N.Y. Public Health Law Section 4405-B
Duty to report


1.

(a) A health maintenance organization licensed pursuant to article forty-three of the insurance law or certified pursuant to this chapter shall make a report to the appropriate professional disciplinary agency within thirty days of the occurrence of any of the following:

(i)

the termination of a health care provider contract pursuant to § 4406-D (Health care professional applications and terminations)section forty-four hundred six-d of this article for reasons relating to alleged mental or physical impairment, misconduct or impairment of patient safety or welfare;

(ii)

the voluntary or involuntary termination of a contract or employment or other affiliation with such organization to avoid the imposition of disciplinary measures; or

(iii)

the termination of a health care provider contract in the case of a determination of fraud or in a case of imminent harm to patient health.

(b)

An organization shall make a report to be made to the appropriate professional disciplinary agency within thirty days of obtaining knowledge of any information that reasonably appears to show that a health professional is guilty of professional misconduct as defined in article one hundred thirty or one hundred thirty-one-A of the education law. A violation of this subdivision shall not be subject to the provisions of § 12-B (Wilful violation of health laws)section twelve-b of this chapter.

2.

Reports of possible professional misconduct made pursuant to this section shall be made in writing to the appropriate professional disciplinary agency. Written reports shall include the following information:

(a)

the name, address, profession and license number of the individual; and

(b)

a description of the action taken by the organization including the reason for the action and the date thereof, or the nature of the action or conduct that led to the resignation, termination of contract or withdrawal, and the date thereof stated with sufficient specificity to allow a reasonable person to understand which of the reasons enumerated led to the action of the organization or the resignation or withdrawal of the individual, and, if the reason was an act or omission of the individual, the particular act or omission.

3.

(a) Any report or information furnished to an appropriate professional discipline agency in accordance with the provisions of this section shall be deemed a confidential communication and shall not be subject to inspection or disclosure in any manner except upon formal written request by a duly authorized public agency or pursuant to a judicial subpoena issued in a pending action or proceeding.

(b)

Any person, facility, organization or corporation which makes a report pursuant to this section in good faith without malice shall have immunity from any liability, civil or criminal, for having made such report. For purposes of any proceeding, civil or criminal, the good faith of any person required to make a report shall be presumed.

Source: Section 4405-B — Duty to report, https://www.­nysenate.­gov/legislation/laws/PBH/4405-B (updated Sep. 22, 2014; accessed Apr. 20, 2024).

4400
Statement of policy and purposes
4401
Definitions
4402
Health maintenance organizations
4403
Health maintenance organizations
4403‑A
Special purpose certificate of authority
4403‑B
Development of comprehensive health services plans
4403‑C
Comprehensive HIV special needs plan certification
4403‑D
Special needs managed care plans
4403‑E
Primary care partial capitation providers
4403‑F
Managed long term care plans
4403‑G
Developmental disability individual support and care coordination organizations
4404
Health maintenance organizations
4405
Health maintenance organizations
4405‑A
Immunizations against poliomyelitis, mumps, measles, diphtheria and rubella
4405‑B
Duty to report
4406
Health maintenance organizations
4406‑A
Arbitration provisions of health maintenance organization contracts
4406‑B
Primary and preventive obstetric and gynecologic care
4406‑C
Prohibitions
4406‑D
Health care professional applications and terminations
4406‑E
Access to end of life care
4406‑F
Maternal depression screenings
4406‑G
Telehealth delivery of services
4406‑H
Health care facility applications
4406‑I
Utilization review determinations for medically fragile children
4407
Health maintenance organizations
4408
Disclosure of information
4408‑A
Integrated delivery systems
4408‑A*2
Grievance procedure
4409
Health maintenance organizations
4410
Health maintenance organizations
4411
Construction
4412
Separability
4413
Savings clause
4414
Health care compliance programs
4416
Excess reserves of certain health maintenance organizations

Accessed:
Apr. 20, 2024

Last modified:
Sep. 22, 2014

§ 4405-B’s source at nysenate​.gov

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