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Professional misconduct laws 


New York State Education § 6530 Definitions of Professional Misconduct (other states' professional misconduct laws are similar to this; please check your state constitution to compare).  The unconscionably long Section 230 of the NY Public Health Law pertains to the State board proceedings for   professional medical misconduct.  In short, they are designed to protect the physician, not the patient.

§ 6530. Definitions of professional misconduct. Each of the following is professional misconduct,  and  any  licensee  found  guilty  of  such misconduct under the procedures prescribed in section two hundred thirty of  the public health law shall be subject to penalties as prescribed in section two hundred thirty-a of the public health law  except  that  the charges may be dismissed in the interest of justice:

1. Obtaining the license fraudulently;

2.  Practicing  the  profession  fraudulently or beyond its authorized scope;

3.  Practicing  the  profession  with  negligence  on  more  than  one occasion;

4.  Practicing  the  profession  with gross negligence on a particular occasion;

5. Practicing the  profession  with  incompetence  on  more  than  one occasion;

     

6. Practicing the profession with gross incompetence;

7.  Practicing  the  profession  while  impaired  by  alcohol,  drugs, physical disability, or mental disability;

8. Being a habitual abuser of alcohol, or  being  dependent  on  or  a habitual  user  of narcotics, barbiturates, amphetamines, hallucinogens, or other drugs having similar effects, except  for  a  licensee  who  is maintained  on an approved therapeutic regimen which does not impair the ability to practice, or having a psychiatric condition which impairs the licensee's ability to practice;

9.  (a) Being convicted of  committing  an  act  constituting  a  crime under:

(i) New York state law or,

(ii) federal law or,

(iii) the law of another jurisdiction and which, if committed within this state, would have constituted a crime under New York state law;

       (b) Having been found guilty  of  improper  professional  practice  or professional  misconduct  by a duly authorized professional disciplinary agency of another state where the conduct upon  which  the  finding  was based  would,  if  committed  in New York state, constitute professional misconduct under the laws of New York state;

       (c)  Having  been  found  guilty  in  an  adjudicatory  proceeding  of violating  a state or federal statute or regulation, pursuant to a final decision or determination, and when  no  appeal  is  pending,  or  after resolution  of  the proceeding by stipulation or agreement, and when the violation would constitute  professional  misconduct  pursuant  to  this section;

       (d)  Having his or her license to practice medicine revoked, suspended or having  other  disciplinary  action  taken,  or  having  his  or  her application  for  a  license  refused,  revoked  or  suspended or having voluntarily  or  otherwise  surrendered  his  or  her  license  after  a disciplinary  action  was  instituted  by a duly authorized professional disciplinary agency of another state, where the conduct resulting in the revocation,  suspension  or  other  disciplinary  action  involving  the license  or  refusal,  revocation  or suspension of an application for a license or the surrender of the license would, if committed in New  York state,  constitute  professional  misconduct  under the laws of New York state;

       (e) Having been found by the commissioner of health to be in violation of article thirty-three of the public health law;

10. Refusing to provide professional service to a  person  because  of such person's race, creed, color or national origin;

11.  Permitting,  aiding  or  abetting an unlicensed person to perform activities requiring a license;

12. Practicing the  profession  while  the  license  is  suspended  or inactive  as  defined  in  subdivision  thirteen  of section two hundred thirty of the public health law, or willfully  failing  to  register  or notify  the  department  of  education  of any change of name or mailing address, or, if a professional service corporation, willfully failing to comply  with sections fifteen hundred three and fifteen hundred fourteen of the business corporation law or, if  a  university  faculty  practice corporation  wilfully failing to comply with paragraphs (b), (c) and (d) of section fifteen hundred three and section fifteen hundred fourteen of the business corporation law;

13. A willful violation by a licensee of subdivision eleven of section two hundred thirty of the public health law;

14.  A  violation  of  section   twenty-eight hundred   three-d   or twenty-eight hundred five-k of the public health law; or

15.  Failure  to  comply  with an order issued pursuant to subdivision seven, paragraph (a) of subdivision ten, and  subdivision  seventeen  of section two hundred thirty of the public health law;

16.  A willful or grossly negligent failure to comply with substantial provisions of federal, state,  or  local  laws,  rules,  or  regulations governing the practice of medicine;

17. Exercising undue influence on the patient, including the promotion of  the  sale of services, goods, appliances, or drugs in such manner as to exploit the patient for the financial gain of the licensee  or  of  a third party;

18.  Directly or indirectly offering, giving, soliciting, or receiving or agreeing to receive, any fee or other  consideration  to  or  from  a third  party  for  the  referral  of a patient or in connection with the performance of professional services;

19. Permitting any person  to  share  in  the  fees  for  professional services,  other  than: a partner, employee, associate in a professional firm or corporation, professional subcontractor or consultant authorized to practice medicine, or a legally authorized trainee  practicing  under the  supervision  of  a  licensee.  This  prohibition  shall include any arrangement or agreement whereby the  amount  received  in  payment  for furnishing  space, facilities, equipment or personnel services used by a licensee constitutes a percentage of, or is  otherwise  dependent  upon, the  income  or  receipts  of the licensee from such practice, except as otherwise provided by law with respect to a facility  licensed  pursuant to  article twenty-eight of the public health law or article thirteen of the mental hygiene law;

  

20.  Conduct  in  the  practice  of  medicine  which  evidences  moral unfitness to practice medicine;

21.  Willfully  making  or filing a false report, or failing to file a report required by law or by the department of health or  the  education department,  or  willfully  impeding  or  obstructing  such  filing,  or inducing another person to do so;

22. Failing to make available to a patient, upon  request,  copies  of documents  in  the possession or under the control of the licensee which have been prepared for and paid for by the patient or client;

23. Revealing of personally identifiable facts, data,  or  information obtained  in  a  professional  capacity without the prior consent of the patient, except as authorized or required by law;

24. Practicing or offering to practice beyond the scope  permitted  by law, or accepting and performing professional responsibilities which the licensee  knows or has reason to know that he or she is not competent to perform,  or  performing  without  adequate   supervision   professional services  which  the  licensee  is  authorized to perform only under the supervision of a licensed professional, except in an emergency situation where a person's life or health is in danger;

25.  Delegating  professional  responsibilities  to  a person when the licensee delegating such responsibilities knows or has  reason  to  know that  such  person  is  not qualified, by training, by experience, or by licensure, to perform them;

25-a. With  respect  to  any  non-emergency  treatment,  procedure  or surgery  which  is  expected  to  involve  local  or general anesthesia, failing to disclose to the patient the  identities  of  all  physicians, except medical residents in certified training programs, podiatrists and dentists,  reasonably  anticipated  to  be  actively  involved  in  such treatment, procedure or surgery and to obtain  such  patient's  informed consent to said practitioners' participation;

26. Performing  professional  services  which  have  not  been  duly authorized by the patient or his or her legal representative;

27. Advertising or soliciting for patronage that is not in the  public interest.

(a) Advertising or soliciting not in the public interest shall include,  but  not be limited to, advertising or soliciting that:

      (i) is false, fraudulent, deceptive, misleading, sensational, or flamboyant;

(ii) represents intimidation or undue pressure;

(iii) uses testimonials;

(iv) guarantees any service;

(v) makes any claim relating to professional services or  products  or the  costs  or  price  therefor  which  cannot  be  substantiated by the licensee, who shall have the burden of proof;

(vi)  makes  claims  of  professional  superiority  which  cannot be substantiated by the licensee, who shall have the burden of proof; or

(vii)  offers bonuses or inducements in any form other than a discount or reduction in an established fee or price for a  professional  service or product.

  (b)  The  following shall be deemed appropriate means of informing the public of the availability of professional services:  (i)  informational advertising not contrary to the foregoing prohibitions; and

(ii)  the  advertising  in  a  newspaper,  periodical  or professional directory or on radio or television of fixed prices, or a  stated  range of prices, for specified routine professional services, provided that if there is an additional charge for related services which are an integral part  of  the  overall  service  being  provided  by  the  licensee, the advertisement  shall  so  state, and provided further that   the advertisement  indicates  the  period  of  time for which the advertised prices shall be in effect.

  (c)  (i) All licensees placing advertisements shall maintain,  or  cause to  be maintained, an exact copy of each advertisement, transcript, tape or video tape thereof as appropriate for the medium used, for  a  period of  one  year  after its last appearance. This copy shall be made available for inspection upon demand of the department of health;

        (ii) A licensee shall not compensate or give anything of value to representatives of the press, radio,  television  or  other  communications media  in  anticipation  of or in return for professional publicity in a news item;

  (d)  No  demonstrations,  dramatizations  or other portrayals of professional  practice  shall  be  permitted  in advertising on radio or television;

28. Failing to respond within thirty days  to  written  communications from the department of health and to make available any relevant records with respect to an inquiry or complaint  about  the  licensee's professional misconduct. The period of thirty days shall commence on the date when such communication was delivered personally to  the  licensee.  If the communication is sent from the department of health by registered or  certified  mail,  with  return  receipt  requested,  to  the address appearing in the last registration, the  period  of  thirty  days  shall commence  on  the  date of delivery to the licensee, as indicated by the return receipt;

29. Violating any term of probation or condition or limitation imposed on the licensee pursuant to section two hundred  thirty  of  the  public health law;

 

30.  Abandoning or neglecting a patient under and in need of immediate professional  care,  without  making  reasonable  arrangements  for  the continuation  of such care, or abandoning a professional employment by a group practice, hospital, clinic or other health care facility,  without reasonable  notice  and  under  circumstances which seriously impair the delivery of professional care to patients or clients;

31. Willfully harassing, abusing, or intimidating  a  patient  either physically or verbally;

32.  Failing  to  maintain  a record for each patient which accurately reflects the evaluation and treatment of the patient, provided, however, that a physician who  transfers  an  original  mammogram  to  a  medical institution,  or  to a physician or health care provider of the patient, or to the patient directly, as otherwise provided by law, shall have  no obligation  under  this  section  to  maintain  the  original  or a copy thereof. Unless otherwise provided by law, all patient records  must  be retained  for  at  least  six  years. Obstetrical records and records of minor patients must be retained for at least six years,  and  until  one year after the minor patient reaches the age of eighteen years;

33.  Failing  to exercise appropriate supervision over persons who are authorized to practice only under the supervision of the licensee;

34. Guaranteeing that satisfaction or a  cure  will  result  from  the performance of professional services;

35.  Ordering  of  excessive  tests,  treatment,  or  use of treatment facilities not warranted by the condition of the patient;

36. Claiming or using any secret or special method of treatment  which the licensee refused to divulge to the department of health;

37. Failing to wear an identifying badge, which shall be conspicuously displayed and legible, indicating the  practitioner's  name  and professional title authorized pursuant to this chapter, while practicing as an employee or operator of a  hospital, clinic, group practice or multiprofessional facility, or at a commercial establishment offering health services to the public;

38. Entering into an arrangement or agreement with a pharmacy for the compounding and/or dispensing of  coded or specially marked prescriptions;

39. With respect to all  professional  practices  conducted  under  an assumed  name,  other  than  facilities  licensed  pursuant  to  article twenty-eight of the public health law or article thirteen of the  mental hygiene  law, failing to post conspicuously at the site of such practice the name and licensure  field  of  all  of  the  principal  professional licensees  engaged  in  the  practice  at  that  site  (i.e.,  principal partners, officers or principal shareholders);

40.  Failing  to  provide  access  by  qualified  persons  to  patient information  in  accordance  with  the  standards  set  forth in section eighteen of the public health law as added by chapter 497 of the laws of 1986;

41. Knowingly or willfully performing a complete or partial autopsy on a deceased person without lawful authority;

42. Failing to comply with a signed agreement to practice medicine  in New York state in an area designated by the commissioner of education as having  a  shortage of physicians or refusing to repay medical education costs in lieu of such required service, or failing to  comply  with  any provision  of  a  written  agreement  with the state or any municipality within  which  the  licensee  has  agreed to provide medical service, or refusing to repay funds in lieu of  such  service  as  consideration  of awards  made  by  the  state  or any municipality thereof for his or her professional education in  medicine,  or  failing  to  comply  with  any agreement entered into to aid his or her medical education;

43. Failing   to   complete   forms  or  reports  required  for  the reimbursement of a patient by a third  party.  Reasonable  fees  may  be charged   for such  forms  or  reports,  but  prior  payment  for  the professional services to which such forms or reports relate may  not  be required as a condition for making such forms or reports available;

44. In  the  practice  of  psychiatry,  (a) any physical contact of a sexual nature between licensee and  patient  except  the  use  of  films and/or  other  audiovisual  aids  with  individuals  or  groups  in  the development of appropriate responses to overcome sexual dysfunction  and (b) in therapy groups, activities which promote explicit physical sexual contact between group members during sessions; and

45.  In  the  practice of ophthalmology, failing to provide a patient, upon request,  with  the  patient's  prescription  including  the  name, address,   and  signature  of  the  prescriber  and  the  date  of  the prescription.

46. A violation of section two  hundred  thirty-eight  of  the  public health  law  by  a professional other than a professional subject to the provisions of paragraph (f) of subdivision one of  section  twenty-eight hundred five-k of the public health law.

47.  Failure  to  use  scientifically accepted barrier precautions and infection control practices as established by the department  of  health pursuant to section two hundred thirty-a of the public health law.

  * 48. A violation of section two hundred thirty-d of the public health law or the regulations of the commissioner of health enacted thereunder.

  * NB Effective January 14, 2008

New York Public Health Law section 230 also applies.

  Section 230. PROFESSIONAL MEDICAL CONDUCT

State   board   for   professional   medical  conduct proceedings.

Penalties for professional misconduct and specialist's assistants.

relevant sections:

          230-a.   Penalties for professional misconduct.

          230-b.   Disciplinary proceedings for physicians' assistants.

          230-c.   Administrative review board  for  professional

medical conduct.

          230-d.   Office-based surgery.

    § 230. State board for professional medical conduct; proceedings.

1. A

  state  board  for  professional medical conduct is hereby created in

the

  department in matters of professional misconduct as defined in

sections

  sixty-five  hundred  thirty  and  sixty-five  hundred  thirty-one of

the

  education  law.  Its  physician  members  shall  be  appointed  by

the

  commissioner  at  least  eighty-five percent of whom shall be from

among

  nominations submitted by the medical society of the state of  New

York,

  the  New  York  state  osteopathic  society,  the  New  York  academy

of

  medicine,  county  medical  societies,  statewide  specialty

societies

  recognized  by  the  council  of  medical  specialty  societies, and

the

  hospital association of  New  York  state.  Its  lay  members  shall

be

  appointed  by  the  commissioner  with the approval of the governor.

The

  board of regents shall also appoint twenty percent of the members of

the

  board. Not less than sixty-seven percent of the members appointed by

the

  board of regents shall be physicians. Not less than eighty-five

percent

  of the physician members appointed by the board of regents shall be

from

  among  nominations  submitted by the medical society of the state of

New

  York, the New York state osteopathic society, the New  York  academy

of

  medicine,   county   medical   societies,  statewide  medical

societies

  recognized by the  council  of  medical  specialty  societies,  and

the

230-a.

230-a*2. Infection control standards.

230-b.   Disciplinary proceedings for physician's assistants

  hospital  association  of  New  York  state.  Any  failure  to  meet

the

  percentage thresholds stated in this subdivision shall  not  be

grounds

  for  invalidating  any  action  by  or  on  authority  of  the board

for

  professional medical conduct or a committee or  a  member  thereof.

The

  board  for  professional medical conduct shall consist of not fewer

than

  eighteen physicians licensed in the state for at least five  years,

two

  of whom shall be doctors of osteopathy, not fewer than two of whom

shall

  be  physicians  who  dedicate a significant portion of their practice

to

  the use of non-conventional medical treatments who may be  nominated

by

  New York state medical associations dedicated to the advancement of

such

  treatments,  at  least  one  of  whom shall have expertise in

palliative

  care, and not fewer than seven lay members. An executive secretary

shall

  be appointed by the chairperson and shall be a licensed physician.

Such

  executive  secretary  shall  not  be  a  member of the board, shall

hold

  office at the pleasure of, and shall have the powers and duties

assigned

  and the annual salary fixed by, the chairperson. The  chairperson

shall

  also  assign  such  secretaries  or  other  persons  to the board as

are

  necessary.

    2. Members of such board shall be appointed by the commissioner or

the

  board of regents for three year terms except that  the  terms  of

those

  first appointed shall be arranged so that as nearly as possible an

equal

  number shall terminate annually. A vacancy occurring during a term

shall

  be  filled by an appointment by the commissioner or the board of

regents

  for the unexpired term.

    3.  Each  member  of  the  board  shall  receive  a   certificate

of

  appointment,   shall   before  beginning  his  term  of  office  file

a

  constitutional oath of office with the secretary of state, shall

receive

  up to one hundred fifty dollars as prescribed by  the  commissioner

for

  each day devoted to board work not to exceed ten thousand dollars in

any

  one year, and shall be reimbursed for his necessary expenses. Any

member

  may be removed from the board at the pleasure of the commissioner.

    4. The governor shall annually designate from the members of the

board

  a  chairperson  who shall be a physician and vice-chairperson. The

board

  shall meet upon call of the chairperson, and may adopt bylaws

consistent

  with this section. A quorum for the transaction of business by the

board

  shall be a majority of members.

    5. From among the members of the  board  two  or  more  committees

on

  professional conduct shall be appointed by the board chairperson.

    6.  Any  committee  on  professional conduct appointed pursuant to

the

  provisions of this section shall consist of two physicians and  one

lay member. 

    * 7.  The  board,  by  its  committees  on professional conduct,

shall

  conduct disciplinary proceedings as prescribed in this section and

shall

  assist in other  professional  conduct  matters  as  prescribed  by

the

  chairperson.   In this section the term "licensee" shall mean

physician,

  including a physician practicing  under  a  limited  permit,  a

medical

  resident,  physician's assistant and specialist's assistant. A

committee

  on professional conduct, on notice to the licensee and  after

affording

  the  licensee,  the  office  of  professional medical conduct, and

their

  attorneys an opportunity to be heard, shall have the authority to

direct

  a licensee to submit to a medical or psychiatric  examination  when

the

  committee has reason to believe the licensee may be impaired by

alcohol,

  drugs, physical disability or mental disability. The committee, with

the

  advice  of  the licensee and the office of professional medical

conduct,

  shall designate the physician who  will  conduct  the  examination.

The

  results  of the examination shall be provided by the examining

physician

  to the committee, the licensee, and the office of  professional

medical

  conduct.  The  licensee  may  also  obtain  a  physician  to  conduct

an

  examination the results of which shall be provided to the committee

and

  the office of professional medical conduct.

    * NB Effective until November 3, 2008

    * 7.  (a)  The board, by its committees on professional conduct,

shall

  conduct disciplinary proceedings as prescribed in this section and

shall

  assist in other  professional  conduct  matters  as  prescribed  by

the

  chairperson.  In  this section the term "licensee" shall mean

physician,

  including a physician practicing  under  a  limited  permit,  a

medical

  resident,  physician's assistant and specialist's assistant. A

committee

  on professional conduct, on notice to the licensee and  after

affording

  the  licensee,  the  office  of  professional medical conduct, and

their

  attorneys an opportunity to be heard, shall have the authority to

direct

  a licensee to submit to a medical or psychiatric  examination  when

the

  committee has reason to believe the licensee may be impaired by

alcohol,

  drugs, physical disability or mental disability. The committee, with

the

  advice  of  the licensee and the office of professional medical

conduct,

  shall designate the physician who  will  conduct  the  examination.

The

  results  of the examination shall be provided by the examining

physician

  to the committee, the licensee, and the office of  professional

medical

  conduct.  The  licensee  may  also  obtain  a  physician  to  conduct

an

  examination the results of which shall be provided to the committee

and

  the office of professional medical conduct.

    (b)  A  committee on professional conduct may sit as an

administrative

  tribunal for the purpose of issuing an order authorizing the  office

of

  professional   medical  conduct  to  obtain  medical  records  or

other

  protected health information pertaining to the  licensee's  physical

or

  mental  condition  when  the  committee  has  reason to believe that

the

  licensee may be impaired  by  alcohol,  drugs,  physical  disability

or

  mental disability and that the records or information may be relevant

to

  the  alleged  impairment  or  that  information regarding the

licensee's

  medical condition may be relevant to an  inquiry  into  a  report  of

  communicable disease, as defined by the state sanitary code or

HIV/AIDS.

  No such order shall be issued except on notice to the licensee and

after

  affording the licensee and the office of professional medical conduct

an

  opportunity to be heard.

    (c) A committee on professional conduct, on notice to the licensee

and

  after  affording  the  licensee  and  the office of professional

medical

  conduct an opportunity to be heard, shall have the authority to

direct a

  licensee to  submit  to  a  clinical  competency  examination  when

the

  committee  has  reason  to  believe that the licensee has practiced

with

  incompetence, generally in his or her medical practice or in a

specific

  area  of  his or her medical practice. The committee, with the advice

of

  the licensee and the  office  of  professional  medical  conduct,

shall

  designate the facility or institution to conduct the clinical

competency

  examination. The results of the clinical competency examination shall

be

  provided  by  the facility or institution to the committee, the

licensee

  and the office of professional medical conduct. The  licensee  may

also

  obtain  an  accredited  facility  or  institution  to conduct a

clinical

  competency examination, the results of which shall be  provided  to

the

  committee and the office of professional medical conduct.

    * NB Effective November 3, 2008

    8.  Notwithstanding  any  other  provision  of  law,  no  member

of a

  committee on professional conduct nor an employee of the board shall

be

  liable  in  damages to any person for any action taken or

recommendation

  made by him within the scope  of  his  function  as  a  member  of

such

  committee  or  employee  provided  that  (a) such member or employee

has

  taken action or made recommendations within the scope  of  his

function

  and  without  malice,  and (b) in the reasonable belief after

reasonable

  investigation that the act or recommendation was warranted,  based

upon

  the facts disclosed.

    9.   Notwithstanding   any   other  provisions  of  law,  neither

the

  proceedings nor the records of any such committee shall  be  subject

to

  disclosure  under article thirty-one of the civil practice law and

rules

  except as hereinafter provided. No person in attendance at a meeting

of

  any  such  committee  shall be required to testify as to what

transpired

  thereat.  The prohibition relating to discovery of testimony  shall

not

  apply  to  the  statements  made  by  any person in attendance at

such a

  meeting who is a party to an action or proceeding the subject matter

of

  which was reviewed at such meeting.

    * 9-a.  At  any time, if the board for professional medical conduct

or 

  the office of professional medical conduct determines that  there  is

a

  reasonable  belief  that  a  criminal  offense has been committed by

the

  licensee, the board  for  professional  medical  conduct  or  office

of

  professional  medical  conduct  shall  notify  the  appropriate

district

  attorney.

    * NB Effective until November 3, 2008

    * 9-a. At any time, if the board for professional medical  conduct

or

  the  office  of  professional medical conduct determines that there

is a

  reasonable belief that an act or omission that constitutes a crime

under

  the law of the state of New York, any other state, or the United

States

  has  been  committed by the licensee, the board for professional

medical

  conduct or office of  professional  medical  conduct  shall  notify

the

  appropriate law enforcement official or authority.

    * NB Effective November 3, 2008

    10. Professional misconduct proceedings shall consist of:

    ** (a) Investigation.  (i) The board for professional medical

conduct,

  by  the  director  of  the  office  of professional medical conduct,

may

  investigate on its own any suspected professional misconduct, and

shall

  investigate  each  complaint  received  regardless  of  the  source.

The

  director of the office of professional medical  conduct  shall  cause

a

  preliminary  review  of  every report made to the department pursuant

to

  section twenty-eight hundred three-e as added by chapter  eight

hundred 

  sixty-six  of the laws of nineteen hundred eighty, sections twenty-

eight

  hundred five-l and  forty-four  hundred  five-b  of  this  chapter,

and

  section three hundred fifteen of the insurance law, to determine if

such

  report  reasonably  appears  to  reflect  physician  conduct

warranting

  further investigation pursuant to this subparagraph.

    (ii)  If  the  investigation  of  cases  referred  to an

investigation

  committee involves issues of clinical practice, medical  experts,

shall

  be consulted. Experts may be made available by the state medical

society

  of  the  state  of  New  York, by county medical societies and

specialty

  societies, and by New York state medical associations dedicated  to

the

  advancement  of  non-conventional  medical  treatments.  Any

information

  obtained by medical experts in consultations,  including  the  names

of

  licensees  or patients, shall be confidential and shall not be

disclosed

  except as otherwise authorized or required by law.

    * (iii) In the investigation of cases  referred  to  an

investigation

  committee,  the licensee being investigated shall have an opportunity

to

  be interviewed by the office of professional medical conduct in order

to

  provide an explanation of the issues under investigation.  The

licensee

  may have counsel present. Providing an opportunity for such an

interview

  shall  be  a  condition  precedent  to the convening of an

investigation

  committee on professional  misconduct  of  the  board  for

professional

  medical conduct. Within ninety days of any interview of the licensee,

an

  investigation   committee  on  professional  conduct  of  the  board

of

  professional medical conduct shall be convened. The  licensee  shall

be

  given  written  notice of issues identified subsequent to the

interview.

  The licensee may submit written comments or expert opinion to the

office

  of professional medical conduct at any time.

    * NB Effective until November 3, 2008

    * (iii) In the investigation of cases  referred  to  an

investigation

  committee,  the licensee being investigated shall have an opportunity

to 

  be interviewed by the office of professional medical conduct in order

to

  provide an explanation of the issues under investigation.  Providing

an

  opportunity  for such an interview shall be a condition precedent to

the

  convening of an investigation committee on  professional  misconduct

of

  the board for professional medical conduct.

    (A) At least twenty days before the interview, except as otherwise

set

  forth  herein,  the  licensee under investigation shall be given

written

  notice of: (1) a description of the conduct that is the subject  of

the

  investigation;  (2)  the  issues  relating to the conduct that have

been

  identified at the time of the notice; (3) the time frame of the

conduct

  under investigation; (4) the identity of each patient whose contact

with

  or care by the licensee is believed to be relevant to the

investigation;

  and (5) the fact that the licensee may be represented by counsel and

may

  be accompanied by a stenographer to transcribe the proceeding. All

costs

  of  transcription  shall  be  paid  by  the licensee and a copy shall

be

  provided to the department by the licensee within  thirty  days  of

the

  interview.  The  notice  required by this subparagraph may be given

less

  than twenty days before an interview in any case  where  the  office

of

  professional medical conduct anticipates that the commissioner will

take

  summary  action  under subdivision twelve of this section, provided

that

  the notice is given within a reasonable amount  of  time  prior  to

the

  interview and advises of the possible summary action.

    (B)  Within  thirty days following the interview or, in a case

where a

  stenographer was present at the interview, within fifteen days after

the

  office of professional medical conduct receives the  transcript  of

the

  interview,  whichever  is  later,  the licensee shall be provided

with a

  copy of the report of the interviewer. In addition, the  licensee

shall

  promptly  be given written notice of issues identified subsequent to

the

  interview. The licensee may submit written comments or expert opinion

or

  medical or scientific literature that is directly relevant to the

issues

  that have been identified by the office of professional medical

conduct

  to the office of professional medical conduct at any time.

    (C)  If  the director determines that the matter shall be submitted

to

  an investigation committee, an investigation committee shall be

convened

  within ninety days of any interview of the licensee. The director

shall

  present   the   investigation   committee  with  relevant

documentation

  including, but not limited to: (1) a copy of the original complaint;

(2)

  the report of the interviewer and the stenographic  record  if  one

was

  taken; (3) the report of any medical or scientific expert; (4) copies

of

  reports   of   any  patient  record  reviews;  and  (5)  the

licensee's

  submissions.

    (D) If the director determines to close an investigation following

an

  interview without presentation to an investigation committee, the

office

  of professional medical conduct shall notify the licensee in writing.

    * NB Effective November 3, 2008

    * (iv)  If the director of the office of professional medical

conduct,

  after obtaining the  concurrence  of  a  majority  of  an

investigation

  committee,   and   after  consultation  with  the  executive

secretary,

  determines that a  hearing  is  warranted  the  director  shall,

within

  fifteen  days  thereafter, direct counsel to prepare the charges. If

the

  director determines after consultation with an  investigation

committee

  that:  (A)  evidence  exists  of  a  single  incident  of  negligence

or

  incompetence,  a  pattern  of  inappropriate  prescribing   or

medical

  practice,   or   impairment   by  drugs,  alcohol,  physical  or

mental

  disability; (B) a recommendation was made by a county medical society

or

  the medical society of the state  of  New  York  that  warrants

further

  review;  or  (C) the facts underlying a verdict in a medical

malpractice

  action  warrant  further  review,  the  director,  in  addition  to

the

  authority  set  forth  in this section, shall be authorized to

conduct a 

  comprehensive review of patient records of the licensee and such

office

  records  of  the  licensee  as  are  related  to said determination.

The

  licensee shall cooperate with the investigation and willful  failure

to

  cooperate  in  a  substantial  or  material  respect  may  result  in

an

  enforcement proceeding pursuant to subparagraph (ii) of paragraph (o)

of

  this subdivision. If there is a question of alcoholism,  alcohol

abuse,

  drug  abuse  or  mental  illness, the director may refer the matter

to a

  committee, as referred to in  subparagraph  (ii)  of  paragraph  (c)

of

  subdivision eleven of this section.

    * NB Effective until November 3, 2008

    * (iv)  If the director of the office of professional medical

conduct,

  after obtaining the  concurrence  of  a  majority  of  an

investigation

  committee,   and   after  consultation  with  the  executive

secretary,

  determines that a  hearing  is  warranted  the  director  shall,

within

  fifteen  days  thereafter, direct counsel to prepare the charges. If

the

  investigation committee is unanimous in its concurrence that  a

hearing

  is  warranted,  the  charges shall be made public under paragraph (d)

of

  this subdivision. If the investigation committee is not unanimous in

its

  concurrence that a hearing is warranted, the members of  such

committee

  shall  vote  on whether the charges should be made public, and if all

of

  the committee members vote in favor of publication, the charges shall

be

  made public under paragraph (d) of this  subdivision.  If  the

director

  determines  after consultation with an investigation committee that:

(A)

  evidence exists of a single incident of negligence  or  incompetence,

a

  pattern  of inappropriate prescribing or medical practice, or

impairment

  by drugs, alcohol, physical or mental disability; (B)  a

recommendation

  was made by a county medical society or the medical society of the

state

  of  New York that warrants further review; or (C) the facts

underlying a

  verdict in a medical malpractice  action  warrant  further  review,

the 

  director,  in addition to the authority set forth in this section,

shall

  be authorized to conduct a comprehensive review of  patient  records

of

  the  licensee  and such office records of the licensee as are related

to

  said  determination. The licensee shall cooperate with the

investigation

  and willful failure to cooperate in a substantial  or  material

respect

  may result in an enforcement proceeding pursuant to subparagraph (ii)

of

  paragraph (o) of this subdivision. If there is a question of

alcoholism,

  alcohol  abuse, drug abuse or mental illness, the director may refer

the

  matter to a committee, as referred to in subparagraph (ii) of

paragraph

  (c) of subdivision eleven of this section.

    * NB Effective November 3, 2008

    * (v) The files of the office of professional medical conduct

relating

  to  the  investigation  of possible instances of professional

misconduct

  shall be confidential and not subject to disclosure at  the  request

of

  any  person,  except as provided by law in a pending disciplinary

action

  or proceeding. The provisions of this paragraph shall  not  prevent

the

  office  from  sharing  information  concerning investigations within

the

  department and, pursuant to subpoena, with other duly authorized

public

  agencies   responsible   for   professional   regulation   or

criminal

  prosecution. Nothing in this subparagraph shall  affect  the  duties

of

  notification set forth in subdivision nine-a of this section.

    * NB Effective until November 3, 2008

    * (v) The files of the office of professional medical conduct

relating

  to  the  investigation  of possible instances of professional

misconduct

  shall be confidential and not subject to disclosure at  the  request

of

  any  person,  except as provided by law in a pending disciplinary

action

  or proceeding. The provisions of this paragraph shall  not  prevent

the

  office  from  sharing  information  concerning investigations within

the

  department and, pursuant to subpoena, with other duly authorized

public

  agencies   responsible   for   professional   regulation   or

criminal

  prosecution. Nothing in this subparagraph shall  affect  the  duties

of

  notification  set forth in subdivision nine-a of this section or

prevent

  the  publication  of  charges   or   of   the   findings,

conclusions,

  determinations,  or  order of a hearing committee pursuant to

paragraphs

  (d) or (g) of  this  subdivision.  In  addition,  the  commissioner

may

  disclose  the  information  when,  in  his or her professional

judgment,

  disclosure of such information would avert or minimize a  public

health

  threat.  Any  such  disclosure  shall  not affect the confidentiality

of

  other information in the files of the  office  of  professional

medical

  conduct related to the investigation.

    * NB Effective November 3, 2008

    (vi)  The  office  of  professional medical conduct, acting under

this

  section, may have access to the criminal history record of any

licensee

  governed by the provisions of this section maintained by the division

of

  criminal  justice  services pursuant to subdivision six of section

eight

  hundred thirty-seven of the executive law.

    * (vii) The director of the office of professional medical conduct,

in

  consultation with the patient safety center, shall cause a review  on

a

  continuous   basis   of   medical   malpractice  claim  and

disposition

  information reported to the commissioner  under  section  three

hundred

  fifteen  of  the insurance law, for the purpose of identifying

potential

  misconduct. The office shall  commence  a  misconduct  investigation

if

  potential  misconduct  is  identified  as a result of such review,

which

  shall be based on criteria such as  disposition  frequency,

disposition

  type  including  judgment  and  settlement,  disposition  award

amount,

  geographic  region,  specialty,  or  other  factors  as  appropriate

in

  identifying potential misconduct.

    * NB Effective November 3, 2008

    ** NB Effective until March 31, 2013

    ** (a) Investigation. The board for professional medical conduct,

by a

  committee  on  professional  conduct,  may  investigate  on  its own

any 

  suspected professional misconduct, and shall investigate each

complaint

  received  regardless  of  the  source.  The results of the

investigation

  shall be referred to the director of the office of professional

medical

  conduct.  If the director of the office of professional medical

conduct,

  after  consultation  with  a  professional  member  of  the  board

for

  professional  medical conduct, determines that a hearing is warranted

he

  shall  direct  counsel  to  prepare  the  charges  within  fifteen

days

  thereafter.  If  it  is  determined  by  the director that the

complaint

  involves a question of professional expertise  then  such  director

may

  seek, and if so shall obtain, the concurrence of at least two members

of

  a  panel  of  three  members of the state board for professional

medical

  conduct.

    ** NB Effective March 31, 2013

    (b) Charges. The charges shall state  the  substance  of  the

alleged

  professional  misconduct  and  shall  state  clearly  and  concisely

the

  material facts but not the evidence by  which  the  charges  are  to

be proved. 

    * (c) Notice of hearing. The board shall set the time and place of

the

  hearing.  The notice of hearing shall state (1) the date, time and

place

  of the hearing, (2) that the licensee shall file  a  written  answer

to

  each of the charges and allegations in the statement of charges no

later

  than  ten  days prior to the hearing, that any charge and allegation

not

  so answered shall be deemed admitted and that the licensee may  wish

to

  seek  the  advice  of  counsel prior to filing such answer, (3) that

the

  licensee shall appear personally at the hearing and may  be

represented

  by  counsel,  (4)  that  the  licensee  shall  have the right to

produce

  witnesses and evidence in his behalf,  to  cross-examine  witnesses

and

  examine  evidence  produced against him, and to have subpoenas issued

in

  his behalf to require the production of witnesses and evidence in

manner

  and form as prescribed by the civil practice law  and  rules  or

either

  party  may  issue  such  subpoenas  in  their  own  behalf,  (5)

that a

  stenographic record of the hearing will be  made,  and  (6)  such

other

  information as may be considered appropriate by the committee.

    * NB Effective until November 3, 2008

    * (c) Notice of hearing. The board shall set the time and place of

the

  hearing.  The notice of hearing shall state (1) the date, time and

place

  of the hearing, (2) that the licensee shall file  a  written  answer

to

  each of the charges and allegations in the statement of charges no

later

  than  ten  days prior to the hearing, that any charge and allegation

not

  so answered shall be deemed admitted and that the licensee may  wish

to

  seek  the  advice  of  counsel prior to filing such answer, (3) that

the

  licensee shall appear personally at the hearing and may  be

represented

  by  counsel  who  shall  be an attorney admitted to practice in New

York

  state, (4) that the licensee shall have the right to  produce

witnesses

  and  evidence  in  his  behalf,  to  cross-examine witnesses and

examine

  evidence produced against him, and  to  have  subpoenas  issued  in

his

  behalf to require the production of witnesses and evidence in manner

and

  form  as  prescribed by the civil practice law and rules or either

party

  may issue such subpoenas in their own behalf, (5)  that  a

stenographic

  record  of  the  hearing will be made, and (6) such other information

as

  may be considered appropriate by the committee.

    * NB Effective November 3, 2008

    * (d) Service of charges and of notice  of  hearing.  A  copy  of

the

  charges  and  the  notice of the hearing shall be served on the

licensee

  personally by the board at least twenty  days  before  the  hearing.

If

  personal  service  cannot  be  made after due diligence and such fact

is

  certified under oath, a copy of the charges and the  notice  of

hearing

  shall  be  served by registered or certified mail to the licensee's

last

  known address by the board at least fifteen days before the hearing.

    * NB Effective until November 3, 2008

    * (d)  Service  of charges and of notice of hearing. (i) A copy of

the 

  charges and the notice of the hearing shall be served  on  the

licensee

  personally  by  the  board  at  least thirty days before the hearing.

If

  personal service cannot be made after due diligence  and  such  fact

is

  certified  under  oath,  a copy of the charges and the notice of

hearing

  shall be served by registered or certified mail to the  licensee's

last

  known address by the board at least fifteen days before the hearing.

    (ii)  The  charges  shall be made public, consistent with

subparagraph

  (iv) of paragraph (a) of this subdivision, no earlier than five

business

  days after they are served, and the charges shall be  accompanied  by

a

  statement  advising  the  licensee  that  such  publication  will

occur;

  provided, however, that charges may  be  made  public  immediately

upon

  issuance of the commissioner's order in the case of summary action

taken

  pursuant to subdivision twelve of this section and no prior

notification

  of such publication need be made to the licensee.

    (iii)  If  a hearing on the charges has not yet been conducted or

if a

  hearing has been conducted but  the  committee  has  not  yet  issued

a

  determination,  the  publication  of  charges  by  the  department

shall

  include a statement advising that the charges are only allegations

which

  may be contested by the licensee in an  administrative  hearing,

except

  that  no  such  statement  need  be  included  if  the licensee fails

or

  affirmatively declines to contest the charges. In the event any  or

all

  such  charges  are dismissed, such dismissal shall be made public

within

  two business days.

    * NB Effective November 3, 2008

    * (d-1) Disclosure of  exculpatory  evidence.  After  service  of

the

  charges  upon  the  licensee,  counsel  for  the  office of

professional

  medical conduct shall, as soon as practicable and on a continuing

basis,

  provide the licensee  with  any  information  or  documentation  in

the

  possession  of the office of professional medical conduct which tends

to

  prove the licensee's innocence.

    * NB Effective November 3, 2008

    (e) Committee hearing. The hearing shall be conducted by  a

committee

  on  professional  conduct. The members of the hearing committee shall

be

  appointed by the chairperson  of  the  board  who  shall  designate

the

  committee  chairperson.  In  addition  to  said  committee  members,

the

  commissioner shall designate  an  administrative  officer,  admitted

to

  practice  as  an  attorney  in the state of New York, who shall have

the

  authority to rule on all motions, including motions to compel

disclosure

  of information or material claimed to be protected because of

privilege

  or  confidentiality,  procedures  and  other  legal objections and

shall

  draft the conclusions of the hearing  committee  pursuant  to

paragraph

  (g).  The  administrative  officer  shall  have the authority to rule

on

  objections to questions posed by either party or the committee

members.

  The administrative officer shall not be entitled to vote.

    (f)  Conduct  of  hearing. All hearings must be commenced within

sixty

  days of the service of charges except that an adjournment of the

initial

  hearing date may be granted by the hearing  committee  upon  request

by

  either  party  upon good cause shown. No adjournment shall exceed

thirty

  days. The evidence in support of the charges shall be  presented  by

an

  attorney.  The  licensee  shall have the rights required to be stated

in

  the notice of hearing (subparagraph (c)  of  this  subdivision)  and

in

  section  four hundred one of the state administrative procedure act.

The

  committee shall  not  be  bound  by  the  rules  of  evidence,  but

its

  conclusion  shall be based on a preponderance of the evidence. A

hearing

  which has been initiated shall not be discontinued because of the

death

  or  incapacity  to  serve of one member of the hearing committee. In

the

  event of a member's death or incapacity to serve  on  the  committee,

a

  member  shall  be appointed immediately by the chairperson of the

board.

  The member shall  affirm  in  writing  that  he  or  she  has  read

and

  considered  evidence  and transcripts of the prior proceedings. The

last 

  hearing day must be held within one hundred twenty  days  of  the

first

  hearing  day.  Either  party, for good cause shown, may request that

the

  committee extend the last hearing day beyond one hundred twenty days.

An

  extension requested by the licensee and granted by the committee may

not

  be used as the grounds for a proceeding brought under paragraph  (j)

of

  this subdivision.

    * (g)  Results  of  hearing.  The committee shall make (1) findings

of

  fact, (2) conclusions concerning the charges sustained or dismissed,

and

  (3) a determination  regarding charges sustained or  dismissed,  and

in

  the  event  any of the charges have been sustained, of the penalty to

be

  imposed or appropriate action to  be  taken  and  the  reasons  for

the

  determination.  For  the  committee  to  make  a conclusion

sustaining a

  charge, or determining a penalty or the appropriate action to be

taken,

  two  members  of  the  committee  must  vote  for  such  a conclusion

or

  determination.  The  committee  shall  issue  an  order  based  on

its

  determination. The committee's findings, conclusions, determinations

and

  order  shall become public upon issuance in any case in which

annulment,

  suspension without stay or  revocation  of  the  licensee's  license

is ordered. 

    * NB Effective until November 3, 2008

    * (g)  Results  of  hearing.  The committee shall make (1) findings

of

  fact, (2) conclusions concerning the charges sustained or dismissed,

and

  (3) a determination regarding charges sustained or dismissed, and in

the

  event any of the charges have been  sustained,  of  the  penalty  to

be

  imposed  or  appropriate  action  to  be  taken  and the reasons for

the

  determination.   For the committee to make  a  conclusion  sustaining

a

  charge,  or determining a penalty or the appropriate action to be

taken,

  two members of  the  committee  must  vote  for  such  a  conclusion

or

  determination.   The  committee  shall  issue  an  order  based  on

its

  determination. The committee's findings, conclusions, determinations

and 

  order shall become public upon issuance. However, if the time to

request

  a review of the committee's determination has not yet expired, or if

the

  review has been requested but no determination as a result of the

review

  has been issued, such publication shall  include  a  statement

advising

  that  the  licensee  or  the  department  may  request  a  review of

the

  committee's determination. No such statement is required if (a) the

time

  to request such review has expired without the filing of such request

by

  either of the parties, or (b)  the  licensee  and  the  department

both

  affirmatively decline to request review of the committee's

determination

  or fail to perfect such review. In the event any or all such charges

are

  dismissed, such dismissal shall be made public within two business

days.

    * NB Effective November 3, 2008

    * (h) Disposition of results. The findings, conclusions,

determination

  and  the  reasons for the determination of the committee shall be

served

  upon the licensee, the department, and any hospitals,  primary

practice

  settings  or  health  care  plans  required to be identified in

publicly

  disseminated physician data pursuant to paragraph (j), (n),  or  (q)

of

  subdivision  one  of  section  twenty-nine hundred ninety-five-a of

this

  chapter, within sixty days of the last day of hearing. Service shall

be

  either  by certified mail upon the licensee at the licensee's last

known

  address and such service shall be effective upon receipt or  seven

days

  after  mailing  by  certified  mail  whichever is earlier or by

personal

  service and such service shall be effective upon receipt.  The

licensee

  shall deliver to the board the license which has been revoked,

annulled,

  suspended  or  surrendered,  together with the registration

certificate,

  within five  days  after  receipt  of  the  order.  If  the  license

or

  registration  certificate  is  lost,  misplaced  or  its  whereabouts

is

  otherwise unknown, the licensee shall submit an affidavit to that

effect

  and shall deliver such license or certificate to the board when

located.

  The director of the office shall promptly transmit a copy of  the

order

  to  the  division  of  professional  licensing  services  of  the

state

  education department and to each hospital  at  which  the  licensee

has

  privileges.

    * NB Effective until November 3, 2008

    * (h)   Disposition   of   results.  (i)  The  findings,

conclusions,

  determination and the reasons for the  determination  of  the

committee

  shall  be  served  upon the licensee, the department, and any

hospitals,

  primary practice settings or health care plans required to be

identified

  in publicly disseminated physician data pursuant to paragraph (j),

(n),

  or  (q)  of subdivision one of section twenty-nine hundred ninety-

five-a

  of this chapter, within sixty days of the last day of  hearing.

Service

  shall  be  either  by certified mail upon the licensee at the

licensee's

  last known address and such service shall be effective upon  receipt

or

  seven  days  after  mailing by certified mail whichever is earlier or

by

  personal service and such service shall be effective upon  receipt.

The

  licensee  shall deliver to the board the license which has been

revoked,

  annulled, suspended  or  surrendered,  together  with  the

registration

  certificate, within five days after receipt of the order. If the

license

  or  registration  certificate  is  lost, misplaced or its whereabouts

is

  otherwise unknown, the licensee shall submit an affidavit to that

effect

  and shall deliver such license or certificate to the board when

located.

  The director of the office shall promptly transmit a copy of  the

order

  to  the  division  of  professional  licensing  services  of  the

state

  education department and to each hospital  at  which  the  licensee

has

  privileges.

    (ii)  When  a  license  has been: (A) revoked or annulled without

stay

  pursuant to subdivision four or five of section two hundred thirty-a

of

  this  title;  (B)  surrendered by a licensee; (C) suspended without

stay

  for more than one hundred eighty days; or (D) restricted to prohibit

the

  practice of medicine or to preclude the delivery of  patient  care,

the

  licensee  whose  license  has  been  so  revoked,  surrendered,

annulled

  without stay, suspended without stay for more than  one  hundred

eighty

  days,  or restricted shall, within fifteen days of the effective date

of

  the order:

    (1) notify his or her patients, of the cessation or limitation of

the

  licensee's  medical  practice;  the  names of other physicians or

health

  care practitioners who have agreed  to  assume  responsibility  for

the

  patient's  care;  that  the  patient  should  contact one of those

named

  physicians or health care practitioners, or another physician or

health

  care  practitioner of the patient's choice, to determine the health

care

  plans, as  defined  in  sections  four  thousand  nine  hundred  of

the

  insurance  law  and  forty-nine  hundred  of  this chapter, in which

the

  physician or health care practitioner participates and the  polices

and

  procedures of such physician or other health care practitioner; that

the

  patient should notify the licensee of the name of the physician or

other

  health care practitioner to whom the patient's medical records should

be

  transferred;  and  that the licensee will retain, and remain

responsible

  for the maintenance of the patient's medical records until  the

patient

  provides  notice  that  the records shall be transferred directly to

the

  patient, consistent  with  the  provisions  of  sections  seventeen

and

  eighteen  of  this  chapter, or to another practitioner of the

patient's

  choice.  The licensee shall also notify each health care plan with

which

  the licensee contracts or is employed, and each hospital where he or

she

  has privileges  in  writing  of  the  cessation  or  limitation  of

the

  licensee's  medical  practice.  Within  forty-five days of the

effective

  date of the order, the licensee shall provide the office of

professional

  medical conduct with proof, in a form acceptable to the director of

the

  office  of professional medical conduct, that all patients and

hospitals 

  have been notified of the cessation  or  limitation  of  the

licensee's

  medical practice.

    (2)  make arrangements for the transfer and maintenance of the

medical

  records  of  his  or  her  former  patients.  Records  shall  be

either

  transferred  to  the  licensee's  former  patients  consistent  with

the

  provisions of sections seventeen and eighteen  of  this  chapter  or

to

  another  physician or health care practitioner as provided in clause

(1)

  of this subparagraph who shall expressly assume responsibility for

their

  care and maintenance and  for  providing  access  to  such  records,

as

  provided in subdivisions twenty-two and thirty-two of section sixty-

five

  hundred  thirty  of the education law, the rules of the board of

regents

  or the  regulations  of  the  commissioner  of  education  and

sections

  seventeen and eighteen of this chapter. When records are not

transferred

  to the licensee's former patients or to another physician or health

care

  practitioner,  the  licensee  whose  license has been revoked,

annulled,

  surrendered, suspended or restricted shall remain  responsible  for

the

  care  and  maintenance  of  the  medical  records  of  his or her

former

  patients and shall be subject  to  additional  proceedings  pursuant

to

  subdivisions  twenty-two,  thirty-two  and  forty  of section sixty-

five

  hundred thirty of the education law in the event that the licensee

fails

  to maintain those medical records or fails to make them available  to

a

  former patient.

    (3)  notify  the  office  of professional medical conduct of the

name,

  address, and telephone number of any  physician  or  other  health

care

  practitioner  who  has  agreed  to accept responsibility for storing

and

  maintaining these medical records.

    (4) in the event that the licensee whose  license  has  been

revoked,

  annulled, surrendered or restricted to prohibit the practice of

medicine

  or  to  preclude  the  delivery  of  patient  care  holds a federal

Drug

  Enforcement Agency (DEA) certificate, advise the DEA in writing  of

the 

  licensure   action,  surrender  his  or  her  DEA  controlled

substance

  privileges to the DEA, and surrender any unused DEA #222 U.S.

Official

  Order Forms, Schedules 1 and 2 to the DEA.

    (5)   for   licensees   whose  license  has  been  revoked,

annulled,

  surrendered or restricted to prohibit the practice  of  medicine  or

to

  preclude  the delivery of patient care, return any unused New York

state

  official prescription forms to the bureau of  narcotics  enforcement

of

  the  department.  The  licensee  shall cause all other prescription

pads

  bearing the licensee's name to be destroyed. If  no  other  licensee

is

  providing  services at the licensee's practice location, all

medications

  shall be properly disposed.

    (6)  for  licensees  whose  license  to  practice  has  been

revoked,

  annulled, surrendered or restricted to prohibit the practice of

medicine

  or   to  preclude  the  delivery  of  patient  care,  refrain  from

new

  advertising and make reasonable efforts to cease current advertising

by

  which his or her eligibility to practice medicine is represented.

    In  addition  to  any  other  penalty  provided for in law, failure

to

  comply with the  requirements  of  this  subparagraph  shall

constitute

  misconduct that may be prosecuted pursuant to this section and which

may

  subject  the licensee to the imposition of additional penalties

pursuant

  to section two hundred thirty-a of this title.

    * NB Effective November 3, 2008

    (i)  The  determinations of a committee on professional conduct of

the

  state board for professional medical conduct  may  be  reviewed  by

the

  administrative review board for professional medical conduct.

    (j)  Time  limitations.  Failure  to  comply  with a provision of

this

  subdivision requiring that a specified action shall be  taken  within

a

  specified  period  of time shall be grounds for a proceeding pursuant

to

  article seventy-eight of the civil practice law and rules for  an

order

  staying the hearing or dismissing the charges or any part thereof or

any

  other appropriate relief. Such proceeding shall be returnable before

the 

  supreme  court  of  Albany  county or New York county. The respondent

in

  such proceeding shall have the initial burden to explain the reasons

for

  the failure to comply with a provision  of  this  subdivision

requiring

  that  a  specified action to be taken within a specified period of

time.

  The court shall not stay the hearing or dismiss the charges or grant

any

  other relief unless it determines that failure to comply was not

caused

  by  the  article  seventy-eight  petitioner  and  has caused

substantial

  prejudice to the article seventy-eight petitioner.

    (k) The executive secretary of the board with the specific approval

of

  a committee on professional conduct of the board shall have the power

to

  issue subpoenas requiring persons to appear  before  the  board  and

be

  examined  with  reference to a matter within the scope of the inquiry

or

  the investigation being  conducted  by  the  board  and  produce

books,

  papers, records or documents pertaining thereto.

    (l) The board or its representatives may examine and obtain records

of

  patients  in  any investigation or proceeding by the board acting

within

  the scope of its authorization. Unless expressly waived by the

patient,

  any  information  so  obtained  shall  be  confidential and shall not

be

  disclosed except to the extent necessary for the proper function of

the

  board  and  the name of the patient may not be disclosed by the board

or

  its employees at any stage of the proceedings  unless  the  patient

has

  expressly consented. Any other use or dissemination by any person by

any

  means,  unless  pursuant to a valid court order or otherwise provided

by

  law, is prohibited.

    (m)  Expedited  procedures.  (i)  Violations.   Violations

involving

  professional  misconduct  of a minor or technical nature may be

resolved

  by expedited procedures as provided in subparagraph  (ii)  or  (iii)

of

  this  paragraph. For purposes of this paragraph violations of a minor

or

  technical nature shall include, but shall not be  limited  to,

isolated

  instances  of  violations  concerning professional advertising or

record 

  keeping, and other isolated violations which do not directly  affect

or

  impair the public health, welfare or safety.

    (ii)  Administrative  warning and consultation. If the director of

the

  office of professional medical conduct, after obtaining the

concurrence

  of  a  majority  of  a  committee  on  professional  conduct,  and

after

  consultation with the executive  secretary,  determines  that  there

is

  substantial  evidence of professional misconduct of a minor or

technical

  nature or of substandard medical  practice  which  does  not

constitute

  professional  misconduct,  the  director  may  issue  an

administrative

  warning and/or provide for consultation with a  panel  of  one  or

more

  experts,  chosen  by  the  director.  Panels  of one or more experts

may

  include, but shall not be limited to,  a  peer  review  committee  of

a

  county medical society or a specialty board. Administrative warnings

and

  consultations   shall  be  confidential  and  shall  not  constitute

an

  adjudication of guilt or be used as evidence that the licensee is

guilty

  of the alleged misconduct. However, in the event of a further

allegation

  of similar misconduct by the same licensee, the matter may  be

reopened

  and further proceedings instituted as provided in this section.

    (iii)  Violation  committee  proceeding.  If  the director

determines,

  after obtaining  the  concurrence  of  a  majority  of  a  committee

on

  professional   conduct,   and  after  consultation  with  the

executive

  secretary, that there is substantial evidence of a  violation  and

that

  the  violation  is of a nature justifying a penalty as specified in

this

  subparagraph the department may prepare and  serve  charges,  either

by

  personal  service  or  by  certified  mail,  return receipt

requested. A

  violation committee proceeding shall be commenced within three years

of

  the  alleged  professional  misconduct.  Such  charges  shall

include a

  statement  that  the  matter  shall  be  referred  to  a  committee

on

  professional  conduct,  which  shall  act  as a violations committee

for

  determination. The  violations  committee  shall  be  appointed  by

the

  chairperson  of  the  state board.   Paragraph (c) of subdivision ten

of

  this section shall apply to the proceeding. A stenographic record of

the

  hearing shall be made. The evidence in support of the charges  shall

be

  presented  by  an  attorney  and  the  licensee  shall  be  afforded

an

  opportunity to be heard and to present  evidence  in  his  behalf.

Such

  violations  committee may issue a censure and reprimand, may require

the

  licensee to perform up to twenty-five  hours  of  public  service  in

a

  facility  licensed pursuant to article twenty-eight of this chapter

in a

  manner and at a time and place directed by the board, and  in

addition,

  or  in  the  alternative,  may  impose a fine not to exceed five

hundred

  dollars for each specification of minor  or  technical  misconduct.

The

  violations  committee  may  alternatively  dismiss  the  charges  in

the

  interest of justice. The order shall be served either by certified

mail

  to  the  licensee's  last  known  address  and  such  services  shall

be

  effective upon receipt or seven days after  mailing  by  certified

mail

  whichever  is  earlier  or by personal service and such service shall

be

  effective upon receipt. The order may be reviewed by the

administrative

  appeals board for professional medical conduct.

    (n)  Engagement.  A  proceeding under this section shall be treated

in

  the same manner as an action or proceeding  in  supreme  court  for

the

  purpose of any claim by counsel of actual engagement.

    (o)  Orders  for  review  of  medical  records. Where the director

has

  issued an order for a comprehensive medical review  of  patient

records

  and  office  records  pursuant  to subparagraph four of paragraph (a)

of

  this subdivision and  the  licensee  has  refused  to  comply  with

the

  director's  order,  the  director  may apply to a justice of the

supreme

  court, in writing, on notice to the  licensee,  for  a  court  order

to

  compel  compliance  with the director's order. The court shall not

grant

  the application unless it finds that (i) there was  a  reasonable

basis

  for  issuance of the director's order and (ii) there is reasonable

cause

  to believe that the records sought are relevant to the director's

order.

  The court may deny the application or grant the application in whole

or

  in part.

    (p)  Convictions  of  crimes or administrative violations. In cases

of

  professional misconduct based solely upon  a  violation  of

subdivision

  nine  of  section  sixty-five  hundred  thirty of the education law,

the

  director may direct that charges be prepared and served  and  may

refer

  the  matter  to  a  committee on professional conduct for its review

and

  report of findings, conclusions as to guilt, and determination. In

such

  cases,  the notice of hearing shall state that the licensee shall

file a

  written answer to each of the charges and allegations in  the

statement

  of  charges  no  later  than ten days prior to the hearing, and that

any

  charge or allegation not so answered shall be deemed admitted, that

the

  licensee  may  wish  to  seek the advice of counsel prior to filing

such

  answer that the licensee may  file  a  brief  and  affidavits  with

the

  committee   on  professional  conduct,  that  the  licensee  may

appear

  personally   before  the  committee  on  professional  conduct,  may

be

  represented by counsel and may present evidence or  sworn  testimony

in

  his  or her behalf, and the notice may contain such other information

as

  may be considered appropriate by the director. The department  may

also

  present  evidence  or sworn testimony and file a brief at the

hearing. A

  stenographic record of the hearing shall be made. Such evidence or

sworn

  testimony offered to the committee  on  professional  conduct  shall

be

  strictly  limited  to  evidence and testimony relating to the nature

and

  severity of the penalty to be  imposed  upon  the  licensee.  Where

the

  charges  are  based  on  the  conviction  of  state  law crimes in

other

  jurisdictions, evidence may be offered to the committee which would

show 

  that the conviction would  not  be  a  crime  in  New  York  state.

The

  committee  on  professional  conduct  may reasonably limit the number

of

  witnesses whose testimony will be received and the length  of  time

any

  witness will be permitted to testify. The determination of the

committee

  shall  be served upon the licensee and the department in accordance

with

  the provisions of paragraph (h) of  this  subdivision.  A

determination

  pursuant  to  this  subdivision  may  be  reviewed by the

administrative

  review board for professional medical conduct.

    * (q) At any time subsequent to the final conclusion of a

professional

  misconduct proceeding against a licensee, whether upon the

determination

  and order of a hearing committee issued pursuant  to  paragraph  (h)

of

  this   subdivision   or   upon   the  determination  and  order  of

the

  administrative  review  board  issued  pursuant  to  paragraph  (d)

of

  subdivision  four  of  section  two  hundred thirty-c of this title,

the

  licensee may file a petition with the director,  requesting  vacatur

or

  modification  of  the determination and order. The director shall,

after

  reviewing the matter  and  after  consulting  with  department

counsel,

  determine  in  the  reasonable exercise of his or her discretion

whether

  there is new and material evidence that  was  not  previously

available

  which,  had  it  been  available,  would  likely have led to a

different

  result,  or  whether  circumstances  have  occurred  subsequent  to

the

  original  determination that warrant a reconsideration of the measure

of

  discipline. Upon determining that such evidence or circumstances

exist,

  the  director  shall  have  the  authority  to  join  the licensee in

an

  application to the chairperson  of  the  state  board  for

professional

  medical  conduct to vacate or modify the determination and order, as

the

  director may  deem  appropriate.  Upon  the  joint  application  of

the

  licensee  and  the director, the chairperson shall have the authority

to

  grant or deny such application.

    * NB Effective November 3, 2008

    11. Reporting of professional misconduct:

    (a) The medical society of the state of New York, the New  York

state

  osteopathic  society  or any district osteopathic society, any

statewide

  medical specialty society or  organization,  and  every  county

medical

  society,   every  person  licensed  pursuant  to  articles  one

hundred

  thirty-one, one hundred  thirty-one-B,  one  hundred  thirty-three,

one

  hundred  thirty-seven  and one hundred thirty-nine of the education

law,

  and the chief executive officer, the chief of the medical staff and

the

  chairperson of each department of every institution which is

established

  pursuant  to  article  twenty-eight  of this chapter and a

comprehensive

  health services plan pursuant to article forty-four of this  chapter

or

  article  forty-three  of  the insurance law, shall, and any other

person

  may, report to the board any  information  which  such  person,

medical

  society,  organization  institution or plan has which reasonably

appears

  to show that a licensee is guilty of professional misconduct as

defined

  in  sections sixty-five hundred thirty and sixty-five hundred thirty-

one

  of the education law. Such reports shall remain confidential  and

shall

  not  be  admitted  into  evidence  in  any  administrative  or

judicial

  proceeding except that the board, its  staff,  or  the  members  of

its

  committees may begin investigations on the basis of such reports and

may

  use them to develop further information.

    (b)   Any   person,   organization,  institution,  insurance

company,

  osteopathic or medical society who reports or  provides  information

to

  the  board  in good faith, and without malice shall not be subject to

an

  action for civil damages or other relief as the result of such

report.

    (c) Notwithstanding the foregoing, no physician shall  be

responsible

  for reporting pursuant to paragraph (a) of this subdivision with

respect

  to any information discovered by such physician solely as a result

of:

    (i)  Participation  in a properly conducted mortality and/or

morbidity 

  conference, departmental  meeting  or  a  medical  or  tissue

committee

  constituted  pursuant  to  the  by-laws  of  a  hospital  which  is

duly

  established pursuant to article twenty-eight of the public  health

law,

  unless  the  procedures  of  such conference, department or committee

of

  such hospital shall have  been  declared  to  be  unacceptable  for

the

  purpose hereof by the commissioner, and provided that the obligations

of

  reporting  such  information  when  appropriate  to  do  so shall be

the

  responsibility of the chairperson  of  such  conference,  department

or

  committee, or

    * (ii)  Participation and membership during a three year

demonstration

  period in a physician committee of the Medical Society of the  State

of

  New  York  or the New York State Osteopathic Society whose purpose is

to

  confront and refer  to  treatment  physicians  who  are  thought  to

be

  suffering   from   alcoholism,   drug  abuse  or  mental  illness.

Such

  demonstration period shall commence on  April  first,  nineteen

hundred

  eighty and terminate on May thirty-first, nineteen hundred eighty-

three.

  An  additional  demonstration  period  shall  commence  on  June

first,

  nineteen hundred  eighty-three  and  terminate  on  March  thirty-

first,

  nineteen  hundred  eighty-six.  An additional demonstration period

shall

  commence on April first, nineteen hundred eighty-six  and  terminate

on

  March   thirty-first,   nineteen   hundred  eighty-nine.  An

additional

  demonstration  period  shall  commence  April  first,  nineteen

hundred

  eighty-nine   and   terminate   March   thirty-first,  nineteen

hundred

  ninety-two. An additional  demonstration  period  shall  commence

April

  first,  nineteen  hundred  ninety-two  and terminate March thirty-

first,

  nineteen hundred ninety-five. An additional demonstration  period

shall

  commence  on  April first, nineteen hundred ninety-five and terminate

on

  March  thirty-first,  nineteen  hundred  ninety-eight.   An

additional

  demonstration  period  shall  commence  on April first, nineteen

hundred 

  ninety-eight and terminate on March thirty-first, two thousand three.

An

  additional demonstration period  shall  commence  on  April  first,

two

  thousand  three  and  terminate  on  March  thirty-first,  two

thousand

  thirteen;  provided,  however,  that  the  commissioner  may

prescribe

  requirements   for  the  continuation  of  such  demonstration

program,

  including periodic reviews  of  such  programs  and  submission  of

any

  reports  and  data  necessary  to  permit  such  reviews.  During

these

  additional periods, the provisions of this subparagraph shall also

apply

  to a physician committee of a county medical society.

    * NB Expires March 31, 2013

    (d) In the event that a  physician  or  administrator  of  a

hospital

  established  pursuant  to  article  twenty-eight  of  this chapter

shall

  reasonably be unable to determine if any information which he or she

has

  is such that it does reasonably appear to show that a licensee is

guilty

  of professional misconduct and therefore creates an obligation  on

such

  physician  or  such administrator to make a report pursuant to

paragraph

  (a) hereof, he or she may either:

    (i)  in  accordance  with  procedures  established  by  the board,

and

  without revealing the name of the licensee who he or she is

considering

  making  such  a report about, request in writing the advice of the

board

  as to whether or not a report should  be  made,  and  the  physician

or

  administrator so requesting such advice shall then be required to

comply

  with  the  advice of the board. No such request for advice shall

relieve

  the requesting physician or administrator of  any  obligation

hereunder

  unless all other material facts are revealed, other than the name of

the

  licensee in question, or

    (ii)  in  the  case where the licensee about whom another physician

is

  considering making such report is affiliated with a  hospital  which

is

  duly  established  pursuant  to  article twenty-eight of this

chapter, a

  physician may elect to fulfill the obligations of paragraph  (a)

hereof

  by  reporting such information to the appropriate executive committee

or

  professional practices peer review committee which is  duly

constituted

  pursuant  to by-laws of such hospital, unless the peer review

procedures

  of such hospital shall have been declared to  be  unacceptable  for

the

  purposes  hereof  by  the  commissioner.  The  physician members of

such

  hospital executive  committee  or  professional  practices  peer

review

  committee  shall  thereupon  have  the  responsibility of reporting

such

  information to the board pursuant to paragraph (a) hereof,  as

required

  thereby,  but  in the event that such committee determines that a

report

  shall be made to the  board,  the  chairperson  of  such  committee

may

  fulfill  the obligation of reporting on behalf of all the members of

the

  committee, or

    (iii) in a  case  where  the  physician,  about  whom  he  or  she

is

  considering  making such report, is a member of a county medical

society

  or district osteopathic society, and is not affiliated with a

hospital,

  but  practices  his  or her profession within such county or

district, a

  physician may elect to fulfill the obligations of paragraph  (a)

hereof

  by   reporting  such  information  to  the  appropriate  county

medical

  society's  or  district  osteopathic  society's  professional

practices

  review committee duly constituted pursuant to the by-laws of such

county

  medical  society  or  district  osteopathic  society,  unless the

review

  procedures of  such  county  medical  society  or  district

osteopathic

  society  shall  have  been  declared to be unacceptable for the

purposes

  hereof by  the  commissioner.  The  physician  members  of  such

review

  committee  shall  thereupon  have  the  responsibility of reporting

such

  information to the board pursuant to paragraph (a) hereof,  as

required

  thereby,  but  in the event that such committee determines that a

report

  shall be made to the  board,  the  chairperson  of  such  committee

may

  fulfill  the obligation of reporting on behalf of all the members of

the 

  committee.

    (e) Nothing contained in this subdivision shall be so construed as

to

  require  any  physician  to  violate  a  physician/patient privilege

and

  therefore, no physician shall be required to report any  information

to

  the  board  which  such  physician  has  learned  solely  as a result

of

  rendering treatment to another physician.

    (f) A violation of this  subdivision  shall  not  be  subject  to

the

  provisions of sections twelve and twelve-b of this chapter.

    * (g)  Any  physician committee of the Medical Society of the State

of

  New York, the New York State Osteopathic Society  or  a  county

medical

  society  referred  to  in  subparagraph  (ii)  of  paragraph (c) of

this

  subdivision shall develop procedures in consultation with, and

approved

  by,  the  commissioner  of  the  department of health, including but

not

  limited to the following:

    (i)   The  committee  shall  disclose  at  least  once  a  month

such

  information as the  director  of  the  office  of  professional

medical

  conduct  may  deem  appropriate  regarding reports received, contacts

or

  investigations made and the disposition of each report, provided

however

  that the  committee  shall  not  disclose  any  personally

identifiable

  information  except  as  provided  in  subparagraph (ii) or

subparagraph

  (iii) of this paragraph.

    (ii) The committee shall immediately report to the director the

name,

  all information obtained and the results of any contact or

investigation

  regarding  any physician who is believed to be an imminent danger to

the public. 

    (iii) The committee shall report to the director in a  timely

fashion

  all   information  obtained  regarding  any  physician  who  refuses

to

  cooperate with the committee, refuses to submit to treatment,  or

whose

  impairment is not substantially alleviated through treatment.

    (iv) The committee shall inform each physician who is participating

in

  a  program  of the procedures followed in the program, of the rights

and

  responsibilities of the physician in the program  and  of  the

possible 

  results of noncompliance with the program.

    ** (v)  No member of any such committee shall be liable for damages

to

  any person for any action taken by such member provided that such

action

  was taken without malice and within the scope of such member's

function

  as a member of such committee.

    ** (vi)  The committee, in conjunction with the director of the

office

  of professional medical conduct, shall develop appropriate consent

forms

  and disclosure  proceedings  as  may  be  necessary  under  any

federal

  statute,  rule  or  regulation  in order to permit the disclosure of

the

  information as may be required under subparagraphs  (ii)  and  (iii)

of

  this paragraph.

    Except  as  herein provided and notwithstanding any other provision

of

  law, neither the proceedings nor  the  records  of  any  such

physician

  committee shall be subject to disclosure under article thirty-one of

the

  civil  practice law and rules nor shall any member of any such

committee

  nor any person in attendance at any such meeting be required to

testify

  as to what transpired thereat.

    ** NB Repealed March 31, 2013

    * NB Expires March 31, 2013

    12.   Summary  action.  * (a)  Whenever  the  commissioner,  after

an

  investigation and  a  recommendation  by  a  committee  on

professional

  conduct  of the state board for professional medical conduct, based

upon

  a determination that a licensee is causing, engaging in or

maintaining a

  condition or activity which in the commissioner's opinion constitutes

an

  imminent danger to the health of  the  people,  and  that  it

therefore

  appears to be prejudicial to the interests of the people to delay

action

  until  an  opportunity  for a hearing can be provided in accordance

with

  the prehearing and hearing provisions of this section, the

commissioner

  may order the licensee, by written notice, to discontinue such

dangerous

  condition  or  activity  or  take  certain  action immediately and

for a

  period of ninety days from the date of service of the order. Within

ten 

  days  from  the  date  of service of the said order, the state board

for

  professional medical conduct shall commence and regularly schedule

such

  hearing proceedings as required by this section, provided, however,

that

  the hearing shall be completed within ninety days of the date of

service

  of  the  order.  To  the extent that the issue of imminent danger can

be

  proven without the attorney  representing  the  office  of

professional

  medical  conduct  putting in its entire case, the committee of the

board

  shall first determine whether by a preponderance  of  the  evidence

the

  licensee  is causing, engaging in or maintaining a condition or

activity

  which constitutes an imminent danger to the health of  the  people.

The

  attorney  representing  the office of professional medical conduct

shall

  have the burden of going forward and proving by a preponderance  of

the

  evidence that the licensee's condition, activity or practice

constitutes

  an  imminent danger to the health of the people. The licensee shall

have

  an opportunity to be heard and to present proof. When  both  the

office

  and the licensee have completed their cases with respect to the

question

  of  imminent  danger, the committee shall promptly make a

recommendation

  to the commissioner on  the  issue  of  imminent  danger  and

determine

  whether the summary order should be left in effect, modified or

vacated,

  and  continue  the  hearing  on  all  the  remaining charges, if any,

in

  accordance with paragraph (f) of subdivision ten of this section.

Within

  ten days of  the  committee's  recommendation,  the  commissioner

shall

  determine  whether  or  not to adopt the committee's recommendations,

in

  whole or in part, and shall  leave  in  effect,  modify  or  vacate

his

  summary  order.  The  state board for professional medical conduct

shall

  make every reasonable effort  to  avoid  any  delay  in  completing

and

  determining  such proceedings. If, at the conclusion of the hearing,

(i)

  the hearing committee of the board finds the licensee guilty of  one

or

  more  of the charges which are the basis for the summary order, (ii)

the

  hearing committee determines that the summary order continue, and

(iii)

  the  ninety  day  term  of  the order has not expired, the summary

order

  shall remain in full force and effect until a final  decision  has

been

  rendered by the committee or, if review is sought, by the

administrative

  review board. A summary order shall be public upon issuance.

    * NB Effective until November 3, 2008

    * (a)  Whenever  the  commissioner,  (i)  after  being  presented

with

  information indicating that  a  licensee  is  causing,  engaging  in

or

  maintaining   a   condition  or  activity  which  has  resulted  in

the

  transmission or suspected transmission, or is  likely  to  lead  to

the

  transmission,  of  communicable disease as defined in the state

sanitary

  code or HIV/AIDS, by the state and/or a local health department  and

if

  in  the  commissioner's opinion it would be prejudicial to the

interests

  of the people to delay action until an opportunity for a hearing can

be

  provided  in  accordance  with  the prehearing and hearing provisions

of

  this section; or (ii) after an investigation and a recommendation  by

a

  committee  on  professional  conduct of the state board for

professional

  medical conduct, based upon a determination that a licensee is

causing,

  engaging  in  or  maintaining  a  condition  or  activity  which  in

the

  commissioner's opinion constitutes an imminent danger to the  health

of

  the  people,  and  that  it  therefore  appears to be prejudicial to

the 

  interests of the people to delay  action  until  an  opportunity  for

a

  hearing  can  be  provided in accordance with the prehearing and

hearing

  provisions of this section; the commissioner may order the licensee,

by

  written  notice,  to discontinue such dangerous condition or activity

or

  take certain action immediately and for a period of ninety days from

the

  date of service of the order. Within ten days from the date  of

service

  of  the  said  order,  the  state board for professional medical

conduct

  shall commence  and  regularly  schedule  such  hearing  proceedings

as

  required  by  this section, provided, however, that the hearing shall

be

  completed within ninety days of the date of service of the order. To

the

  extent that the issue of imminent  danger  can  be  proven  without

the

  attorney representing the office of professional medical conduct

putting

  in  its  entire  case,  the committee of the board shall first

determine

  whether by a preponderance of the  evidence  the  licensee  is

causing,

  engaging  in or maintaining a condition or activity which constitutes

an

  imminent danger to the health of the people. The  attorney

representing

  the  office  of  professional  medical  conduct shall have the burden

of

  going forward and proving by a preponderance of the  evidence  that

the

  licensee's  condition,  activity  or  practice  constitutes  an

imminent

  danger to  the  health  of  the  people.  The  licensee  shall  have

an

  opportunity  to  be heard and to present proof. When both the office

and

  the licensee have completed their cases with respect to the question

of

  imminent  danger,  the committee shall promptly make a recommendation

to

  the commissioner on the issue of imminent danger and  determine

whether

  the  summary  order  should  be left in effect, modified or vacated,

and

  continue the hearing on all the remaining charges, if any, in

accordance

  with paragraph (f) of subdivision ten of this section. Within  ten

days

  of  the  committee's  recommendation,  the  commissioner shall

determine

  whether or not to adopt the committee's recommendations, in whole or

in

  part, and shall leave in effect, modify or vacate his summary order.

The

  state board for professional medical conduct shall make every

reasonable

  effort   to   avoid   any  delay  in  completing  and  determining

such

  proceedings. If, at the conclusion  of  the  hearing,  (i)  the

hearing

  committee  of  the board finds the licensee guilty of one or more of

the

  charges which are the basis for the  summary  order,  (ii)  the

hearing

  committee  determines  that  the  summary  order continue, and (iii)

the

  ninety day term of the order has not expired, the  summary  order

shall

  remain in full force and effect until a final decision has been

rendered

  by  the  committee or, if review is sought, by the administrative

review

  board. A summary order shall be public upon issuance.

    * NB Effective November 3, 2008

    (b) When a licensee has pleaded or been found guilty or  convicted

of

  committing  an  act  constituting  a  felony under New York state law

or

  federal law, or the law of  another  jurisdiction  which,  if

committed

  within  this state, would have constituted a felony under New York

state

  law, or when the duly authorized  professional  disciplinary  agency

of

  another  jurisdiction  has  made a finding substantially equivalent

to a

  finding  that  the  practice  of  medicine  by  the  licensee  in

that

  jurisdiction constitutes an imminent danger to the health of its

people,

  or   when   a  licensee  has  been  disciplined  by  a  duly

authorized

  professional disciplinary agency of another jurisdiction for acts

which

  if  committed in this state would have constituted the basis for

summary

  action  by  the  commissioner  pursuant  to  paragraph   (a)   of

this

  subdivision,  the commissioner, after a recommendation by a committee

of

  professional  conduct  of  the  state  board  for  professional

medical

  conduct,  may  order  the licensee, by written notice, to discontinue

or

  refrain from practicing medicine in whole or in part or to take

certain

  actions  authorized pursuant to this title immediately. The order of

the

  commissioner shall constitute summary action against  the  licensee

and

  become  public  upon  issuance.  The  summary suspension shall remain

in

  effect until the final conclusion of  a  hearing  which  shall

commence

  within  ninety  days of the date of service of the commissioner's

order,

  end within ninety days thereafter and otherwise be  held  in

accordance

  with paragraph (a) of this subdivision, provided, however, that when

the 

  commissioner's order is based upon a finding substantially equivalent

to

  a  finding  that  the  practice  of  medicine by the licensee in

another

  jurisdiction constitutes an imminent danger to the health of its

people,

  the hearing shall commence within thirty  days  after  the

disciplinary

  proceedings in that jurisdiction are finally concluded.

    13.  (a)  Temporary  surrender.  The  license  and  registration

of a

  licensee who may be temporarily incapacitated for the active practice

of

  medicine and whose alleged incapacity has not  resulted  in  harm  to

a

  patient  may  be  voluntarily  surrendered to the board for

professional

  medical conduct, which may accept  and  hold  such  license  during

the

  period  of such alleged incapacity or the board for professional

medical

  conduct may accept the surrender of  such  license  after  agreement

to

  conditions  to be met prior to the restoration of the license. The

board

  shall give prompt written notification of such surrender to the

division

  of professional licensing services of the  state  education

department,

  and  to each hospital at which the licensee has privileges. The

licensee

  whose license is so  surrendered  shall  notify  all  patients  and

all

  persons  who  request medical services that the licensee has

temporarily

  withdrawn from the practice of medicine. The licensure  status  of

each

  such  licensee  shall  be  "inactive"  and  the  licensee  shall  not

be

  authorized to practice medicine. The temporary surrender  shall  not

be

  deemed  to  be an admission of disability or of professional

misconduct,

  and shall not be used as evidence of a violation of subdivision seven

or

  eight of section sixty-five hundred thirty of the education  law

unless

  the  licensee  practices  while  the  license  is  "inactive".  Any

such

  practice shall constitute a violation of subdivision twelve  of

section

  sixty-five  hundred  thirty  of  the  education  law. The surrender

of a

  license under this subdivision shall not  bar  any  disciplinary

action

  except  action  based solely upon the provisions of subdivision seven

or 

  eight of section sixty-five hundred thirty  of  the  education  law

and

  where  no harm to a patient has resulted, and shall not bar any civil

or

  criminal action or proceeding which might be brought without  regard

to

  such  surrender.  A surrendered license shall be restored upon a

showing

  to the satisfaction of a committee of professional conduct of the

state

  board  for  professional  medical  conduct  that  the  licensee  is

not

  incapacitated for the active practice  of  medicine  provided,

however,

  that  the committee may impose reasonable conditions on the licensee,

if

  it determined that due to the nature and extent of the licensee's

former

  incapacity such conditions are necessary to protect the  health  of

the

  people. The chairperson of the committee shall issue a restoration

order

  adopting  the  decision of the committee. Prompt written notification

of

  such  restoration  shall  be  given  to  the  division  of

professional

  licensing  services  of  the  state  education  department  and  to

all

  hospitals which were notified of the surrender of the license.

    (b) Permanent surrender. The license and registration  of  a

licensee

  who  may  be  permanently  incapacitated  for  the  active  practice

of

  medicine, and whose alleged incapacity has not resulted  in  harm  to

a

  patient,  may  be  voluntarily surrendered to the board for

professional

  medical conduct. The board shall give  prompt  written  notification

of

  such surrender to the division of professional licensing services of

the

  state  education  department, and to each hospital at which the

licensee

  has privileges. The licensee  whose  license  is  so  surrendered

shall

  notify  all  patients  and all persons who request medical services

that

  the licensee has permanently withdrawn from the  practice  of

medicine.

  The  permanent  surrender  shall  not  be  deemed  to be an admission

of

  disability of or professional misconduct,  and  shall  not  be  used

as

  evidence  of  a  violation  of  subdivision  seven  or  eight of

section

  sixty-five hundred thirty of the education law. The surrender shall

not 

  bar  any  civil  or criminal action or proceeding which might be

brought

  without regard to such surrender. There shall be  no  restoration  of

a

  license that has been surrendered pursuant to this subdivision.

    14.  Reports.  The  board  shall  prepare  an  annual  report  for

the

  legislature, the governor  and  other  executive  offices,  the

medical

  profession,  medical professional societies, consumer agencies and

other

  interested persons. Such report shall include, but shall not be

limited

  to,  a  description  and  analysis  of the administrative procedures

and

  operations based upon a statistical summary relating to (i)

discipline,

  (ii)  complaint,  investigation,  and  hearing backlog and (iii)

budget.

  Information provided for these sections shall be enumerated by

regional

  office of the office of professional medical conduct.

    * 15. The commissioner shall make grants to any physician committee

as

  referred  to in subparagraph (ii) of paragraph (c) of subdivision

eleven

  of this section to fund the operations  of  such  committee  during

the

  authorized  demonstration period. Grants shall be awarded pursuant to

an

  expenditure  plan  developed   by   the   sponsoring   organization

in

  consultation  with,  and approved by the commissioner. No funds shall

be

  made available unless the committee's procedures have been  approved

by

  the commissioner pursuant to paragraph (g) of subdivision eleven of

this

  section.

    * NB Repealed March 31, 2013

    * 16.  Liability.  Notwithstanding any other provision of law,

persons

  who assist the department as consultants, expert witnesses  or

monitors

  in  the investigation or prosecution of alleged professional

misconduct,

  licensure  matters,  restoration  proceedings,  probation,  or

criminal

  prosecutions  for unauthorized practice, shall not be liable for

damages

  in any civil action or proceeding as a result of such assistance,

except

  upon proof of actual malice. The  attorney  general  shall  defend

such

  persons  in  any  such  action or proceeding, in accordance with

section

  seventeen of the public officers law.

    * NB Effective until November 3, 2008

    * 16. Liability. Notwithstanding any other provision of  law,

persons

  who   assist   the   department   as   consultants,   expert

witnesses,

  administrative officers or monitors in the investigation, prosecution

or

  hearing  of  alleged   professional   misconduct,   licensure

matters,

  restoration   proceedings,   probation,  or  criminal  prosecutions

for

  unauthorized practice, shall not be liable  for  damages  in  any

civil

  action  or  proceeding as a result of such assistance, except upon

proof

  of actual malice. The attorney general shall defend such persons in

any

  such  action  or proceeding, in accordance with section seventeen of

the

  public officers law.

    * NB Effective November 3, 2008

    17. Monitoring. (a) A licensee may be  ordered  to  have  his  or

her

  practice  monitored  by another appropriate licensee after

investigation

  and review pursuant to paragraph (a) of subdivision ten of this

section,

  if there is reason to believe that the licensee is  unable  to

practice

  medicine with reasonable skill and safety to patients.

    (b)  The director of the office of professional medical conduct,

after

  consultation with the  executive  secretary,  shall  direct  counsel

to

  prepare a notice detailing the reasonable cause and a copy of the

notice

  shall  be  served  on  the  licensee. The matter shall be presented

to a

  committee on professional conduct by an attorney for the department

and

  the  licensee  shall  have the opportunity to be heard by such

committee

  and may  be  represented  by  counsel.  A  stenographic  record  of

the

  proceeding  shall  be made. Service of the notice shall be in

accordance

  with the methods of service authorized by paragraph (d)  of

subdivision

  ten of this section.

    (c)  If  the  committee  determines  that  reasonable  cause exists

as

  specified in paragraph  (a)  of  this  subdivision  and  that  there

is

  insufficient evidence for the matter to constitute misconduct as

defined

  in  sections  sixty-five  hundred  thirty and section sixty-five

hundred 

  thirty-one of the education  law,  the  committee  may  issue  an

order

  directing  that  the  licensee's practice of medicine be monitored

for a

  period specified in the order, which shall in no event exceed one

year,

  by  a  licensee  approved  by the director, which may include members

of

  county medical societies or district osteopathic societies designated

by

  the commissioner. The licensee responsible for monitoring  the

licensee

  shall submit regular reports to the director. If the licensee refuses

to

  cooperate  with  the  licensee  responsible  for  monitoring  or  if

the

  monitoring licensee submits a report that the licensee is not

practicing

  medicine  with  reasonable  skill and safety to his or her patients,

the

  committee may refer the matter to the director for  further

proceedings

  pursuant  to  subdivision ten of this section. An order pursuant to

this

  paragraph shall be  kept  confidential  and  shall  not  be  subject

to

  discovery  or  subpoena,  unless the licensee refuses to comply with

the

  order.

    (d) A licensee may not seek the appointment of a monitor  pursuant

to

  this  subdivision  in  lieu  of  an order issued pursuant to

subdivision

  seven  of  this  section  or  a  disciplinary  proceeding  pursuant

to

  subdivision ten or twelve of this section.

    18.  (a)  The director shall have the authority to monitor

physicians,

  physician's assistants and specialist's assistants who have been

placed

  on  probation  pursuant to a determination of professional misconduct

by

  the board. During such period of probation, the director, or his or

her

  designee,  as provided in the order of the board, and after

consultation

  with  the  executive  secretary,  (i)  may   review   the

professional

  performance  of  the  licensee  by  randomly  selecting  office

records,

  patient records and hospital charts, (ii) may require periodic visits

by

  the licensee to a member of the state  board  for  professional

medical

  conduct  or  an  employee of the office of professional medical

conduct,

  (iii) may  require  the  licensee  to  obtain  an  appropriate

monitor,

  approved  by  the director, to monitor the licensee's practice, (iv)

may

  require an audit of the licensee's billings for services rendered

during

  probation, (v) may require the licensee to submit on a random  basis

to

  tests  for  the  presence  of  alcohol  or  drugs,  (vi) may require

the

  licensee to obtain  additional  training  prior  to  completion  of

the

  probation,  (vii)  may  require  the  licensee  to  work in a

supervised

  setting, (viii) may require, as a condition of the licensee's

continued

  practice,  that  the  licensee undergo therapy and/or treatment

approved

  and monitored by the director, (ix) may require that the licensee

comply

  with the requirements of the penalty imposed, and (x)  may  impose

upon

  the  licensee  such  additional requirements as reasonably relate to

the

  misconduct found or are necessary to protect the health  of  the

people

  pursuant  to  regulation. The director is authorized to delegate some

or

  all of the  foregoing  responsibilities  to  designated  county

medical

  societies and district osteopathic societies.

    (b)  Any health care provider licensed pursuant to this chapter or

the

  education law, hospital licensed pursuant  to  article  twenty-eight

of

  this  chapter  or  medical  school  that participates in a monitoring

or

  remediation  program  pursuant  to  this  subdivision  and

subdivision

  seventeen  of this section shall not be liable for the negligence of

the

  monitored licensee in providing medical care pursuant  to  a

monitoring

  program.  However,  this  paragraph  does not diminish the

participating

  provider's, hospital's or school's liability  for  failure  to

exercise

  reasonable  care in properly carrying out its responsibilities under

the

  program. The monitored licensee shall be required  to  maintain

medical

  malpractice  insurance  coverage  with  limits  no less than two

million

  dollars per occurrence and six million dollars per policy year.

    19. Upon receipt of information that indicates a licensee  may  be

in

  violation  of  the terms or conditions of probation, the director of

the

  office of professional medical conduct shall conduct  an

investigation.

  If  the director determines that a licensee may have violated

probation,

  the director shall give notice by letter to the licensee  of  the

facts

  forming the basis of the alleged violation of probation by the

licensee,

  that  the  licensee  has  a right to a hearing and may be represented

by

  counsel. If the licensee does not dispute the facts forming the basis

of

  the alleged violation of probation within twenty days of the date of

the

  letter,  the  director  shall  submit  the  matter  to  a  committee

on

  professional conduct for its review and determination. If within

twenty

  days  of  the date of the letter, the licensee disputes any of the

facts

  forming the basis of the alleged violation of  probation,  the

licensee

  shall  be  afforded a hearing before a committee on professional

conduct

  to  hear  and  make  findings  of  fact,  conclusions  of  law   and

a

  determination.  A  stenographic record of the hearing shall be made.

The

  committee, after providing a licensee with an opportunity to  be

heard,

  shall  determine  whether  the licensee has violated probation and

shall

  impose an appropriate penalty as defined in section two hundred

thirty-a

  of this title. In determining the  appropriate  penalty,  the

committee

  shall   consider   both   the  violation  of  probation  and  the

prior

  adjudication of misconduct. The chairperson of the committee shall

issue

  an order adopting the decision of the committee on professional

conduct.

  The order may  be  reviewed  by  the  administrative  review  board

for

  professional medical conduct.

  * §  230-a. Penalties for professional misconduct. The penalties

which

  may be imposed by the state board for professional medical conduct on

a

  present or former licensee found guilty of professional misconduct

under

  the definitions and proceedings prescribed in section two hundred

thirty

  of  this  title  and  sections  sixty-five hundred thirty and sixty-

five

  hundred thirty-one of the education law are:

    1. Censure and reprimand;

    ** 2. Suspension of license, (a) wholly, for a fixed period  of

time;

  (b)  wholly,  except  to the limited extent required for the licensee

to

  successfully complete a course of  retraining;  (c)  wholly,  until

the

  licensee  successfully  completes  a  course  of  therapy  or

treatment

  prescribed by the board; (d) partially, until the licensee

successfully

  completes  a  course  of  retraining in the area to which the

suspension

  applies; (e) partially, for a specified period;

    ** NB Effective until November 3, 2008

    ** 2. Suspension of license, (a) wholly, for a fixed period  of

time;

  (b)  wholly,  except  to the limited extent required for the licensee

to

  successfully complete a course of  retraining;  (c)  wholly,  until

the

  licensee  successfully  completes  a  course  of  therapy  or

treatment

  prescribed by the  board;  (d)  wholly,  until  the  licensee

completes

  rehabilitation  to  the satisfaction of the board; (e) wholly, until

the

  licensee complies with the terms or conditions of  a  board  order;

(f)

  partially,  until  the  licensee  successfully  completes  a  course

of

  retraining in the area to which the suspension applies;  (g)

partially,

  for  a specified period or until the licensee complies with the terms

or

  conditions of a board order;

    ** NB Effective November 3, 2008

    3. Limitation of the license to a specified area or type of

practice;

    4. Revocation of license;

    5. Annulment of license or registration;

    6. Limitation on registration or issuance of any further license;

    7. A fine not to exceed ten thousand dollars upon  each

specification

  of charges of which the respondent is determined to be guilty;

    8.  A  requirement  that  a  licensee  pursue a course of education

or

  training; and

    9. A requirement that a licensee perform up to five hundred  hours

of

  public  service  in  a manner and at a time and place as directed by

the

  board. The board may stay such penalties in whole or in  part  or

place 

  the  licensee  on  probation  with  or  without imposition of one of

the

  penalties provided pursuant to this section. Any fine  imposed

pursuant

  to  this  section  or  pursuant  to  paragraph (m) of subdivision ten

of

  section two hundred thirty of this title may be sued for  and

recovered

  in  the name of the people of the state of New York in an action

brought

  by the attorney general. In such action,  the  findings,

determinations

  and  order  of  the  board  shall  be  admissible  evidence and shall

be

  conclusive proof of the violation and the penalty assessed.

    * NB There are 2 § 230-a's

   * § 230-a. Infection control standards. Notwithstanding any law to

the

  contrary,   including  section  sixty-five  hundred  thirty-two  of

the

  education law, the department  shall  promulgate  rules  or

regulations

  describing  scientifically  accepted  barrier  precautions and

infection

  control practices as  standards  of  professional  medical  conduct

for

  persons  licensed  under articles one hundred thirty-one and one

hundred

  thirty-one-B of the education law. The department shall consult with

the

  education  department  to   ensure   that   regulatory   standards

for

  scientifically  acceptable  barrier precautions and infection

prevention

  techniques promulgated pursuant to this section are consistent,  as

far

  as  appropriate  with such standards adopted by the education

department

  applicable to persons  licensed  under  the  education  law  other

than

  articles  one  hundred  thirty-one  and one hundred thirty-one-B of

such

  law.

    * NB There are 2 § 230-a's

  §  230-b.  Disciplinary  proceedings  for  physician's  assistants

and

  specialist's assistants.  Disciplinary proceedings involving

physician's

  assistants and specialist's assistants shall be conducted in

accordance

  with the provisions of section two hundred thirty of this title.

    § 230-c. Administrative review board for professional medical

conduct.

  1.   There   is  hereby  created  an  administrative  review  board

for

  professional medical conduct for the purpose of reviewing

determinations

  of  committees  on  professional  conduct  of  the   state   board

for

  professional  medical  conduct.    The  review  board  may  not

review a

  commissioner's summary order under subdivision  twelve  of  section

two

  hundred thirty of this title.

    2.  The  review  board  shall  consist  of  five  members of the

board

  appointed by the governor with the consent of the senate.  Three of

the

  members  of  the  review  board  shall  be physicians from the board

for

  professional medical conduct.  Two of the members of  the  review

board

  shall  be  lay  members from the board for professional medical

conduct.

  The chairperson shall assign appropriate  staff  to  assist  the

review

  board.

    3.  All members shall serve three year terms, provided that two of

the

  initial appointments shall serve for a term of two years and one of

the

  initial appointments shall serve for one year.

    4.  Filing  and  determination of review.  (a) The determinations

of a

  committee on professional conduct of the state  board  for

professional

  medical  conduct  may be reviewed by the administrative review board

for

  professional medical conduct.  Either the licensee or the department

may

  seek a review. A notice of review must be served by certified mail

upon

  the  administrative  review  board and the adverse party within

fourteen

  days of service of the determination of the  committee  on

professional

  conduct  of  the  state  board  for  professional  medical  conduct.

A

  commissioner's summary order under subdivision  twelve  of  section

two

  hundred  thirty  of  this  title  and  the  penalty in any case in

which

  annulment, suspension without  stay  or  revocation  of  the

licensee's

  license is ordered by the committee on professional conduct shall

remain

  in effect until the review board renders its determination.  Any

penalty 

  imposed  by  the order of the committee on professional medical

conduct,

  other  than  a  penalty  of  annulment,  suspension  without   stay

or

  revocation,  is  stayed  by the service of the notice of review upon

the

  administrative review board and remains stayed until  the  review

board

  renders  its  determination.    All  parties  have  thirty days from

the

  service of the notice of review to submit briefs to the board. A

notice

  of  review  shall be perfected only if a brief is timely submitted.

All

  parties shall have seven days from the receipt of the submitted brief

to

  file a response. All reviews shall consist of a review of the record

of

  the  hearing  and  submitted briefs only. A written determination of

the

  review board must be rendered within forty-five days of  the

submission

  of briefs and a stipulated record.

    (b) The review board shall review whether or not the determination

and

  the  penalty are consistent with the findings of fact and conclusions

of

  law and whether or not the penalty is appropriate and within  the

scope

  of  penalties  permitted  by section two hundred thirty-a of this

title.

  The review board shall have the  authority  to  remand  a  case  to

the

  committee   on  professional  conduct  for  reconsideration  or

further

  proceedings.

    (c) All determinations shall be based upon a majority  concurrence

of

  the administrative review board.

    (d)  The  administrative  review board shall issue an order based

upon

  the determination of the administrative review board.  Such order

shall

  be served on all parties by certified mail.

    5.  Judicial  review.  An order of the administrative review board

for

  professional medical conduct or a determination of a committee in

which

  no  review  by  the  administrative  review  board  was requested may

be

  reviewed pursuant to the proceedings under article seventy-eight of

the

  civil practice law and rules. Such proceeding shall be returnable

before

  the  appellate  division  of  the  third  judicial  department  and

such

  decisions shall not be stayed or enjoined  except  upon  application

to

  such  appellate  division  after  notice  to  the  department and to

the

  attorney  general  and  upon  a  showing  that  the  petitioner  has

a

  substantial  likelihood  of  success.  Failure  to  seek an order of

the

  administrative review board shall not be grounds for dismissal of

such a

proceeding. 

    §  230-d.  Office-based surgery. 1. The following words or phrases,

as

  used in this section shall have the following meanings:

    (a)   "Accredited   status"   means   the   full   accreditation

by

  nationally-recognized   accrediting   agency(ies)   determined   by

the

  commissioner.

    (b) "Adverse event" means (i) patient death within thirty  days;

(ii)

  unplanned  transfer to a hospital; (iii) unscheduled hospital

admission,

  within seventy-two hours of the office-based surgery,  for  longer

than

  twenty-four hours; or (iv) any other serious or life-threatening

event.

    (c)  "Deep  sedation" means a drug-induced depression of

consciousness

  during which (i) the patient  cannot  be  easily  aroused  but

responds

  purposefully  following repeated painful stimulation; (ii) the

patient's

  ability to maintain independent ventilatory function  may  be

impaired;

  (iii)  the patient may require assistance in maintaining a patent

airway

  and spontaneous ventilation may be inadequate; and  (iv)  the

patient's

  cardiovascular function is usually maintained without assistance.

    (d)   "General   anesthesia"   means   a  drug-induced  depression

of

  consciousness during which (i) the patient is  not  arousable,  even

by

  painful  stimulation; (ii) the patient's ability to maintain

independent

  ventilatory function is often  impaired;  (iii)  the  patient,  in

many

  cases,  often  requires  assistance  in  maintaining a patent airway

and

  positive pressure ventilation  may  be  required  because  of

depressed

  spontaneous  ventilation  or  drug-induced  depression  of

neuromuscular

  function;  and  (iv)  the  patient's  cardiovascular  function  may

be

  impaired.

    (e)   "Moderate   sedation"   means   a   drug-induced  depression

of

  consciousness during which (i)  the  patient  responds  purposefully

to

  verbal   commands,   either   alone  or  accompanied  by  light

tactile

  stimulation; (ii) no interventions are required  to  maintain  a

patent

  airway;   (iii)  spontaneous  ventilation  is  adequate;  and  (iv)

the

  patient's  cardiovascular  function  is   usually   maintained

without

  assistance.

    (f)  "Minimal  sedation"  means  a drug-induced state during which

(i)

  patients respond normally to verbal commands;  (ii)  cognitive

function

  and   coordination   may   be   impaired;   and  (iii)  ventilatory

and

  cardiovascular functions are unaffected.

    (g) "Minor procedures" means (i)  procedures  that  can  be

performed

  safely   with   a   minimum   of  discomfort  where  the  likelihood

of

  complications requiring  hospitalization  is  minimal;  (ii)

procedures

  performed  with  local  or topical anesthesia; or (iii) liposuction

with

  removal  of  less  than  500  cc  of  fat  under  unsupplemented

local

  anesthesia.

    (h)  "Office-based  surgery"  means  any  surgical  or  other

invasive

  procedure, requiring general  anesthesia,  moderate  sedation,  or

deep

  sedation,  and  any  liposuction procedure, where such surgical or

other

  invasive procedure or liposuction  is  performed  by  a  licensee  in

a

  location  other  than  a  hospital,  as  such term is defined in

article

  twenty-eight of this chapter, excluding minor procedures and

procedures

  requiring minimal sedation.

    (i)   "Licensee"  shall  mean  an  individual  licensed  or

otherwise

  authorized  under  articles  one  hundred  thirty-one  or  one

hundred

  thirty-one-B of the education law.

    * 2.  Licensee  practices  in  which office-based surgery is

performed

  shall obtain and maintain full accredited status.

    * NB Effective July 14, 2009

    * 3. A licensee may only perform office-based  surgery  in  a

setting

  that has obtained and maintains full accredited status.

    * NB Effective July 14, 2009

    4.  Licensees  shall report adverse events to the department's

patient

  safety center within one business day of the occurrence of such

adverse

  event.  Licensees  shall  also  report any suspected health care

disease

  transmission originating in their practices to the patient safety

center

  within   one   business   day   of  becoming  aware  of  such

suspected

  transmission.  For  purposes  of  this  section,  health  care

disease

  transmission  shall  mean  the transmission of a reportable

communicable

  disease that is blood borne from a health care professional to a

patient

  or between patients as a result of improper infection control

practices

  by  the  health care professional. The reported data shall be subject

to

  all confidentiality provisions provided by section  twenty-nine

hundred

  ninety-eight-e of this chapter.

    5.  The  commissioner  shall  make, adopt, promulgate and enforce

such

  rules and regulations, as he or she may deem appropriate, to

effectuate

  the  purposes  of  this section. Where any rule or regulation under

this

  section would affect the scope of practice of a health care

practitioner

  licensed, registered or certified under title eight of the education

law

  other than those licensed under articles one hundred thirty-one  or

one

  hundred  thirty-one-B of the education law, the rule or regulation

shall

  be made with the concurrence of the commissioner of education.

see https://www.health.ny.gov/regulations/public_health_law/section/230/docs/230.pdf

 

[this information is current to the best of our knowledge as of 2/14]