on the reverse of
the prescription the date of the refill and the signature or
readily identifiable initials of the pharmacist and of the
intern, if applicable, dispensing the refill, except as provided
in paragraph (8) of this subdivision. As a refill instruction,
the pharmacist may accept a number of times, a time period, such
as one year, or the Latin phrase pro re nata
(abbreviated prn--meaning "as needed"). In the case of
the latter, the pharmacist shall refill the prescription once
only. The pharmacist receiving on oral order to refill a
prescription shall reduce the order to writing and shall sign or
initial it legibly as the recipient of the oral order. When a
prescription is refilled, the date placed on the label shall be
the date of the refill.
- Using or substituting without authorization one or more drugs
in the place of the drug or drugs specified in a prescription.
Unauthorized use or substitution occurs if the same is done
without the knowledge and consent of the prescriber. If other
than the ingredients specified are utilized by the pharmacist in
compounding or dispensing the prescription, improper substitution
shall be presumed unless there shall be entered upon the reverse
of the original prescription information setting forth the facts
of the substitution, the date, time and manner in which
authorization for substitution was given and the signature of the
pharmacist who received such authorization.
- Failure to identify a generic product dispensed on a
prescription by writing the name of the manufacturer and of the
distributor, if different, on the prescription and on the label,
except as otherwise provided in Education Law, Section
6816-a(1)(c).
- Failure to number prescriptions consecutively and file them
in a numerical or other form which provides for ready retrieval
of the prescriptions; provided that orders for drugs to be
dispensed for inpatients in a health care facility, including but
not limited to a general hospital, in the pharmacy of that
facility under a drug distribution system approved by the medical
or other authorized board of the facility, need not be numbered
if the orders are otherwise readily available and retrievable;
and, provided further that prescriptions for controlled
substances shall be filed in accordance with the provisions of
Article 33 of the Public Health Law.
- Failure to maintain in a form which provides for ready
retrieval of prescriptions a daily record of all prescriptions
filled and refilled which identifies clearly the practitioner who
ordered the prescription, the patient for whom the prescription
is intended, the signature or readily identifiable initials of
the pharmacist who filled or refilled the prescription, and the
number assigned to the prescription where applicable. The record
of the dispensing of a drug for an inpatient in a health care
facility, including but not limited to general hospital, by the
pharmacy of that facility may be maintained in a form which is
consistent with the record of the total health service provided
to the patient provided the information required by this
paragraph is readily retrievable and available. Original
prescriptions filed in accordance with the provisions of
paragraph (7) of this subdivision may constitute the record of
the initial filling of those prescriptions. The daily record may
be maintained by a manual system or, alternatively, by an
electronic data processing system which meets the following
requirements:
- The system shall provide adequate safeguards against improper
manipulation or alteration of stored records.
- Arrangements shall be made which assure completeness and
continuity of prescription records if the relationship between a
pharmacy and a supplier of data processing services terminates
for any reason.
- The system shall provide retrieval of information regarding
original dispensing and the refilling of prescriptions.
- A pharmacist, and a pharmacy intern, if applicable, using a
computerized system shall sign or initial the original
prescription at the time of the first dispensing as provided in
paragraph (3) of this subdivision and the initials of the
pharmacist shall be entered into the computer record of the
dispensing.
- For all refills of a prescription, the records introduced
into the system shall be sufficient if:
- the initials of the pharmacist who dispensed the refill are
entered by such pharmacist at the time of dispensing; and
- a printout is produced of all prescriptions filled and
refilled each day and the pharmacist(s) whose initials appear(s)
on the printout sign(s) the printout to indicate that it is a
accurate record.
- A pharmacy that employs a computerized system shall have an
auxiliary procedure which shall be used for documentation of all
new and refilled prescriptions dispensed during system downtime.
The auxiliary procedure shall provide for the entry into the
computer of all data collected during the downtime, and the
pharmacist shall insure that the maximum number of refills
authorized on the original prescription has not been
exceeded.
- Only pharmacists and pharmacy interns shall enter
prescription data into the computerized system and access the
data, except as provided in paragraph (21) of this
subdivision.
- Except as otherwise provided in 16 CFR Part 1700 (Code of
Federal Regulations, 1984 edition, Superintendent of Public
Documents, U.S. Government Printing Office, Washington, DC 20402:
1984, available at New York State Board of Pharmacy, Office of
the Professions, State Education Building - 2nd floor, 89
Washington Avenue, Albany, New York 12234), failure to package a
drug in a child-resistant container unless either the prescriber
or the patient requests otherwise. Such request shall be
documented in the records of the pharmacy. Child-resistant
containers shall not be reused.
- Failure by a supervising pharmacist to provide adequate
supervision of a registered establishment. A supervising
pharmacist must be a full-time employee of the establishment. For
the purposes of this section, full-time shall be deemed to be 30
or more hours per week. In those circumstances in which an
establishment operates for less than 30 hours per week, the
supervising pharmacist shall be employed for a majority of the
hours that the establishment operates. The State Board of
Pharmacy shall be notified within seven days of any change in the
identity of the supervising pharmacist of a registered
establishment. Such notification shall be made by the owner of
the registered establishment.
- Advertisements of the prices of prescription drugs which do
not comply with the following provisions:
- The advertised price shall be in effect for a period of time
stated in the advertisement.
- When the advertising of prescription prices forms part of a
larger advertisement which includes the offering of general
merchandise, the advertising pertaining to prescription prices
shall be separated physically, such as by a box, from the
advertising pertaining to general merchandise.
- Nothing in this subdivision shall be construed to prevent the
use in advertising of a statement to the effect that the price
for which any prescription will be filled is available on
request.
- Such advertisement shall comply with the "Prescription
Drug Consumer Price Listing" requirements set forth in
Section 200.200 of Title 21 of the Code of Federal
Regulations (1984 edition, Superintendent of Documents, U.S.
Government Printing Office, Washington, DC 20402: 1984, available
at New York State Board of Pharmacy, Office of the Professions,
State Education Building - 2nd floor, 89 Washington Avenue,
Albany, New York 12234).
- Advertising or soliciting professional practice by means of
providing physicians, or others authorized to prescribe, with
prescription blanks imprinted with either the name of the
pharmacist or the name of the pharmacy.
- Failing to make prescription fee or price information readily
available by providing such information upon request and upon the
presentation of a prescription for pricing or dispensing. Nothing
in this section shall be construed to prohibit the quotation of
price information on a prescription drug to a potential consumer
by telephone.
- Placing in stock of any pharmacy any part of any prescription
compounded or dispensed which is returned by a patient; provided,
however, that in a health care facility, including but not
limited to a general hospital, which has its own pharmacy and in
which unit-dose medication is dispensed to inpatients, each dose
being individually sealed and labeled with the name of the drug,
dosage strength, manufacturer's control number and expiration
date, the unused unit dose of medication may be returned to the
pharmacy of the facility for redispensing; and provided further
that unused medication may be returned to pharmacies by
residential health care facilities in accordance with the
provisions of 10 NYCRR 415.18(f) or by other facilities,
including but not limited to county correctional facilities,
provided that such other facilities utilize standards, policies
and procedures determined by the State Board of Pharmacy to be
equivalent to those enumerated in 10 NYCRR 415.18(f).
- Repacking of drugs in a pharmacy, except by a pharmacist or
under his/her immediate and personal supervision. Labels on
repacked drugs shall bear sufficient information for proper
identification and safety. A repacking record shall be
maintained, including the name, strength, lot number, quantity
and name of the manufacturer and/or distributor of the drug
repacked, the date of the repacking, the number of packages
prepared, the number of dosage units in each package, the
signature of the person performing the repacking operation, the
signature of the pharmacist who supervised the repacking, and
such other identifying marks added by the pharmacy for internal
recordkeeping purposes. Drugs repacked for in-house use only
shall have an expiration date 12 months, or 50 percent of the
time remaining to the manufacturer's expiration date,
whichever is less, from the date of repacking. For the repacking
of drugs by manufacturers and wholesalers, the provisions of
Parts 210 and 211 of Title 21, Code of Federal
Regulations (1984 edition, Superintendent of Documents, U.S.
Government Printing Office, Washington, DC 20402: 1984, available
at New York State Board of Pharmacy, Office of the Professions,
State Education Building - 2nd floor, 89 Washington Avenue,
Albany, New York 12234), shall apply. Repacking records shall be
maintained for five years and shall be made available to the
department for review and copying.
- Holding for sale, offering for sale and selling adulterated
and/or misbranded drugs, devices and cosmetics. Any drug, device
or cosmetic shall be deemed to be adulterated and/or misbranded
if:
- it is not manufactured in accordance with the good
manufacturing practices specified in Parts 210 and 211 of Title
21, Code of Federal Regulations (1984 edition,
Superintendent of Documents, U.S. Government Printing Office,
Washington, DC 20402: 1984, available at New York State Board of
Pharmacy, Office of the Professions, State Education Building -
2nd floor, 89 Washington Avenue, Albany, New York 12234),
provided that a drug manufactured by a pharmacy for in-house use
may be manufactured in accordance with protocols, including
documentation by means of a batch record, which insure the
meeting of established standards for purity and potency; and
- at any time it fails to meet standards for purity, potency,
labeling, safety and effectiveness established under the Federal
Food, Drug and Cosmetic Act, as amended (June 1981,
Superintendent of Public Documents, U.S. Government Printing
Office, Washington, DC 20402, available at New York State Board
of Pharmacy, Office of the Professions, State Education Building
- 2nd floor, 89 Washington Avenue, Albany, New York 12234).
- Holding for sale, offering for sale, or selling:
- any drug later than the date, if any, marked upon the label
as indicative of the date beyond which the contents cannot be
expected beyond reasonable doubt to be safe and effective;
provided, however, that when such drug is identified as an
outdated drug by segregation from regular stock or by other
means, the holding of such drug beyond its expiration date shall
not be deemed a violation of this paragraph. When the expiration
date is expressed by month and year, the expiration date shall be
the last day of the month indicated; or
- any drug, the nature of which requires storage under special
conditions of temperature control as indicated either on the
labeling, in the directions for storage of said drug contained in
an official compendium, or as directed by common prudence, unless
such special condition of temperature control shall have been
complied with during the entire period of time in which such drug
has been held for sale.
- The sale of drugs at auction without filing with the State
Board of Pharmacy, at least seven days prior to the date of said
auction, a notice giving the date, time and place of the auction.
At such auction, drugs in bulk or in open containers may be sold
in one lot only to a registered pharmacy. The drugs shall be
removed to the premises of the purchaser promptly and the board
notified as to the disposition of such drugs; provided, however,
that drugs found, by the representative of the board assigned to
such auction, to be unfit for human use by virtue of age,
adulteration and/or misbranding shall be destroyed voluntarily in
the presence of the said representative or shall be quarantined
by the representative pending action for seizure and
destruction.
- Holding for sale, offering for sale, selling or distributing
a new drug or an investigational new drug, which is not
recognized as a new drug or an investigational new drug under the
provisions of Part 310 or 312 of Title 21, Code of Federal
Regulations (1984 edition, Superintendent of Public
Documents, U.S. Government Printing Office, Washington, DC 20402:
1984, available at New York State Board of Pharmacy, Office of
the Professions, State Education Building - 2nd floor, 89
Washington Avenue, Albany, New York 12234).
- Abandoning the premises of a registered establishment.
Premises shall be deemed abandoned if the registrant vacates the
premises without surrendering the certificate of registration to
the State Board of Pharmacy and without making appropriate
arrangements for the disposal of prescription-required
drugs.
- Aiding and abetting an unlicensed person to dispense
drugs.
- Subject to the limitations set forth in subparagraph (ii) of
this paragraph, an unlicensed person may assist a pharmacist in
the dispensing of drugs by:
- receiving written or electronically transmitted
prescriptions, except that in the case of electronically
transmitted prescriptions the pharmacists or pharmacy intern
shall review the prescription to determine whether in his or her
professional judgment it shall be accepted by the pharmacy, and
if accepted, the pharmacist or pharmacy intern shall enter his or
her initials into the records of the pharmacy;
- typing prescription labels;
- keying prescription data for entry into a computer-generated
file or retrieving prescription data from the file, provided that
such computer-generated file shall provide for verification of
all information needed to fill the prescription by a pharmacist
prior to the dispensing of the prescription, meaning that the
pharmacist shall review and approve such information and enter
his or her initials or other personal identifier into the
record-keeping system prior to the dispensing of the prescription
or of the prescription refill;
- getting drugs from stock and returning them to stock;
- getting prescription files and other manual records from
storage and locating prescriptions;
- counting dosage units of drugs;
- placing dosage units of drugs in appropriate containers;
- affixing the prescription label to the containers;
- preparing manual records of dispensing for the signature or
initials of the pharmacist; and
- handing or delivering completed prescriptions to the patient
or the person authorized to act on behalf of the patient after
the pharmacist or the pharmacy intern has met the requirements of
Section 63.6(b)(8) of this Title regarding the offering of
counseling to such person.
- Limitations on assistance by an unlicensed person.
- No pharmacist shall obtain the assistance of more than two
unlicensed persons in the performance of the activities set forth
in clauses (i)(b)-(j) of this paragraph. The pharmacist shall
provide the degree of supervision of such persons as may be
appropriate to ensure compliance with the provisions of this Part
and Part 63 of this Title. Individuals who are responsible for
the act of placing drugs which are in unit-dose packaging into
medication carts as part of an approved unit-dose drug
distribution system for patients in institutional settings shall
be exempt from such ratio, provided that such individuals are not
also engaged in performing the activities set forth in clauses
(i)(b)-(j) of this paragraph.
- Unlicensed persons shall not be authorized to:
- receive oral prescriptions from prescribers;
- interpret and evaluate a prescription for conformance with
legal requirements, authenticity, accuracy and interaction of the
prescribed drug with other known prescribed and over-the-counter
drugs;
- make determinations of the therapeutic equivalency as such
determinations apply to generic substitution;
- measure, weigh, compound or mix ingredients;
- sign or initial any record of dispensing required to be
maintained by law;
- counsel patients; or
- perform any other function involving the exercise of
professional judgment.
- No drug which is dispensed with the assistance of an
unlicensed person, as provided in subparagraph (i) of this
paragraph, shall be dispensed without the review and approval of
the pharmacist.
- Nothing in this Part shall be construed to prevent the
ownership of a firm or corporate practice in this State by an
unlicensed person or persons or to prevent any contractual
arrangement computing the salary of professional employees or the
amount due the owner of such firm or corporation or a person
leasing space or equipment to such firm or corporation on the
basis of a percentage of the receipts from the performance of
professional services. This provision shall apply in lieu of
Section 29.1(b)(4) of this Part.
- The requirements of this section and sections 29.1 and 29.2
of this Part shall be applicable to nonresident establishments,
as defined in section 6808-b of the Education Law, to the extent
prescribed in section 63.8 of this Title.
- Unprofessional conduct in the practice of optometry shall
include all conduct prohibited by Sections 29.1 and 29.2 of this
Part, except as provided in this section, and shall also include
the following:
- advertisements of the prices of frames or lenses which do not
identify the lenses as single vision, bifocal or trifocal; the
specific type of bifocal or trifocal lenses; and as either glass
or plastic. Advertisements which indicate that a number of frame
types are available at a stated price at an establishment shall
not be prohibited; provided, however, that stock sufficient to
meet any demand which may be reasonably expected must be
maintained at the location. Advertisements of the prices of
contact lenses shall state whether the lenses are hard or soft.
Any advertised price shall be in effect for a period of time
stated in the advertisement;
- aiding and abetting, directly or indirectly, the conduct or
advertising of any employer, firm or associate if such conduct or
advertising conflicts with the foregoing regulations in this
Part. It shall also be unprofessional conduct for a licensee to
continue in the employment of an employer who has been found to
have advertised in violation of this Part after a preliminary
hearing. Notice of such preliminary hearing shall be given in
writing to the licensee and to the employer. It shall state the
specific violation or violations, and that continuation of the
licensee's employment after the charges are sustained may
constitute unprofessional conduct by the licensee. It shall also
state that both the licensee and the employer shall have the
right to appear at the preliminary hearing, the right to be
represented by counsel, and the rights set forth in Section 6510
of the Education Law;
- failing to provide a patient, upon request, with the
patient's prescription, including the name, address and
signature of the prescriber and date of the prescription;
- failing to adhere to standards for ophthalmic materials as
set forth in regulations of the Commissioner of Education;
or
- failing to wear an identifying badge as required by Section
29.2(a)(10) of this Part, while working in an establishment which
dispenses eyeglasses or lenses to the public.
- Nothing in this Part shall be construed to prevent the sale
of eyeglasses or lenses for the correction of vision by any
person, firm or corporation in accordance with the provisions of
Section 7106(2) of the Education Law, or to prevent any
contractual arrangement between any such person, firm or
corporation, its professional employees, or a person leasing
space or equipment to such firm or corporation under which the
amount due any of such parties is computed on the basis of a
percentage of the receipts from the performance of professional
services. This provision shall apply in lieu of Section
29.1(b)(4) of this Part.
- Unprofessional conduct in the practice of ophthalmic
dispensing shall include all conduct prohibited by Sections 29.1
and 29.2 of this Part, except as provided in this section, and
shall also include the following:
- advertisements of the prices of frames or lenses which do not
identify the lenses as single vision, bifocal or trifocal; the
specific type of bifocal or trifocal lenses, and as either glass
or plastic. Advertisements which indicate that a number of frame
types are available at a stated price at an establishment shall
not be prohibited; provided, however, that stock sufficient to
meet any demand which may be reasonably expected must be
maintained at the location. Advertisements of the prices of
contact lenses shall state whether the lenses are hard or soft.
Any advertised price shall be in effect for a period of time
stated in the advertisement;
- aiding and abetting, directly or indirectly, the conduct or
advertising of any employer, firm or associate if such conduct or
advertising conflicts with the foregoing regulations. It shall
also be unprofessional conduct for a licensee to continue in the
employment of an employer who has been found to have advertised
in violation of these regulations after a preliminary hearing.
Notice of such preliminary hearing shall be given in writing to
the licensee and to the employer. It shall state the specific
violation or violations, and that continuation of the
licensee's employment after the charges are sustained may
constitute unprofessional conduct by the licensee. It shall also
state that both the licensee and the employer shall have the
right to appear at the preliminary hearing, the right to be
represented by counsel, and the rights set forth in Section 6510
of the Education Law;
- failing to fill the prescription in which the refractive
error of the eye at a vertex distance is indicated and to
dispense the proper effective power of the prescription as
adapted and fitted to the patient. Such prescription may not be
modified without the approval of the prescriber and unless this
approval is noted on the prescription;
- failing to adhere to standards for ophthalmic materials as
set forth in regulations of the Commissioner of Education;
or
- failing to wear an identifying badge, as required by Section
29.2(a)(10) of this Part, while working in an establishment which
dispenses eyeglasses or lenses to the public.
- Nothing in this Part shall be construed to prevent the sale
of eyeglasses or lenses for the correction of vision by any
person, firm or corporation in accordance with the provisions of
Section 7126(1) of the Education Law, or to prevent any
contractual arrangement between any such person, firm or
corporation, its professional employees, or a person leasing
space or equipment to such firm or corporation under which the
amount due any of such parties is computed on the basis of a
percentage of the receipts from the performance of professional
services. This provision shall apply in lieu of Section
29.1(b)(4) of this Part.
- Unprofessional conduct in the practice of public accountancy
shall include all conduct prohibited by Section 29.1 of this
Part, except as provided in this section, and shall also include
the following:
- in expressing an opinion on representations in the financial
statements which the public accountant examined:
- failing to disclose a material fact known to the licensee
which is not disclosed in the financial statements but disclosure
of which is necessary to make the financial statements not
misleading;
- failing to report any material misstatement known to the
licensee to appear in the financial statements;
- failing to acquire sufficient information to warrant the
expression of an opinion, or the licensee's exceptions are
sufficiently material to negate the expression of an opinion;
or
- failing to direct attention to any material departure from
generally accepted accounting principles or to disclose any
material omission of generally accepted auditing procedures
applicable in the circumstances;
- allowing any person other than a partner or a duly authorized
employee to engage in the public practice of accountancy in the
licensee's name or in the name of his or her firm, this
paragraph not being intended to apply to the use of firm names by
successors;
- issuing in the public accountant's name, or permitting
his or her firm to issue in its name, a report purporting to be
based upon an examination by the licensee or his or her firm of
financial statements, when any material portion of the
examination of such statements and related records, including the
examination of any material, financial statements or data
incorporated in the financial statements reported upon, has not
been made either:
- by the public accountant or a partner or an employee; or
- with the approval of the public accountant or his or her
firm, by a certified public accountant of a state, territory or
possession of the United States or the District of Columbia or
the holder of an equivalent certificate issued by the proper
authorities of another country, or a firm partially composed of
such certified public accountants or holders of equivalent
certificates, or by a public accountant of the State of New
York;
- making a written forecast of future transactions or
permitting such a forecast to be issued in the licensee's
name or his or her firm's name without setting forth:
- the character of work performed;
- the sources of information used and major assumptions made,
and the degree of responsibility taken with respect thereto;
and
- a statement that the public accountant or firm does not vouch
for the achievability of the forecast;
- expressing an independent opinion or knowingly permitting his
or her firm to express an opinion on financial statements of an
enterprise, whether such enterprise is a for-profit or a
not-for-profit enterprise, if the licensee or a partner or
employee in the firm is not independent with respect to such
enterprise. Independence will be considered to be impaired if the
public accountant, or a partner in the firm, owns or is committed
to acquire any direct or material indirect financial interest in
the enterprise or had a direct or material indirect financial
relationship with any officer, director, employee or principal
stockholder of the enterprise. Independence will be considered to
be impaired if the licensee, a partner in the firm or a member of
his or her or the partner's immediate family, is or has been
a director or officer of the enterprise, or is or has been
involved in any situation creating a conflict of interest, during
the period covered by the examination or at the time of issuance
of a report;
- offering or rendering professional services under a
contingency fee arrangement when serving a client for whom the
licensee performs: an audit or review of a financial statement;
or a compilation of a financial statement when the licensee knows
or has reason to know that a third party will use the financial
statement and the licensee's compilation report does not
disclose a lack of independence; or an examination of prospective
financial information; or an original or amended tax return or
claim for a tax refund; or any public accounting services for a
client during the period in which the licensee is engaged in the
foregoing services for that client or for any period covered by
historical financial statements involving such foregoing
services. For the purposes of this paragraph, a contingency
fee shall mean a fee established for the performance of any
service pursuant to an arrangement whereby no fee, or lesser fee,
will be charged unless a specified finding or result is attained,
or where the fee is otherwise contingent upon the finding or
result of such service. Fees are not regarded as contingent if
fixed by courts or other public authorities or, in tax matters,
if determined on the basis of the results of judicial proceedings
or the findings of governmental agencies. Fees charged may vary
depending on the complexity of the service rendered;
- permitting the public accountant's name to be associated
with statements purporting to show financial position or results
of operations in such a manner as to imply that he or she is
acting as an independent certified public accountant or public
accountant, unless:
- the licensee has complied with generally accepted auditing
standards. The State Board for Public Accountancy may consider
statements on auditing standards promulgated by the United States
Securities and Exchange Commission or the Public Company
Accounting Oversight Board for licensees subject to such
requirements, or a recognized national accountancy organization
whose standards are generally accepted by other regulatory
authorities in the United States, including but not limited to:
the American Institute of Certified Public Accountants to be
interpretations of generally accepted auditing standards.
Departures from such standards, or other standards considered by
the State Board to be applicable in the circumstances, must be
justified by a licensee who does not follow them; and
- the licensee expresses an opinion on financial statements or
financial data presented in conformity with generally accepted
accounting principles. The State Board for Public Accountancy may
consider those principles promulgated by a recognized national
accountancy organization whose standards are generally accepted
by other regulatory authorities in the United States, including
but not limited to: the Financial Accounting Standards Board, the
Government Accounting Standards Board, and the International
Accounting Standards Board, to be generally accepted accounting
principles. If financial statements or data contain departures
from generally accepted accounting principles but the licensee
can demonstrate that the financial statements or data would have
been misleading had generally accepted accounting principles been
followed, the licensee's opinion should describe the
departure, its approximate effect if practicable, and the reasons
why compliance with generally accepted accounting principles
would have otherwise been misleading;
- refusing to furnish to a client upon request:
- copies of tax returns; or
- copies of reports or other documents that were previously
issued to or for such client; or
- any accounting or other records belonging to or obtained for
the client which the public accountant may have had occasion to
remove from the client's premises or to receive for the
client's account; but this shall not preclude making copies
of such documents when they form the basis for work done by the
licensee; but in no event shall the public accountant have a lien
on these accounting or other records; or
- copies of information contained in an accountant's
working papers, if such information would ordinarily constitute
part of the client's books and records and is not otherwise
available to the client. Such information shall include client
owned records or records which the licensee receives from a
client. In addition, it shall include any records, tax returns,
reports, or other documents and information which are contained
in an accountant's working papers that were prepared for the
client by the accountant and for which the accountant has
received payment from the client;
- after the licensee has complied with the foregoing
requirements by providing information to a client, it shall not
constitute unprofessional conduct for an accountant to refuse to
provide the same information to the client pursuant to a
subsequent request by that client;
- this paragraph shall apply in lieu of Section 29.1(b)(7) of
this Part;
- permitting any partner, or employee acting as such, to
perform any service for his or her client which the licensee or
the firm is not permitted to perform;
- soliciting or advertising for clients in violation of Section
29.1(b)(12) of this Part, which shall be interpreted as follows:
soliciting and advertising not in the public interest shall
include, but not be limited to, obtaining clients through any
other corporation or business used as a "feeder"; using
the title of certified public accountant or public accountant
together with that of any other business or occupation on any
letterhead, card, circular or other media, if the certified
public accountant or public accountant conjointly engages in such
business or occupation with his or her public accounting
practice; provided, however, that nothing herein shall prohibit a
certified public accountant or public accountant licensed to
practice another profession from including such professional
designation on his or her letterhead or business card or upon any
listing or other designation of his or her office;
- failing to maintain and/or submit work papers in accordance
with the requirements of this paragraph.
- Applicability of the requirement. The documentation
requirements of subparagraph (iii) shall apply to work papers in
support of work products issued on or after January 3, 2003. The
retention requirements of subparagraph (iv) of this paragraph
shall apply to the licensee's work papers that exist on or
after January 3, 2003.
- Definition. As used in this paragraph:
- Work papers means the licensee's records of the
procedures applied, the tests performed, the information
supporting, and the material conclusions reached for a work
product produced in the practice of public accountancy as defined
in section 7401 of the Education Law, including but not limited
to an audit, review, compilation, forecast or projection. Work
papers may include, but are not limited to, programs used to
perform professional services, analyses, memoranda, letters of
confirmation and representations, copies or abstracts of company
documents and schedules or commentaries prepared or obtained by
the licensee. Work papers may be in handwritten, typewritten,
printed, photocopied, photographed, or electronic form, or in any
other form of letters, words, pictures, sounds, or symbols.
- Substantive alterations to work papers means changes to work
papers that alter the nature, timing, extent, and results of the
procedures performed for the work product; alter the information
obtained and the conclusions reached for the work product; and
alter the identity of the persons who performed and reviewed the
work for the work product.
- Documentation in work papers.
- Work papers shall contain sufficient documentation to enable
a reviewer with relevant knowledge and experience, but having no
previous connection with the specific work product, to understand
the nature, timing, extent, and results of the procedures
performed for the work product, information obtained and
conclusions reached for the work product, and the identity of the
persons who performed and reviewed the work for the work
product.
- Within 45 days of the issuance of the work product, a
complete set of work papers shall be retained. Any substantive
alteration to work papers made subsequent to the issuance of the
work product shall be clearly documented by indicating the
subject of the alteration, the date of the alteration, and the
reason for the alteration.
- Substantive alterations to work papers resulting from
post-issuance review procedures shall be identified in an
addendum to the work papers. Such alterations shall be clearly
documented by indicating the subject of the alteration, the date
of the alteration, and the reason for the alteration.
- Retention of work papers.
- Licensees shall ensure that a formal written policy is
established for the retention of work papers that is in
accordance with the requirements of this subparagraph. Licensees
employed by an employer authorized to practice public accountancy
shall have met this requirement for a formal written policy, for
work papers produced under such employment, if their employer has
established a formal written policy for the retention of work
papers that is in accordance with the requirements of this
subparagraph. Such written policy shall identify the process and
authorization requirements for the destruction of work papers
after the expiration of the retention period.
- Licensees shall ensure that work papers are retained for a
minimum of seven years after the date of issuance of the work
product, unless licensees are required by law to retain such
records for a longer period. Work papers may be retained for a
period that is longer than seven years from the date of the
issuance of the work product and may be retained
permanently.
- Licensees shall ensure that work papers are retained during
the term of a New York State Education Department investigation
or disciplinary proceeding by the New York State Education
Department that is reasonably related to such work papers.
Licensees shall not dispose of such work papers until notified in
writing by the New York State Education Department of the closure
of the investigation or until final disposition of the
disciplinary proceeding.
- If work papers are retained in an electronic form, the
licensee shall ensure that such work papers are capable of being
accessed, for read-only purposes, throughout the required
retention period established for the work papers and are
safeguarded through sound computer security procedures to prevent
the unauthorized modification of the work papers.
- Work papers shall not be destroyed or otherwise disposed of
at a time or in a manner that is inconsistent with applicable
requirements of the law.
- Availability of work papers to the department. A licensee
shall make available to the New York State Education Department
at its request work papers that the department determines to be
relevant to an inquiry or complaint about a licensee's
unprofessional conduct, in accordance with the requirements of
section 29.1(b)(13) of this Part.
- in determining "incompetence" or
"negligence" within the meaning of Section 6509(2) of
the Education Law, the Board of Regents and the Education
Department may consider among others, the generally accepted
auditing standards and accounting principles promulgated by the
American Institute of Certified Public Accountants and by the
Financial Accounting Standards Board (as referenced in paragraph
[7] of this subdivision);
- Unprofessional conduct shall also include permitting any
person to share in the income of a firm practicing public
accountancy other than a person authorized to practice public
accountancy who is a sole proprietor, a partner, or an officer,
director or shareholder of a professional corporation or an
employee thereof. This prohibition shall not prevent the payment
of salaries or other compensation to employees of a public
accounting firm, provided that the total of salaries and other
compensation of unlicensed employees which is computed in whole
or in part on the basis of a percentage of the income or receipts
of the firm does not exceed 35 percent of the annual net income
of the firm. For the purposes of this subdivision, annual net
income of the firm shall be computed without deduction for total
compensation paid to a sole proprietor, partners, or officers,
directors or shareholders of professional corporations. Except as
provided in this subdivision, it shall be unprofessional conduct
for a licensee or professional accounting firm to enter into any
arrangement or agreement whereby the amount to be paid for
furnishing of space, facilities, equipment or personnel services
to the licensee or firm is computed in whole or in part on the
basis of a percentage of, or is otherwise dependent upon, the
income or receipts of the licensee or firm. The provisions of
this subdivision shall apply in lieu of Section 29.1(b)(4) of
this Part.
- Unprofessional conduct shall also include revealing of
personally identifiable facts, data or information obtained in a
professional capacity without the prior consent of the client,
except such information may be disclosed as necessary to other
licensees of the profession conducting professional standards or
ethics reviews, or as otherwise authorized or required by
law.
- The definitions of unprofessional conduct prescribed in
sections 29.1 and 29.10 of this Part that apply to licensees
shall also apply to public accountancy firms, meaning any form of
business organization that is authorized to engage in the
practice of public accountancy and is subject by law to Regents
disciplinary proceedings and penalties in the same manner and to
the same extent as licensees, unless public accountancy firms are
specifically exempted from the definitions of unprofessional
conduct in such sections of this Part.
- Reportable events.
- For purposes of this subdivision, public accountancy firm
shall have the meaning defined in subdivision (d) of this
section.
- Unprofessional conduct in the practice of public accountancy
shall include failure of a licensee or public accountancy firm to
submit a written report, as prescribed in paragraph (3) of this
subdivision, to the department within 45 days of the occurrence
of any of the following events, even though all available appeals
have not yet been exhausted, unless exempted from disclosure
pursuant to paragraph (5) of this subdivision or excused for good
cause as determined by the department, such as a circumstance
beyond the licensee's or public accountancy firm's
control that prevented timely compliance:
- conviction of a licensee, a registered partnership, or public
accountancy firm in New York State or any other jurisdiction of a
crime that constitutes a felony or misdemeanor in the
jurisdiction of conviction. For purposes of this subparagraph,
conviction shall include a plea of guilty or no contest, or a
verdict or finding of guilt that has been accepted and entered by
a court of competent jurisdiction;
- receipt of a court decision awarding a monetary judgment in
excess of twenty-five thousand dollars in a civil action brought
in a court of competent jurisdiction or an award in excess of
twenty-five thousand dollars in an arbitration proceeding in
which the licensee, the registered partnership, or public
accountancy firm is found to be liable for:
- negligence, gross negligence, recklessness, or intentional
wrongdoing relating to the practice of public accountancy in New
York State;
- fraud or misappropriation of funds relating to the practice
of public accountancy in New York State;
- breach of fiduciary responsibility relating to the practice
of public accountancy in New York State; or
- preparation, publication, and/or dissemination of false,
fraudulent, and/or materially incomplete or misleading financial
statements, reports, or information relating to the practice of
public accountancy in New York State;
- receipt of written notice of imposition of a disciplinary
penalty upon the licensee, the registered partnership, or public
accountancy firm, including but not limited to, censure,
reprimand, sanction, probation, monetary penalty, suspension,
revocation, or other limitation on practice, relating to the
practice of public accountancy, issued by:
- the United States Securities and Exchange Commission or the
Public Company Accounting Oversight Board;
- another agency of the United States government that regulates
the practice of public accountancy;
- an agency of the government of another state or territory of
the United States that regulates the practice of public
accountancy; or
- an agency of the government of another country that regulates
the practice of public accountancy;
- The report to the department shall consist of the
following:
- for a conviction as prescribed in subparagraph (i) of
paragraph (2) of this subdivision, the report shall consist of a
copy of the certificate of conviction, or comparable document of
the court;
- for a court decision or arbitration award as prescribed in
subparagraph (ii) of paragraph (2) of this subdivision, the
report shall consist of a copy of the court decision or
arbitration award and any findings of facts or special verdict
form;
- for a written notice of imposition of a disciplinary penalty
upon the licensee, as prescribed in subparagraph (iii) of
paragraph (2) of this subdivision, the report shall consist of a
copy of the notice; or
- in lieu of the documentation described in subparagraphs (i),
(ii), or (iii) of this paragraph, a narrative statement on a form
prescribed by the department setting forth information specified
by the department, including but not limited to the date and
jurisdiction of the court decision and/or judgment, conviction,
arbitration award, or notice of imposition of disciplinary
penalty, as applicable.
- A public accountancy firm shall be responsible for reporting
reportable events relating to the public accountancy firm, and
shall designate an individual to make such reports. An individual
licensee shall be responsible for reporting those reportable
events specifically relating to the licensee. Licensees who are
partners in a registered partnership may designate an individual
to report reportable events relating to the registered
partnership, but each such licensee shall be responsible for
ensuring the reporting of the reportable events.
- Failure to submit a report which is subject to a
confidentiality order, clause or provision in a court decision or
arbitration award under subparagraphs (i) or (ii) of paragraph
(2) of this subdivision shall not be deemed to constitute
unprofessional conduct under the following conditions:
- the court or arbitrator has included language in such
decision that specifically provides that the decision shall not
be reported to the department pursuant to this subdivision;
or
- the licensee or firm demonstrates to the satisfaction of the
department that the licensee or firm explicitly informed the
court or arbitrator in writing prior to execution of any
confidentiality order, clause or provision of the duty to report
such decision to the department and the effect of any
confidentiality order, clause or provision on such duty of
disclosure, and the confidentiality order, clause or provision
does not expressly provide for disclosure to the department.
- Reports submitted to the department in accordance with this
subdivision shall be files of the department relating to the
investigation of possible instances of professional misconduct
and shall be confidential in accordance with the provisions of
subdivision (8) of section 6510 of the Education Law.
- Nothing in this subdivision shall have any effect upon the
duty of the licensee or firm to respond fully to all questions on
any re-registration application which shall become due, or to
respond to written communications from the department pursuant to
section 29.1(b)(13) of this Part.
- Unprofessional conduct in the practice of public accountancy
shall include:
- having admitted guilt to or having been found guilty of
improper professional practice or professional misconduct in a
disciplinary proceeding brought by the United States Securities
and Exchange Commission or the Public Company Accounting
Oversight Board, where the conduct upon which the finding or
admission of guilt was based would, if committed in New York
State, constitute professional misconduct under the laws of New
York State, provided that in any adversary proceeding conducted
pursuant to subdivision (3) of section 6510 of the Education Law,
the individual licensee or public accountancy firm shall have the
rights set forth in that subdivision; or
- having voluntarily consented to a revocation or temporary or
permanent suspension of the authority to appear or practice as an
accountant before the United States Securities and Exchange
Commission or the Public Company Accounting Oversight Board, or
having voluntarily surrendered such authority; or having
voluntarily consented to a revocation or temporary or permanent
suspension from further association with any public accounting
firm registered pursuant to Chapter 98 of Title 15 of the United
States Code, or having voluntarily surrendered such authority; or
having voluntarily consented to a revocation or temporary or
permanent suspension of registration under Chapter 98 of Title 15
of the United States Code, or a voluntary surrender of such
registration; all after a disciplinary action was commenced by
the United States Securities and Exchange Commission or the
Public Company Accounting Oversight Board where any conduct
charged resulting in the consent to such revocation or temporary
or permanent suspension or surrender would, if committed in New
York State, constitute professional misconduct under the laws of
New York State; and where the date of such consent or surrender
is on or after January 1, 2007. In any adversary proceeding
conducted pursuant to subdivision (3) of section 6510 of the
Education Law, the individual licensee or public accountancy firm
shall have the rights set forth in that subdivision.
- Unprofessional conduct in the practice of public accountancy,
as such practice relates to the audit in the practice of public
accountancy of an issuer of publicly traded securities that is
subject to the Federal Sarbanes-Oxley Act of 2002, shall include,
for purposes of subdivision (f) of this section, a failure of a
licensee or public accountancy firm, as appropriate, to meet the
standards prescribed in the following provisions of Federal law:
subdivisions (a), (b), (g), (h), (i), (j), (k), and/or (l) of
section 78j-1 of Title 15 of the United States Code (United
States Code, 2000 edition, Volume 7, and Supplement II, Volume 1
to the 2000 edition; Superintendent of Documents, U.S. Government
Printing Office, Stop SSOP, Washington, DC 20402-0001; available
at the NYS Education Department, Office of the Professions, 2M
West Wing, Education Building, 89 Washington Avenue, Albany, NY
12234). To the extent that the United States Securities and
Exchange Commission or the Public Company Accounting Oversight
Board have exempted or excepted licensees or public accountancy
firms from these standards, such exemptions or exceptions shall
also apply to the requirements of this subdivision.
- Unprofessional conduct in the practice of certified shorthand
reporting shall include all conduct prohibited by Section 29.1 of
this Part, except as provided in this section. The provisions of
Section 29.1(b)(3) of this Part, except as it prohibits bribes,
and Section 29.1(b)(12)(i)(d), (e) and (g) of this Part shall not
apply to the practice of certified shorthand reporting.
- Unprofessional conduct in the practice of psychology shall
include conduct prohibited by Sections 29.1 and 29.2 of this
Part, except as provided in this section, and shall also include
the following:
- in the conduct of psychological research, failing to
undertake reasonable efforts to remove the possible harmful
aftereffects of emotional stress as soon as the design of the
research permits, or failing to inform prospective research
subjects or their authorized representatives fully of the danger
of serious aftereffects, if such danger exists, before they are
utilized as research subjects;
- in the interpretation of the provisions of Section 29.1(b)(5)
of this Part and in the treatment of sexual dysfunction, as well
as in other areas of the practice of psychology:
- immoral conduct shall include any physical contact of a
sexual nature between psychologist and client; but immoral
conduct shall not include the use of films and/or other
audiovisual aids with individuals or groups in the development of
appropriate responses to overcome sexual dysfunction;
- in therapy groups, immoral conduct shall include activities
which promote or allow explicit physical sexual contact between
group members during sessions;
- the provisions of Section 29.2(a)(5) of this Part shall apply
to psychologists, who may also list in directories and on
professional stationery areas of specialization and
subspecialties recognized by the Board of Regents.
- Unprofessional conduct in the practice of massage therapy
shall include all conduct prohibited by Sections 29.1 and 29.2 of
this Part, except as provided in this section, and shall also
include the following:
- advertising not in the public interest shall include but not
be limited to:
- using pictures depicting an unclad or undraped human
form;
- using any proper name under which the licensee is not
registered unless it is the name of the establishment, firm,
partnership, corporation, or professional limited liability
partnership or corporation;
- nothing in this Part shall be construed to prevent a licensed
massage therapist, when advertising his or her practice, from
using the letters "LMT" or from identifying areas of
practice, such as, but not limited to: shiatsu, acupressure,
amma, bodywork, reflexology, Swedish medical massage therapy,
polarity, tuina, and connective tissue massage, provided that
such identified areas of practice are within the scope of
practice of massage therapy as defined in Section 7805 of the
Education Law.
- nothing in this Part shall be construed to prevent the
ownership of a firm or corporation practicing massage therapy in
this State by an unlicensed person or persons, or to prevent any
contractual or employment arrangement between such person or
persons and the professional licensee conducting such practice
and computing the salary of professional employees, or the amount
due the owner of such firm, partnership, or corporation on the
basis of a percentage of the receipts from the performance of
professional services. This provision shall apply in lieu of
Section 29.1(b)(4) of this Part;
- the provisions of Section 29.1(b)(5) of this Part prohibiting
immoral conduct shall apply in the practice of massage therapy.
Massage of genital areas and massage of a client who is not
properly draped for massage, or by a massage therapist who is not
properly dressed, shall be considered immoral conduct;
- Unprofessional conduct in the practice of nursing shall
include all conduct prohibited by sections 29.1 and 29.2 of this
Part, except as provided in this section, and shall also include
the following:
- Failure to adhere to any requirement prescribed in section
64.7 of this Title.
- Administering an immunization agent or anaphylaxis treatment
agent, pursuant to section 64.7 of this Title, when:
- such administration is after the agent's date, if any,
marked upon the label as indicative of the date beyond which the
contents cannot be expected beyond reasonable doubt to be safe
and effective. When the expiration date is expressed by month and
year, the expiration date shall be the last day of the month
indicated; or
- the agent, the nature of which requires storage under special
conditions of temperature control as indicated either on the
labeling, in the directions for storage of said agent contained
in an official compendium, or as directed by common prudence, has
not been so stored under special conditions of temperature
control, and the registered professional nurse has knowledge or
reasonably should have had knowledge that the agent has not been
so stored.
Unprofessional conduct in the practice of creative arts
therapy, marriage and family therapy, mental health counseling
and psychoanalysis shall include conduct prohibited by sections
29.1 and 29.2 of this Part and, in accordance with section 8407
of the Education Law, shall also include:
- in the case of treatment of schizophrenia, schizoaffective
disorder, bipolar disorder, major depressive disorder, panic
disorder, obsessive-compulsive disorder, attention-deficit
hyperactivity disorder and autism, providing any mental health
service for such illness on a continuous and sustained basis
without a medical evaluation of the illness by, and consultation
with, a physician regarding such illness. Such medical evaluation
and consultation shall be to determine and advise whether any
medical care is indicated for such illness;
- prescribing or administering drugs as a treatment, therapy,
or professional service in the practice of his or her profession;
or
- using invasive procedures as a treatment, therapy, or
professional service in the practice of his or her profession.
For 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 procedure
includes, but is not limited to, surgery, lasers, ionizing
radiation, therapeutic ultrasound, or electroconvulsive
therapy.
Unprofessional conduct in the practice of licensed master
social work and licensed clinical social work shall include
conduct prohibited by sections 29.1 and 29.2 of this Part and, in
accordance with section 7708 of the Education Law, shall also
include:
- prescribing or administering drugs as a treatment, therapy,
or professional service in the practice of his or her profession;
or
- using invasive procedures as a treatment, therapy, or
professional service in the practice of his or her profession.
For 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 procedure
includes, but is not limited to, surgery, lasers, ionizing
radiation, therapeutic ultrasound, or electroconvulsive
therapy.
(Effective November 23, 2006)
Unprofessional conduct in the practice of physical therapy
shall include conduct prohibited by sections 29.1 and 29.2 of
this Part. In addition, unprofessional conduct in the practice of
physical therapy shall include failing to meet the requirements
of subdivision (d) of section 6731 of the Education Law and/or
section 77.9 of this Title, when providing treatment in the
practice of physical therapy without a referral from a physician,
dentist, podiatrist, or nurse practitioner.
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