§ 4405 — Health maintenance organizations; powers

New York § 4405

• Jurisdiction: New York
• Law PBH: Public Health
• Art. 44: Health Maintenance Organizations

Text

§ 4405. Health maintenance organizations; powers. The powers of health\nmaintenance organizations, in addition to any other powers conferred by\nthe laws under which such organization is constructed, shall include:\n 1. subject to the provisions of article twenty-eight of this chapter,\nthe purchase, lease, construction, renovation, operation, or maintenance\nof hospitals, medical facilities, or both, and their ancillary\nequipment, and such property as may reasonably be required for its\nprincipal office or for such other purposes as may be necessary in the\ntransaction of the business of the organization;\n 2. the furnishing of comprehensive health care services on a prepaid\nbasis through hospitals and other health care providers which are under\ncontract with, otherwise associated with, or employed by the health\nmaintenance organization;\n 3. the marketing, enrollment and administration of a comprehensive\nhealth services plan;\n 4. the contracting with an insurer licensed in this state;\n 5. the offering, in addition to health care services, of benefits\ncovering out-of-area or emergency services;\n 6. the provision of additional health services not included in the\ncomprehensive health services plan on a fee-for-service basis, the\nprovision of health services on a fee-for-service basis to persons who\nare not members of the enrolled population;\n 7. the entering into contracts in furtherance of the purposes of this\narticle;\n 8. the acceptance from government agencies, private agencies,\ncorporations, associations, groups, individuals, or other persons,\npayments covering all or part of the cost of health care services\nprovided to enrollees, in accordance with the provisions of the plan and\nthis chapter; and\n 9. the indemnification of enrollees for the services of health care\nproviders, other than primary care practitioners responsible for\nsupervising and coordinating the care of enrollees, not participating in\na plan to the extent authorized in section forty-four hundred six of\nthis article; and\n 10. notwithstanding any other provision of law, to advertise the\ncomprehensive health services which it renders and the plan relating to\nthe rendition of such services, provided, however, that all information\ndisseminated to the public shall be strictly factual in nature and\naccurate in all respects and shall not in any way be misleading to the\npublic.\n