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					                                              Definitions:
Oklahoma:
"ABGC" means the American Board of Genetic Counseling [63:1-562(1)].
"ABMG" means the American Board of Medical Genetics [63:1-562(2)].
"Act" means Title 63, Sections 1-561 et seq., of the Oklahoma Statutes.
"Active candidate status" means an individual who has been approved by the American
Board of Genetic Counseling (ABGC) to sit for the certification exam in genetic counseling.

Tennessee:
0880-13-.01
ABGC – The American Board of Genetic Counseling.
ABMG – The American Board of Medical Genetics.
Practice of genetic counseling – The process of helping people understand and adapt to the medical,
psychological and familial implications of genetic contributions to disease performed pursuant to a referral.
This process integrates the following:
        (a) Interpretation of family and medical histories to assess the chance of disease occurrence or
        recurrence;
        (b) Education about inheritance, testing, management, prevention, resources and research; and
        (c) Counseling to promote informed choices and adaptation to the risk or condition.
Referral – A written or telecommunicated authorization for genetic counseling services from a physician
licensed to practice medicine in all its branches or an advanced practice nurse or physician assistant who
has an agreement and signed protocols with a supervising physician that authorizes referrals to a genetic
counselor.

Utah:
"Active candidate status", as used in Subsection R156-75-302b(1), describes an individual who has been
approved by the American Board of Genetic Counseling (ABGC) to sit for the certification exam in genetic
counseling.

New Mexico:
C.    “Accreditation” means any of the following definitions.
      (1) Full accreditation indicates that the program meets the minimum standards established by
      ABGC to provide a well-rounded and adequate educational and clinical program for students.
      ABGC full accreditation is typically conferred for a period of six (6) years and reaccreditation is
      typically conferred for a period of up to eight (8) years, although ABGC reserves the right to provide
      probationary or shorter-term accreditation.
      (2) Probationary accreditation indicates that, while the program continues to have accredited
      status, it does not meet the minimum standards for providing educational and clinical training for
      students and has generalized problems that appear to interfere with optimal education of the
      candidates. This program must make public its probationary status.
      (3) Provisional accreditation applies to a new program that has completed and submitted an
      application for becoming an accredited program. Such a program must meet the minimum criteria
      for providing the master’s degree in genetic counseling, as established by ABGC. Provisionally
      accredited programs must apply for full accreditation within three years of matriculating their first
      class. If the program does not attain full accreditation (or accreditation with restrictions),
      provisional accreditation will be revoked. Probationary accreditation is not an option for a
      provisionally accredited program.


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P.   “NSGC” means the national society of genetic counselors, a professional membership society
     promoting the genetic counseling profession as an integral part of health care delivery and offering
     educational programs.




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                                        Practice Parameters:
Massachusetts:
Practice of Genetic Counseling means a communication process conducted by one or more
appropriately trained individuals that may include:
(a) estimating the likelihood of occurrence or recurrence of a birth defect or of any
potentially inherited or genetically influenced condition. This assessment may involve:
           1. obtaining and analyzing a complete health history of the person and family;
           2. reviewing pertinent medical records;
           3. evaluating the risks from exposure to possible mutagens or teratogens; and
           4. recommending genetic testing or other evaluations to diagnose a condition or
           determine the carrier status of one or more family members;
           (b) helping the individual, family, health care provider, or public to:
           1. appreciate the medical, psychological, and social implications of a disorder,
           including its features, variability, usual course, and management options;
           2. learn how genetic factors contribute to the disorder and affect the chance for
           recurrence of the condition in other family members;
           3. understand available options for coping with, preventing, or reducing the chance of
           occurrence or recurrence of a condition;
           4. select the most appropriate, accurate, and cost-effective methods of diagnosis; and
           5. understand genetic or prenatal tests, coordinate testing for inherited disorders, and
           interpret complex genetic test results;
(c) facilitating an individual's or family's:
           1. exploration of the perception of risk and burden associated with the disorder;
           2. decision-making regarding testing or medical interventions consistent with their
           beliefs, goals, needs, resources, culture, and ethical or moral views; and
           3. adjustment and adaptation to the condition or their genetic risk by addressing needs
           for psychological, social, and medical support.

New Mexico:
“Genetic counseling” means a communication process that may include:
(1) estimating the likelihood of occurrence or recurrence of any potentially inherited or genetically
influenced condition or congenital abnormality. Genetic counseling may involve:
          (a) obtaining and analyzing the complete health history of an individual and family members;
          (b) reviewing pertinent medical records;
          (c) evaluating the risks from exposure to possible mutagens or teratogens; and
          (d) determining appropriate genetic testing or other evaluations to diagnose a condition or
         determine the carrier status of one or more family members;
 (2) helping an individual, family or health care provider to:
          (a) appreciate the medical, psychological and social implications of a disorder, including its
         features, variability, usual course and management options;
          (b) learn how genetic factors contribute to a disorder and affect the chance for occurrence of the
         disorder in other family members;
          (c) understand available options for coping with, preventing or reducing the chance of
         occurrence or recurrence of a disorder;
          (d) select the most appropriate, accurate and cost-effective methods of diagnosis; and
          (e) understand genetic or prenatal tests, coordinate testing for inherited disorders and interpret
         complex genetic test results; and
(3) facilitating an individual’s or family’s:
          (a) exploration of the perception of risk and burden associated with a genetic disorder; and
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 (b) adjustment and adaptation to a disorder or the individual’s or family’s genetic risk by
addressing needs for psychological, social and medical support.




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                          Licensing Requirements/Qualifications:
Oklahoma:
310:406-7-2. Application materials and forms
(a) Each application shall include the following documents:
        (1) Application form,
        (2) Official transcript, mailed from a genetic counseling training program accredited by the ABGC or
        ABMG,
        (3) Verification of certification by the ABGC or ABMG, or verification of active candidate status
        conferred by the ABGC, ABMG, or an equivalent acceptable entity.
        (4) Two (2) classifiable sets of fingerprints, and
        (5) Fees.
(b) The application form requires the following:
        (1) Identifying information;
        (2) Possession of other credentials;
        (3) Previous misconduct (if applicable);
        (4) Education;
        (5) References;
        (6) Proposed professional practice; and
        (7) Notarization.

Tennessee:
0880-13-.03 NECESSITY OF LICENSURE.
(1) Except as provided in paragraph (3), no person shall engage in the practice of genetic counseling, act
or represent such person to be a genetic counselor, or use such titles as “genetic counselor”, “licensed
genetic counselor”, “gene counselor”, “genetic associate” or any words, letters, abbreviations or insignia
indicating or implying that such person is a genetic counselor, unless such person holds a license or
temporary license issued by the Board.

(3) This rule shall not apply to:
         (a) Other qualified and licensed health care professionals who are practicing within their scope of
         practice. Individuals may not use the title “genetic counselor” or any other title tending to indicate
         they are a genetic counselor unless licensed as such in this state.
         (b) Students enrolled in an approved academic program in genetic counseling, if practice
         constitutes a part of a supervised course of study and such student is designated by a title clearly
         indicating such student’s status as a student or trainee.
         (c) An individual trained as a genetic counselor, who is reapplying for the ABGC certification
         examination and gathering logbook cases under supervision in an approved genetic counseling
         training site.
         (d) Individuals employed by a state genetics center to provide education regarding single gene
         conditions, including, but not limited to, sickle cell, cystic fibrosis, and hemoglobinopathies. The
         individual may not use the title “genetic counselor” or any other title tending to indicate they are a
         genetic counselor unless licensed as such in this state.
         (e) Visiting ABGC or ABMG certified genetic counselors from outside the state performing activities
         and services for a period of thirty (30) days each year. Visiting genetic counselors must be licensed
         if available in their home state.

0880-13-.05 PROCEDURES FOR LICENSURE.
(1) To become licensed as a genetic counselor in Tennessee a person shall do all of the following
procedures:
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        (a) Obtain an application from the Board’s Internet web page or from the Board’s administrative
        office.
        (b) Respond truthfully and completely to every question or request for information contained in the
        application form and submit it, along with all documentation and fees required by the form and by
        rule 0880-13-.06, to the Board’s administrative office. It is the intent of this rule that activities
        necessary to accomplish the filing of the required documentation be completed prior to filing an
        application and that all documentation be filed simultaneously.
        (c) Submit a clear, recognizable, recently taken bust photograph which shows the full head, face
        forward from at least the top of the shoulder up.
        (d) Cause a graduate transcript from a genetic counseling training program that is accredited by
        the ABGC or by an equivalent as determined by the ABGC or the ABMG to be submitted directly
        from the educational institution to the Board’s administrative office. The transcript must contain the
        official seal of the institution, must show that the program has been successfully completed, and
        must indicate that the masters degree has been awarded.
        (e) Cause proof of current certification as a genetic counselor to be sent directly from the ABGC or
        the ABMG to the Board’s administrative office.
        (f) Disclose the circumstances surrounding any of the following:
                  1. Conviction of any criminal law violation of any country, state or municipality, except
                  minor traffic violations.
                  2. The denial of professional licensure/certification application by any other state or the
                  discipline of licensure/certification in any state.
                  3. Loss or restriction of professional licensure/certification.
                  4. Any civil suit judgment or civil suit settlement in which the applicant was a party
                  defendant including, without limitation, actions involving malpractice, breach of contract,
                  antitrust activity or any other civil action remedy recognized under the country's or state's
                  statutory common or case law.
                  5. Failure of any professional licensure or certification examination.
        (g) Cause to be submitted to the Board’s administrative office directly from the vendor identified in
        the Board’s licensure application materials, the result of a criminal background check.
        (h) Cause to be submitted the equivalent of a Tennessee Certificate of Endorsement (verification of
        licensure/certification) from each licensing board of each state or country in which the applicant
        holds or has ever held a license/certificate to practice any profession that indicates the applicant
        holds or held an active license/certificate and whether it is in good standing presently or was at the
        time it became inactive. It is the applicant’s responsibility to request this information be sent directly
        from each such licensing board to the Board’s administrative office.

Massachusetts:
3.05: Full Licensure as a Genetic Counselor
(1) A provisionally licensed genetic counselor who has received written notification from a
certifying agency of a passing score on a certification examination may continue practice as a
provisional licensee provided the Board has received from the provisional licensee within 60
days of such notification a completed and signed application for a full license as a genetic
counselor and all applicable fees pursuant to 270 CMR 3.05.
(2) An applicant for a full license as a genetic counselor shall file with the Board a completed
and signed application for a full license and shall include with such application proof satisfactory
to the Board that the applicant:
         (a) is at least 18 years of age;
         (b) is of good moral character;
         (c) holds one of the following:
                   1. a master's degree from a genetic counseling training program approved by the Board,

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                   provided that such program meets the educational standards established by the American
                   Board of Genetic Counseling (ABGC); or
                   2. a master's degree from a genetic counseling training program that is accredited by the
                   ABGC or an equivalent program as determined by the ABGC; or
                   3. a doctorate from a medical genetics training program that is accredited by the
                   American Board of Medical Genetics (ABMG) or an equivalent program as determined
                   by the ABMG; and
         (d) has received a passing score on a genetic counselor certification examination as
         evidenced by a statement sent directly to the Board by the certifying agency that verifies
         such passing score or current certification, or both;
         (e) has paid all applicable fees established by the Executive Office for Administration and
         Finance pursuant to M.G.L. c. 7, § 3B; and
         (f) in addition to the professional experience required for genetic counselor certification by
         a certifying agency, has completed all professional experience or other requirements, or both,
         as may be established by the Board.
(3) An application for a full license as a genetic counselor initiated by the Board's receipt of a
completed and signed application form and all applicable fees shall be considered valid for one
year from the date of its initiation. If the application for a full license is not completed by the
applicant and received by the Board within one year from the date of its initiation, such
application shall no longer be valid. Any applicant whose application for a full license is no
longer valid may submit to the Board a new application for a full license pursuant to 270 CMR
3.05 and 3.07.
(4) An application for a full license as a genetic counselor once initiated may not be withdrawn.
(5) The Board may issue an applicant a full license to practice as a genetic counselor if such
issuance would be in the best interest of the public health, safety, and welfare.

Illinois:
Section 1251.20 Qualifications for Licensure
An applicant for licensure as a genetic counselor shall file an application on forms provided by the Division
that shall include:
 a) One of the following:
           1) Verification that the applicant has successfully completed a Master's degree in genetic
            counseling from an American Board of Genetic Counseling (ABGC) or an American Board of
            Medical Genetics (ABMG) accredited training program or an equivalent program approved by the
            ABGC or the ABMG;
          2) Verification that the applicant is a physician licensed to practice medicine in all of its branches;
            or
          3) Verification of a doctoral degree and successful completion of an ABMG accredited medical
            genetics training program or an equivalent program approved by the ABMG;
b) Proof of passage of an examination provided by the American Board of Genetic Counseling or the
   American Board of Medical Genetics;
c) Current certification from the American Board of Genetic Counseling or the American Board of Medical
Genetics; and
d) The required fee set forth in Section 1251.70.




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                          Academic/Examination Requirements:
Oklahoma:
310:406-9-1. Degrees required
(a) Each applicant shall possess at least a master's degree from a genetic counseling training program that
is accredited by the ABGC or an equivalent entity as determined by the ABGC, or
(b) An applicant may possess a doctoral degree from a medical genetics training program accredited by the
ABMG or an equivalent as determined by the ABMG.

310:406-11-1. Examination required
All applicants shall take and pass the ABGC Genetics Counseling Certification Examination or have passed
the ABMG General Genetics and Genetic Counseling Specialty examinations.

Tennessee
0880-13-.04 QUALIFICATIONS FOR LICENSURE. To qualify for a license to practice genetic counseling, a
person shall have:
(1) Earned a masters degree from a genetic counseling training program that is accredited by the ABGC, or
an equivalent as determined by the ABGC or the ABMG; and
(2) Met the examination requirement for certification and have current certification as a genetic counselor
by the ABGC or the ABMG.

Illinois:
Section 1251.30 Examination
 a) The examination for licensed genetic counselors shall be the certification examination given by the
American Board of Genetic Counseling or the American Board of Medical Genetics.
 b) The passing score on the examination shall be the passing score of the testing entity.

New Mexico:
16.10.21.8        LICENSURE REQUIREMENTS: The board may issue a license to an applicant who fulfills
the following requirements.
A.       Completes an application for which the applicant has supplied all information and correspondence
requested by the board on forms and in a manner acceptable to the board. Applications are valid for one
(1) year from the date of receipt. While an application is pending, the applicant is responsible for providing
the board with any changes to the submitted information or to the applicant’s oath. Applications shall
require the following documentation:
              (1) demographic information of the applicant;
              (2) educational history;
              (3) employment history;
              (4) professional references;
              (5) examination information;
              (6) certification information;
              (7) other state licensure information;
              (8) professional practice questions;
              (9) applicant’s oath;
              (10) passport-quality color photograph taken within six months prior to filing the application;
approximate size 2 x 2 inches, head and shoulders only, full face, front view, plain white or off-white
background, standard photo stock paper; and, scanned or computer-generated photographs should have
no visible pixels or dots; and
              (11) applicant’s signature.
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B.        Each applicant for licensure as a genetic counselor shall submit the required fees as established in
16.10.9 NMAC.
C.        Verification of licensure in all states or territories where the applicant holds or has held a license to
engage in the practice of genetic counseling, or other health care profession, shall be sent directly to the
board by the other state board(s), and shall include a raised seal, attest to the current status, issue date,
license number, and other information requested and contained on the form.
D.        Proof of certification from the ABGC, ABMG or as approved by the board, shall be sent directly to
the board by the certifying entity. The board may accept hard copy by United States postal service,
facsimile or electronic mail.
E.        Verification of all work experience in the last five (5) years since graduation, if applicable, provided
directly to the board from the employer, by letter or on forms provided by the board.
F.        Proof of graduation from a genetic counseling educational program, evidenced by:
              (1) a master’s degree from a genetic counseling training program prior to 1997; or
               (2) a master’s degree from a genetic counseling training program that is accredited by the
               ABGC, or an equivalent program as approved by the board; or
               (3) a doctoral degree from a medical genetics training program that is accredited by the
               ABMG, or an equivalent program as determined by the board.
               (4) Proof of graduation means official transcripts from a college or university. The applicant
               shall make arrangements for official transcripts to be sent directly to the board by the
               educational institution. If official transcripts are not available due to school closure, destroyed
               records, etc., the applicant shall provide satisfactory evidence to the board that the required
               genetic counseling educational program has been met for consideration on a case-by-case
               basis.




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                             Continuing Education/Competency
Oklahoma:
310:406-17-2. Number of hours required
LGCs shall complete and furnish documentation to the Department of thirty (30) clock hours of continuing
education in each preceding two-year licensing cycle.

310:406-17-3. Acceptable continuing education Continuing education must be ABGC approved for at least
10 of the continuing education hours. The remaining twenty hours of continuing education may consist of
medical continuing education in the LGC's area of employment.

310:406-17-4. Submission of continuing education roster LGCs shall submit a continuing education roster,
along with individual verification of attendance documents with the license renewal fee. Rosters must
include the identity and license number of the LGC receiving continuing education, the date name, and
location of the conference, the number of hours awarded, and the entity or organization sponsoring the
conference. Only continuing education accrued in the preceding license renewal period can be used to
satisfy the continuing education requirement for renewal.

Massachusetts:
Continuing Education Unit (CEU) means the credit awarded for attendance at Board-approved
post-licensure educational programs and activities relevant to practice as a licensed genetic
counselor. The Board accepts the following equivalencies: one contact hour = 0.1 CEU; ten
contact hours = one CEU.

3.08: Continuing Education Requirements for Renewal of a Full License
(1) Each applicant for renewal of a full license shall complete all required continuing education in Board-
approved education programs or activities as a prerequisite to such renewal. Continuing education
programs and activities approved by a certifying agency shall be deemed Board-approved continuing
education programs and activities.
(2) Each applicant for renewal of a full license shall have completed a minimum of 50 contact hours of
Board-approved continuing education during each preceding two-year license renewal period commencing
on February 1st of each odd-numbered year and ending on January 31st of the next odd-numbered year as
a prerequisite to license renewal.
(3) Each applicant for renewal of a full license shall submit to the Board with an application for full license
renewal a statement, signed under the penalties of perjury, that the applicant has satisfactorily completed
all of the continuing education required for license renewal.
(4) Continuing education contact hours may not be carried over from one license renewal period to another.
(5) A genetic counselor issued a full license in the second year of the two-year license renewal period shall
complete a minimum of 25 contact hours of Board-approved continuing education as a prerequisite to
license renewal.
(6) A licensed genetic counselor seeking full license renewal in Massachusetts, but residing and engaged
in the practice of genetic counseling in another state or jurisdiction, shall comply with the continuing
education requirements set forth in 270 CMR 3.08.
(7) Notwithstanding any other provision of 270 CMR 3.08, an applicant for renewal of a full license who has
failed to complete the number of continuing education contact hours required for license renewal pursuant
to 270 CMR 3.08 due to extenuating circumstances shall submit to the Board before license expiration a
written statement on forms provided by the Board, signed under the penalties of perjury, describing with
detail and specificity such extenuating circumstances. The Board may require the license renewal applicant
to provide supporting documentation satisfactory to the Board. The Board shall determine whether to grant
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or deny license renewal and shall notify the applicant in writing of its decision and the basis for such
decision.
(8) Each licensed genetic counselor to whom certificates of completion of continuing education contact
hours have been issued shall retain such certificates for the two completed full license renewal periods
immediately preceding the current license renewal period.
(9) A certificate of completion of continuing education contact hours acceptable to the Board at a minimum
shall contain:
         (a) the name and address of the continuing education provider;
         (b) the name of the participant;
         (c) the title of the continuing education program or activity;
         (d) the location of the program or activity;
         (e) the date of completion of the program or activity; and
         (f) the number of contact hours of continuing education earned.
(10) Certificates of completion of continuing education contact hours are subject to Board review and shall
be timely made available to the Board upon request. Failure or refusal to timely provide proof of completion
of required continuing education contact hours upon the Board's request shall constitute grounds for
disciplinary action by the Board. In the absence of documentation satisfactory to the Board of completion of
the continuing education required for full license renewal, the Board shall presume that the license renewal
applicant did not complete such continuing education. Knowingly submitting false information, or knowingly
misrepresenting a material fact, to the Board in connection with license renewal shall constitute grounds for
disciplinary action by the Board.

Tennessee:
0880-13-.12 CONTINUING EDUCATION. All persons licensed as a genetic counselor must comply with the
following continuing education rules as a prerequisite to licensure renewal.
(1) Continuing Education - Hours Required
         (a) All licensed genetic counselors must successfully complete five (5) CEUs (category 1 or 2) or
         fifty (50) contact hours approved for recertification purposes by the ABGC during the two (2)
         calendar years (January 1 - December 31) that precede the licensure renewal year.
         (b) The approved hours of any individual course will not be counted more than once in a two (2)
         calendar year period toward the required hourly total regardless of the number of times the course
         is attended or completed by any individual.
         (c) The Board may waive or otherwise modify the requirements of this rule in cases where there is
         retirement, or an illness, disability or other undue hardship that prevents a licensee from obtaining
         the requisite number of continuing education hours. Requests for waivers or modification must be
         sent in writing to the Board’s administrative office prior to the expiration of the renewal period in
         which the continuing education is due.
(2) Continuing Education - Proof of Compliance
         (a) The due date for completion of the required continuing education is December 31st of the two
         (2) calendar year (January 1 - December 31) period that precedes the licensure renewal year.
         (b) Submission of proof of compliance with continuing education requirements must be sent along
         with the biennial renewal application as provided in Rule 0880-13-.09.
         (c) All genetic counselors must retain independent documentation of completion of all continuing
         education hours. This documentation must be retained for a period of four (4) years from the end of
         the renewal period in which the continuing education was acquired. This documentation must be
         produced for inspection and verification, if requested in writing by the Division during its verification
         process. Documentation verifying the licensed individual's completion of the continuing education
         program(s) may consist of any one or more of the following:
                   1. Certificates from the continuing education program's sponsor, indicating the date, length
                   in minutes awarded, program title, licensed individual's name and license number; or

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                  2. An original letter on official stationery from the continuing education program's sponsor
                  indicating date, length in minutes awarded, program title, licensed individual's name and
                  license number.
         (d) If a person submits documentation for continuing education that is not clearly identifiable as
         appropriate continuing education, the Board will request a written description of the education and
         how it applies to the practice as a genetic counselor.
(3) Violations
         (a) Any genetic counselor who submits false documentation of compliance with continuing
         education requirements or who falsely attests to completion of the required hours of continuing
         education may be subject to disciplinary action pursuant to Rule 0880-13-.15.
         (b) Any genetic counselor who fails to obtain the required continuing education hours may be
         subject to disciplinary action pursuant to Rule 0880-13-.15 and may not be allowed to renew
         licensure.
         (c) Education hours obtained as a result of compliance with the terms of Board orders in any
         disciplinary action shall not be credited toward the continuing education hours required to be
         obtained in any calendar year.

Illinois:
Section 1251.100 Continuing Education
a) Continuing Education Hour Requirements
           1) Every renewal applicant shall complete 30 contact hours of continuing education (CE) relevant
             to the practice of genetic counseling during the prerenewal period. A prerenewal period is the 24
             months preceding January 31 of each odd-numbered year.
           2) A renewal applicant is not required to comply with CE requirements for the first renewal
             following the original issuance of the license.
           3) Genetic Counselors licensed in Illinois but residing and practicing in other states must comply
             with the CE requirements set forth in this Section.
b) Approved Continuing Education
          1) All continuing education hours must be earned by verified attendance at, or participation in, a
            program that is offered by an approved continuing education sponsor who meets the
            requirements set forth in subsection (c) of this Section.
           2) Continuing education credit hours used to satisfy the CE requirements of another state may be
            submitted for approval for fulfillment of CE requirements of the State of Illinois.
           3) Credit shall not be given for courses taken in Illinois from unapproved sponsors.
c) Approved continuing education sponsors and programs, as used in this Section, shall mean:
          1) The American Counseling Association;
          2) The American Board of Genetic Counselors;
          3) The American Board of Medical Genetics; or Any other entity approved by the Division.

Section 1251.110 Granting Variances
 The Director may grant variances from this Part in individual cases when he or she finds that:
a) The provision from which the variance is granted is not statutorily mandated;
b) No party will be injured by the granting of the variance; and
c) The rule from which the variance is granted would, in the particular case, be unreasonable or
unnecessarily burdensome.

Utah:
"Qualified continuing education", as used in [these rules]this rule, means continuing education that
meets the standards set forth in Section R156-75-304.


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R156-75-304. Continuing Education.
(1) In accordance with Subsections 58-1-203[(7)](1)(g), 58-1-308(3)(b) and Section 58-75-303, there is
created a continuing education requirement as a condition for renewal or reinstatement of licenses issued
under Title 58, Chapter 75.
(2) Continuing education shall consist of [30]50 hours ([3]5 CEU's) in each preceding two year licensing
cycle and must be approved for recertification purposes by the [American Board
of Genetic Counseling]ABGC.
(3) A licensee shall be responsible for maintaining competent records of completed qualified professional
education for a period of four years after close of the two year period to which the records pertain. It is the
responsibility of the licensee to maintain such information with respect to qualified professional education to
demonstrate it meets the requirements under this section.
(4) A licensee who documents [he is subjected to ]circumstances which prevent [that]the licensee from
meeting the continuing professional education requirements established under this section may apply to be
excused from the requirement for a period of up to two years. It is the responsibility of the licensee to
document the reasons and justify why the requirement could not be met.

New Mexico:
(3) proof of forty (40) NSGC or ABGC approved continuing education contact hours during each biennial
renewal cycle.

Washington Orthotics & Prosthetics Program
WAC 246- 850-150 Classification of categories of continuing competency

Continuing competency activities are distinguished between activities which are sponsored by those organizations
listed in subsection (1) of this section and those which are generally independent and/or unsupervised listed in
subsection (2) of this section.
    (1) Category 1. Courses offered or approved by the following organizations are presumed to qualify as Category 1
continuing competency activities. Category 1 activities receive one continuing competency credit hour for every fifty
minutes spent in a course or other activity. Licensees must maintain documentation of attendance at courses.
Acceptable documentation includes certificates or receipts with an authorized signature, stamp or seal.
    (a) American Board for Certification in Orthotics and Prosthetics, Inc.
    (b) Board for Orthotist/Prosthetist Certification.
    (c) American Academy of Orthotists and Prosthetists.
    (d) American Orthotic and Prosthetic Association.
    (e) International Association of Orthotics and Prosthetics.
    (f) International Society of Prosthetics and Orthotics.
    (g) Association of American Children's Orthotics and Prosthetics Clinics.
    (h) Canadian Orthotic and Prosthetic Association.
    (i) Any school or college of orthotics or prosthetics whose standards are deemed sufficient by the secretary under
RCW 18.200.050(5).
    (j) Relevant school or college courses from an institution accredited by a recognized regional accrediting body.
    (k) Relevant courses or seminars offered by organizations or associations such as the American Society of
Orthopedic Surgeons, the American Academy of Physical Medicine and Rehabilitation, the American College of
Sports Medicine, the American Medical Association, the American Occupational Therapy Association, the American
Physical Therapy Association, the American Osteopathic Association, and the American Podiatric Medical
Association.
    (l) Manufacturer courses approved/sponsored by organizations listed in subsections (1)(a) through (k) of this
section.
    (2) Category 2. Category 2 continuing competency activities are primarily independent and/or unsupervised and
consistent with the goals specified in the individual licensee's professional enhancement plan. Licensees must
maintain documentation of completion of Category 2 activities. The following activities, and designated continuing
competency credit hours, are considered Category 2 continuing competency:
    (a) Relevant allied health seminars not identified as Category 1 activities. A credit hour is fifty minutes spent in a
                                                           13
course or other activity. A maximum of five continuing competency credit hours may be earned in this activity in any
three-year reporting period. Acceptable documentation includes certificates or receipts with an authorized signature,
stamp or seal.
    (b) Practice management. For the purpose of this section, practice management includes only those activities
which are directly related to patient care. A credit hour is fifty minutes spent in this activity. A maximum of three
continuing competency credit hours may be earned in this activity in any three-year reporting period. Acceptable
documentation includes verification of completion of a course or seminar, or a written certification by the licensee
describing the activity, the total time required to complete the activity and the date completed.
    (c) Journal reading, including electronic publications that are consistent with the goals specified in the individual
licensee's professional enhancement plan.
    (i) Scientific journals with required examination: Each examination qualifies for two continuing competency credit
hours. A maximum of six continuing competency credit hours may be earned in this activity in any three-year
reporting period. Acceptable documentation is a certificate issued by the sponsoring organization or author showing
successful completion of the examination.
    (ii) Scientific journals not requiring an examination: Each report qualifies for one continuing competency credit
hour. A maximum of three continuing competency credit hours may be earned in this activity in any three-year
reporting period. Acceptable documentation for each article is a written report identifying the publication source,
author, publication date, and a summary of at least five points from the article.

    (iii) Business journals: Each report qualifies for one continuing competency credit hour. A maximum of three
continuing competency credit hours may be earned in this activity in any three-year reporting period. Acceptable
documentation for each article, is a written report identifying the publication source, author, publication date, and a
summary of at least five points from the article.
    (d) Instruction video, videodisc or internet courses: A credit hour is fifty minutes spent in this activity. A maximum
of three continuing competency credit hours may be earned in this activity in any three-year reporting period.
Acceptable documentation is a written report identifying the source of the instruction, the release date, and
summarizing at least five points presented in the instruction.
    (e) Manufacturer courses sponsored by organizations not identified as Category 1 activities: A credit hour is fifty
minutes spent in this activity. A maximum of three continuing competency credit hours may be earned in this activity
in any three-year reporting period. Acceptable documentation includes certificates or receipts with an authorized
signature, stamp or seal.
    (f) Participating in peer review: For the purpose of this section, peer review means either serving on a formal peer
review panel, committee or individual review of a sole provider, where the purpose of the review is to determine
whether appropriate treatment was rendered, or whether the services rendered were within accepted standards.
Each occurrence qualifies for three credit hours. A maximum of nine continuing competency credit hours may be
earned in this activity in any three-year reporting period. Acceptable documentation is a certification signed by the
facilitator of the peer review providing the date and the total time spent in the peer review process.
    (g) Mentoring:
    (i) Student mentoring. Each four-hour period spent in this activity qualifies for one credit hour. A maximum of three
continuing competency credit hours may be earned in this activity in any three-year reporting period. Acceptable
documentation is a copy of the mentoring contract or agreement and a certification from the student substantiating
the date(s) engaged in mentoring and the total mentoring time.
    (ii) Peer mentoring. Each four-hour period spent in this activity qualifies for one credit hour. A maximum of three
continuing competency credit hours may be earned in this activity in any three-year reporting period. Acceptable
documentation is a certification summarizing the subject of the mentoring, the date, and total mentoring time and
signed by the licensee and at least one other practitioner participating in the mentoring activity.
    (h) Documented group study: A credit hour is fifty minutes spent in this activity. A maximum of six continuing
competency credit hours may be earned in this activity in any three-year reporting period. Acceptable documentation
is a summary of the group study topics, the date, and total group study time, signed by the facilitator or other
authorized personnel.
    (i) Grand rounds: Each report qualifies for one credit hour. A maximum of three continuing competency credit
hours may be earned in this activity in any three-year reporting period. Acceptable documentation is a report
summarizing the cases presented, the location, date, and total time spent in the grand rounds activity and signed by
the facilitator or other authorized personnel.
    (j) Presentation or lecture to professional group: Each presentation or lecture qualifies for two credit hours. A
                                                           14
maximum of six continuing competency credit hours may be earned in this activity in any three-year reporting period.
Credit for subsequent presentations will only be considered if the licensee can demonstrate that substantial additional
preparation was required. Acceptable documentation is a course outline and a certification from the licensee
providing the location, date and total presentation time.
   (k) Other activities that enhance or expand the practice may be submitted to the secretary for consideration.

                                  CONTINUING COMPETENCY REQUIREMENTS

        Beginning January 1, 2004, all orthotists and prosthetists shall report continuing competency activities every
         three years. Example: If your birthday is on January 1, 2004, you will have three years to accumulate the
         required number of hours. You will continue to accumulate and report continuing competency hours every
         three years thereafter.
        Each licensed orthotist and prosthetist shall complete a professional enhancement plan describing the goals
         the licensee will develop to maintain proficiency in their practice. A professional enhancement plan must be
         completed in the first year of each three-year reporting period. The plan may focus on one specific area of
         practice or broader areas as determined by the individual’s goals. You need not submit the Plan to the
         Department. The Plan should be kept on file in your office to monitor your progress and to rate the activities.
         You will need to submit the plan if audited.
        Continuing Competency activities are broken down into two categories:
              o Category One activities are structured activities that are sponsored by nationally or regionally
                   recognized organizations listed in WAC 246-850-150.
              o Category Two activities are those, which are generally independent and/or unsupervised listed in
                   subsection (2) of WAC 246-850-150.
        The rules require that all licensees obtain continuing competency hours as follows:
              o Licensed orthotists must accumulate a minimum of 45 hours of continuing competency (CC) hours
                   every three years in the area of orthotics.
              o Licensed prosthetists must accumulate a minimum of 45 hours of CC hours every three years in
                   the area of prosthetics.
              o Individuals who are licensed in both disciplines must accumulate a minimum of 60 CC hours every
                   3 years.
              o For individuals licensed in one discipline, a maximum of eighteen Category 2 CC hours may be
                   earned in any three-year reporting period.
              o For individuals licensed in both disciplines, a maximum of twenty-four Category 2 continuing
                   competency hours may be earned in any three-year reporting period.
        Your annual renewal form will indicate when continuing competency hours are due.




                                                          15
                                              Supervision
Oklahoma:
310:406-13-1. Purpose
This Subchapter establishes the supervision requirements for individuals practicing under the authority of a
temporary license.

310:406-13-2. General supervision
All individuals practicing under the authority of a temporary license shall receive general supervision as
required by the Act. Supervision shall at a minimum include a review of applicable genetic counseling
services provided by the supervisee that have not been previously reviewed.

310:406-13-3. Frequency of supervision contact
Supervision contact shall occur at least every two weeks provided patient contacts have taken place in
person, in writing or electronically.

310:406-13-4. Supervisor qualification
Any person serving as a supervisor to a person holding a temporary license must be a licensed genetic
counselor or a licensed physician.

310:406-13-5. Documentation of supervision
(a) A supervision agreement form between the supervisor and supervisee shall be received and approved
by the Department prior to beginning the accrual of supervision.
(b) A supervision agreement form between the supervisor and supervisee shall be submitted annually.
(c) The supervisor and supervisee shall sign and submit a documentation of supervision form annually.
(d) The supervision agreement may be renewed annually by the Department with the submission of a new
supervision agreement and the documentation of supervision provided in the previous year.

Tennessee
Supervision – The ongoing, direct clinical review, for the purposes of training or teaching, by an approved
supervisor who monitors the performance or a person’s supervised interaction with a client and provides
regular documented face-to-face consultation, guidance, and instructions with respect to the clinical skills
and competencies of the person supervised. Supervision may include, without being limited to, the review
of case presentations, audio tapes, video tapes, and direct observation.

Massachusetts
General Supervision means the supervision provided by a fully licensed genetic counselor, or a
licensed physician with current ABMG certification in clinical genetics, who has the overall
responsibility to assess the work of the supervisee, whether a provisional or full licensee.
General supervision shall not require the physical presence of the provisional or full licensee's
supervisor where such licensee provides genetic counseling services; however, the supervisor
shall be readily accessible for consultation and assistance whenever such licensee provides such
services.

Supervisor means a Massachusetts fully licensed genetic counselor, or a Massachusetts licensed
physician with current ABMG certification in clinical genetics, who has the overall
responsibility to assess the work of the supervisee, whether a provisional or full licensee. The
supervisor of a provisional or full licensee shall not be required to be physically present where
such licensee provides genetic counseling services; however, the supervisor shall be readily
accessible for consultation and assistance whenever such licensee provides such services.
                                                     16
Illinois
"Qualified Supervisor" means a physician licensed to practice medicine in all its branches or a licensed
genetic counselor.

Indiana:
IC 25-17.5-2-6
  "Genetic supervision" refers to the assessment by:
    (1) an individual who is licensed under this article; or
    (2) a physician licensed under IC 25-22.5;
of an individual who is issued a temporary genetic counselor license. The term includes regular meetings
and chart review under a genetic supervision contract entered into by both parties.

Utah:
"General supervision", as used in [Section]Subsection R156-75-302b(2), means the supervisor has the
overall responsibility to assess the work of the supervisee including at least twice monthly face to face
meetings with chart review and weekly case review. An annual supervision contract signed by the
supervisor and supervisee must be on file with both parties.

New Mexico:
J.      “Effective supervision” means the oversight, control, and direction of services rendered by a
genetic counselor practicing on a temporary license. Supervision shall be provided by a licensed genetic
counselor or physician. Elements of effective supervision include:
            (1) on-going availability of direct communication, either face-to-face or by electronic means;
            (2) active, ongoing review of the genetic counselor’s services, as appropriate, for qualify
            assurance and professional support;
             (3) delineation of a predetermined plan for emergency situations, including unplanned
            absence of the primary supervising genetic counselor or physician; and
            (4) identification and registration of an alternate supervising genetic counselor or physician,
            as appropriate to the practice setting.




                                                    17
                                 Temporary/Provisional License
Oklahoma:
310:406-19-6. Temporary licensure
(a) Requirements. An applicant for temporary licensure must meet the following requirements:
          (1) Satisfy all of the qualifications for licensure established in the Genetic Counseling Licensure Act
          with the exception of certification by the ABGC, and have active candidate status conferred by the
          ABGC;
          (2) Obtain a supervisor who is a licensed genetic counselor, or a physician licensed to practice in
          Oklahoma, with current ABMG certification in clinical genetics.
(b) Examination. A person granted a temporary license shall apply for and take the next examination that
is available to the person as determined by ABGC. If an applicant fails the first sitting of the ABGC
certification examination, the applicant may reapply for a second temporary license. A temporary license
shall not be issued to an applicant who has failed the ABCG certification examination more than once.
(c) Expiration. A temporary license shall expire upon the earliest of the following:
          (1) Issuance of full licensure;
          (2) Thirty (30) days after failing the certification examination; or,
          (3) The date printed on the temporary license.

Tennessee:
(2) Temporary License – A temporary license to practice genetic counseling may be issued to an applicant
who meets all of the requirements for licensure in Rule 0880-13-.04 except the examination requirement of
Rule 0880-13-.04 (2), and has complied with all subparagraphs contained in paragraph (1) of this rule
except subparagraph (e).
        (a) Temporary license applicants must have active candidate status conferred by the ABGC and
        take the next available certification examination.
        (b) A temporary license will not be issued if the applicant has failed the ABGC certification
        examination more than twice.
        (c) Temporary licensees must practice under the general supervision of a licensed genetic
        counselor or a licensed physician with current ABMG certification in clinical genetics.
        (d) A temporary license shall expire upon the earliest of one (1) of the following:
                1. issuance of full licensure;
                2. ninety (90) days after notification of failing the certification exam without obtaining
                current active candidate status; or
                3. the date printed on the temporary license.

Massachusetts:
Provisional License means a license or other document issued by the Board authorizing its
holder to engage in supervised practice as a provisional licensee.
Provisionally Licensed Genetic Counselor or Provisional Licensee means a person licensed by
the Board to engage in supervised practice as a provisionally licensed genetic counselor pursuant
to M.G.L. c. 13, § 100, having met and maintained the qualifications for provisional licensure
under M.G.L. c. 112, §§ 228, 229, and 230.

3.02: Provisional Licensure as a Genetic Counselor
(1) A provisional license to practice as a genetic counselor issued by the Board authorizes its holder to
engage in supervised practice as a provisionally licensed genetic counselor pending the provisional
licensee's notification in writing of a passing score on a certification examination for genetic counselors by
the American Board of Genetic Counseling (ABGC), the American Board of Medical Genetics (ABMG), or
                                                       18
other certifying agency that meets the standards established by the ABGC or the ABMG. An applicant for
provisional licensure shall not practice as a genetic counselor until notified in writing by the Board that his
or her application for such licensure has been approved. A provisional licensee shall apply to the Board for
a full license as a genetic counselor within 60 days of receiving written notification from the certifying
agency of a passing score on a certification examination pursuant to 270 CMR 3.05.
(2) An applicant for provisional licensure as a genetic counselor shall file with the Board a completed and
signed application for a provisional license and shall include with such application documentation
satisfactory to the Board that the applicant:
           (a) is at least 18 years of age;
           (b) is of good moral character;
           (c) holds one of the following:
                     1. a master's degree from a genetic counseling training program approved by the Board,
                     provided that such program meets the educational standards established by the American
                     Board of Genetic Counseling (ABGC); or
                     2. a master's degree from a genetic counseling training program accredited by the ABGC
                     or an equivalent program as determined by the ABGC; or
                     3. a doctorate from a medical genetics training program accredited by the American Board
                     of Medical Genetics (ABMG) or an equivalent program as determined by the ABMG; and
           (d) has been authorized to take a certification examination by a certifying agency;
           (e) has provided the name, business address and telephone number, license number, genetic
           counselor certification number, and signature of the fully licensed genetic counselor, or licensed
           physician with current ABMG certification in clinical genetics, who has agreed to serve as the
           license applicant's supervisor pursuant to 270 CMR 3.03;
           (f) has paid all applicable fees established by the Executive Office for Administration and Finance
           pursuant to M.G.L. c. 7, § 3B; and
           (g) in addition to the professional experience required for certification as a genetic counselor by a
           certifying agency, has completed all professional experience or other requirements, or both, as
           may be established by the Board.
 (3) An application for a provisional license initiated by the Board's receipt of a completed and signed
application form and all applicable fees shall be considered valid for one year from the date of its initiation.
If the application for a provisional license is not completed by the applicant and received by the Board
within one year from the date of its initiation, such application shall no longer be valid. Any applicant whose
application for a provisional license is no longer valid may submit to the Board a new application for a
provisional license and all applicable fees pursuant to 270 CMR 3.02 and 3.07.
(4) An application for a provisional license as a genetic counselor once initiated may not be withdrawn.
(5) The Board may issue an applicant a provisional license to engage in supervised practice as a genetic
counselor if such issuance would be in the best interest of the public health, safety, and welfare.

3.03: General Supervision of a Provisionally Licensed Genetic Counselor
(1) A provisionally licensed genetic counselor shall practice as a genetic counselor only under the general
supervision and direction of a fully licensed genetic counselor, or licensed physician with current ABMG
certification in clinical genetics, at all times during which the provisional licensee performs clinical genetic
counseling services. The supervisor's full genetic counselor license and ABGC certification, or physician
license and ABMG certification, shall be current and in good standing at all times during the supervisory
relationship.
(2) A provisionally licensed genetic counselor shall notify the Board in writing of any change(s) relating to
his or her supervisor within 15 days of any such change(s). In the event of a change of supervisor, a
provisional licensee shall not practice as a genetic counselor at any time between the cessation of one
supervisory relationship and the Board's receipt and approval of documentation complying with 270 CMR
3.02(2)(e) with respect to the provisional licensee's succeeding supervisor.

                                                       19
(3) The supervisor of a provisionally licensed genetic counselor shall be responsible for providing general
supervision and direction to the provisional licensee, which supervision shall be of a level sufficient to
ensure that the provisional licensee performs all genetic counseling services in accordance with generally
accepted standards of professional practice. In accordance with Guidelines for the General Supervision of
Provisional Licensees adopted by, and available from, the Board, general supervision and direction of a
provisional licensee shall include, but is not limited to:
        (a) assessing and documenting the professional competence, skill, and experience of the
        provisional licensee;
        (b) determining the nature and level of supervision required by the provisional licensee;
        (c) before beginning the accrual of supervision, developing an annual supervision contract signed
        and dated by the supervisor and the provisional licensee that shall be on file with both parties and
        made available to the Board in a timely manner upon request;
        (d) convening regular meetings to review the provisional licensee's clinical services and
        administrative practices; and
        (e) conducting regular chart or case reviews with the provisional licensee.
(4) The supervisor of a provisionally licensed genetic counselor shall keep a complete and accurate written
record of the general supervision and direction provided each provisional licensee, which record shall be
retained by the supervisor for three years from the date such supervision ends and shall be made available
to the Board by the supervisor in a timely manner upon request.
(5) The supervisor of a provisionally licensed genetic counselor shall not be required to be physically
present where the provisional licensee provides clinical genetic counseling services; however, the
supervisor shall be readily accessible for consultation and assistance whenever the provisional licensee
provides such services.
(6) The supervisor of a provisionally licensed genetic counselor shall verify with the Board such licensee's
licensure by the Board and license status before beginning and throughout the supervisory relationship,
and shall retain a copy of the provisional license issued to the provisional licensee by the Board.
Documentation of the provisional licensee's licensure shall be made available to the Board by the
supervisor in a timely manner upon request.

3.04: Validity of a Provisional License
(1) A provisional license to practice as a genetic counselor duly issued by the Board authorizing its holder
to engage in supervised practice as a genetic counselor shall be valid for up to 36 months from its date of
issuance and shall no longer be valid upon the earliest of the following:
         (a) 60 days after the date a provisional licensee receives written notification from a certifying
         agency of a passing score on a certification examination unless the Board has received from such
         provisional licensee within 60 days of such notification a completed and signed application for a full
         license as a genetic counselor and all applicable fees pursuant to 270 CMR 3.05;
         (b) the date the Board issues, or denies, a full genetic counselor license to a provisional licensee in
         connection with such licensee's application for a full license as a genetic counselor submitted to the
         Board pursuant to 270 CMR 3.05;
         (c) the expiration date printed on the provisional license issued by the Board;
         (d) the date the provisional licensee receives written notification of a failing score from a certifying
         agency after taking a certification examination for a second time, whereupon such licensee shall
         immediately cease all practice as a provisional licensee until duly licensed as a full licensee
         pursuant to 270 CMR 3.05;
         (e) the date the provisional license is suspended or surrendered by formal written agreement with
         the Board, suspended pending a hearing pursuant to 270 CMR 4.04, suspended or revoked by
         final decision and order pursuant to 270 CMR 4.00, or suspended or revoked as otherwise
         provided by law.


                                                       20
(2) A provisional licensee who receives written notification of a failing score from a certifying agency after
taking a certification examination for the first time may continue supervised practice under his or her
provisional license provided such provisional licensee has been authorized by the certifying agency to take
the next available certification examination.
(3) Notwithstanding any other provision of 270 CMR 3.04, whenever a provisional license to practice as a
genetic counselor issued by the Board is no longer valid by operation of 270 CMR 3.04(1)(a) or (c) while its
holder was actively serving in the armed forces of the United States and such holder has applied to the
Board for an extension of the validity of such license within the six months immediately following the date of
release from said service, the Board, in accordance with the provisions of St. 1954, c. 627, § 51, and St.
1991, c. 110, § 4 shall extend the validity of the applicant's provisional license to allow such applicant an
opportunity to resume compliance with the requirements of 270 CMR 3.00 upon the Board's receipt of
documentation satisfactory to the Board of the applicant's release from said service; provided, however,
that the applicant shall be of good moral character and extension of the validity of the applicant's
provisional license would be in the best interest of the public. An applicant for an extension of the validity of
a provisional license pursuant to 270 CMR 3.04(3) may practice on an expired license for up to three
months from the date of such applicant's release from service in the armed forces.

Illinois:
Section 1251.40 Temporary License
a) An applicant for a temporary license shall file an application on forms supplied by the Division, together
with:
          1) One of the following:
                  A) Verification that the applicant has successfully completed a Master's degree in genetic
                      counseling from an American Board of Genetic Counseling (ABGC) or an American
                      Board of Medical Genetics (ABMG) accredited training program or an equivalent
                      program approved by the ABGC or the ABMG;

                   B) Verification that he or she is a physician licensed to practice medicine in all of its
                       branches; or
                   C) Verification of a doctoral degree and successful completion of an ABMG accredited
                       medical genetics training program or an equivalent program approved by the ABMG;
          2) Verification of admission to the certifying examination administered by the ABGC or ABMG; and
         3) The required fee set forth in Section 1251.70.
b) The holder of a temporary license shall practice only under the supervision of a qualified supervisor.
(Section 60 of the Act)
c) A temporary license shall expire 24 months from the date of issuance. A temporary license may only be
  renewed if the certifying examination administered by ABGC or ABMG is not given during that 24 month
  period. A temporary license shall automatically expire upon issuance of the Illinois license or upon
  notification that the applicant failed the exam.
d) In the event the individual fails to take the next available examination or fails to successfully complete
  the next available examination for licensure set forth in Section 1251.30 of this Part, the temporary
  license shall be void and the individual must cease practicing; failure to do so shall be considered
  unlicensed practice and will subject the individual to discipline in accordance with Section 25 of the Act.

Utah:
R156-75-302b. Qualifications for Licensure - Temporary License.
In accordance with Subsection 58-75-302(2), the requirements for temporary licensure are established as
follows:



                                                       21
(1) An applicant shall meet all the qualifications for licensure as established in Subsection 58-75-302(1)
with the exception of Subsection 58-75-302(1)(e), and have active candidate status conferred by the
[American Board of Genetic Counseling]ABGC.
(2) An individual practicing under the authority of a temporary license must practice under the general
supervision of a licensed genetic counselor or a licensed physician certified in clinical genetics by the
American Board of Medical Genetics.
(3) [A]Before May 1, 2010, a temporary license may be issued for a period of up to 42 months. In
accordance with Subsection 58-1-303(1)(a), the applicant must take the next available examination. If
[an]the applicant fails the first sitting of the [American Board of Genetic Counseling]ABGC
certification exam, [he]the applicant may reapply for a second temporary license.
(4) Beginning May 1, 2010, a temporary license may be issued for a period of up to 15 months. In
accordance with Subsection 58-1-303(1)(a), the applicant must take the next available examination. If the
applicant fails the first sitting of the ABGC certification exam, the applicant may reapply for a
second temporary license.
([4]5) A temporary license will not be issued if the applicant has failed the [American Board of Genetic
Counseling]ABGC certification examination more than once.
([5]6) A temporary license shall expire upon the earliest of one of the following:
          (a) issuance of full licensure;
          (b) 30 days after failing the certification exam; or
          (c) the date printed on the temporary license.

New Mexico:
16.10.21.9         TEMPORARY INTERIM LICENSE:
A.        The board may issue a temporary license to an applicant who has met all licensure requirements
except the certification requirement and has active candidate status conferred by ABGC.
B.        The temporary license is valid until the results of the next scheduled ABGC certification
examination are available and a license is issued or denied.
C.        The temporary license automatically expires three months after the month the ABGC certification
examination is offered.
D.        A temporary license may be renewed as long as the applicant maintains active candidate status.
Individuals with active candidate status must sit for the examination within the first two consecutive exam
cycles for which they are eligible following graduation. Individuals who fail to do this will need to apply
again as new applicants.
E.        The temporary license may be renewed upon a first failure of the certification examination. The
temporary license may be renewed a maximum of two consecutive times within a five-year period following
the first temporary licensure and upon payment of the temporary license renewal fee as established in
16.10.9 NMAC.
F.        The temporary licensee may not practice genetic counseling until the temporary license is received
and is on file at the principal place of practice.
G.        The holder of a temporary license shall work under the effective supervision of a New Mexico
licensed genetic counselor or physician. The temporary licensee is responsible to provide the board the
following documentation, at the time of application, on forms provided by the board:
              (1) name of the supervising genetic counselor or physician;
              (2) specific program or protocol of work planned;
               (3) address of the sponsoring institution or organization where the work will be performed;
              and
               (4) an affidavit from the supervising genetic counselor or physician attesting to the
              qualifications of the temporary licensee and the purpose of the functions the temporary
              licensee will perform.


                                                    22
16.10.21.10        TEMPORARY TEACHING OR ASSISTING LICENSE: A one-year temporary license may
be issued to a person providing the following services.
A.       The genetic counselor is in New Mexico temporarily to assist a New Mexico resident licensed to
practice genetic counseling or to teach. The genetic counselor has met the requirements for New Mexico
licensure, or is licensed in another U.S. jurisdiction or country where the requirements were equal to or
greater than the requirements for licensure in New Mexico at the time the license was obtained in the other
U.S. jurisdiction or country; if the genetic counselor is from a U.S. jurisdiction or country that does not have
licensure for genetic counselors, the genetic counselor would need to meet the requirements for a New
Mexico license as established in Section 8 of this part.
B.       The holder of a temporary license shall work under the effective supervision of a New Mexico
licensed genetic counselor or physician.
C.       The temporary licensee is responsible to provide the board the following documentation, at the
time of application, on forms provided by the board:
              (1) completed temporary license application;
              (2) temporary teaching or assisting license fee as established in 16.10.9 NMAC;
              (3) written justification for a temporary license;
              (4) verification of licensure, if licensed, in another U.S. jurisdiction, as established in
              Subsection 8 of this part;
              (5) name of the supervising genetic counselor or physician;
              (6) specific program or protocol of work planned;
              (7) address of the sponsoring institution or organization where the work will be performed;
              and
              (8) an affidavit from the supervising genetic counselor or physician attesting to the
              qualifications of the temporary licensee and the purpose of the functions the temporary
              licensee will perform

                                            Temporary/Provisional License
                 Candidate                  Supervision                           Fee                                 Duration
                Status Req.
New Mexico*         Yes           Licensed Genetic Counselor or            $150 original; $50   3 months after next ABGC exam.
                                  Licensed Physician w/notice to               renewal
                                            program                        Renew two times
                                                                            within 5 years.
Massachusetts      Yes            Licensed Genetic Counselor or                  $300           Up to 36 months
****                           Licensed Physician certified in clinical
                              genetics by MBGC w/notice on file with
                                            program
Tennessee*         Yes            Licensed Genetic Counselor or                   $50           A temporary license shall expire
                               Licensed Physician certified in clinical                         1. issuance of full licensure;
                              genetics by MBGC w/notice on file with                            2. ninety (90) days after notification of failing
                                            program                                             the certification exam without
                                                                                                obtaining current active candidate status; or
                                                                                                3. the date printed on the temporary license.
Utah***            Yes        Licensed Genetic Counselor or                       $50           Up to 42 months – in May 2010 – up to 15
                              Licensed Physician certified in clinical                          months
                              genetics by MBGC
Oklahoma*          Yes        Licensed Genetic Counselor or                      $300           A temporary license shall expire
                              Licensed Physician certified in clinical     Temp license shall   1. issuance of full licensure;
                              genetics by MBGC                              not be issued to    2. thirty (30) days after notification of failing the
                                                                           someone who fails    certification exam without
                                                                          the exam more than    obtaining current active candidate status; or
                                                                                 once.          3. the date printed on the temporary license.

Illinois**         Yes        Licensed Genetic Counselor a                        $50           Up to 24 months – reissued only if exam not
                              Licensed physician licensed to practice                           held during that time.
                              medicine in all its branches.
New Jersey         Yes                                                            $$            Expires with the expiration of board-eligible
(regs)                                                                                          status
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South Dakota        Yes                                                       $$           A temporary license shall expire
(regs)                                                                Temp license shall   1. issuance of full licensure;
                                                                       not be issued to    2. failing the certification exam
                                                                      someone who fails    3. the date printed on the temporary license
                                                                       the exam twice.
Indiana (regs)      Yes       Licensed Genetic Counselor or           Temp license shall   A temporary license shall expire
                              Licensed Physician                       not be issued to    1. issuance of full licensure;
                                                                      someone who fails    2. thirty (30) days after notification of failing the
                                                                     the exam more than    certification exam without
                                                                            once.          obtaining current active candidate status; or
                                                                                           3. the date printed on the temporary license.
*Statute requires Active Candidate Status
** Statute requires evidence of admission to the certifying examination administered by the ABGC or the ABMG or either of its
successor agencies
***Statute requires the applicant to meet the examination requirements as a genetic counselor by the ABGC or the ABMG.
**** Statute grants a provisional license to a person who successfully completes a genetic counseling education program
approved by the board and is qualified to be admitted to the examination. The examination shall meet the standards established
by the ABGC.




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                             License by Endorsement/Reciprocity
Illinois:
Section 1251.50 Endorsement
 a) An applicant for licensure as a genetic counselor who is licensed under the laws of another state shall
file an application with the Division that shall include:
          1) Documentation certifying that the applicant meets the education requirements set forth in
          Section 1251.20;
           2) Certification from the state or territory of original licensure and the state in which the applicant is
          currently licensed and practicing, if other than the original, stating the time the applicant was
          licensed in that state, whether the file on the applicant contains a record of any disciplinary actions
          taken or pending, and the applicant's license number;
          3) Proof of successful completion of the examination; and
          4) The required fee set forth in Section 1251.70.
b) The Division shall examine each endorsement application to determine whether the requirements and
   examination in the jurisdiction at the date of licensing were substantially equivalent to the requirements
   and examination then in force in this State and whether the applicant has otherwise complied with the
   Act.
c) The Division shall either issue a license by endorsement to the applicant or notify the applicant in writing
     of the reasons for the denial of the application.

New Mexico:
16.10.21.11       An applicant for licensure as a genetic counselor who is licensed under the laws of another
U.S. jurisdiction where the requirements were equal to or greater than the requirements for licensure in
New Mexico at the time the license was obtained in the other U.S. jurisdiction, shall file an application as
established in Section 8 of this part. An endorsement applicant may also apply for a temporary license as
established in Section 10 of this part and not be restricted to teaching or assisting.




                                                         25
                                        Reactivate License
Illinois:
Section 1251.80 Restoration
a) A person seeking restoration of a license that has expired for 5 years or less shall have the license
restored upon payment of all lapsed renewal fees and proof of 30 hours of continuing education.
b) A person seeking restoration of a license that has been placed on inactive status for 5 years or less
shall have the license restored upon payment of the current renewal fee and proof of 30 hours of continuing
education.
 c) A person seeking restoration of a license after it has expired or been placed on inactive status for more
than 5 years shall file an application, on forms supplied by the Division, the required fee and proof of 30
hours of continuing education completed within the 24 months preceding the date of application. The
person shall also submit one of the following:
          1) Sworn evidence of active practice in another jurisdiction. The evidence shall include a
          statement from the appropriate board or licensing authority in the other jurisdiction that the
          registrant was authorized to practice during the term of active practice; or
          2) An affidavit attesting to military service as provided in Section 65 of the Act; or
          3) Proof of passage of the certification examination within the 24 months prior to applying for
          restoration.
d) When the accuracy of any submitted documentation or the relevance or sufficiency of the course work or
experience is questioned by the Division because of a lack of information, discrepancies or conflicts in
information given or a need for clarification, the applicant may be required to complete a specific period of
evaluated genetic counseling work experience under the supervision of a qualified supervisor and may be
required to demonstrate completion of continuing education requirements.
 e) Upon the recommendation of the Director, an applicant shall have the license restored or will be notified
in writing of the reason for the denial of the application.




                                                     26
                                            Inactive Status:
Illinois:
Section 1251.90 Inactive Status
a) Licensed genetic counselors who notify the Division, on forms provided by the Division, may place their
licenses on inactive status and shall be excused from paying renewal fees until they notify the Division in
writing of the intention to resume active practice.
b) Any licensed genetic counselor seeking restoration from inactive status shall do so in accordance with
Section 1251.80 of this Part.
c) Any licensed genetic counselor whose license is on inactive status shall not use the title "licensed
genetic counselor" in the State of Illinois. Any person violating this subsection shall be considered to be
practicing without a license and shall be subject to the disciplinary provisions set forth in Section 95 of the
Act.




                                                      27
                                          Licensing Period
Oklahoma ( $300 original; $200 renewal; )
310:406-21-2. Initial licensing period
The renewal date of the original license shall be two (2) years from the last day of the month in which the
license was originally issued.

310:406-21-3. Renewal of license
The initial license will expire in two (2) years from the date of issuance unless renewed. License renewals
shall expire every two years. Prior to submitting a request for license renewal the licensee must complete at
least thirty (30) hours of continuing education.

Illinois: ($150/$75)
Section 1251.60 Renewals
 a) The first renewal date for licensure under the Act shall be January 31, 2009. Thereafter, every license
issued under the Act shall expire on January 31 of odd numbered years. The holder of the license may
renew the license during the month preceding the expiration date by paying the required fee and submitting
proof of 30 hours of continuing education in accordance with Section 1251.100.
b) It is the responsibility of each license holder to notify the Division of any change of address. Failure to
receive a renewal form from the Division shall not constitute an excuse for failure to pay the renewal fee.
c) Practice on an expired license shall be considered the unlicensed practice of genetic counseling and will
     subject the individual to discipline or other penalties set forth in Section 95 of the Act.

Utah:
R156-75-303. Renewal Cycle - Procedures. ( $150/$138)
(1) In accordance with Subsection 58-1-308(1), the date for the two-year renewal cycle applicable to
licensees under Title 58, Chapter 75 is established by rule in Section R156-1-308a(1).
(2) Renewal procedures shall be in accordance with Section R156-1-308c.

New Mexico: ($150/$150 -- $150 original temp/renewal $50)
   G.     Initial license period. The applicant who has met all the requirements for licensure
          shall be issued an initial license for a period of not more than twenty-four months or
          less than thirteen months, depending on when in the renewal cycle the initial license
          is issued, in order to schedule the license to renew on March 1.

Massachusetts: ($300/$300)

Texas: ($50/$50




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                                            Miscellaneous
Oklahoma:
310:406-23-7. Unauthorized practice
Any person found to be practicing genetic counseling without being either properly licensed, exempt or
under approved supervision as part of the licensure process shall be ordered to cease practicing and may
be subject to an administrative penalty. The Department may seek the assistance of the courts if the
unauthorized practice of genetic counseling continues.

Tennessee:
(Rule 0880-13-.05, continued) (3) Grandfathering –
For one (1) year after the original effective date of this chapter of rules, any person who has practiced as a
genetic counselor since 1980 is eligible to receive a license as a genetic counselor upon compliance with
Rule 0880-13-.04 (1), and all subparagraphs contained in paragraph (1) of this rule except subparagraph
(e) and upon further showing satisfactory proof of work history and scope of practice by submitting to the
Board’s administrative office, along with the licensure application:
        (a) written job description(s) or letters from employers which cover the entire work period and
        explain the licensure applicant’s scope of practice; and
        (b) photocopies of paycheck(s), paycheck stub(s), or Internal Revenue Service (IRS) Forms W-2,
        1099-Misc., or Schedules C or C-EZ for IRS Form 1040 to verify proof of income from the practice
        of genetic counseling.




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                                         Collaborative Agreement:
Washington – Pharmacist WAC 246-863-100
(1) A pharmacist planning to exercise prescriptive authority in his or her practice (see RCW 18.64.011(11))
by initiating or modifying drug therapy in accordance with written guidelines or protocols previously
established and approved for his or her practice by a practitioner authorized to prescribe drugs must have
on file at his/her place of practice a properly prepared written guideline or protocol indicating approval has
been granted by a practitioner authorized to prescribe. A copy of the written guideline or protocol must also
be on file with the board of pharmacy.
    (2) For purposes of pharmacist prescriptive authority under RCW 18.64.011(11), a written guideline or
protocol is defined as an agreement in which any practitioner authorized to prescribe legend drugs
delegates to a pharmacist or group of pharmacists authority to conduct specified prescribing functions. Any
modification of the written guideline or protocol shall be treated as a new protocol. It shall include:
    (a) A statement identifying the practitioner authorized to prescribe and the pharmacist(s) who are party
to the agreement. The practitioner authorized to prescribe must be in active practice, and the authority
granted must be within the scope of the practitioners' current practice.
    (b) A time period not to exceed 2 years during which the written guideline or protocol will be in effect.
    (c) A statement of the type of prescriptive authority decisions which the pharmacist(s) is (are) authorized
to make, which includes:
    (i) A statement of the types of diseases, drugs, or drug categories involved, and the type of prescriptive
authority activity (e.g., modification or initiation of drug therapy) authorized in each case.
    (ii) A general statement of the procedures, decision criteria, or plan the pharmacist(s) is (are) to follow
when making therapeutic decisions, particularly when modification or initiation of drug therapy is involved.

WAC 246-817-778 Nondental anesthesia providers.
(1) A licensed dentist, certified registered nurse anesthetist (CRNA) or physician anesthesiologist may
provide anesthesia services in dental offices where dentists do not have an anesthesia permit when the
anesthesia provider ensures that all equipment, facility, monitoring and assistant training requirements as
established within this chapter related to anesthesia have been met. The anesthesia provider is exclusively
responsible for the pre, intra, and post operative anesthetic management of the patient.
    (2) The dentist without a general anesthesia permit must establish a written contract with the anesthesia
provider to guarantee that when anesthesia is provided, all facility, equipment, monitoring and training
requirements, for all personnel, as established by DQAC related to anesthesia, have been met.
    (a) The dentist and the anesthesia provider may agree upon and arrange for the provision of items such
as facility, equipment, monitoring and training requirements to be met by either party, provided the
delineation of such responsibilities is written into the contract.
    (b) Any contract under this section must state that the anesthesia provider must ensure anesthesia
related requirements as set forth in this chapter have been met.

  WAC 246-854-015 Utilization and supervision of an osteopathic physician assistant.
 (1) Unless otherwise stated, for the purposes of this section reference to "osteopathic physician assistant"
means a licensed osteopathic physician assistant or interim permit holder.
 (2) A credentialed osteopathic physician assistant may not practice until the board approves a practice
plan jointly submitted by the osteopathic physician assistant and osteopathic physician or physician group
under whose supervision the osteopathic physician assistant will practice. The osteopathic physician
assistant must submit the fee under WAC 246-853-990(5) with the practice plan.

 WAC 246-918-150 Assistance or consultation with other physicians
(1) Physician sponsor. A physician assistant may assist or consult with a physician other than his or her
sponsor or alternate concerning the care or treatment of the sponsor's patients, provided it is done with the
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knowledge and concurrence of the sponsor. The sponsor must maintain on file a written statement which
instructs the physician assistant as to who may be assisted or consulted and under what circumstances or
if no list is possible, then the method to be used in determining who may be consulted or assisted. The
sponsor retains primary responsibility for the performance of his or her physician assistant.
    (2) Responsibility of a nonsponsoring physician. A nonsponsoring physician utilizing or advising a
physician assistant as indicated in section (1) of this rule, shall assume responsibility for patient services
provided by a physician assistant if the physician:
    (a) Knowingly requests that patient services be rendered by the physician assistant; or
    (b) Knowingly consults with the physician assistant concerning the rendering of patient services.

WAC 246-918-110 Termination of sponsorship or supervision. Upon termination of the working
relationship, the sponsoring or supervising physician and the licensee are each required to submit a letter
to the commission indicating the relationship has been terminated and may summarize their observations
of the working relationship. Exceptions to this requirement may be authorized by the commission or its
designee. (Physician Assistants)




                                                      31
                              Sample – Collaborative Agreements
(Provided by Tabitha Harrison and Cindy Dolan)
Date

This document puts forth in writing the agreement between [Physician name] and [Genetic counselor name]
the details of ordering laboratory tests and other evaluations for individuals and families for whom genetic
counseling services are or will be provided.

The genetic counselor may order tests and evaluations when indicated based on Group Health clinical
review criteria or by established guidelines of professional medical organizations related to the following
conditions.

Hereditary breast and ovarian syndrome
Li-Fraumeni syndrome
Inherited susceptibility to colon cancer
         Lynch syndrome
         Familial Adenomatous Polyposis
         Carrier screening for recessive disorders
         Chromosome balanced translocations or anomalies
         Fragile X
         Coagulopathies
         Hemoglobinopathies
         Hemochromatosis


Testing may be ordered on individuals not meeting criteria if considered indicated after review with the
medical geneticist.

Referrals may be made to specialists as indicated by high risk status for cancer, pregnancy or other
disease state.

Valid from this date ____________ through _______________________

______________________________               ________________________
Medical Geneticist                                      Genetic Counselor




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Physician Assistant Practice Arrangement Plan and Standardized Procedures Reference &
Guidelines




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