Bill Text: NY A07102 | 2013-2014 | General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relates to competency exams, service of charges, petitions to modify or vacate orders, profiling requirements and modifying physician and advertising and testimony standards.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-01-08 - referred to health [A07102 Detail]

Download: New_York-2013-A07102-Amended.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                        7102--A
                              2013-2014 Regular Sessions
                                 I N  A S S E M B L Y
                                      May 1, 2013
                                      ___________
       Introduced  by  M.  of  A. GOTTFRIED -- (at request of the Department of
         Health) -- read once and  referred  to  the  Committee  on  Health  --
         reported   and  referred  to  the  Committee  on  Codes  --  committee
         discharged, bill amended, ordered reprinted as amended and recommitted
         to said committee
       AN ACT to amend the public health law and the education law, in relation
         to enforcing compliance with clinical  competency  exams,  simplifying
         service  of  charges,  limiting  petitions to modify or vacate orders,
         profiling requirements of self-insured physicians, modifying physician
         and advertising and testimonial standards  and  to  amend  the  public
         health  law,  in  relation to expanding the applicability of penalties
         for willful violations of the  commissioner  of  health's  orders  and
         amending  chapter 58 of the laws of 2008, relating to reimbursement to
         particular provider pharmacies  and  prescription  drug  coverage,  in
         relation to the effectiveness of certain provisions thereof
         THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section 1. Subdivision 7 of section 230 of the public  health  law  is
    2  amended by adding a new paragraph (d) to read as follows:
    3    (D) (I) A COMMITTEE ON PROFESSIONAL CONDUCT, ON NOTICE TO THE LICENSEE
    4  AND  AFTER AFFORDING THE LICENSEE AND THE OFFICE OF PROFESSIONAL MEDICAL
    5  CONDUCT AN OPPORTUNITY TO BE HEARD, SHALL HAVE THE  AUTHORITY  TO  ORDER
    6  THE  LICENSEE  TO  COMPLY  WITH RECOMMENDED REMEDIATION ARISING FROM THE
    7  EXAMINATIONS IN PARAGRAPH (C) OF THIS SUBDIVISION. (II) IF  A  COMMITTEE
    8  ON  PROFESSIONAL  CONDUCT  WHEN  CONSIDERING  THE  RESULTS OF A CLINICAL
    9  COMPETENCY EXAMINATION PURSUANT TO PARAGRAPH  (C)  OF  THIS  SUBDIVISION
   10  DETERMINES THAT THE LICENSEE IS INCOMPETENT AND THAT THERE IS NO PRACTI-
   11  CAL  REMEDIATION  FOR  SUCH  INCOMPETENCE,  IT MAY REFER THE CASE TO THE
   12  DIRECTOR OF THE OFFICE OF PROFESSIONAL MEDICAL CONDUCT  FOR  THE  DIREC-
   13  TOR'S  CONSIDERATION OF WHETHER TO PRESENT TO AN INVESTIGATION COMMITTEE
   14  PURSUANT TO SUBPARAGRAPH (IV) OF PARAGRAPH (A)  OF  SUBDIVISION  TEN  OF
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD09282-04-3
       A. 7102--A                          2
    1  THIS SECTION FOR ITS CONCURRENCE ON CHARGES PURSUANT TO PARAGRAPH (B) OF
    2  SUBDIVISION  FIVE  OF SECTION SIXTY-FIVE HUNDRED THIRTY OF THE EDUCATION
    3  LAW.
    4    S  2.  Subdivision 5 of section 6530 of the education law, as added by
    5  chapter 606 of the laws of 1991, is amended to read as follows:
    6    5. (A) Practicing the profession with incompetence on  more  than  one
    7  occasion; OR
    8    (B) BEING FOUND TO BE INCOMPETENT BY AN EXAMINATION WHICH HAS OCCURRED
    9  PURSUANT  TO  PARAGRAPH  (C) OF SUBDIVISION SEVEN OF SECTION TWO HUNDRED
   10  THIRTY OF THE PUBLIC HEALTH LAW WHEN  THE  RESULTS  OF  THE  EXAMINATION
   11  DEMONSTRATE  THAT THERE ARE NO REASONABLE CONDITIONS OR LIMITATIONS THAT
   12  COULD BE IMPOSED UPON THE LICENSEE THAT WOULD SUFFICIENTLY MITIGATE SUCH
   13  INCOMPETENCE.
   14    S 3. Subdivision 15 of section 6530 of the education law, as added  by
   15  chapter 606 of the laws of 1991, is amended to read as follows:
   16    15. (A) Failure to comply with an order issued pursuant to subdivision
   17  seven,  paragraph  (a)  of subdivision ten, and subdivision seventeen of
   18  section two hundred thirty of the public health law; OR
   19    (B) FAILURE TO COMPLY WITH REMEDIATION RECOMMENDATIONS ARISING FROM AN
   20  EXAMINATION WHEN AN EXAMINATION HAS OCCURRED PURSUANT TO  PARAGRAPH  (C)
   21  OF  SUBDIVISION SEVEN OF SECTION TWO HUNDRED THIRTY OF THE PUBLIC HEALTH
   22  LAW, WHEN SUCH COMPLIANCE HAS BEEN ORDERED BY  A  COMMITTEE  ON  PROFES-
   23  SIONAL CONDUCT PURSUANT TO PARAGRAPH (D) OF SUBDIVISION SEVEN OF SECTION
   24  TWO HUNDRED THIRTY OF THE PUBLIC HEALTH LAW.
   25    S  4.  Subparagraph  (i) of paragraph (d) of subdivision 10 of section
   26  230 of the public health law, as amended by chapter 477 of the  laws  of
   27  2008, is amended to read as follows:
   28    (i)  A  copy  of  the  charges  and the notice of the hearing shall be
   29  served BY THE BOARD on the licensee EITHER (A) personally [by the board]
   30  at least thirty days before the hearing[. If personal service cannot  be
   31  made  after  due diligence and such fact is certified under oath, a copy
   32  of the charges and the notice of hearing shall be  served];  OR  (B)  by
   33  registered  or  certified  mail  to  the licensee's [last known] CURRENT
   34  RESIDENTIAL  OR  PRACTICE  address  [by  the  board];  MAILED  at  least
   35  [fifteen] THIRTY days before the hearing; OR (C) BY REGISTERED OR CERTI-
   36  FIED  MAIL  TO  THE  LICENSEE'S CURRENT REGISTRATION ADDRESS PURSUANT TO
   37  SECTION SIXTY-FIVE HUNDRED TWO OF THE EDUCATION LAW  OR  THE  LICENSEE'S
   38  MOST  RECENT  MAILING  ADDRESS ON FILE WITH THE NEW YORK STATE EDUCATION
   39  DEPARTMENT PURSUANT TO THE NOTIFICATION REQUIREMENT SET FORTH IN  SUBDI-
   40  VISION  FIVE OF SUCH SECTION, MAILED AT LEAST FORTY-FIVE DAYS BEFORE THE
   41  HEARING; OR (D) BY FIRST CLASS MAIL TO AN ATTORNEY, LICENSED TO PRACTICE
   42  IN THE STATE OF NEW YORK, WHO HAS APPEARED ON BEHALF OF THE LICENSEE  IN
   43  THE  MATTER  BEFORE THE OFFICE OF PROFESSIONAL MEDICAL CONDUCT MAILED AT
   44  LEAST THIRTY DAYS BEFORE THE HEARING.  IN THE EVENT A COPY OF THE CHARG-
   45  ES ARE SERVED THROUGH EITHER CLAUSES (A), (B), OR (C) OF  THIS  SUBPARA-
   46  GRAPH,  THEN  THE BOARD SHALL ALSO SERVE THE ATTORNEY, LICENSED TO PRAC-
   47  TICE IN THE STATE OF NEW YORK, WHO HAS REQUESTED IN WRITING  SERVICE  ON
   48  BEHALF  OF  THE LICENSEE IN THE MATTER BEFORE THE OFFICE OF PROFESSIONAL
   49  MEDICAL CONDUCT AT LEAST THIRTY DAYS BEFORE THE HEARING.
   50    S 5. Paragraph (q) of subdivision 10 of  section  230  of  the  public
   51  health  law,  as added by chapter 477 of the laws of 2008, is amended to
   52  read as follows:
   53    (q) [At any time subsequent] SUBSEQUENT to the final conclusion  of  a
   54  professional  misconduct proceeding against a licensee, whether upon the
   55  determination and order of a hearing committee issued pursuant to  para-
   56  graph (h) of this subdivision or upon the determination and order of the
       A. 7102--A                          3
    1  administrative review board issued pursuant to paragraph (d) of subdivi-
    2  sion  four  of  section two hundred thirty-c of this title, the licensee
    3  may file a petition with the director, requesting vacatur  or  modifica-
    4  tion of the determination and order.  IF THE DETERMINATION AND ORDER DID
    5  NOT INCLUDE THE PENALTY OF LICENSE REVOCATION, THE PETITION MAY BE FILED
    6  AT  ANY  TIME.  IF  THE  DETERMINATION  AND ORDER INCLUDED A SANCTION OF
    7  LICENSE REVOCATION, THE PETITION MAY BE FILED AT ANY TIME PRIOR TO  SUCH
    8  TIME  AS  THE  LICENSEE  IS  AUTHORIZED,  PURSUANT TO SECTION SIXTY-FIVE
    9  HUNDRED ELEVEN OF THE EDUCATION LAW, THE RULES OF THE BOARD  OF  REGENTS
   10  AND  THE  REGULATIONS  OF THE COMMISSIONER OF EDUCATION TO SEEK BOARD OF
   11  REGENTS RESTORATION OF THE REVOKED LICENSE. The  director  shall,  after
   12  reviewing  the  matter  and  after  consulting  with department counsel,
   13  determine in the reasonable exercise of his or  her  discretion  whether
   14  there  is  new  and  material evidence that was not previously available
   15  which, had it been available, would  likely  have  led  to  a  different
   16  result,  or  whether  circumstances  have  occurred  subsequent  to  the
   17  original determination that warrant a reconsideration of the measure  of
   18  discipline.  Upon determining that such evidence or circumstances exist,
   19  the director shall have the authority to join the licensee in an  appli-
   20  cation  to  the  chairperson of the state board for professional medical
   21  conduct to vacate or modify the determination and order, as the director
   22  may deem appropriate. Upon the joint application of the licensee and the
   23  director, the chairperson shall have the authority to grant or deny such
   24  application.
   25    S 6. Section 6511 of the education law, as amended by chapter  542  of
   26  the laws of 2000, is amended to read as follows:
   27    S 6511. Penalties for professional misconduct. The penalties which may
   28  be imposed by the board of regents on a present or former licensee found
   29  guilty of professional misconduct (under the definitions and proceedings
   30  prescribed  in  sections  sixty-five hundred nine and sixty-five hundred
   31  ten of this [article] SUBPART)  are:  (1)  censure  and  reprimand,  (2)
   32  suspension  of  license,  (a)  wholly,  for  a fixed period of time; (b)
   33  partially,  until  the  licensee  successfully  completes  a  course  of
   34  retraining  in  the  area  to  which the suspension applies; (c) wholly,
   35  until the licensee successfully completes a course of therapy or  treat-
   36  ment prescribed by the regents; (3) revocation of license, (4) annulment
   37  of  license  or registration, (5) limitation on registration or issuance
   38  of any further license, (6) a fine not to exceed ten  thousand  dollars,
   39  upon each specification of charges of which the respondent is determined
   40  to  be  guilty,  (7)  a  requirement  that a licensee pursue a course of
   41  education or training, and (8) a requirement that a licensee perform  up
   42  to  one  hundred  hours of public service, in a manner and at a time and
   43  place as directed by the board. The  board  of  regents  may  stay  such
   44  penalties  in  whole or in part, may place the licensee on probation and
   45  may restore a license which has been revoked, provided, in the  case  of
   46  licensees  subject  to  section  two hundred thirty of the public health
   47  law, notice that the board is considering such restoration is  given  to
   48  the  office  of professional medical conduct at least thirty days before
   49  the date on which such restoration shall be considered. Upon the  recom-
   50  mendation  of  the  office of professional medical conduct, the board of
   51  regents may deny such restoration.  IN THE EVENT THAT  THE  BOARD,  WHEN
   52  CONSIDERING  SUCH  RESTORATION,  ELECTS  TO ACT IN A MANNER INCONSISTENT
   53  WITH ANY RECOMMENDATION OF THE OFFICE OF PROFESSIONAL  MEDICAL  CONDUCT,
   54  THE  BOARD  SHALL  INCLUDE  AN EXPLICIT JUSTIFICATION FOR DEPARTING FROM
   55  SUCH RECOMMENDATION IN  ITS  WRITTEN  DETERMINATION.  Any  fine  imposed
   56  pursuant  to  this  section  or  pursuant  to subdivision two of section
       A. 7102--A                          4
    1  sixty-five hundred ten of this [article] SUBPART may  be  sued  for  and
    2  recovered  in  the  name  of  the  people of the state of New York in an
    3  action brought by the attorney general. In such action the findings  and
    4  determination  of  the  board  of regents or of the violations committee
    5  shall be admissible evidence  and  shall  be  conclusive  proof  of  the
    6  violation and the penalty assessed.
    7    S  7.  Subdivision  3  of  section 2995-a of the public health law, as
    8  added by chapter 542 of the laws of 2000, is amended to read as follows:
    9    3. Each physician who is self-insured for professional  medical  malp-
   10  ractice  shall periodically report to the department on forms and in the
   11  time and manner required by the commissioner the  information  specified
   12  in  paragraph  [(f)] (E) of subdivision one of this section, except that
   13  the physician shall report the dollar  amount  (to  the  extent  of  the
   14  physician's information and belief) for each judgment, award and settle-
   15  ment and not a level of significance or context.
   16    S  8. Subdivision 27 of section 6530 of the education law, as added by
   17  chapter 606 of the laws of 1991, is amended to read as follows:
   18    27. Advertising or soliciting for patronage that is not in the  public
   19  interest. (a) Advertising or soliciting not in the public interest shall
   20  include,  but  not be limited to, advertising or soliciting that: (i) is
   21  false, fraudulent, deceptive, OR misleading[, sensational,  or  flamboy-
   22  ant];
   23    (ii) represents intimidation or undue pressure;
   24    (iii) [uses testimonials;
   25    (iv)] guarantees any service;
   26    [(v)]  (IV)  makes  any  claim  relating  to  professional services or
   27  products or the costs or price therefor which cannot be substantiated by
   28  the licensee, who shall have the burden of proof;
   29    [(vi)] (V) makes claims of professional superiority  which  cannot  be
   30  substantiated by the licensee, who shall have the burden of proof; or
   31    [(vii)]  (VI)  offers  bonuses or inducements in any form other than a
   32  discount or reduction in an established fee or price for a  professional
   33  service or product.
   34    (b)  The  following shall be deemed appropriate means of informing the
   35  public of the availability of professional services:  (i)  informational
   36  advertising not contrary to the foregoing prohibitions; and
   37    (ii) the advertising in a newspaper, periodical or professional direc-
   38  tory or on radio [or], television, OR THE INTERNET of fixed prices, or a
   39  stated  range  of  prices,  for specified routine professional services,
   40  provided that if there is an  additional  charge  for  related  services
   41  which  are an integral part of the overall service being provided by the
   42  licensee, the advertisement shall so state, and  provided  further  that
   43  the  advertisement indicates the period of time for which the advertised
   44  prices shall be in effect.
   45    (c)(i) All licensees placing advertisements shall maintain,  or  cause
   46  to  be maintained, an exact copy of each advertisement, transcript, tape
   47  or video tape thereof as appropriate for the medium used, for  a  period
   48  of  one  year  after its last appearance. This copy shall be made avail-
   49  able for inspection upon demand of the department of health;
   50    (ii) A licensee shall not compensate or give anything of value to rep-
   51  resentatives of the press, radio,  television  or  other  communications
   52  media  in  anticipation  of or in return for professional publicity in a
   53  news item[;].
   54    (d) [No demonstrations, dramatizations or other portrayals of  profes-
   55  sional  practice  shall  be  permitted  in advertising on radio or tele-
   56  vision;] TESTIMONIALS, DEMONSTRATIONS, DRAMATIZATIONS, OR OTHER PORTRAY-
       A. 7102--A                          5
    1  ALS OF PROFESSIONAL PRACTICE ARE PERMITTED PROVIDED THAT THEY  OTHERWISE
    2  COMPLY  WITH  THE  LAWS  OF  PROFESSIONAL  MEDICAL  CONDUCT  AND FURTHER
    3  PROVIDED THAT THE FOLLOWING CONDITIONS ARE SATISFIED:
    4    (I) THE PATIENT EXPRESSLY AUTHORIZES THE PORTRAYAL IN WRITING;
    5    (II)  THE APPROPRIATE DISCLOSURE IS INCLUDED TO PREVENT ANY MISLEADING
    6  INFORMATION OR IMAGERY AS TO THE IDENTITY OF THE PATIENT;
    7    (III) REASONABLE DISCLAIMERS ARE INCLUDED AS TO ANY STATEMENTS MADE OR
    8  RESULTS ACHIEVED IN A PARTICULAR MATTER;
    9    (IV) THE USE OF FICTIONAL SITUATIONS OR CHARACTERS MAY BE USED  IF  NO
   10  TESTIMONIALS ARE INCLUDED; AND
   11    (V) FICTIONAL PATIENT TESTIMONIALS ARE NOT PERMITTED.
   12    S  9.  Subdivision  2  of  section  12-b  of the public health law, as
   13  amended by section 17 of part A of chapter 58 of the laws  of  2008,  is
   14  amended to read as follows:
   15    2.  A  person  who wilfully violates any provision of this chapter, or
   16  any regulation lawfully made or established by  any  public  officer  or
   17  board under authority of this chapter, OR ANY LAWFUL ORDER PRESCRIBED BY
   18  THE  COMMISSIONER  OF  HEALTH, the punishment for violating which is not
   19  otherwise prescribed by this chapter or any other law, is punishable  by
   20  imprisonment  not  exceeding  one  year,  or by a fine not exceeding ten
   21  thousand dollars or by both. Effective on and  after  April  first,  two
   22  thousand  eight  the  comptroller  is  hereby authorized and directed to
   23  deposit  amounts  collected  in  excess  of  two  thousand  dollars  per
   24  violation  to  the patient safety center account to be used for purposes
   25  of the patient safety center created by title  two  of  article  twenty-
   26  nine-D of this chapter.
   27    S  10.  Section 32 of part A of chapter 58 of the laws of 2008, amend-
   28  ing the elder law and other laws relating to reimbursement to particular
   29  provider pharmacies  and  prescription  drug  coverage,  as  amended  by
   30  section  26  of  part A of chapter 59 of the laws of 2011, is amended to
   31  read as follows:
   32    S 32. This act shall take effect immediately and shall  be  deemed  to
   33  have  been in full force and effect on and after April 1, 2008; provided
   34  however, that sections one, six-a, nineteen,  twenty,  twenty-four,  and
   35  twenty-five of this act shall take effect July 1, 2008; provided however
   36  that sections sixteen[, seventeen] and eighteen of this act shall expire
   37  April  1,  2014;  provided, however, that the amendments made by section
   38  twenty-eight of this act shall take effect on the same date as section 1
   39  of chapter 281 of the laws of 2007 takes effect; provided further,  that
   40  sections  twenty-nine,  thirty,  and  thirty-one  of this act shall take
   41  effect October 1, 2008; provided further, that section  twenty-seven  of
   42  this  act  shall take effect January 1, 2009; and provided further, that
   43  section twenty-seven of this act shall expire  and  be  deemed  repealed
   44  March  31,  2014; and provided, further, however, that the amendments to
   45  subdivision 1 of section 241 of the education law made by section  twen-
   46  ty-nine  of this act shall not affect the expiration of such subdivision
   47  and shall be deemed to expire therewith and provided that the amendments
   48  to section 272 of the public health law made by section thirty  of  this
   49  act  shall  not  affect  the  repeal of such section and shall be deemed
   50  repealed therewith.
   51    S 11. This act shall take effect immediately; provided  that  sections
   52  one, two, three, four, five, six and eight of this act shall take effect
   53  on the sixtieth day after this act shall have become a law.
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