A 4613 New York Assembly · 2025 Regular Session

Modernizes the practice of podiatry

This bill modernizes podiatry practice by expanding podiatrists' authority to perform specific ankle surgeries. It creates two new privilege levels: "standard ankle surgery" (allowing soft tissue and bone procedures) and "advanced ankle surgery" (permitting fracture fixation, fusion, arthroscopy, and certain rod insertions). Podiatrists must obtain these privileges through department-issued certifications, and the bill defines "ankle" precisely to clarify scope. It also establishes a limited permit for training in advanced procedures under physician supervision, while restricting podiatrists from performing total ankle replacements or treating pilon fractures.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 4, 2025 Last action Jun 17, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

A4613A A4613B · 6 edits
MODERATE
This bill expands the scope of podiatric practice to include ankle-related conditions and procedures, allowing podiatrists to diagnose and treat conditions affecting the ankle and ankle-related soft tissues. The changes also clarify the definition of 'ankle' and update the regulations around ankle surgery privileges and supervision requirements.
Scope change
The bill expands the scope of podiatric practice from just the foot to include the ankle and ankle-related conditions, allowing podiatrists to diagnose, treat, and prescribe for conditions affecting the ankle.
SCOPE

Expanded the definition of podiatric practice to include diagnosing, treating, and prescribing for diseases, injuries, deformities, and local manifestations of systemic diseases affecting the ankle, in addition to the foot.

Updated the wound care provision to include treatment of wounds on the ankle within the podiatric scope of practice, not just the foot.

DEFINITION

Added a new definition of 'ankle' to include specific anatomical structures such as the distal metaphysis and epiphysis of the tibia and fibula, articular cartilage, ligaments, and soft tissues at or below the myotendinous junction of the triceps surae.

ELIGIBILITY

Revised the requirements for podiatric advanced ankle surgery privileges to clarify that board qualification satisfies certification requirements for limited permits, and updated supervision requirements for limited permit holders.

Added ankle arthroscopy to the list of procedures that podiatrists with advanced ankle surgery privileges may perform.

REQUIREMENT

Updated the supervision requirements for limited permit holders to allow procedures to be authorized and evaluated by the supervising podiatrist without requiring them to remain in the immediate area.

Floor votes

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Full legislative history

Actions timeline

Total actions
11
Key actions
4
Committee
3
Amendments
4
Jun 11, 2025
Committee
REPORTED REFERRED TO RULES
lower
Jun 10, 2025
Committee
REFERENCE CHANGED TO WAYS AND MEANS
lower
Jun 9, 2025
Lower · Passed
PRINT NUMBER 4613B
lower
Jun 9, 2025
Lower · Passed
AMEND AND RECOMMIT TO HIGHER EDUCATION
lower
May 15, 2025
Lower · Passed
PRINT NUMBER 4613A
lower
May 15, 2025
Lower · Passed
AMEND AND RECOMMIT TO HIGHER EDUCATION
lower
Feb 4, 2025
Committee
REFERRED TO HIGHER EDUCATION
lower
1 primary · 10 co-sponsors

Sponsors