State Codes and Statutes

Statutes > New-york > Pbh > Article-5 > Title-6 > 587

§  587.  Prohibited  practices.  1.  No health services purveyor shall  solicit, receive, accept or agree to receive or accept  any  payment  or  other  consideration  in  any  form  to the extent such payment or other  consideration is given for the referral of services  or  participate  in  the  division, transference, assignment, rebate, splitting of fees, with  any clinical laboratory or its agent, employee  or  fiduciary,  or  with  another  health  services  purveyor  in  relation to clinical laboratory  services.  Specifically  prohibited  practices  shall  include,  without  limiting thereto, the following:    (a)  Acceptance of payments for rental of space for more than the fair  market value or where the rental amount is  affected  by  test  ordering  volume or value.    (b)  Acceptance  of rental payments for storage space for any supplies  provided by any clinical laboratory or its agent, employee or fiduciary.    (c) Acceptance of  payments  for  filling  in  proper  information  on  laboratory request forms for tests.    (d) Receipt or acceptance of employees, agents or other fiduciaries of  any  clinical  laboratory  to  perform any duties in the facility of any  health  services  purveyor  provided,  however,  that  nothing  in  this  subdivision shall prohibit a hospital as defined in article twenty-eight  of  this  chapter  or  a  health  maintenance  organization operating in  accordance with article forty-three of  the  insurance  law  or  article  forty-four  of  this  chapter and a clinical laboratory from contracting  for laboratory management services including the provision of  technical  services and employees for the performance of functions directly related  to clinical laboratory operations.    (e)  Receipt or acceptance of equipment, supplies or services provided  by any clinical laboratory or its agent, employee or fiduciary for  less  than  fair  market value or when the purchase price or rental payment is  in any way related to the reference of  patients  or  specimens  to  any  clinical laboratory.    (f)  Receipt  or  acceptance of any monies or other consideration from  any clinical laboratory or its agent, employee or fiduciary as a  bonus,  commission  or  fee  in the form of a fixed or percentage return for the  number or dollar value of laboratory tests performed or to be  performed  by  any  clinical laboratory to which patients or specimens are referred  or for the number of patients or specimens referred.    (g) The purchase of  prepayment  coupons,  tickets,  booklets  or  any  variation   of  such  prepayment  instruments  as  advance  payments  by  purveyors of health services for  clinical  laboratory  services  to  be  rendered by any clinical laboratory.    (h)  To accept payment of money or other consideration from anyone for  any clinical laboratory tests rendered or to be rendered on any specimen  for transference of the money or other consideration in whole or in part  to any clinical laboratory or to actually be kept by the health services  purveyor.    (i)  To  accept  or  use  directly  any  instrument  or  any  clinical  laboratory  form  marked "Invoice", "Receipt", "Payment Received" or any  other variation for issuance to patients as  if  the  patient  had  been  billed and paid the clinical laboratory.    (j)  Receipt  or  acceptance of any monies or other consideration from  any  clinical  laboratory  or  its  agent,  employee  or  fiduciary  for  influencing  any  person  to  refrain  from using or utilizing any other  clinical laboratory.    2. No clinical laboratory or its agent, employee  or  fiduciary  shall  make, offer, give, or agree to make, offer, or give any payment or other  consideration   in  any  form  to  the  extent  such  payment  or  other  consideration is given for the referral of services  or  participate  inthe  division, transference, assignment, rebate, splitting of fees, with  any health services  purveyor,  or  with  another  clinical  laboratory.  Specifically   prohibited  practices  shall  include,  without  limiting  thereto, the following:    (a) To offer or agree to give or give any payments for rental of space  for  more  than  the  fair  market  value  or where the rental amount is  affected by test ordering volume or value.    (b) To offer or agree to give or  give  rental  payments  for  storage  space for any supplies provided to any health services purveyor.    (c)  To  offer  or  agree  to give or give any payments for filling in  proper information on laboratory request forms for tests.    (d) To supply employees, agents or other fiduciaries of  any  clinical  laboratory  to perform any duties in the facility of any health services  purveyor provided, however,  that  nothing  in  this  subdivision  shall  prohibit  a  hospital as defined in article twenty-eight of this chapter  or a  health  maintenance  organization  operating  in  accordance  with  article  forty-three  of the insurance law or article forty-four of this  chapter and  a  clinical  laboratory  from  contracting  for  laboratory  management  services,  including the provision of technical services and  employees for the performance of functions directly related to  clinical  laboratory operations.    (e)  To  offer  or  agree  to  give or give any equipment, supplies or  services to any health services purveyor for less than fair market value  or when the purchase price or rental payment is in any  way  related  to  the reference of patients or specimens to any clinical laboratory.    (f)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration to any health services purveyor as a bonus, commission  or  fee in the form of a fixed or percentage return for the number or dollar  value  of  laboratory tests performed or to be performed by any clinical  laboratory to which patients or specimens are referred or for the number  of patients or specimens referred.    (g) To sell any prepayment coupons, tickets, booklets or any variation  of such prepayment instrument as advance payments by purveyors of health  services for clinical laboratory services.    (h) To send a bill to or receive  payment  from  any  health  services  purveyor for clinical laboratory services rendered to any patient, where  such  bill  is  sent in code on blank paper, without name and address of  the clinical laboratory, without name or address of  the  addressee,  or  without  name or other identifying information of the person who was the  recipient of the laboratory service or in any other falsified manner.    (i) To utilize  any  health  services  purveyor  or  anyone  else  not  authorized  by  law  to collect money or other consideration from anyone  for any clinical laboratory tests rendered or  to  be  rendered  on  any  specimen  for  transference of the money or other consideration in whole  or in part to the clinical laboratory or to  be  actually  kept  by  the  health services purveyor.    (j)  To  supply  to any health services purveyor any printed form of a  clinical laboratory marked "Invoice", "Receipt", "Payment Received",  or  any other variation for use by any health services purveyor issuing same  to patients as if the patient had paid the clinical laboratory.    (k)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration for influencing  any  person  to  refrain  from  using  or  utilizing any other clinical laboratory.    3.  This  section  shall  not  apply  to  any: (a) legally established  hospital group purchasing program approved by the commissioner,  or  (b)  any  arrangement  between  a  clinical laboratory and health maintenance  organization operating in accordance with  article  forty-three  of  theinsurance  law  or  article  forty-four  of this chapter approved by the  commissioner.    4.  Any  transaction  excluded  from  the  prohibition of section five  hundred eighty-six of  this  title  relating  to  payment  for  services  rendered  by  clinical  laboratories  shall  be  deemed  to be similarly  excluded from the application of this section.    5. No clinical laboratory or its agent, employee  or  fiduciary  shall  make,  offer,  give  or  agree  to  make,  offer  or give to any person,  partnership,  corporation  or  other  entity  any   payment   or   other  consideration  in  any  form  as a bonus, commission or fee for securing  referrals of services to the clinical  laboratory  except  for  payments  made to a person who is an employee of the clinical laboratory.    6.  The  public  health  council  shall  adopt  and  amend  rules  and  regulations, subject to approval by the commissioner, to effectuate  the  provisions and purposes of this section.

State Codes and Statutes

Statutes > New-york > Pbh > Article-5 > Title-6 > 587

§  587.  Prohibited  practices.  1.  No health services purveyor shall  solicit, receive, accept or agree to receive or accept  any  payment  or  other  consideration  in  any  form  to the extent such payment or other  consideration is given for the referral of services  or  participate  in  the  division, transference, assignment, rebate, splitting of fees, with  any clinical laboratory or its agent, employee  or  fiduciary,  or  with  another  health  services  purveyor  in  relation to clinical laboratory  services.  Specifically  prohibited  practices  shall  include,  without  limiting thereto, the following:    (a)  Acceptance of payments for rental of space for more than the fair  market value or where the rental amount is  affected  by  test  ordering  volume or value.    (b)  Acceptance  of rental payments for storage space for any supplies  provided by any clinical laboratory or its agent, employee or fiduciary.    (c) Acceptance of  payments  for  filling  in  proper  information  on  laboratory request forms for tests.    (d) Receipt or acceptance of employees, agents or other fiduciaries of  any  clinical  laboratory  to  perform any duties in the facility of any  health  services  purveyor  provided,  however,  that  nothing  in  this  subdivision shall prohibit a hospital as defined in article twenty-eight  of  this  chapter  or  a  health  maintenance  organization operating in  accordance with article forty-three of  the  insurance  law  or  article  forty-four  of  this  chapter and a clinical laboratory from contracting  for laboratory management services including the provision of  technical  services and employees for the performance of functions directly related  to clinical laboratory operations.    (e)  Receipt or acceptance of equipment, supplies or services provided  by any clinical laboratory or its agent, employee or fiduciary for  less  than  fair  market value or when the purchase price or rental payment is  in any way related to the reference of  patients  or  specimens  to  any  clinical laboratory.    (f)  Receipt  or  acceptance of any monies or other consideration from  any clinical laboratory or its agent, employee or fiduciary as a  bonus,  commission  or  fee  in the form of a fixed or percentage return for the  number or dollar value of laboratory tests performed or to be  performed  by  any  clinical laboratory to which patients or specimens are referred  or for the number of patients or specimens referred.    (g) The purchase of  prepayment  coupons,  tickets,  booklets  or  any  variation   of  such  prepayment  instruments  as  advance  payments  by  purveyors of health services for  clinical  laboratory  services  to  be  rendered by any clinical laboratory.    (h)  To accept payment of money or other consideration from anyone for  any clinical laboratory tests rendered or to be rendered on any specimen  for transference of the money or other consideration in whole or in part  to any clinical laboratory or to actually be kept by the health services  purveyor.    (i)  To  accept  or  use  directly  any  instrument  or  any  clinical  laboratory  form  marked "Invoice", "Receipt", "Payment Received" or any  other variation for issuance to patients as  if  the  patient  had  been  billed and paid the clinical laboratory.    (j)  Receipt  or  acceptance of any monies or other consideration from  any  clinical  laboratory  or  its  agent,  employee  or  fiduciary  for  influencing  any  person  to  refrain  from using or utilizing any other  clinical laboratory.    2. No clinical laboratory or its agent, employee  or  fiduciary  shall  make, offer, give, or agree to make, offer, or give any payment or other  consideration   in  any  form  to  the  extent  such  payment  or  other  consideration is given for the referral of services  or  participate  inthe  division, transference, assignment, rebate, splitting of fees, with  any health services  purveyor,  or  with  another  clinical  laboratory.  Specifically   prohibited  practices  shall  include,  without  limiting  thereto, the following:    (a) To offer or agree to give or give any payments for rental of space  for  more  than  the  fair  market  value  or where the rental amount is  affected by test ordering volume or value.    (b) To offer or agree to give or  give  rental  payments  for  storage  space for any supplies provided to any health services purveyor.    (c)  To  offer  or  agree  to give or give any payments for filling in  proper information on laboratory request forms for tests.    (d) To supply employees, agents or other fiduciaries of  any  clinical  laboratory  to perform any duties in the facility of any health services  purveyor provided, however,  that  nothing  in  this  subdivision  shall  prohibit  a  hospital as defined in article twenty-eight of this chapter  or a  health  maintenance  organization  operating  in  accordance  with  article  forty-three  of the insurance law or article forty-four of this  chapter and  a  clinical  laboratory  from  contracting  for  laboratory  management  services,  including the provision of technical services and  employees for the performance of functions directly related to  clinical  laboratory operations.    (e)  To  offer  or  agree  to  give or give any equipment, supplies or  services to any health services purveyor for less than fair market value  or when the purchase price or rental payment is in any  way  related  to  the reference of patients or specimens to any clinical laboratory.    (f)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration to any health services purveyor as a bonus, commission  or  fee in the form of a fixed or percentage return for the number or dollar  value  of  laboratory tests performed or to be performed by any clinical  laboratory to which patients or specimens are referred or for the number  of patients or specimens referred.    (g) To sell any prepayment coupons, tickets, booklets or any variation  of such prepayment instrument as advance payments by purveyors of health  services for clinical laboratory services.    (h) To send a bill to or receive  payment  from  any  health  services  purveyor for clinical laboratory services rendered to any patient, where  such  bill  is  sent in code on blank paper, without name and address of  the clinical laboratory, without name or address of  the  addressee,  or  without  name or other identifying information of the person who was the  recipient of the laboratory service or in any other falsified manner.    (i) To utilize  any  health  services  purveyor  or  anyone  else  not  authorized  by  law  to collect money or other consideration from anyone  for any clinical laboratory tests rendered or  to  be  rendered  on  any  specimen  for  transference of the money or other consideration in whole  or in part to the clinical laboratory or to  be  actually  kept  by  the  health services purveyor.    (j)  To  supply  to any health services purveyor any printed form of a  clinical laboratory marked "Invoice", "Receipt", "Payment Received",  or  any other variation for use by any health services purveyor issuing same  to patients as if the patient had paid the clinical laboratory.    (k)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration for influencing  any  person  to  refrain  from  using  or  utilizing any other clinical laboratory.    3.  This  section  shall  not  apply  to  any: (a) legally established  hospital group purchasing program approved by the commissioner,  or  (b)  any  arrangement  between  a  clinical laboratory and health maintenance  organization operating in accordance with  article  forty-three  of  theinsurance  law  or  article  forty-four  of this chapter approved by the  commissioner.    4.  Any  transaction  excluded  from  the  prohibition of section five  hundred eighty-six of  this  title  relating  to  payment  for  services  rendered  by  clinical  laboratories  shall  be  deemed  to be similarly  excluded from the application of this section.    5. No clinical laboratory or its agent, employee  or  fiduciary  shall  make,  offer,  give  or  agree  to  make,  offer  or give to any person,  partnership,  corporation  or  other  entity  any   payment   or   other  consideration  in  any  form  as a bonus, commission or fee for securing  referrals of services to the clinical  laboratory  except  for  payments  made to a person who is an employee of the clinical laboratory.    6.  The  public  health  council  shall  adopt  and  amend  rules  and  regulations, subject to approval by the commissioner, to effectuate  the  provisions and purposes of this section.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Pbh > Article-5 > Title-6 > 587

§  587.  Prohibited  practices.  1.  No health services purveyor shall  solicit, receive, accept or agree to receive or accept  any  payment  or  other  consideration  in  any  form  to the extent such payment or other  consideration is given for the referral of services  or  participate  in  the  division, transference, assignment, rebate, splitting of fees, with  any clinical laboratory or its agent, employee  or  fiduciary,  or  with  another  health  services  purveyor  in  relation to clinical laboratory  services.  Specifically  prohibited  practices  shall  include,  without  limiting thereto, the following:    (a)  Acceptance of payments for rental of space for more than the fair  market value or where the rental amount is  affected  by  test  ordering  volume or value.    (b)  Acceptance  of rental payments for storage space for any supplies  provided by any clinical laboratory or its agent, employee or fiduciary.    (c) Acceptance of  payments  for  filling  in  proper  information  on  laboratory request forms for tests.    (d) Receipt or acceptance of employees, agents or other fiduciaries of  any  clinical  laboratory  to  perform any duties in the facility of any  health  services  purveyor  provided,  however,  that  nothing  in  this  subdivision shall prohibit a hospital as defined in article twenty-eight  of  this  chapter  or  a  health  maintenance  organization operating in  accordance with article forty-three of  the  insurance  law  or  article  forty-four  of  this  chapter and a clinical laboratory from contracting  for laboratory management services including the provision of  technical  services and employees for the performance of functions directly related  to clinical laboratory operations.    (e)  Receipt or acceptance of equipment, supplies or services provided  by any clinical laboratory or its agent, employee or fiduciary for  less  than  fair  market value or when the purchase price or rental payment is  in any way related to the reference of  patients  or  specimens  to  any  clinical laboratory.    (f)  Receipt  or  acceptance of any monies or other consideration from  any clinical laboratory or its agent, employee or fiduciary as a  bonus,  commission  or  fee  in the form of a fixed or percentage return for the  number or dollar value of laboratory tests performed or to be  performed  by  any  clinical laboratory to which patients or specimens are referred  or for the number of patients or specimens referred.    (g) The purchase of  prepayment  coupons,  tickets,  booklets  or  any  variation   of  such  prepayment  instruments  as  advance  payments  by  purveyors of health services for  clinical  laboratory  services  to  be  rendered by any clinical laboratory.    (h)  To accept payment of money or other consideration from anyone for  any clinical laboratory tests rendered or to be rendered on any specimen  for transference of the money or other consideration in whole or in part  to any clinical laboratory or to actually be kept by the health services  purveyor.    (i)  To  accept  or  use  directly  any  instrument  or  any  clinical  laboratory  form  marked "Invoice", "Receipt", "Payment Received" or any  other variation for issuance to patients as  if  the  patient  had  been  billed and paid the clinical laboratory.    (j)  Receipt  or  acceptance of any monies or other consideration from  any  clinical  laboratory  or  its  agent,  employee  or  fiduciary  for  influencing  any  person  to  refrain  from using or utilizing any other  clinical laboratory.    2. No clinical laboratory or its agent, employee  or  fiduciary  shall  make, offer, give, or agree to make, offer, or give any payment or other  consideration   in  any  form  to  the  extent  such  payment  or  other  consideration is given for the referral of services  or  participate  inthe  division, transference, assignment, rebate, splitting of fees, with  any health services  purveyor,  or  with  another  clinical  laboratory.  Specifically   prohibited  practices  shall  include,  without  limiting  thereto, the following:    (a) To offer or agree to give or give any payments for rental of space  for  more  than  the  fair  market  value  or where the rental amount is  affected by test ordering volume or value.    (b) To offer or agree to give or  give  rental  payments  for  storage  space for any supplies provided to any health services purveyor.    (c)  To  offer  or  agree  to give or give any payments for filling in  proper information on laboratory request forms for tests.    (d) To supply employees, agents or other fiduciaries of  any  clinical  laboratory  to perform any duties in the facility of any health services  purveyor provided, however,  that  nothing  in  this  subdivision  shall  prohibit  a  hospital as defined in article twenty-eight of this chapter  or a  health  maintenance  organization  operating  in  accordance  with  article  forty-three  of the insurance law or article forty-four of this  chapter and  a  clinical  laboratory  from  contracting  for  laboratory  management  services,  including the provision of technical services and  employees for the performance of functions directly related to  clinical  laboratory operations.    (e)  To  offer  or  agree  to  give or give any equipment, supplies or  services to any health services purveyor for less than fair market value  or when the purchase price or rental payment is in any  way  related  to  the reference of patients or specimens to any clinical laboratory.    (f)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration to any health services purveyor as a bonus, commission  or  fee in the form of a fixed or percentage return for the number or dollar  value  of  laboratory tests performed or to be performed by any clinical  laboratory to which patients or specimens are referred or for the number  of patients or specimens referred.    (g) To sell any prepayment coupons, tickets, booklets or any variation  of such prepayment instrument as advance payments by purveyors of health  services for clinical laboratory services.    (h) To send a bill to or receive  payment  from  any  health  services  purveyor for clinical laboratory services rendered to any patient, where  such  bill  is  sent in code on blank paper, without name and address of  the clinical laboratory, without name or address of  the  addressee,  or  without  name or other identifying information of the person who was the  recipient of the laboratory service or in any other falsified manner.    (i) To utilize  any  health  services  purveyor  or  anyone  else  not  authorized  by  law  to collect money or other consideration from anyone  for any clinical laboratory tests rendered or  to  be  rendered  on  any  specimen  for  transference of the money or other consideration in whole  or in part to the clinical laboratory or to  be  actually  kept  by  the  health services purveyor.    (j)  To  supply  to any health services purveyor any printed form of a  clinical laboratory marked "Invoice", "Receipt", "Payment Received",  or  any other variation for use by any health services purveyor issuing same  to patients as if the patient had paid the clinical laboratory.    (k)   To  offer  or  agree  to  give  or  give  any  monies  or  other  consideration for influencing  any  person  to  refrain  from  using  or  utilizing any other clinical laboratory.    3.  This  section  shall  not  apply  to  any: (a) legally established  hospital group purchasing program approved by the commissioner,  or  (b)  any  arrangement  between  a  clinical laboratory and health maintenance  organization operating in accordance with  article  forty-three  of  theinsurance  law  or  article  forty-four  of this chapter approved by the  commissioner.    4.  Any  transaction  excluded  from  the  prohibition of section five  hundred eighty-six of  this  title  relating  to  payment  for  services  rendered  by  clinical  laboratories  shall  be  deemed  to be similarly  excluded from the application of this section.    5. No clinical laboratory or its agent, employee  or  fiduciary  shall  make,  offer,  give  or  agree  to  make,  offer  or give to any person,  partnership,  corporation  or  other  entity  any   payment   or   other  consideration  in  any  form  as a bonus, commission or fee for securing  referrals of services to the clinical  laboratory  except  for  payments  made to a person who is an employee of the clinical laboratory.    6.  The  public  health  council  shall  adopt  and  amend  rules  and  regulations, subject to approval by the commissioner, to effectuate  the  provisions and purposes of this section.