A 2202: Amends the definitions of diagnostic pharmaceuticals, topical therapeutic pharmaceutical agents, and therapeutic pharmaceutical agents for treatment of glaucoma and ocular hypertension as they relate to the certification to use therapeutic drugs in the practice of optometry.

  
  STATE OF NEW YORK ________________________________________________________________________ 2202 2025-2026 Regular Sessions  IN ASSEMBLY January 15, 2025 ___________ Introduced by M. of A. PAULIN -- read once and referred to the Committee on Higher Education AN ACT to amend the education law, in relation to the use of topical pharmaceutical agents The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Paragraphs (d), (e) and (f) of subdivision 1 of section 2 7101-a of the education law, paragraph (d) as added by chapter 517 of 3 the laws of 1995 and paragraphs (e) and (f) as amended by chapter 506 of 4 the laws of 2021, are amended to read as follows: 5 (d) Diagnostic pharmaceuticals. Diagnostic pharmaceuticals shall mean 6 those drugs which shall be limited to topical applications [to the 7 surface of the eye] for the purpose of diagnostic examination of the eye 8 [and shall be limited to: 9 (i) Anesthetic agents; 10 (ii) Mydriatics; 11 (iii) Cycloplegics; 12 (iv) Miotics; 13 (v) Disclosing agents and other substances used in conjunction with 14 these drugs as part of a diagnostic procedure] and adnexa. 15 (e) Topical therapeutic pharmaceutical agents. Topical therapeutic 16 pharmaceutical agents shall mean those drugs which shall be limited to 17 topical application [to the surface of the eye] for therapeutic purposes 18 [and shall be limited to: 19 (i) antibiotic/antimicrobials; 20 (ii) decongestants/anti-allergenics; 21 (iii) non-steroidal anti-inflammatory agents; 22 (iv) steroidal anti-inflammatory agents; 23 (v) antiviral agents; 24 (vi) hyperosmotic/hypertonic agents; 25 (vii) cycloplegics; EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD02383-01-5 
 A. 2202 2 1 (viii) artificial tears and lubricants; and 2 (ix) immunosuppressive agents] of the eye and adnexa. 3 (f) Therapeutic pharmaceutical agents for treatment of glaucoma and 4 ocular hypertension. Therapeutic pharmaceutical agents for treatment of 5 glaucoma and ocular hypertension shall mean those drugs which shall be 6 limited to topical application [to the surface] for therapeutic purposes 7 of the eye and [shall be limited to: 8 (i) beta blockers; 9 (ii) alpha agonists; 10 (iii) direct acting cholinergic agents; 11 (iv) prostaglandin analogs; and 12 (v) carbonic anhydrase inhibitors] adnexa. 13 § 2. Paragraph (e) of subdivision 4 of section 7101-a of the education 14 law, as added by chapter 517 of the laws of 1995 and as relettered by 15 chapter 506 of the laws of 2021, is amended to read as follows: 16 (e) The provisions of paragraphs (a) and (b) of this subdivision shall 17 not apply to (i) graduates of an appropriate program approved by the 18 department who have successfully passed the examination on the use of 19 diagnostic and therapeutic [drugs] agents and who graduated subsequent 20 to January first, nineteen hundred ninety-three; or (ii) optometrists 21 who have been certified for at least five years to use [phase one] 22 topical therapeutic agents and [phase two drugs] therapeutic pharmaceu- 23 tical agents for treatment of glaucoma and ocular hypertension in anoth- 24 er jurisdiction, have demonstrated such use in independently managed 25 patients, and have been licensed in accordance with section seventy-one 26 hundred four of this chapter. Provided, however, no optometrist exempt 27 under this paragraph shall be permitted to use [phase one] topical ther- 28 apeutic pharmaceutical agents or [phase two] therapeutic pharmaceutical 29 agents for treatment of glaucoma and ocular hypertension prior to the 30 general authorization provided to optometrists licensed in this state. 31 § 3. The opening paragraph of paragraph (b) and paragraph (c) of 32 subdivision 10 of section 7101-a of the education law, as amended by 33 chapter 506 of the laws of 2021, are amended to read as follows: 34 Those optometrists having been certified for topical therapeutic phar- 35 maceutical agents shall be authorized to use and prescribe all topical 36 therapeutic pharmaceutical agents [specified in paragraph (e) of subdi- 37 vision one of this section], which are FDA approved and commercially 38 available for topical use. 39 (c) Those optometrists having been certified for therapeutic pharma- 40 ceutical agents for treatment of glaucoma and ocular hypertension shall 41 be authorized to use and prescribe therapeutic pharmaceutical agents for 42 treatment of glaucoma and ocular hypertension [specified in paragraph 43 (f) of subdivision one of this section], which are FDA approved and 44 commercially available. 45 § 4. This act shall take effect immediately.