Who is mandated to report?

Are all health clinicians mandated to report?

  • Yes.

Who else is a mandated reporter?

  • Physician assistants
  • Residents
  • Interns
  • Psychologists
  • Registered nurses
  • Social workers
  • Emergency medical technicians
  • Marriage and family therapists
  • Mental health counselors
  • Hospital personnel

For more information, refer to Mandatory Reporters of Child Abuse and Neglect at the Child Welfare Information Gateway.

When is the reporting duty triggered?

What is the standard?

  • A report is required when the reporter has reasonable cause to suspect:
    • A child coming before him or her in his or her professional or official capacity is an abused or maltreated child.
    • The parent, guardian, custodian, or other person legally responsible for the child comes before the reporter and states from personal knowledge facts, conditions, or circumstances that, if correct, would render the child an abused or maltreated child.

For more information, refer to Mandatory Reporters of Child Abuse and Neglect at the Child Welfare Information Gateway.

What must be reported?

How does state law define child abuse and neglect for reporting purposes?

  • Mandated reporters must report abuse and maltreatment as defined by New York Social Services law 412 and legal guidance interpreting the statute.
    • “Abused child” means a child less than eighteen years of age whose parents of other person legally responsible of his care:
      • Inflicts or allows to be inflicted upon such child physical injury by other than accidental means which causes or creates a substantial risk of death, or serious or protracted disfigurement, or protracted impairment of physical or emotional health or protracted loss of impairment of the function of any bodily organ, or
      • Creates or allows to be crated a substantial risk of physical injury to such child by other than accidental means which would be likely to cause death or serious or protracted disfigurement, or protracted impairment of physical or emotional health or protracted loss or impairment of the function of any bodily organ, or
      • Commits, or allows to be committed an act of sexual abuse against such child defined in the penal law.
    • A "maltreated child" includes a child under eighteen years of age:
      • defined as a neglected child by the family court act, or
      • who has had serious physical injury inflicted upon him or  her by other than accidental means.
    • “Neglected child” means a child less than eighteen years of age:
      • Whose physical, mental or emotional condition has been impaired or is in imminent danger of becoming impaired as a result of the failure of his parent or other person legally responsible for his care to exercise a minimum degree of care;
      • In supplying the child with adequate food, clothing, shelter, education, medical or surgical care, though financially able to do so or offered financial or other reasonable means to do so; or
      • In providing the child with proper supervision or guardianship, by unreasonable inflicting or allowing to be inflicted harm, or a substantial risk thereof, including the infliction or excessive corporal punishment; or my misusing a drug or drugs; or by misusing alcoholic beverages to the extent that he loses self-control of his actions; or my any other acts of a similarly serious nature requiring the aid of the court; provided, however, that where the respondent is voluntarily and regularly participating in a rehabilitative program, evidence that the respondent has repeatedly misused a drug or drugs or alcoholic beverages to the extent that he loses self-control of his actions shall not establish that the child is a neglected child in the absence of evidence establishing that the child’s physical, mental or emotional condition has been impaired or is in imminent danger of becoming impaired as set forth previously; or
      • Who has been abandoned by his parents or other person legally responsible for his care.

Are child molestation, sexual abuse, rape, statutory rape, incest, intimate partner violence, sexual exploitation and/or trafficking of a minor reportable as child abuse or neglect and if so, how are they defined and what is reportable?

Refer to the 2017 New York Laws at Justia US Law for the most current and complete definitions and reporting law.

How to report:

What is the method of reporting?

  • Mandated reporters shall immediately make an oral or electronic report to the statewide central register when they have reasonable cause to suspect that a child has been abused or neglected by a person responsible for that child's care.

For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.

What is the timeline in which to report?

  • Mandated reporters shall immediately make an oral or electronic report to the statewide central register when they have reasonable cause to suspect that a child has been abused or neglected by a person responsible for that child's care. Oral reports shall be followed by written reports within 48 hours.

For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.

To whom are reports made?

  • Oral reports shall be made to the statewide central register of child abuse and maltreatment unless the appropriate local plan for the provision of child protective services provides that oral reports should be made to the local child protective service. The central register shall be capable of receiving telephone calls alleging child abuse or maltreatment, immediately identifying prior reports of child abuse or maltreatment, and monitoring the provision of child protective services 24 hours a day, 7 days a week.

For more information, refer to Making and Screening Reports of Child Abuse and Neglect at the Child Welfare Information Gateway.

State/County Hotline?

  • Office of Children and Family Services
  • Toll-Free: (800) 342-3720
  • TDD/TTY: (800) 638-5163
  • Video relay: (800) 342-3720

Confidentiality:

What federal confidentiality laws apply to health information collected during a Title X visit?

  • Title X regulations 42 CFR 59.11
  • HIPAA 45 CFR 164.502

Is there an exception in federal confidentiality law that allows a clinician to comply with mandatory child abuse reporting laws?

  • Yes.