Relates to requirements for certain clinical laboratory practitioners; includes certain acceptable types of alternatives to education for clinical laboratory technologists, cytotechnologists, clinical laboratory technicians, histotechnologists and histotechnicians; outlines requirements for certification as a histotechnologist.
NEW YORK STATE ASSEMBLY MEMORANDUM IN SUPPORT OF LEGISLATION submitted in accordance with Assembly Rule III, Sec 1(f)
BILL NUMBER: A10162A
SPONSOR: Rules (Glick) TITLE OF BILL:
An act to amend the education law, in relation to requirements for
certain clinical laboratory practitioners
PURPOSE OR GENERAL IDEA OF BILL:
To make changes to the Clinical Laboratory Technology Practice Act to
address staffing shortage issues in New York.
SUMMARY OF SPECIFIC PROVISIONS:
Section 1 of the bill amends section 8600 to update the term histologi-
cal technicians" to "histotechnicians."
Section 2 of the bill amends section 8601 of the education law to add a
new definition for a histotechnologist and changes the term "histologi-
cal technician" to "histotechnician."
Section 3 of the bill amends section 8602 of the education law to add
the new title of histotechnologist to existing statutes governing the
operation of clinical laboratories.
Section 4 of the bill amends section 8603 of the education law to add
the term histotechnologist to existing clinical laboratory statute, and
change the term "histological technician" to "histotechnician."
Section 5 of the bill amends section 8604 of the education law to
address the role of licensed histotechnologist or histotechnician on the
state board for clinical laboratory technology.
Section 6 of the bill amends section 8605 the education law to: allow
national licensing and certification to fulfill the education require-
ments for a clinical laboratory technologist in New York; create a path-
way for a clinical laboratory technician to become a clinical laboratory
technologist; and allow national licensing and certification to fulfill
the education requirements for a cytotechnologist in New York.
Section 7 of the bill amends section 8606 (2) of the education law to
expand the educational standards for clinical laboratory technicians in
New York.
Section 8 of the bill amends section 8606 of the education law to add
new subdivision seven to allow national licensing and certification to
fulfill the education requirements for a clinical laboratory technician
in New York.
Section 9 of the bill amends section 8606-A of the education law to
change the term "histological technician" to "histotechnician," as well
as allows national licensing and certification to fulfill the education
requirements for a histotechnician in New York.
Section 10 of the bill adds a new section 8606-B of the education law to
establish the requirements for licensure of histotechnologist.
Section 11 of the bill amends section 8608 of the education law to
change the term "histological technician" to "histotechnician," as well
as amends language that deals with the process and fee paid by an appli-
cant for a provisional permit.
Section 12 of the bill amends section 8609 of the education law to
reflect the new title of licensed histotechnologist or certified histo-
technician.
Section 13 provides for the effective date.
JUSTIFICATION:
This bill would make several changes to the clinical laboratory technol-
ogy practice act to better reflect the changes in the field since the
bill was first passed in New York and allow New York to recognize and
recruit more laboratory employees, which are in greater demand than they
have ever been before.
Pre-pandemic the shortage rate was 20%, and since the pandemic, the
shortage has become even greater. The number of graduates in the current
programs recognized by SED is insufficient to meet the demand for the
openings that exist in the field, so legislation is needed to allow the
flexibility to recruit qualified workers who aren't recent graduates. In
addition, there is a conservative estimate that 10% of the current work-
force plans to retire within the next five years. It is highly likely
that this number is significantly higher. Further, this shortage of
personnel has been further exacerbated by the COVID19 pandemic, where
testing is essential to diagnosing patients and is key to combating the
pandemic. The personnel currently in the field have been overworked for
over two years now and burnout is at an all-time high. Changes must be
made to ensure new clinical laboratory personnel can be brought into New
York to meet the increased demand on the clinical laboratory industry.
Several of the changes in the bill focus on amending the education
requirements for all clinical laboratory titles to allow the State
Education Department (SED) to recognize national licenses and certif-
ications that fulfill the education requirements in New York. Though
New York standards were originally based on the national standards, the
national standards have changed over the years meaning that there is no
pathway for someone who meets the national standards to gain licensure
in New York without having to meet a separate set of standards specific
to New York. This duplicative requirement is greatly impacting the abil-
ity of New York's laboratories to recruit qualified and educated clin-
ical laboratory employees. This change, will allow SED to determine
which national licenses and certifications are acceptable to New York
and allow future flexibility as standards evolve to meet the everchang-
ing demands in the healthcare field.
This legislation would also create the title of histological technolo-
gist. The original clinical laboratory practice act created the position
of histological technician, but it did not create the higher technolo-
gist position. As such, if someone is a histological technologist, they
can only practice as a technician in New York, a position beneath their
education, experience, and credentials. Additionally, without a histo-
logical technologist position it is impossible for an experienced worker
to qualify as a supervisor in a histology laboratory. This legislation
would also amend various sections to change the title of histological
technician and histological technologist to histotechnician and histo-
technologist, which are the accepted titles in the field now. In addi-
tion, this legislation changes the education requirements for all
licensed clinical laboratory personnel categories to allow the State
Education Department to determine that national licensing and certif-
ications can fulfill the educational requirements in New York.
Further, this legislation will create a pathway for clinical laboratory
and histological technicians to become technologists. Under the current
law, there is no pathway for a technician to easily become a technolo-
gist and advance their career and job responsibilities. This legislation
will correct this issue and create a pathway for this transition.
This legislation would also change the fee for the provisional permit
that applicants can seek in New York as they undergo an education
review. The current law has a fee that is equivalent to the full license
fee. This was an oversight when the provisional permit was created, and
this bill will fix the fee to match what is paid by other professions
when applying for a provisional permit.
This legislation would also change the fee for the provisional permit
Finally, this legislation would amend the molecular diagnosis restricted
license definition to remove unnecessary restrictions on this license
category that is limiting the ability of those with this license to
perform the full range of molecular diagnosis testing.
PRIOR LEGISLATIVE HISTORY:
New bill.
FISCAL IMPLICATIONS:
Undetermined.
EFFECTIVE DATE:
180 days after it shall become law; provided, however, that section 10
of the bill shall take effect within 18 months after it shall have
become law. Effective immediately, the state education department is
authorized to promulgate regulations that may be required and to take
other measures necessary to implement this act prior to the aforemen-
tioned effective dates, including acceptance and processing of applica-
tions for licensing.
STATE OF NEW YORK
________________________________________________________________________
10162--A
IN ASSEMBLY
May 4, 2022
___________
Introduced by COMMITTEE ON RULES -- (at request of M. of A. Glick) --
read once and referred to the Committee on Higher Education -- commit-
tee discharged, bill amended, ordered reprinted as amended and recom-
mitted to said committee
AN ACT to amend the education law, in relation to requirements for
certain clinical laboratory practitioners
The People of the State of New York, represented in Senate and Assem-bly, do enact as follows:
1 Section 1. Section 8600 of the education law, as added by chapter 204
2 of the laws of 2008, is amended to read as follows:
3 § 8600. Introduction. This article defines the practice of clinical
4 laboratory technology and provides for the licensing of clinical labora-
5 tory technologists [and], cytotechnologists, and histotechnologists and
6 for the certification of clinical laboratory technicians and [histologi-
7 cal technicians] histotechnicians. The general provisions for all
8 professions contained in article one hundred thirty of this title shall
9 apply to this article.
10 § 2. Subdivision 2 of section 8601 of the education law, as amended by
11 chapter 204 of the laws of 2008, is amended to read as follows:
12 2. A "clinical laboratory practitioner" means clinical laboratory
13 technologists, cytotechnologists, histotechnologists, clinical laborato-
14 ry technicians, and [histological technicians] histotechnicians as such
15 terms are defined in this subdivision, who practice clinical laboratory
16 technology in a licensed clinical laboratory. For the purposes of this
17 article, a licensed clinical laboratory does not include a laboratory
18 operated by any licensed physician, dentist, podiatrist, midwife or
19 certified nurse practitioner who performs laboratory tests or proce-
20 dures, personally or through his or her employees, solely as an adjunct
21 to the treatment of his or her own patients.
22 (a) "Clinical laboratory technologist" means a clinical laboratory
23 practitioner who, pursuant to established and approved protocols of the
24 department of health, performs clinical laboratory procedures and exam-
25 inations and any other tests or procedures conducted by a clinical labo-
26 ratory, including maintaining equipment and records, and performing
27 quality assurance activities related to examination performance, and
28 which require the exercise of independent judgment and responsibility,
29 as determined by the department.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[] is old law to be omitted.
LBD11276-12-2
A. 10162--A 2
1 (b) "Cytotechnologist" means a clinical laboratory practitioner who,
2 pursuant to established and approved protocols of the department of
3 health, performs cytological procedures and examinations and any other
4 such tests including maintaining equipment and records and performing
5 quality assurance activities related to examination performance, and
6 which require the exercise of independent judgment and responsibility,
7 as determined by the department.
8 (c) "Histotechnologist" means a clinical laboratory practitioner who
9 pursuant to established and approved protocols of the department of
10 health performs slide based histological assays, tests, and procedures
11 and any other such tests conducted by a clinical histology laboratory,
12 including maintaining equipment and records and performing quality
13 assurance activities relating to procedure performance on histological
14 testing of human tissues, and which requires the exercise of independent
15 judgment and responsibility as determined by the department.
16 (d) "Clinical laboratory technician" means a clinical laboratory prac-
17 titioner who performs clinical laboratory procedures and examinations
18 pursuant to established and approved protocols of the department of
19 health, which require limited exercise of independent judgment and which
20 are performed under the supervision of a clinical laboratory technolo-
21 gist, laboratory supervisor, or director of a clinical laboratory.
22 [(d)] (e) ["Histological technician"] "Histotechnician" means a clin-
23 ical laboratory practitioner who pursuant to established and approved
24 protocols of the department of health performs slide based histological
25 assays, tests, and procedures and any other such tests conducted by a
26 clinical histology laboratory, including maintaining equipment and
27 records and performing quality assurance activities relating to proce-
28 dure performance on histological testing of human tissues and which
29 requires limited exercise of independent judgment and is performed under
30 the supervision of a laboratory supervisor, designated by the director
31 of a clinical laboratory or under the supervision of the director of the
32 clinical laboratory.
33 [(e)] (f) "Director of a clinical laboratory" means a director as that
34 term is defined in section five hundred seventy-one of the public health
35 law.
36 [(f)] (g) "Laboratory supervisor" means an individual who, under the
37 general direction of the laboratory director, supervises technical
38 personnel and reporting of findings, performs tests requiring special
39 scientific skills, and, in the absence of the director, is responsible
40 for the proper performance of all laboratory procedures.
41 § 3. Section 8602 of the education law, as added by chapter 755 of the
42 laws of 2004, is amended to read as follows:
43 § 8602. Practice of clinical laboratory technology [and], cytotechnol-
44 ogy and histotechnology and use of the titles "licensed clinical labora-
45 tory technologist" [and], "licensed cytotechnologist" and "licensed
46 histotechnologist". No person shall practice as a clinical laboratory
47 [technology] technologist, cytotechnologist or histotechnologist, or
48 hold himself or herself out as a clinical laboratory technologist, or a
49 cytotechnologist, or a histotechnologist in this state unless he or she
50 is licensed or exempt pursuant to this article.
51 § 4. Section 8603 of the education law, as amended by chapter 204 of
52 the laws of 2008, is amended to read as follows:
53 § 8603. Practice as a clinical laboratory technician and [histological
54 technician] histotechnician and the use of the titles "clinical labora-
55 tory technician" and ["histological technician"] "histotechnician". No
56 person shall practice as a clinical laboratory technician or as a
A. 10162--A 3
1 [histological technician] histotechnician or hold himself or herself out
2 as a clinical laboratory technician or a [histological technician]
3 histotechnician in this state unless he or she is certified or exempt
4 pursuant to this article, provided that an individual licensed as a
5 clinical laboratory technologist, cytotechnologist, histotechnologist,
6 or clinical laboratory technician may practice the profession of [histo-
7 logical technician] histotechnician.
8 § 5. Section 8604 of the education law, as amended by chapter 204 of
9 the laws of 2008, is amended to read as follows:
10 § 8604. State board for clinical laboratory technology. A state board
11 for clinical laboratory technology shall be appointed by the board of
12 regents upon the recommendation of the commissioner for the purpose of
13 assisting the board of regents and the department on matters of profes-
14 sional licensing and professional conduct in accordance with section
15 sixty-five hundred eight of this title. The board shall be composed of
16 twelve members, four of whom shall be licensed clinical laboratory tech-
17 nologists, two of whom shall be licensed cytotechnologists, one of whom
18 shall be a certified clinical laboratory technician, one of whom shall
19 be a licensed histotechnologist or certified [histological technician]
20 histotechnician, two members of the public, one representative of the
21 diagnostic/manufacturing industry, and one director of a clinical labo-
22 ratory who shall be a physician. An executive secretary to the board
23 shall be appointed by the board of regents upon the recommendation of
24 the commissioner. The clinical laboratory practitioner members of the
25 initial board need not be licensed prior to their appointment but shall
26 have met all other requirements of licensing except the filing of an
27 application, the passing of a satisfactory exam and paying a fee.
28 § 6. Section 8605 of the education law, as added by chapter 755 of the
29 laws of 2004, is amended to read as follows:
30 § 8605. Requirements for a license as a clinical laboratory technolo-
31 gist or cytotechnologist. To qualify for a license as a clinical labora-
32 tory technology practitioner under one of the titles defined in subdivi-
33 sion two of section eighty-six hundred one of this article, an applicant
34 shall fulfill the particular requirements of a subdivision of this
35 section applicable to the license and title sought by the applicant:
36 1. Licensure as a clinical laboratory technologist.
37 (a) Application: file an application with the department;
38 (b) Education: have received an education, including a bachelor's
39 degree in clinical laboratory technology from a program registered by
40 the department or determined by the department to be the substantial
41 equivalent or a clinical laboratory technology program accredited by a
42 national accrediting organization acceptable to the department, or have
43 received a bachelor's degree that includes a minimum number of credit
44 hours in the sciences and received appropriate clinical education in an
45 accredited clinical laboratory technology program or a program to be
46 determined by the department to be the substantial equivalent;
47 (b-1) Alternatives to education:
48 (i) In lieu of requirements specified in paragraph (b) of this subdi-
49 vision the department may accept:
50 (1) current clinical laboratory technology certification by a national
51 certification organization acceptable to the department; or
52 (2) clinical laboratory technology licensure in a jurisdiction accept-
53 able to the department;
54 (ii) In lieu of requirements specified in paragraph (b) of this subdi-
55 vision the department may accept, a bachelor's degree in a natural
A. 10162--A 4
1 science or a clinical laboratory science and coursework acceptable to
2 the department and:
3 (1) two years' experience in a clinical laboratory while licensed as a
4 clinical laboratory technician in New York or another jurisdiction
5 acceptable to the department; or
6 (2) two years' experience in a clinical laboratory while certified as
7 a clinical laboratory technician by a national certification organiza-
8 tion acceptable to the department.
9 (c) Examination: pass an examination satisfactory to the board and in
10 accordance with the commissioner's regulations;
11 (d) Age: be at least eighteen years of age;
12 (e) Character: be of good moral character as determined by the depart-
13 ment; and
14 (f) Fees: pay a fee of one hundred seventy-five dollars for an initial
15 license and a fee of one hundred seventy dollars for each triennial
16 registration period.
17 2. Licensure as a cytotechnologist.
18 (a) Application: file an application with the department;
19 (b) Education: have received an education, including a bachelor's
20 degree in cytotechnology from a program registered by the department or
21 determined by the department to be the substantial equivalent, or have
22 received a bachelor's degree that includes a minimum number of credit
23 hours in the sciences and received appropriate clinical education in an
24 accredited cytotechnology program or a program determined by the depart-
25 ment to be the substantial equivalent;
26 (b-1) Alternatives to education: in lieu of requirements specified in
27 paragraph (b) of this subdivision the department may accept:
28 (i) current cytotechnology certification by a national certification
29 organization acceptable to the department; or
30 (ii) cytotechnology licensure in a jurisdiction acceptable to the
31 department.
32 (c) Examination: pass an examination acceptable to the board and in
33 accordance with the commissioner's regulations;
34 (d) Age: be at least eighteen years of age;
35 (e) Character: be of good moral character as determined by the depart-
36 ment; and
37 (f) Fees: pay a fee of one hundred seventy-five dollars for an initial
38 license and a fee of one hundred seventy dollars for each triennial
39 registration period.
40 § 7. Subdivision 2 of section 8606 of the education law, as added by
41 chapter 755 of the laws of 2004, is amended to read as follows:
42 2. Education: have received an education, including an associate's
43 degree from an approved clinical laboratory technician program regis-
44 tered by the department or determined by the department to be the
45 substantial equivalent, or an associate's degree clinical laboratory
46 technician program accredited by a national accrediting organization
47 acceptable to the department, or an associate's degree program in a
48 natural science or a clinical laboratory science and coursework accepta-
49 ble to the department and a clinical laboratory technician program
50 accredited by a national accrediting organization acceptable to the
51 department;
52 § 8. Section 8606 of the education law is amending by adding a new
53 subdivision 2-a to read as follows:
54 2-a. Alternatives to education: in lieu of requirements specified in
55 subdivision two of this section the department may accept:
A. 10162--A 5
1 (a) current clinical laboratory technician certification by a national
2 certification organization acceptable to the department; or
3 (b) clinical laboratory technician licensure in a jurisdiction accept-
4 able to the department.
5 § 9. Section 8606-a of the education law, as added by chapter 204 of
6 the laws of 2008, is amended to read as follows:
7 § 8606-a. Requirements for certification as a [histological techni-
8 cian] histotechnician. For certification as a [histological technician]
9 histotechnician under this article, an applicant shall fulfill the
10 following requirements:
11 1. Application: file an application with the department;
12 2. Education: have received an education, including an associate's
13 degree from an approved [histological technician] histotechnician
14 program registered by the department or determined by the department to
15 be the substantial equivalent, or have received an associate's degree
16 that includes a minimum number of credit hours in the sciences and
17 received appropriate clinical education in a [histological technician]
18 histotechnician program approved by the department or a program to be
19 determined by the department to be the substantial equivalent or a
20 histotechnician program accredited by a national accrediting organiza-
21 tion acceptable to the department;
22 2-a. Alternatives to education: in lieu of requirements specified in
23 subdivision two of this section the department may accept:
24 (a) current histotechnician certification by a national certification
25 organization acceptable to the department; or
26 (b) histotechnician licensure in a jurisdiction acceptable to the
27 department.
28 3. Examination: pass an examination satisfactory to the board and in
29 accordance with the commissioner's regulations;
30 4. Age: be at least eighteen years of age;
31 5. Character: be of good moral character as determined by the depart-
32 ment; and
33 6. Fees: pay a fee of one hundred twenty-five dollars for an initial
34 certification and a fee of one hundred twenty dollars for each triennial
35 registration period.
36 § 10. The education law is amended by adding a new section 8606-b to
37 read as follows:
38 § 8606-b. Requirements for licensure as a histotechnologist. For
39 certification as a histotechnologist under this article, an applicant
40 shall fulfill the following requirements:
41 1. Application: file an application with the department;
42 2. Education: have completed one of following requirements:
43 (a) a bachelor's degree program in histotechnology registered by the
44 department or determined by the department to be the substantial equiv-
45 alent, or a histotechnology program accredited by a national accrediting
46 organization acceptable to the department; or
47 (b) a bachelor's degree program in a natural science or a laboratory
48 science and a minimum number of credit hours acceptable to the depart-
49 ment, and appropriate clinical education in a histotechnologist program
50 accredited by a national accrediting organization acceptable to the
51 department or a program registered by the department or determined by
52 the department to be the substantial equivalent; or
53 (c) current histotechnologist certification by a national certif-
54 ication organization acceptable to the department; or
55 (d) histotechnologist licensure in a jurisdiction acceptable to the
56 department;
A. 10162--A 6
1 3. Alternatives to education: in lieu of requirements specified in
2 subdivision two of this section the department may accept, a bachelor's
3 degree in a natural science or a clinical laboratory science and course-
4 work acceptable to the department and:
5 (a) two years' experience in a clinical laboratory while licensed as a
6 histotechnician in New York or another jurisdiction acceptable to the
7 department; or
8 (b) two years' experience in a clinical laboratory while certified as
9 a histotechnician by a national certification organization acceptable to
10 the department.
11 4. Examination: pass an examination satisfactory to the board and in
12 accordance with the commissioner's regulations;
13 5. Age: be at least eighteen years of age;
14 6. Character: be of good moral character as determined by the depart-
15 ment; and
16 7. Fees: pay a fee of one hundred seventy-five dollars for an initial
17 license and a fee of one hundred seventy dollars for each triennial
18 registration period.
19 § 11. Subdivision 1 and paragraphs (a) and (b) of subdivision 2 of
20 section 8608 of the education law, subdivision 1 as amended and para-
21 graphs (a) and (b) of subdivision 2 as added by chapter 147 of the laws
22 of 2018, are amended to read as follows:
23 1. Limited permit. On the recommendation of the board, the department
24 may issue a limited permit to practice as a clinical laboratory practi-
25 tioner to an applicant who has met all requirements for licensure as a
26 clinical laboratory technologist or cytotechnologist, histotechnologist,
27 or certification as a clinical laboratory technician or [histological
28 technician] histotechnician, except those relating to the examination
29 and provided that the individual is under the general supervision of the
30 director of a clinical laboratory, as determined by the department. This
31 limited permit shall be valid for a period of not more than [one year,
32 and may be renewed, at the discretion of the department, for one addi-
33 tional year] two years and shall not be renewable.
34 (a) On the recommendation of the board, the department may issue a
35 provisional permit to practice as a clinical laboratory practitioner to
36 an applicant who is employed in a clinical laboratory for the purpose of
37 enabling the applicant to complete the education requirements and/or to
38 pass the exam required for licensure as a clinical laboratory technolo-
39 gist or [histological technician] histotechnician and provided that the
40 individual is under the general supervision of the director of a clin-
41 ical laboratory, as determined by the department, and provided further
42 that the applicant meets the requirements outlined in paragraph (b) of
43 this subdivision. This provisional permit shall be valid for a period of
44 not more than [one year, and may be renewed, at the discretion of the
45 department, for one additional year] two years and shall not be renewa-
46 ble.
47 (b) To qualify for a provisional permit, the applicant shall:
48 (i) file [an] a provisional permit application with the department;
49 (ii) have at least one of the following enumerated qualifications:
50 (A) be licensed as a clinical laboratory technologist, or the equiv-
51 alent as determined by the department, in another jurisdiction or
52 possess a current certification in [a] clinical laboratory technology
53 from a national certification organization acceptable to the department;
54 or
55 (B) have received both an education, including a bachelor's degree in
56 the biological, chemical, or physical sciences, and training in a clin-
A. 10162--A 7
1 ical laboratory, provided that such education and training are accepta-
2 ble to the department; or
3 (C) have received a bachelor's degree in the biological, chemical, or
4 physical sciences or in mathematics, and have served as a research
5 assistant in a research laboratory, under the direction of the director
6 or the principal researcher of such research laboratory, working on the
7 research and development of any procedures and examinations to be
8 conducted by a laboratory, as defined in title five of article five of
9 the public health law, on material derived from the human body which
10 provides information for the diagnosis, prevention or treatment of a
11 disease or assessment of a human medical condition; or
12 (D) for those seeking a provisional permit as a [histological techni-
13 cian] histotechnician, have received an education, including an associ-
14 ate's degree that includes a minimum number of credit hours in the
15 sciences, provided that such education is acceptable to the department;
16 (iii) be at least eighteen years of age;
17 (iv) be of good moral character as determined by the department; [and]
18 (v) pay a fee of [three hundred forty-five] fifty dollars for a provi-
19 sional permit [provided that the fee for a provisional permit as a
20 histological technician shall be two hundred forty-five dollars.];
21 (vi) file a licensure application with the department; and
22 (vii) pay the licensure fee as outlined in section eighty-six hundred
23 six of this article.
24 § 12. Subdivision 1 of section 8609 of the education law, as amended
25 by chapter 204 of the laws of 2008, is amended to read as follows:
26 1. the practice, conduct, activities, or services by any person
27 licensed or otherwise authorized to practice medicine within the state
28 pursuant to article one hundred thirty-one-B of this title, or by any
29 person registered to perform services as a physician assistant or
30 specialist assistant within the state pursuant to article one hundred
31 thirty-one-B of this title, or by any person licensed to practice
32 dentistry within the state pursuant to article one hundred thirty-three
33 of this title, or by any person licensed to practice podiatry within the
34 state pursuant to article one hundred forty-one of this title, or by any
35 person certified as a nurse practitioner within the state pursuant to
36 article one hundred thirty-nine of this title, or by any person licensed
37 to perform services as a respiratory therapist or respiratory therapy
38 technician under article one hundred sixty-four of this title, or any
39 person licensed to practice midwifery within the state pursuant to arti-
40 cle one hundred forty of this title, or a person licensed to practice
41 nursing pursuant to article one hundred thirty-nine of this title, or a
42 person licensed to practice pursuant to article thirty-five of the
43 public health law; provided, however, that no such person shall use the
44 titles licensed clinical laboratory technologist, licensed cytotechnolo-
45 gist, licensed histotechnologist, [or] certified clinical laboratory
46 technician, or certified histotechnician, unless licensed or certified
47 under this article; or
48 § 13. This act shall take effect on the one hundred eightieth day
49 after it shall have become a law; provided however, that section ten of
50 this act shall take effect eighteen months after it shall have become a
51 law. Effective immediately, the state education department is author-
52 ized to promulgate regulations that may be required and to take other
53 measures necessary to implement this act prior to the aforementioned
54 effective dates, including acceptance and processing of applications for
55 licensing.
