New YorkS 66932025-2026 Regular SessionSenate

Modernizes the practice of podiatry

Sponsored By: Robert Jackson (Democratic)

Signed by Governor

HIGHER EDUCATIONWAYS AND MEANS

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 1 costs, 0 mixed.

Podiatrists can provide more ankle care

Beginning 18 months after enactment, New York podiatrists can diagnose, treat, and prescribe for ankle conditions. This includes local effects of whole-body diseases on the foot or ankle and physical exams linked to podiatric treatment. They can treat connected foot or ankle wounds, but not above the distal tibial tuberosity in the lower leg. Podiatrists without ankle-surgery privileges can treat malleolar fractures—breaks around the ankle—without surgery. Ankle surgery requires the appropriate standard or advanced ankle-surgery privilege. The law removes the express ban on partial or total ankle replacements; other surgical requirements still apply. Pilon fracture treatment remains excluded, and traumatic open wound fractures must be treated in hospitals. Podiatrists remain limited to local anesthetics; other authorized professionals must give broader anesthesia.

Podiatrists lose some lower-leg care authority

Beginning 18 months after enactment, the law narrows express authority for podiatrists with ankle-surgery privileges. It removes their express authority to diagnose, treat, and prescribe for lower-leg soft-tissue conditions below the tibial tuberosity. Their authority to operate on that tissue remains. Their separate authority to diagnose, treat, and prescribe for ankle conditions also remains, within the law's limits.

More podiatrists qualify for surgical training

Beginning 18 months after enactment, New York adds a limited-permit pathway for advanced ankle surgery. Licensed podiatrists must meet residency requirements and be board-qualified, though not yet certified, in reconstructive rearfoot and ankle surgery. The national board's standards must be accepted by the New York Department of Education. The existing pathway for licensed applicants meeting residency and board-certification requirements remains. Permit holders need direct personal supervision from a licensed podiatrist with advanced ankle-surgery privileges or a licensed, board-certified orthopedic physician. The department issues permits and can adopt needed rules on or before the effective date.

Sponsors & Cosponsors

Sponsor

  • Robert Jackson

    Democratic • Senate

Cosponsors

  • Patricia Fahy

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 196 • No: 19

House vote • 6/17/2025

Assembly floor vote

Yes: 131 • No: 4

Senate vote • 6/12/2025

FLOOR Vote

Yes: 46 • No: 13

committee vote • 6/9/2025

Rules Committee Vote

Yes: 19 • No: 2

Actions Timeline

  1. SIGNED CHAP.635

    12/12/2025Senate
  2. DELIVERED TO GOVERNOR

    12/8/2025Senate
  3. RETURNED TO SENATE

    6/17/2025House
  4. PASSED ASSEMBLY

    6/17/2025House
  5. ORDERED TO THIRD READING RULES CAL.889

    6/17/2025House
  6. SUBSTITUTED FOR A4613B

    6/17/2025House
  7. REFERRED TO WAYS AND MEANS

    6/12/2025House
  8. DELIVERED TO ASSEMBLY

    6/12/2025Senate
  9. PASSED SENATE

    6/12/2025Senate
  10. AMENDED ON THIRD READING 6693B

    6/9/2025Senate
  11. ORDERED TO THIRD READING CAL.1635

    6/9/2025Senate
  12. COMMITTEE DISCHARGED AND COMMITTED TO RULES

    6/9/2025Senate
  13. PRINT NUMBER 6693A

    5/7/2025Senate
  14. AMEND AND RECOMMIT TO HIGHER EDUCATION

    5/7/2025Senate
  15. REFERRED TO HIGHER EDUCATION

    3/19/2025Senate

Bill Text

  • Amendment B

    6/9/2025

  • Amendment A

    5/7/2025

  • Original

    3/19/2025

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