reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 5 - CLIENT RECORDS; CONFIDENTIALITY › Section 13:34D-5.7 - Transfer or disposal of records

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a licensee ceases to engage in practice or it is anticipated that he or she will remain out-of-practice for more than three months, the licensee shall comply with the requirements concerning termination of services set forth at N.J.A.C. 13:34D-6.3 and shall:
1. Establish a procedure by which clients can obtain a copy of the treatment records or acquiesce in the transfer of those records to another licensee or health care professional who is assuming responsibilities of the practice. However, a licensee shall not charge a client for a copy of the records when the records will be used for purposes of continuing treatment or care;
2. Make reasonable efforts to directly notify any client treated during the six months preceding the cessation, providing information concerning the established procedure for retrieval of records; and
3. If a licensee is unable to notify all clients, publish a notice of the cessation and the established procedure for the retrieval of records in a newspaper of general circulation in the geographic location of the licensee's practice, at least once each month for the first three months after the cessation.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.1 - Financial arrangements with clients

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Fees for art therapy services shall be reasonable and commensurate with the status and experience of a licensee consistent with the provisions of N.J.A.C. 13:34D-6.8prohibiting excessive fees.
(b) When an appropriate fee schedule cannot be arranged, or the payment of the usual fee would be a hardship, a licensee shall refer the client to other sources for the provision of needed services.
(c) A licensee providing art therapy services shall provide and maintain a written list of current fees for standard services and shall provide the list to a client prior to the commencement of services.
(d) Before engaging in a clinical relationship, a licensee shall assist a client to understand financial arrangements. The information provided to the client shall include at least the following:
1. The fee for services or the basis for determining the fee to be charged;
2. Whether the licensee will accept installment payments or assignments from a third-party payor;
3. That insurance coverage may not be available in all circumstances; and
4. The financial consequences, if any, of missed appointments.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.2 - Conflicts of interest

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee providing art therapy services shall not enter into any relationship that would be expected to limit objectivity and impair professional judgment, or increase the risk of exploitation. Examples of such relationships include, but are not limited to, the following: employees, tenants, students, supervisees, close friends, spouses, or relatives.
(b) A licensee who has identified a conflict of interest shall notify the parties involved and shall take action to eliminate the conflict.
(c) A licensee providing art therapy services shall not provide those services in circumstances that would be expected to limit the licensee's objectivity and impair professional judgment, or increase the risk of exploitation.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.3 - Termination of services

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee shall terminate services to a client when the services are no longer required or no longer meet the client's needs or interests.
(b) A licensee shall not abandon or neglect a client in need of professional services without making reasonable arrangements for the continuation of such care or offering to help the client find alternative sources of assistance.
(c) A licensee who anticipates the termination or interruption of services to a client shall promptly notify the client and shall provide for the transfer, referral, or continuation of services in relation to the client's needs and preferences.
(d) A licensee who intends to cease to engage in practice or anticipates that he or she will remain out-of-practice for more than three months shall comply with the requirements set forth in N.J.A.C. 13:34D-5.7.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.5 - Real estate arrangements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee may be an owner, investor, or lessor in real estate utilized for the conduct of a professional practice, provided that rent, dividends, or any other forms of remuneration are received solely on the basis of the investment or fair market value, as applicable to the circumstances.
(b) A licensee may lease space to or from another licensed health care professional to which clients are referred only where rent is a fixed fee determined by the fair market value, or less, and is for a regular term and not for sporadic use of the space.
(c) A licensee may lease professional space from a commercial entity on any arrangements consistent with standard business practice in the community, provided the arrangements do not affect the licensee's professional discretion in matters, including choice of clients, professional services offered, or fees.
(d) The establishment of any lease, investment, or other commercial relationship for the conduct of professional practice other than as set forth in this section shall require Committee approval for good cause shown.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.6 - Reporting of violations by other licensees

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Except as provided in this section, a licensee shall promptly notify the Committee when he or she is in possession of information that reasonably indicates that another licensee has demonstrated an impairment, gross incompetence, or unprofessional conduct that would present an imminent danger to a client, or to the public health, safety, or welfare.
1. When the information is obtained in the course of a professional or consulting relationship with a client and the client is unwilling or unable to make the report, the licensee shall report the information only with the written permission of the client.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.7 - Prohibition on solicitation; unethical referrals and kickbacks

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee who provides services to an agency shall not solicit, for his or her private practice, the agency's clients for the same services the agency provides. Nothing in this section prohibits a licensee from offering to the client all appropriate options upon termination of services by the client or the agency, including the continuation of services in private practice.
(b) A licensee shall not refer a client to a service in which the licensee and his or her immediate family has a financial interest as defined in the Health Care Cost Reduction Act, N.J. S.A. 45:9-22.4 et seq., including an equity or ownership interest in a practice or in a commercial entity holding itself out as offering a health care service.
(c) A licensee shall not prescribe goods or devices that the licensee sells or leases to the client in which the licensee has ownership or interest, unless the licensee advises the client of such ownership or interest.
(d) A licensee shall not pay or offer to pay any fee or other form of compensation for referral of a client for professional services or for referral of a client for the purchase of goods.
(e) A licensee shall not receive any fee or other form of compensation for referral of a client for professional services or for referral of a client for the purchase of goods.
(f) A licensee shall not permit the division of fees for professional services, unless the licensee is engaged in a bona fide partnership, professional service corporation, or employment relationship.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.8 - Prohibition on excessive fees

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The licensee shall not charge an excessive fee for services. Factors that the Committee shall consider in determining whether a fee is excessive include the following:
1. The time or effort required to perform the service or treatment;
2. The skill required to properly perform the service or treatment;
3. The nature and length of the professional relationship with the client;
4. The experience, reputation, and ability of the licensee performing the services;
5. The nature and the circumstances under which services are provided; and
6. Whether the fee was set by an institution or agency.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.10 - Professional interactions with clients

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to commencing services, a licensee shall advise the client or the client's guardian, in terms that the client can understand, of the nature and purpose of the services to be rendered and the limits and obligations associated with such services.
(b) A licensee shall obtain written informed consent from clients before videotaping, audio recording, or permitting third-party observation of professional interactions with clients.
(c) If applicable, a licensee shall obtain a release for the client's art work made in treatment, reproduction, or representation thereof.
(d) A licensee shall not provide art therapy services while under the influence of alcohol or any other drug that may impair the delivery of services.
(e) A licensee shall obtain competent professional assistance in order to determine whether to voluntarily suspend, terminate, or limit the scope of the licensee's professional practice or research activities that are foreseeably likely to lead to inadequate performance or harm to the client, colleague, student, or research participant.
(f) When interacting with a research subject, a licensee shall observe research requirements consistent with accepted standards of practice.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 6 - PROFESSIONAL MISCONDUCT › Section 13:34D-6.11 - Professional responsibilities

Current through Register Vol. 56, No. 14, July 15, 2024
A licensee shall practice only in his or her area of competence, consistent with his or her training, experience, education, or supervision, and shall make appropriate referrals to practitioners of related or other professions.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.1 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
For the purposes of this subchapter, the following terms shall have the following meanings, unless the context clearly indicates otherwise:
"Advertisement" means an attempt, directly or indirectly, by publication, dissemination, or circulation in print, electronic, or other media, to induce any person or entity to purchase or enter into an agreement to purchase art therapy services, treatment, or goods related thereto.
"Electronic media" includes radio, television, telephone, Internet, social media, and other electronic means of communication.
"Print media" includes business cards, newspapers, periodicals, professional journals, telephone directories, circulars, handbills, flyers, billboards, signs, direct mail, match covers, and other items disseminated by means of the printed word.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.2 - Advertising; general requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee shall be able to substantiate the truthfulness of any representation set forth in an advertisement.
(b) A licensee identified in an advertisement as offering art therapy services or goods shall be responsible for the form and content of any advertisement disseminated by or on behalf of a licensee.
(c) A licensee shall ensure that an advertisement does not misrepresent, suppress, omit, or conceal a material fact. Omission, suppression, or concealment of a material fact includes directly or indirectly obscuring a material fact under circumstances where the licensee knows or should know that the omission is improper or prohibits a prospective client from making a full and informed judgment on the basis of the information set forth in the advertisement.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.3 - Minimum content

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee shall include the following in all advertisements and professional representations (other than an office entry sign), including advertisements in a classified directory, business cards, and professional stationery:
1. The name of the licensee;
2. The words "Licensed Professional Art Therapist" or "LPAT," "Licensed Associate Art Therapist" or "LAAT," as applicable, followed by the 12-digit license number; and
3. The street address and telephone number of the practice location, and, if applicable, website address of the practitioner's practice.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.4 - Use of professional credentials and certifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee shall accurately and objectively represent his or her competence, education, training, and experience, as of the time of the representations.
(b) An advertisement that includes information on professional credentials shall contain the highest academic degrees attained related to the practice of art therapy and shall refer only to degrees obtained from a regionally accredited academic institution.
(c) An advertisement that includes information on certification shall include the full name of the institute or agency conferring the certification or the recognized name or abbreviation of the certification.
(d) In addition to the information required to appear pursuant to N.J.A.C. 13:34D-7.3, letters or abbreviations that may appear immediately following the licensee's name shall be limited to the following:
1. The highest academic degrees earned from a regionally accredited institution relating to the practice of art therapy. A licensee shall not include any degree earned at an institution that is not regionally accredited; and
2. Other licenses or certifications issued by another state or Federal agency.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.5 - Prohibited types or methods of advertising

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee shall not guarantee that satisfaction or a cure will result from the performance of art therapy.
(b) A licensee shall not communicate information that may identify a client without the written consent of the client.
(c) A licensee shall not offer a professional service that the licensee knows or should know is beyond his or her ability to perform.
(d) A licensee shall not advertise or communicate in a manner that appears to intimidate, exert undue pressure, or unduly influence a prospective client.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 7 - ADVERTISING › Section 13:34D-7.6 - Retention of advertisements

Current through Register Vol. 56, No. 14, July 15, 2024
A licensee shall retain, for a period of three years from the date of initial publication or dissemination, a copy of every advertisement appearing in print or electronic media. The licensee shall indicate on all advertisements in his or her possession the date and place of publication or dissemination.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 8 - TELEHEALTH AND TELEMEDICINE › Section 13:34D-8.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this subchapter is to implement the provisions of P.L. 2017, c. 117 (N.J.S.A. 45:1-61et seq.), which authorizes healthcare providers to engage in telemedicine and telehealth.
(b) This subchapter shall apply to all persons who are licensed by the Committee.
(c) Pursuant to N.J.S.A. 45:1-62, a professional art therapist or an associate art therapist must hold a license issued by the Committee if he or she:
1. Is located in New Jersey and provides health care services to any patient located in or out of New Jersey by means of telemedicine or telehealth; or
2. Is located outside of New Jersey and provides health care services to any patient located in New Jersey by means of telemedicine or telehealth.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 34D - ART THERAPISTS ADVISORY COMMITTEE › Subchapter 8 - TELEHEALTH AND TELEMEDICINE › Section 13:34D-8.2 - Standard of care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to providing services through telemedicine or telehealth, a licensee shall determine whether providing those services through telemedicine or telehealth would be consistent with the standard of care applicable for those services when provided in-person.
(b) If a licensee determines, either before or during the provision of health care services, that services cannot be provided through telemedicine or telehealth in a manner that is consistent with in-person standards of care, the licensee shall not provide services through telemedicine or telehealth.
(c) A licensee who determines that services cannot be provided through telemedicine or telehealth pursuant to (b) above shall advise the patient to obtain services in-person.
(d) A licensee who provides a diagnosis, treatment, or consultation recommendation, including discussions regarding the risk and benefits of a patient's treatment options, through telemedicine or telehealth shall be held to the same standard of care or practice standards as are applicable to in-person settings.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 1 - MEDICAL SCHOOLS, COLLEGES, EXTERNSHIPS AND CLERKSHIPS › Section 13:35-1.1 - Observership program

Current through Register Vol. 56, No. 14, July 15, 2024
(a) "Observer" shall mean an undergraduate medical student of an allopathic or osteopathic school accredited either by the Liaison Committee on Medical Education or the American Osteopathic Association or a foreign medical school listed in either the World Health Organization Directory published by the World Health Organization or the International Medical Education Directory (IMED) published by the Educational Commission for Foreign Medical Graduates (ECFMG) and whose graduates are accepted by the New Jersey Board of Medical Examiners as eligible to sit for the licensure examination. Observerships are limited to the student's vacation period in an extra-curricular professional experience as delineated in this section.
(b) An observership program shall be limited to:
1. Observation of operative procedures;
2. The taking of histories;
3. The performance of physical examinations;
4. The performance of non-invasive procedures under the direct supervision of and in the immediate presence of the supervising licensed physician; and
5. The participation in patient rounds and other organized patient care activities of the supervising physician.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 1 - MEDICAL SCHOOLS, COLLEGES, EXTERNSHIPS AND CLERKSHIPS › Section 13:35-1.2 - Fifth Pathway

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Board shall accept application for licensure from an applicant who does not meet the usual statutory prerequisites for educational background, in the following circumstances to be known as the Fifth Pathway:
1. The applicant has completed the entirety of the academic curriculum in residence at a medical school in a foreign country located outside of the United States, Puerto Rico or Canada or in a school-authorized clinical training program;
2. The medical school was approved throughout the applicant's period of education by the government of the country of domicile to confer the degree of Doctor of Medicine and Surgery or its equivalent, and was listed in either the World Health Organization Directory published by the World Health Organization or the International Medical Education Directory (IMED) published by the Educational Commission for Foreign Medical Graduates (ECFMG);
3. The applicant has satisfactorily completed all the requirements for a matriculated student of that foreign medical school to receive a diploma, except for internship and/or social service;
4. The applicant has achieved a passing score on a screening examination acceptable to the Educational Commission on Foreign Medical Graduates (ECFMG) even though not eligible for ECFMG certification; and
5. The applicant has had his or her academic record reviewed and approved by a medical school approved by the Liaison Committee on Medical Education, which school has accepted the applicant in a one-academic-year program of supervised clinical training under its direction, and the applicant has satisfactorily completed that program as evidenced by receipt of a certificate issued by the sponsoring medical school.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 1 - MEDICAL SCHOOLS, COLLEGES, EXTERNSHIPS AND CLERKSHIPS › Section 13:35-1.4 - Military service in lieu of M.D or D.O. internship or postgraduate training

Current through Register Vol. 56, No. 14, July 15, 2024
The Board may grant a license to practice medicine and surgery to any person who shall furnish proof, satisfactory to the Board, that such person has fulfilled all of the formal requirements established by law, and who has served at least two years in active military service in the United States Army, Air Force, Navy, Marine Corps, Coast Guard or the U.S. Public Health Service as a commissioned officer and physician and surgeon in a medical facility which the Board determines constitutes the substantial equivalent of the approved internship or residency training program required by law; provided, however, that such military service actively occurred subsequent to graduation from an approved medical school.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2 - LIMITED LICENSES: PODIATRY, DIAGNOSTIC TESTING CENTERS AND MISCELLANEOUS › Section 13:35-2.1 - Approved colleges of podiatry

Current through Register Vol. 56, No. 14, July 15, 2024
An applicant for podiatric licensure shall have graduated from a college or colleges of podiatry approved during the entire course of the applicant's training by the American Podiatric Association and approved by the Board.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2 - LIMITED LICENSES: PODIATRY, DIAGNOSTIC TESTING CENTERS AND MISCELLANEOUS › Section 13:35-2.2 - Podiatry internship or postgraduate work

Current through Register Vol. 56, No. 14, July 15, 2024
The applicant for licensure shall have successfully completed an internship or postgraduate program fully approved by the American Podiatric Medical Association in a duly licensed clinic, hospital or institution acceptable to the Board, which shall take into account the standards adopted by the Advisory Graduate Medical Education Council (AGMEC).
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2 - LIMITED LICENSES: PODIATRY, DIAGNOSTIC TESTING CENTERS AND MISCELLANEOUS › Section 13:35-2.3 - Military service in lieu of internship in podiatry

Current through Register Vol. 56, No. 14, July 15, 2024
The Board may grant a license to practice podiatry to any person who shall furnish proof, satisfactory to the Board, that such person has fulfilled all of the formal requirements established by the Podiatric Practice Act, 45:5-1 et seq., and has served at least two years in active military service in the United States Army, Air Force, Navy, Marine Corps, Coast Guard or the United States Public Health Service as a commissioned officer and podiatrist in a medical facility which the Board determines constitutes the postgraduate training program required by law; provided, however, that such military service actively occurred subsequent to graduation from an approved school of podiatry.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2 - LIMITED LICENSES: PODIATRY, DIAGNOSTIC TESTING CENTERS AND MISCELLANEOUS › Section 13:35-2.4 - Podiatrist supervision and administration of hyperbaric oxygen therapy

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this section is to set forth standards for the supervision and/or administration of hyperbaric oxygen therapy by a licensed podiatrist. A licensed podiatrist who meets and complies with all requirements of this section may supervise and/or administer hyperbaric oxygen therapy to his or her patient, for the purpose of treating conditions of the lower leg, foot, or ankle, provided such conditions are within the scope of the practice of podiatry, as defined in 45:5-7.
(b) For purposes of this section, "hyperbaric oxygen therapy" or "HBOT" means a treatment in which a patient intermittently breathes 100 percent pure oxygen while inside a treatment chamber at two to three times the atmospheric pressure at sea level.
(c) A licensed podiatrist may supervise and/or administer HBOT treatment for conditions of the lower leg, foot, or ankle, provided such conditions are within the scope of the practice of podiatry, as defined in 45:5-7, and provided that he or she has:
1. Received educational training in the administration of HBOT; and
2. Been credentialed to perform the supervision and administration of HBOT by a hospital licensed by the Department of Health pursuant to 26:2H-1 et seq.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2 - LIMITED LICENSES: PODIATRY, DIAGNOSTIC TESTING CENTERS AND MISCELLANEOUS › Section 13:35-2.13 - Limited privileges and conditions of practice permitted for a graduate physician pending licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Persons who are graduates of medical schools recognized by the Board may commence a period of supervised post-graduate training in a licensed hospital with an Accreditation Council on Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) approved residency training program in this State immediately upon graduation. A training period commencing prior to the start of a formal ACGME or AOA approved post-graduate year term shall not exceed six months and shall be documented in the hospital record.
(b) Persons who are graduates of foreign medical schools recognized by the Board but who are not yet deemed eligible for licensure in this State because of the requirements of 45:9-8 and 13:35-3.11 may sit for the USMLE Step 3 upon completion of one year of approved post-graduate training and satisfaction of all other requirements of 45:9-1 et seq. and 13:35-3.1.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.1 - Purpose and scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The rules in this subchapter are intended to protect the health and safety of the public through licensure of midwives, pursuant to 45:10-1 et seq.
(b) This subchapter prescribes standards for midwifery licensure and for the renewal, suspension or revocation of that licensure.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.2 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, when used in this subchapter, shall have the following meaning, unless the context clearly indicates otherwise:
"Affiliated physician" means a person who holds a plenary license to practice medicine and surgery in New Jersey, issued by the Board, who adheres to clinical guidelines with a licensed midwife.
"Board" means the New Jersey State Board of Medical Examiners.
"Certified midwife (CM)" means a person who is or ever was certified by the American Midwifery Certification Board (AMCB) or its successors as a certified midwife.
"Certified nurse midwife (CNM)" means a person who is a registered nurse and who is or ever was certified by the American College of Nurse Midwives (ACNM) or the AMCB or their successors as a certified nurse midwife.
"Certified professional midwife (CPM)" means a person who holds certification from the North American Registry of Midwives (NARM) or its successor.
"Clinical guidelines" means a document, which sets forth patterns of care and which provides for consultation, collaboration, management and referral as indicated by the health status of a woman receiving care from a licensee.
"Committee" means the Midwife Liaison Committee of the New Jersey State Board of Medical Examiners.
"Consulting physician" means a person who holds a plenary license to practice medicine and surgery in New Jersey, issued by the Board, who adheres to clinical guidelines with a licensed midwife.
"Licensee" means any person who holds a license from the Board to practice as a midwife.
"Midwife" means a person licensed by the Board as a certified midwife (CM), certified nurse midwife (CNM) or certified professional midwife (CPM).
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.3 - Midwifery Liaison Committee

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Midwifery Liaison Committee shall consist of eight members who shall serve as consultants to the Board and who shall be appointed by the Board. The Committee shall include at least one certified nurse midwife, at least one certified professional midwife, at least one certified midwife, and two other midwives, all of whom shall hold licensure from the Board. The Committee shall also include one certified nurse midwife who is a member of the Board and two physicians, one of whom shall be a member of the Board of Medical Examiners and one of whom shall be Board-certified by either the American Board of Obstetrics and Gynecology, the American Osteopathic Board of Obstetrics and Gynecology or any other certification organization with comparable standards.
(b) The Board shall appoint each member for a term of three years. Committee members may be reappointed.
(c) Functions of the Committee shall include the following:
1. Advising and assisting the Board in the evaluation of applicants for midwifery licensure and certified nurse midwife applicants for prescriptive authorization;
2. Investigating complaints against licensees and unlawful conduct by licensees;
3. Approving professional education programs; and
4. Advising and assisting the Board in drafting and reviewing rules to govern midwifery practice.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.4 - Application for licensure

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An applicant for licensure as a midwife shall submit to the Committee:
1. A completed application for licensure requesting information regarding the applicant's address, telephone number, date of birth and social security number;
2. Proof that the applicant is 18 years old or older;
3. An official transcript from a midwifery program, accredited by the Accreditation Commission for Midwifery Education (ACME), ACC or the Midwifery Education Accreditation Council (MEAC), or their predecessors or successors;
4. A notarized copy of Certification from either ACNM, AMCB, NARM, or their predecessors or successors;
5. The applicant's curriculum vitae;
6. Three photographs of the applicant, signed, dated and notarized; and
7. The application fee pursuant to 13:35-6.13.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.5 - Independent practice

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Certified nurse midwife and certified midwife practice shall include the provision of maternity care and well woman care within a health care system which provides for consultation, referral and collaboration, and:
1. For licensees without prescriptive authority, administering or dispensing those medications listed in the clinical guidelines; or
2. For licensees with prescriptive authority pursuant to 13:35-2A.14, prescribing, ordering, administering or dispensing medications.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.6 - Consulting physicians; clinical guidelines

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Prior to beginning practice as a midwife, a licensee shall enter into a consulting agreement with a physician who is licensed in New Jersey and who:
1. Holds hospital privileges in operative obstetrics/gynecology;
2. Has a binding agreement with a physician who holds operative privileges in operative obstetrics/gynecology; or
3. Holds hospital privileges in gynecology, if a licensee limits his or her practice to non-obstetrical.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.7 - Licensure; biennial license renewal; license suspension; reinstatement of suspended license; inactive status; return from inactive status

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All licenses issued by the Board shall be issued for a two-year biennial licensure period. A licensee who seeks renewal of the license shall submit a completed renewal application, proof that he or she is currently certified by the ACNM, AMCB, or NARM, and the renewal fee as set forth in N.J.A.C. 13:35-6.13prior to the expiration date of the license.
(b) The Board shall send a notice of renewal to each licensee at the address registered with the Board at least 60 days prior to the expiration of the license. If the notice to renew is not sent at least 60 days prior to the expiration date, no monetary penalties or fines shall apply to the holder for failure to renew.
(c) If a licensee does not renew the license prior to its expiration date, the licensee may renew the license within 30 days of its expiration by submitting a renewal application, a renewal fee and a late fee, as set forth in N.J.A.C. 13:35-6.13. During this 30-day period, the license shall be valid, and the licensee shall not be deemed to be practicing without a license.
(d) A license that is not renewed within 30 days of its expiration shall be automatically suspended. An individual who continues to practice with a suspended license shall be deemed to be engaged in unlicensed practice and shall be subject to the penalties prescribed by 45:9-22 for practicing without a license.
(e) A licensee whose license has been automatically suspended for five years or less for failure to renew pursuant to (d) above may be reinstated by the Board upon completion of the following:
1. Payment of the reinstatement fee and all past delinquent biennial renewal fees pursuant to N.J.A.C. 13:35-6.13; and
2. Submission of an affidavit of employment listing each job held during the period of suspended license which includes the name, address, and telephone number of each employer.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.8 - Antepartum management

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee's scope of practice during antepartum stages includes:
1. Ordering medical, therapeutic and diagnostic measures in accordance with clinical guidelines; and
2. Identifying women with medical, obstetrical or gynecological risk factors outlined in 13:35-2A.9.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.9 - Management of antepartum women at increased risk

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee may participate in the management of antepartum patients at increased risk under the following conditions:
1. The consulting physician and licensee shall have agreed to include the woman at increased risk in the caseload;
2. The consulting physician and licensee shall have established and documented a management plan for all women identified as at increased risk, which shall delineate the role of both the consulting physician and the licensee in the care of the woman. The management plan shall set forth the following:
i. Frequency of physician visits;
ii. Timing of indicated diagnostic and evaluative procedures;
iii. Specific parameters for consultation; and
iv. A proposed plan for the birth, including the type, place and provider.
3. The management plan shall be reviewed periodically by the licensee and the consulting physician and revised when necessary.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.10 - Intrapartum management

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee's scope of practice during intrapartum stages includes:
1. Managing labor and birth for women not classified as being at increased risk pursuant to 13:35-2A.11, in accordance with clinical guidelines;
2. Performing immediate screening of the newborn and resuscitation of the newborn when necessary. The licensee shall refer newborns with acute medical conditions to a physician trained in the care of a newborn;
3. Performing an episiotomy;
4. Repairing first- and second-degree episiotomies and lacerations;
5. Using local anesthesia; and
6. In a health care facility licensed by the Department of Health, administering or facilitating the administration of nitrous oxide for pain relief.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.11 - Management of intrapartum women at increased risk

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a woman receiving care from a licensee evidences any of the following conditions, the licensee shall only participate in the birth if it takes place in a licensed hospital:
1. Pre-term labor less than 37 weeks gestation. If pre-term labor is less than 34 weeks gestation, a consulting physician shall be present at the birth;
2. Premature rupture of membranes more than 48 hours before onset of regular contractions;
3. Assessment of infant weight less than 2,500 grams or more than 4,500 grams;
4. Vaginal birth after previous cesarean delivery;
5. The need for prescriptive medication to induce or augment labor;
6. Post-datism (greater than 42 weeks gestation);
7. Multiple gestation;
8. Non-vertex presentation;
9. Evidence of chorioamnionitis; or
10. Hypertensive disorder of pregnancy and/or Hemolysis, Elevated Liver Enzymes, and Low Platelet (HELLP) syndrome.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.12 - Postpartum care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee's scope of practice during the postpartum stage includes:
1. Assessment and treatment;
2. Contraceptive services; and
3. In a health care facility licensed by the Department of Health, administering or facilitating the administration of nitrous oxide for pain relief.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.13 - Well woman care

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A certified nurse midwife or certified midwife may provide well woman care throughout the life cycle which shall include:
1. Gynecological and primary health care screening, assessment and treatment; and
2. Contraceptive services.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.14 - Prescriptive authorization

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A CNM who is licensed with the Board of Medical Examiners may apply for authorization to prescribe drugs (as used within this section, the term "drugs" shall include drugs, medicine, and devices). The CNM shall make application on forms prescribed by the Board and shall demonstrate:
1. Current registration with the Board;
2. A.C.N.M. or A.C.C. certification in good standing; and
3. Evidence of satisfactory completion of a minimum of 30 contact hours in pharmacology, which was either part of the midwifery program the CNM completed pursuant to N.J.A.C. 13:35-2A.4(a)3  or a pharmacology course offered by, or affiliated with, a college or university accredited by an accrediting association recognized by the U.S. Department of Education. The 30 contact hours shall include:
i. Instruction in fundamentals of pharmacology and therapeutics, including principles and terminology of pharmacodynamics and pharmaco-kinetics; and
ii. One contact hour on issues concerning prescription opioid drugs, including responsible prescribing practices, alternatives to opioids for managing and treating pain, and the risks and signs of opioid abuse, addiction, and diversion.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.15 - Limited ultrasound examination

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee who has completed a course as required in (b) below may perform a limited ultrasound examination. For purposes of this section, "limited ultrasound" shall mean the use of ultrasound to assess any of the following: fetal number, fetal cardiac activity, fetal position and presentation, placental location, amniotic fluid parameters, biophysical profile parameters, uterine position, uterine size, the number and size of early gestational sac and the presence and length of embryonic poles.
(b) A licensee who wishes to perform limited ultrasound shall complete a 12-hour course given by a college or university accredited by an accrediting association recognized by the U.S. Department of Education or an organization which grants ACNM, American College of Obstetrics and Gynecology (ACOG), American Osteopathic Association (AOA) or American Medical Association-Physicians Recognition Award (AMA-PRA) category one continuing education credits.
(c) Limited ultrasound course instruction shall include:
1. Ultrasound instrumentation;
2. Accountability of the licensee;
3. Components of informed consent;
4. Principles of anatomy and physiology relevant to limited ultrasound examinations;
5. Elements of antepartum and intrapartum fetal surveillance;
6. Components of ultrasound examination:
i. Fetal number;
ii. Fetal cardiac activity;
iii. Fetal position and presentation;
iv. Placental location;
v. Amniotic fluid evaluation; and
vi. Biophysical profile parameters;
7. Components of gynecological ultrasound examination:
i. Identification of uterine position;
ii. Evaluation of uterine size;
iii. Assessment of number, size and location of early gestational sac(s) and presence and length of embryonic pole(s); and
iv. Recognition of early fetal cardiac activity; and
8. Formulation of a plan of care based on assessments made, including the need for consultation, referral and follow-up.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.16 - Colposcopies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A CNM or CM who has completed a course as required by (b) below and clinical experience required by (c) below may perform colposcopies for the purposes of evaluating and diagnosing abnormal cervical findings.
(b) A CNM or CM who wishes to perform colposcopies shall complete a 20-hour colposcopy course, given by a college or university accredited by an accrediting association recognized by the U.S. Department of Education or given by an organization recognized by either the American Society of Colposcopy and Cervical Pathology, the American College of Obstetrics and Gynecology, the American College of Nurse Midwives, or the National Association of Nurse Practitioners in Women's Health.
(c) A CNM or CM who intends to perform colposcopies independently shall first complete 50 colposcopies under the supervision of a CNM or CM who has met the requirements of this section or an individual who has received education and training substantially similar to that required by this section.
(d) A CNM or CM who has successfully completed a colposcopy course shall maintain a certificate from the sponsor of the colposcopy course indicating that the CNM or CM has completed the course.
(e) A CNM or CM who intends to perform colposcopy pursuant to (a) above shall amend the clinical guidelines to include circumstances when the midwife may perform colposcopy.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2A - LIMITED LICENSES: MIDWIFERY › Section 13:35-2A.17 - Circumcisions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee who has completed a course as required by (b) below and clinical experience as outlined in (c) below may perform circumcisions.
(b) A licensee who intends to perform circumcisions shall complete a course given by a licensed physician or licensed midwife who has privileges to perform circumcisions in a licensed health care facility. The circumcision course shall include:
1. The theory of circumcisions, including the procedure's benefits and risks, and alternatives to the procedure;
2. Providing informed consent to the parents;
3. Indications and contraindications for circumcision; and
4. Potential complications.