State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 13-c

§ 13-c. Licensing of compensation medical bureaus and laboratories. 1.  The  chairman may, upon the recommendation of the medical society of the  county or of a board as provided in section  thirteen-b,  authorize  and  license  compensation  medical  bureaus  in  such  counties  operated by  qualified  physicians  wholly  or  principally  for  the  diagnosis  and  treatment  of  industrial injuries or illnesses in respect to which they  are authorized to render medical care under this chapter. The  chairman,  however,  shall  not  authorize  or  license  more than two such bureaus  operated  by  the  same  physician.   The   chairman   may,   upon   the  recommendation  of  the  medical  society of the county or of a board as  provided  in  section  thirteen-b,  authorize   and   license   separate  laboratories  and  bureaus  engaged  in X-ray diagnosis or treatment and  clinical diagnosis, or in physiotherapy or other therapeutic procedures,  which participate in the diagnosis or treatment of injured workmen under  this chapter. The chairman, however, shall not authorize or license more  than two such laboratories or bureaus operated by  the  same  physician.  Application  for  such  authorization  shall  be  made  on  forms  to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such bureaus. If within sixty days after such  application has been filed the medical society or board refuses or fails  to  act  or  refuses  to  recommend to the chairman that such license be  granted, the applicant may appeal to the medical appeals unit. Each such  bureau or laboratory which receives such authorization shall:    (a) Make reports on its personnel and equipment in such  form  and  at  such times as may be required by the chairman; and    (b) Be subject to inspection by the chairman or the medical society of  the county in which such bureau or laboratory is located; and    (c) Pay to the chairman a license fee of two hundred dollars per annum  for  each  office  of  such  bureau,  or  fifty  dollars per annum for a  separate laboratory.    2. No  claim  for  services  in  connection  with  x-ray  examination,  diagnosis  or  treatment  of  any claimant shall be valid or enforceable  except by a laboratory or bureau of a voluntary hospital authorized  and  licensed under subdivision one of this section, or except by a physician  duly  authorized  as  a  roentgenologist  by  the  chairman for services  performed by such physician or under his immediate supervision.    3. (a) The chairman may authorize a medical center,  jointly  operated  by  labor  and management representatives as a non-profit corporation or  as a non-profit benefit trust, approved by and under the supervision  of  the  New  York state department of health, to provide medical, surgical,  dental,  optometric,  podiatric,  or  other  attendance  or   treatment,  including   X-ray   diagnosis   or  treatment,  physiotherapy  or  other  therapeutic procedures or services, laboratory services and any and  all  other  services  required  to  be provided for an injured employee under  section thirteen of  this  chapter,  entitled  "Treatment  and  care  of  injured employees".    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such medical center. Each such medical center  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman;    (ii) Be subject to inspection by the chairman;    (iii) Pay to the chairman a license fee of  two  hundred  dollars  per  annum.    (c) All treatment and services provided hereunder shall be provided on  an  out-patient  basis  to  employees,  who  are claimants for workmen's  compensation,  eligible  to  use  the  medical  center  pursuant  to  anagreement, plan, deed of trust or labor-management collective bargaining  agreement.    (d)  (i)  A  physician  rendering  medical  care  at  a medical center  authorized hereunder must be authorized to render such care pursuant  to  this chapter and he shall limit his professional activities hereunder to  such medical care as his experience and training qualify him to render.    (ii)  When para-medical, laboratory or X-ray services or other medical  care is required it shall be rendered, under  the  active  and  personal  supervision  of  an authorized physician, by a registered nurse or other  person trained in laboratory or diagnostic techniques within  the  scope  of   such   person's   specialized  training  and  qualifications.  This  supervision shall be evidenced by signed  records  of  instructions  for  treatment  and  signed  records of the patient's condition and progress.  Reports of  such  treatment  and  supervision  shall  be  made  by  such  physician  to  the  chairman  on  such  forms  and  at such times as the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive  as  to  treatment  of  an  authorized physician or podiatrist  within the scope of such physical therapist's specialized  training  and  qualifications  as  defined  in  article  one  hundred thirty-six of the  education law. Reports of such treatment and records of instruction  for  treatment,  if  any,  shall  be maintained by the physical therapist and  referring professional and submitted to the chairman on such  forms  and  at such times as the chairman may require.    (iv)  When  occupational therapy care is required it shall be rendered  by a duly  licensed  and  registered  occupational  therapist  upon  the  prescription  or referral of an authorized physician within the scope of  such occupational therapist's specialized training and qualifications as  defined in article one hundred fifty-six of the education  law.  Reports  of  such  treatment  and  records  of instruction for treatment, if any,  shall  be  maintained  by  the  occupational  therapist  and   referring  professional  and  submitted  to  the chairman on such forms and at such  times as the chairman may require.    (v) The physician rendering the medical care  hereunder  shall  be  in  charge of the care unless, in his judgment, it is necessary to refer the  case  to  a  specially  trained and qualified physician, which physician  shall then assume complete responsibility for  and  supervision  of  any  further medical care rendered.    (e)  Notwithstanding  any provision of this chapter to the contrary, a  medical center authorized by the chairman to  render  medical  care  and  laboratory services under this section, is authorized and may charge for  any  and  all  services  rendered  in  accordance  with such schedule or  schedules prepared and established by the chairman.    (f) Nothing herein contained shall operate to  prevent  such  employee  from  selecting for rendering or continuance of any medical treatment or  care required, any  physician  authorized  by  the  chairman  to  render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a, of this chapter.    (g) The chairman shall have full power and authority and it  shall  be  his  duty  to  investigate instances of misconduct, or violations of the  provisions of this chapter or violations of the rules promulgated by the  chairman under the provisions of this chapter, or failure to submit full  and truthful medical reports directly to the chairman  within  the  time  limits  provided  under  subdivision  four of section thirteen-a of this  chapter; and, after a hearing, to  temporarily  suspend  or  revoke  the  license  of  any  such medical center. The chairman may also temporarily  suspend or revoke the license of any such medical center  upon  finding,after   a   hearing,  that  such  medical  center  has  been  guilty  of  professional or other misconduct or that the personnel of such center is  not properly qualified under this  chapter  or  the  equipment  of  such  medical center is inadequate for the proper rendering of medical care.    (h)  The  chairman may adopt such reasonable rules and regulations for  the authorization and continued supervision  of  medical  centers  under  this section, as he may deem necessary and proper.    4.  (a)  The  chairman  may authorize a hospital as defined in article  twenty-eight  of  the  public  health  law  or  a   health   maintenance  organization holding a valid certificate of authority issued pursuant to  article  forty-four  of  the  public  health  law or operating under the  provisions of article  forty-three  of  the  insurance  law  to  provide  out-patient medical care under this chapter.    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel   and   equipment  of  such  hospital  or  health  maintenance  organization. Each such  hospital  or  health  maintenance  organization  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman; and    (ii) Be subject to inspection and investigation as provided hereunder.    (c) All treatment and services provided hereunder shall be provided on  an out-patient basis to workers' compensation claimants.    (d) (i) A physician rendering medical care at  a  hospital  or  health  maintenance  organization  authorized  hereunder  must  be authorized to  render such care pursuant to this chapter and he or she shall limit  his  or  her professional activities hereunder to such medical care as his or  her experience and training qualify him or her to render. The  physician  rendering  the  medical care shall sign and submit all forms and reports  as the chairman may require.    (ii) When para-medical, laboratory or X-ray services or other  medical  care  is  required  it  shall be rendered, under the active and personal  supervision of an authorized physician, by a registered nurse  or  other  person  trained  in laboratory or diagnostic techniques within the scope  of  such  person's  specialized  training   and   qualifications.   This  supervision  shall  be  evidenced  by signed records of instructions for  treatment and signed records of the patient's  condition  and  progress.  Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive as to treatment  of  an  authorized  physician  or  podiatrist  within  the  scope of such physical therapist's specialized training and  qualifications as defined in  article  one  hundred  thirty-six  of  the  education  law. Reports of such treatment and records of instruction for  treatment, if any, shall be maintained by  the  physical  therapist  and  referring  professional  and submitted to the chairman of such forms and  at such times as the chairman may require.    (iv) When occupational therapy care is required it shall  be  rendered  by  a  duly  licensed  and  registered  occupational  therapist upon the  prescription or referral of an authorized physician within the scope  of  such occupational therapist's specialized training and qualifications as  defined  in  article one hundred fifty-six of the education law. Reports  of such treatment and records of  instruction  for  treatment,  if  any,  shall   be  maintained  by  the  occupational  therapist  and  referring  professional and submitted to the chairman on such  forms  and  at  such  times as the chairman may require.Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (v)  The  physician  rendering  the medical care hereunder shall be in  charge of the care unless, in his or her judgment, it  is  necessary  to  refer   the  case  to  a  specially  trained  and  qualified  authorized  physician, which physician shall then assume complete responsibility for  and supervision of any further medical care rendered.    (e) Notwithstanding any provision of this chapter to the  contrary,  a  hospital  or  health maintenance organization authorized by the chairman  to render medical care and laboratory services under  this  section,  is  authorized  and  may  charge  for  any  and  all  services  rendered  in  accordance with such schedule or schedules prepared and  established  by  the chairman.    (f)  Nothing  herein  contained shall operate to prevent such employee  from selecting for rendering or continuance of any medical treatment  or  care  required,  any  physician  authorized  by  the  chairman to render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a of this chapter.    (g)  (i)  The  department  of  health  shall  conduct  inspections and  investigations and make  recommendations  with  respect  to  charges  of  professional  or other misconduct or that the personnel of an authorized  hospital or health maintenance organization are not  properly  qualified  under  this  chapter  or  that  the equipment of such hospital or health  maintenance organization is  inadequate  for  the  proper  rendering  of  medical  care. After such inspection and investigation the department of  health shall refer its report and recommendations to the  chairman,  who  shall have full power and authority to temporarily suspend or revoke the  authorization  under  this  subdivision  of  any such hospital or health  maintenance organization  upon  finding,  after  a  hearing,  that  such  hospital   or   health  maintenance  organization  has  been  guilty  of  professional or other misconduct, or that the personnel of such hospital  or health maintenance organization are not properly qualified under this  chapter  or  the  equipment  of  such  hospital  or  health  maintenance  organization is inadequate for the proper rendering of medical care. The  recommendations  of  the  department  of health shall be advisory to the  chairman only and shall not be binding or conclusive upon him.    (ii) The chairman shall have full power and authority and it shall  be  his  duty to investigate violations of the provisions of this chapter or  violations of the rules promulgated by the chairman under the provisions  of this chapter, or failure to submit full and truthful medical  reports  directly   to  the  chairman  within  the  time  limits  provided  under  subdivision four of section thirteen-a of this  article,  and,  after  a  hearing,  to  temporarily suspend or revoke the authorization under this  subdivision of any such hospital or health maintenance organization.    (h) The chairman may adopt such reasonable rules and  regulations  for  the  authorization  and  continued  supervision  of hospitals and health  maintenance organizations under this section as he  may  deem  necessary  and proper.

State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 13-c

§ 13-c. Licensing of compensation medical bureaus and laboratories. 1.  The  chairman may, upon the recommendation of the medical society of the  county or of a board as provided in section  thirteen-b,  authorize  and  license  compensation  medical  bureaus  in  such  counties  operated by  qualified  physicians  wholly  or  principally  for  the  diagnosis  and  treatment  of  industrial injuries or illnesses in respect to which they  are authorized to render medical care under this chapter. The  chairman,  however,  shall  not  authorize  or  license  more than two such bureaus  operated  by  the  same  physician.   The   chairman   may,   upon   the  recommendation  of  the  medical  society of the county or of a board as  provided  in  section  thirteen-b,  authorize   and   license   separate  laboratories  and  bureaus  engaged  in X-ray diagnosis or treatment and  clinical diagnosis, or in physiotherapy or other therapeutic procedures,  which participate in the diagnosis or treatment of injured workmen under  this chapter. The chairman, however, shall not authorize or license more  than two such laboratories or bureaus operated by  the  same  physician.  Application  for  such  authorization  shall  be  made  on  forms  to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such bureaus. If within sixty days after such  application has been filed the medical society or board refuses or fails  to  act  or  refuses  to  recommend to the chairman that such license be  granted, the applicant may appeal to the medical appeals unit. Each such  bureau or laboratory which receives such authorization shall:    (a) Make reports on its personnel and equipment in such  form  and  at  such times as may be required by the chairman; and    (b) Be subject to inspection by the chairman or the medical society of  the county in which such bureau or laboratory is located; and    (c) Pay to the chairman a license fee of two hundred dollars per annum  for  each  office  of  such  bureau,  or  fifty  dollars per annum for a  separate laboratory.    2. No  claim  for  services  in  connection  with  x-ray  examination,  diagnosis  or  treatment  of  any claimant shall be valid or enforceable  except by a laboratory or bureau of a voluntary hospital authorized  and  licensed under subdivision one of this section, or except by a physician  duly  authorized  as  a  roentgenologist  by  the  chairman for services  performed by such physician or under his immediate supervision.    3. (a) The chairman may authorize a medical center,  jointly  operated  by  labor  and management representatives as a non-profit corporation or  as a non-profit benefit trust, approved by and under the supervision  of  the  New  York state department of health, to provide medical, surgical,  dental,  optometric,  podiatric,  or  other  attendance  or   treatment,  including   X-ray   diagnosis   or  treatment,  physiotherapy  or  other  therapeutic procedures or services, laboratory services and any and  all  other  services  required  to  be provided for an injured employee under  section thirteen of  this  chapter,  entitled  "Treatment  and  care  of  injured employees".    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such medical center. Each such medical center  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman;    (ii) Be subject to inspection by the chairman;    (iii) Pay to the chairman a license fee of  two  hundred  dollars  per  annum.    (c) All treatment and services provided hereunder shall be provided on  an  out-patient  basis  to  employees,  who  are claimants for workmen's  compensation,  eligible  to  use  the  medical  center  pursuant  to  anagreement, plan, deed of trust or labor-management collective bargaining  agreement.    (d)  (i)  A  physician  rendering  medical  care  at  a medical center  authorized hereunder must be authorized to render such care pursuant  to  this chapter and he shall limit his professional activities hereunder to  such medical care as his experience and training qualify him to render.    (ii)  When para-medical, laboratory or X-ray services or other medical  care is required it shall be rendered, under  the  active  and  personal  supervision  of  an authorized physician, by a registered nurse or other  person trained in laboratory or diagnostic techniques within  the  scope  of   such   person's   specialized  training  and  qualifications.  This  supervision shall be evidenced by signed  records  of  instructions  for  treatment  and  signed  records of the patient's condition and progress.  Reports of  such  treatment  and  supervision  shall  be  made  by  such  physician  to  the  chairman  on  such  forms  and  at such times as the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive  as  to  treatment  of  an  authorized physician or podiatrist  within the scope of such physical therapist's specialized  training  and  qualifications  as  defined  in  article  one  hundred thirty-six of the  education law. Reports of such treatment and records of instruction  for  treatment,  if  any,  shall  be maintained by the physical therapist and  referring professional and submitted to the chairman on such  forms  and  at such times as the chairman may require.    (iv)  When  occupational therapy care is required it shall be rendered  by a duly  licensed  and  registered  occupational  therapist  upon  the  prescription  or referral of an authorized physician within the scope of  such occupational therapist's specialized training and qualifications as  defined in article one hundred fifty-six of the education  law.  Reports  of  such  treatment  and  records  of instruction for treatment, if any,  shall  be  maintained  by  the  occupational  therapist  and   referring  professional  and  submitted  to  the chairman on such forms and at such  times as the chairman may require.    (v) The physician rendering the medical care  hereunder  shall  be  in  charge of the care unless, in his judgment, it is necessary to refer the  case  to  a  specially  trained and qualified physician, which physician  shall then assume complete responsibility for  and  supervision  of  any  further medical care rendered.    (e)  Notwithstanding  any provision of this chapter to the contrary, a  medical center authorized by the chairman to  render  medical  care  and  laboratory services under this section, is authorized and may charge for  any  and  all  services  rendered  in  accordance  with such schedule or  schedules prepared and established by the chairman.    (f) Nothing herein contained shall operate to  prevent  such  employee  from  selecting for rendering or continuance of any medical treatment or  care required, any  physician  authorized  by  the  chairman  to  render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a, of this chapter.    (g) The chairman shall have full power and authority and it  shall  be  his  duty  to  investigate instances of misconduct, or violations of the  provisions of this chapter or violations of the rules promulgated by the  chairman under the provisions of this chapter, or failure to submit full  and truthful medical reports directly to the chairman  within  the  time  limits  provided  under  subdivision  four of section thirteen-a of this  chapter; and, after a hearing, to  temporarily  suspend  or  revoke  the  license  of  any  such medical center. The chairman may also temporarily  suspend or revoke the license of any such medical center  upon  finding,after   a   hearing,  that  such  medical  center  has  been  guilty  of  professional or other misconduct or that the personnel of such center is  not properly qualified under this  chapter  or  the  equipment  of  such  medical center is inadequate for the proper rendering of medical care.    (h)  The  chairman may adopt such reasonable rules and regulations for  the authorization and continued supervision  of  medical  centers  under  this section, as he may deem necessary and proper.    4.  (a)  The  chairman  may authorize a hospital as defined in article  twenty-eight  of  the  public  health  law  or  a   health   maintenance  organization holding a valid certificate of authority issued pursuant to  article  forty-four  of  the  public  health  law or operating under the  provisions of article  forty-three  of  the  insurance  law  to  provide  out-patient medical care under this chapter.    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel   and   equipment  of  such  hospital  or  health  maintenance  organization. Each such  hospital  or  health  maintenance  organization  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman; and    (ii) Be subject to inspection and investigation as provided hereunder.    (c) All treatment and services provided hereunder shall be provided on  an out-patient basis to workers' compensation claimants.    (d) (i) A physician rendering medical care at  a  hospital  or  health  maintenance  organization  authorized  hereunder  must  be authorized to  render such care pursuant to this chapter and he or she shall limit  his  or  her professional activities hereunder to such medical care as his or  her experience and training qualify him or her to render. The  physician  rendering  the  medical care shall sign and submit all forms and reports  as the chairman may require.    (ii) When para-medical, laboratory or X-ray services or other  medical  care  is  required  it  shall be rendered, under the active and personal  supervision of an authorized physician, by a registered nurse  or  other  person  trained  in laboratory or diagnostic techniques within the scope  of  such  person's  specialized  training   and   qualifications.   This  supervision  shall  be  evidenced  by signed records of instructions for  treatment and signed records of the patient's  condition  and  progress.  Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive as to treatment  of  an  authorized  physician  or  podiatrist  within  the  scope of such physical therapist's specialized training and  qualifications as defined in  article  one  hundred  thirty-six  of  the  education  law. Reports of such treatment and records of instruction for  treatment, if any, shall be maintained by  the  physical  therapist  and  referring  professional  and submitted to the chairman of such forms and  at such times as the chairman may require.    (iv) When occupational therapy care is required it shall  be  rendered  by  a  duly  licensed  and  registered  occupational  therapist upon the  prescription or referral of an authorized physician within the scope  of  such occupational therapist's specialized training and qualifications as  defined  in  article one hundred fifty-six of the education law. Reports  of such treatment and records of  instruction  for  treatment,  if  any,  shall   be  maintained  by  the  occupational  therapist  and  referring  professional and submitted to the chairman on such  forms  and  at  such  times as the chairman may require.Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (v)  The  physician  rendering  the medical care hereunder shall be in  charge of the care unless, in his or her judgment, it  is  necessary  to  refer   the  case  to  a  specially  trained  and  qualified  authorized  physician, which physician shall then assume complete responsibility for  and supervision of any further medical care rendered.    (e) Notwithstanding any provision of this chapter to the  contrary,  a  hospital  or  health maintenance organization authorized by the chairman  to render medical care and laboratory services under  this  section,  is  authorized  and  may  charge  for  any  and  all  services  rendered  in  accordance with such schedule or schedules prepared and  established  by  the chairman.    (f)  Nothing  herein  contained shall operate to prevent such employee  from selecting for rendering or continuance of any medical treatment  or  care  required,  any  physician  authorized  by  the  chairman to render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a of this chapter.    (g)  (i)  The  department  of  health  shall  conduct  inspections and  investigations and make  recommendations  with  respect  to  charges  of  professional  or other misconduct or that the personnel of an authorized  hospital or health maintenance organization are not  properly  qualified  under  this  chapter  or  that  the equipment of such hospital or health  maintenance organization is  inadequate  for  the  proper  rendering  of  medical  care. After such inspection and investigation the department of  health shall refer its report and recommendations to the  chairman,  who  shall have full power and authority to temporarily suspend or revoke the  authorization  under  this  subdivision  of  any such hospital or health  maintenance organization  upon  finding,  after  a  hearing,  that  such  hospital   or   health  maintenance  organization  has  been  guilty  of  professional or other misconduct, or that the personnel of such hospital  or health maintenance organization are not properly qualified under this  chapter  or  the  equipment  of  such  hospital  or  health  maintenance  organization is inadequate for the proper rendering of medical care. The  recommendations  of  the  department  of health shall be advisory to the  chairman only and shall not be binding or conclusive upon him.    (ii) The chairman shall have full power and authority and it shall  be  his  duty to investigate violations of the provisions of this chapter or  violations of the rules promulgated by the chairman under the provisions  of this chapter, or failure to submit full and truthful medical  reports  directly   to  the  chairman  within  the  time  limits  provided  under  subdivision four of section thirteen-a of this  article,  and,  after  a  hearing,  to  temporarily suspend or revoke the authorization under this  subdivision of any such hospital or health maintenance organization.    (h) The chairman may adopt such reasonable rules and  regulations  for  the  authorization  and  continued  supervision  of hospitals and health  maintenance organizations under this section as he  may  deem  necessary  and proper.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Wkc > Article-2 > 13-c

§ 13-c. Licensing of compensation medical bureaus and laboratories. 1.  The  chairman may, upon the recommendation of the medical society of the  county or of a board as provided in section  thirteen-b,  authorize  and  license  compensation  medical  bureaus  in  such  counties  operated by  qualified  physicians  wholly  or  principally  for  the  diagnosis  and  treatment  of  industrial injuries or illnesses in respect to which they  are authorized to render medical care under this chapter. The  chairman,  however,  shall  not  authorize  or  license  more than two such bureaus  operated  by  the  same  physician.   The   chairman   may,   upon   the  recommendation  of  the  medical  society of the county or of a board as  provided  in  section  thirteen-b,  authorize   and   license   separate  laboratories  and  bureaus  engaged  in X-ray diagnosis or treatment and  clinical diagnosis, or in physiotherapy or other therapeutic procedures,  which participate in the diagnosis or treatment of injured workmen under  this chapter. The chairman, however, shall not authorize or license more  than two such laboratories or bureaus operated by  the  same  physician.  Application  for  such  authorization  shall  be  made  on  forms  to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such bureaus. If within sixty days after such  application has been filed the medical society or board refuses or fails  to  act  or  refuses  to  recommend to the chairman that such license be  granted, the applicant may appeal to the medical appeals unit. Each such  bureau or laboratory which receives such authorization shall:    (a) Make reports on its personnel and equipment in such  form  and  at  such times as may be required by the chairman; and    (b) Be subject to inspection by the chairman or the medical society of  the county in which such bureau or laboratory is located; and    (c) Pay to the chairman a license fee of two hundred dollars per annum  for  each  office  of  such  bureau,  or  fifty  dollars per annum for a  separate laboratory.    2. No  claim  for  services  in  connection  with  x-ray  examination,  diagnosis  or  treatment  of  any claimant shall be valid or enforceable  except by a laboratory or bureau of a voluntary hospital authorized  and  licensed under subdivision one of this section, or except by a physician  duly  authorized  as  a  roentgenologist  by  the  chairman for services  performed by such physician or under his immediate supervision.    3. (a) The chairman may authorize a medical center,  jointly  operated  by  labor  and management representatives as a non-profit corporation or  as a non-profit benefit trust, approved by and under the supervision  of  the  New  York state department of health, to provide medical, surgical,  dental,  optometric,  podiatric,  or  other  attendance  or   treatment,  including   X-ray   diagnosis   or  treatment,  physiotherapy  or  other  therapeutic procedures or services, laboratory services and any and  all  other  services  required  to  be provided for an injured employee under  section thirteen of  this  chapter,  entitled  "Treatment  and  care  of  injured employees".    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel and equipment of such medical center. Each such medical center  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman;    (ii) Be subject to inspection by the chairman;    (iii) Pay to the chairman a license fee of  two  hundred  dollars  per  annum.    (c) All treatment and services provided hereunder shall be provided on  an  out-patient  basis  to  employees,  who  are claimants for workmen's  compensation,  eligible  to  use  the  medical  center  pursuant  to  anagreement, plan, deed of trust or labor-management collective bargaining  agreement.    (d)  (i)  A  physician  rendering  medical  care  at  a medical center  authorized hereunder must be authorized to render such care pursuant  to  this chapter and he shall limit his professional activities hereunder to  such medical care as his experience and training qualify him to render.    (ii)  When para-medical, laboratory or X-ray services or other medical  care is required it shall be rendered, under  the  active  and  personal  supervision  of  an authorized physician, by a registered nurse or other  person trained in laboratory or diagnostic techniques within  the  scope  of   such   person's   specialized  training  and  qualifications.  This  supervision shall be evidenced by signed  records  of  instructions  for  treatment  and  signed  records of the patient's condition and progress.  Reports of  such  treatment  and  supervision  shall  be  made  by  such  physician  to  the  chairman  on  such  forms  and  at such times as the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive  as  to  treatment  of  an  authorized physician or podiatrist  within the scope of such physical therapist's specialized  training  and  qualifications  as  defined  in  article  one  hundred thirty-six of the  education law. Reports of such treatment and records of instruction  for  treatment,  if  any,  shall  be maintained by the physical therapist and  referring professional and submitted to the chairman on such  forms  and  at such times as the chairman may require.    (iv)  When  occupational therapy care is required it shall be rendered  by a duly  licensed  and  registered  occupational  therapist  upon  the  prescription  or referral of an authorized physician within the scope of  such occupational therapist's specialized training and qualifications as  defined in article one hundred fifty-six of the education  law.  Reports  of  such  treatment  and  records  of instruction for treatment, if any,  shall  be  maintained  by  the  occupational  therapist  and   referring  professional  and  submitted  to  the chairman on such forms and at such  times as the chairman may require.    (v) The physician rendering the medical care  hereunder  shall  be  in  charge of the care unless, in his judgment, it is necessary to refer the  case  to  a  specially  trained and qualified physician, which physician  shall then assume complete responsibility for  and  supervision  of  any  further medical care rendered.    (e)  Notwithstanding  any provision of this chapter to the contrary, a  medical center authorized by the chairman to  render  medical  care  and  laboratory services under this section, is authorized and may charge for  any  and  all  services  rendered  in  accordance  with such schedule or  schedules prepared and established by the chairman.    (f) Nothing herein contained shall operate to  prevent  such  employee  from  selecting for rendering or continuance of any medical treatment or  care required, any  physician  authorized  by  the  chairman  to  render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a, of this chapter.    (g) The chairman shall have full power and authority and it  shall  be  his  duty  to  investigate instances of misconduct, or violations of the  provisions of this chapter or violations of the rules promulgated by the  chairman under the provisions of this chapter, or failure to submit full  and truthful medical reports directly to the chairman  within  the  time  limits  provided  under  subdivision  four of section thirteen-a of this  chapter; and, after a hearing, to  temporarily  suspend  or  revoke  the  license  of  any  such medical center. The chairman may also temporarily  suspend or revoke the license of any such medical center  upon  finding,after   a   hearing,  that  such  medical  center  has  been  guilty  of  professional or other misconduct or that the personnel of such center is  not properly qualified under this  chapter  or  the  equipment  of  such  medical center is inadequate for the proper rendering of medical care.    (h)  The  chairman may adopt such reasonable rules and regulations for  the authorization and continued supervision  of  medical  centers  under  this section, as he may deem necessary and proper.    4.  (a)  The  chairman  may authorize a hospital as defined in article  twenty-eight  of  the  public  health  law  or  a   health   maintenance  organization holding a valid certificate of authority issued pursuant to  article  forty-four  of  the  public  health  law or operating under the  provisions of article  forty-three  of  the  insurance  law  to  provide  out-patient medical care under this chapter.    (b)  Application  for  such authorization shall be made on forms to be  furnished by the chairman, and shall disclose in full the nature of  the  personnel   and   equipment  of  such  hospital  or  health  maintenance  organization. Each such  hospital  or  health  maintenance  organization  which receives such authorization shall:    (i)  Make  reports  on its personnel and equipment in such form and at  such times as may be required by the chairman; and    (ii) Be subject to inspection and investigation as provided hereunder.    (c) All treatment and services provided hereunder shall be provided on  an out-patient basis to workers' compensation claimants.    (d) (i) A physician rendering medical care at  a  hospital  or  health  maintenance  organization  authorized  hereunder  must  be authorized to  render such care pursuant to this chapter and he or she shall limit  his  or  her professional activities hereunder to such medical care as his or  her experience and training qualify him or her to render. The  physician  rendering  the  medical care shall sign and submit all forms and reports  as the chairman may require.    (ii) When para-medical, laboratory or X-ray services or other  medical  care  is  required  it  shall be rendered, under the active and personal  supervision of an authorized physician, by a registered nurse  or  other  person  trained  in laboratory or diagnostic techniques within the scope  of  such  person's  specialized  training   and   qualifications.   This  supervision  shall  be  evidenced  by signed records of instructions for  treatment and signed records of the patient's  condition  and  progress.  Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (iii) When physical therapy care is required it shall be rendered by a  duly  licensed  physical  therapist  upon  the  referral  which  may  be  directive as to treatment  of  an  authorized  physician  or  podiatrist  within  the  scope of such physical therapist's specialized training and  qualifications as defined in  article  one  hundred  thirty-six  of  the  education  law. Reports of such treatment and records of instruction for  treatment, if any, shall be maintained by  the  physical  therapist  and  referring  professional  and submitted to the chairman of such forms and  at such times as the chairman may require.    (iv) When occupational therapy care is required it shall  be  rendered  by  a  duly  licensed  and  registered  occupational  therapist upon the  prescription or referral of an authorized physician within the scope  of  such occupational therapist's specialized training and qualifications as  defined  in  article one hundred fifty-six of the education law. Reports  of such treatment and records of  instruction  for  treatment,  if  any,  shall   be  maintained  by  the  occupational  therapist  and  referring  professional and submitted to the chairman on such  forms  and  at  such  times as the chairman may require.Reports  of  such  treatment  and  supervision  shall  be  made  by such  physician to the chairman on  such  forms  and  at  such  times  as  the  chairman may require.    (v)  The  physician  rendering  the medical care hereunder shall be in  charge of the care unless, in his or her judgment, it  is  necessary  to  refer   the  case  to  a  specially  trained  and  qualified  authorized  physician, which physician shall then assume complete responsibility for  and supervision of any further medical care rendered.    (e) Notwithstanding any provision of this chapter to the  contrary,  a  hospital  or  health maintenance organization authorized by the chairman  to render medical care and laboratory services under  this  section,  is  authorized  and  may  charge  for  any  and  all  services  rendered  in  accordance with such schedule or schedules prepared and  established  by  the chairman.    (f)  Nothing  herein  contained shall operate to prevent such employee  from selecting for rendering or continuance of any medical treatment  or  care  required,  any  physician  authorized  by  the  chairman to render  medical  care  as  hereinabove  provided,  in  accordance  with  section  thirteen-a of this chapter.    (g)  (i)  The  department  of  health  shall  conduct  inspections and  investigations and make  recommendations  with  respect  to  charges  of  professional  or other misconduct or that the personnel of an authorized  hospital or health maintenance organization are not  properly  qualified  under  this  chapter  or  that  the equipment of such hospital or health  maintenance organization is  inadequate  for  the  proper  rendering  of  medical  care. After such inspection and investigation the department of  health shall refer its report and recommendations to the  chairman,  who  shall have full power and authority to temporarily suspend or revoke the  authorization  under  this  subdivision  of  any such hospital or health  maintenance organization  upon  finding,  after  a  hearing,  that  such  hospital   or   health  maintenance  organization  has  been  guilty  of  professional or other misconduct, or that the personnel of such hospital  or health maintenance organization are not properly qualified under this  chapter  or  the  equipment  of  such  hospital  or  health  maintenance  organization is inadequate for the proper rendering of medical care. The  recommendations  of  the  department  of health shall be advisory to the  chairman only and shall not be binding or conclusive upon him.    (ii) The chairman shall have full power and authority and it shall  be  his  duty to investigate violations of the provisions of this chapter or  violations of the rules promulgated by the chairman under the provisions  of this chapter, or failure to submit full and truthful medical  reports  directly   to  the  chairman  within  the  time  limits  provided  under  subdivision four of section thirteen-a of this  article,  and,  after  a  hearing,  to  temporarily suspend or revoke the authorization under this  subdivision of any such hospital or health maintenance organization.    (h) The chairman may adopt such reasonable rules and  regulations  for  the  authorization  and  continued  supervision  of hospitals and health  maintenance organizations under this section as he  may  deem  necessary  and proper.