Legislation
SECTION 366-D
Medical assistance provider; prohibited practices
Social Services (SOS) CHAPTER 55, ARTICLE 5, TITLE 11
§ 366-d. Medical assistance provider; prohibited practices. 1.
Definitions. As used in this section, "medical assistance provider"
means any person, firm, partnership, group, association, fiduciary,
employer or representative thereof or other entity who is furnishing
care, services or supplies under title eleven of article five of this
chapter.
2. No medical assistance provider shall:
(a) solicit, receive, accept or agree to receive or accept any
payment or other consideration in any form from another person to the
extent such payment or other consideration is given: (i) for the
referral of services for which payment is made under title eleven of
article five of this chapter; or (ii) to purchase, lease or order any
good, facility, service or item for which payment is made under title
eleven of article five of this chapter; or
(b) offer, agree to give or give any payment or other consideration
in any form to another person to the extent such payment or other
consideration is given: (i) for the referral of services for which
payment is made under title eleven of article five of this chapter; or
(ii) to purchase, lease or order any good, facility, service or item for
which payment is made under title eleven of article five of this
chapter;
(c) as used in this section "person" shall have the meaning set
forth in subdivision seven of section 10.00 of the penal law.
(d) this subdivision shall not apply to any activity specifically
exempt by federal statute or federal regulations promulgated thereunder.
3. Any medical assistance provider who violates the provisions of this
section is guilty of a misdemeanor punishable by:
(a) a term of imprisonment in accordance with the penal law; or
(b) a fine of not less than five hundred dollars nor more than ten
thousand dollars; or
(c) if the defendant has obtained money or property through a
violation of the provisions of this section, a fine in an amount, fixed
by the court, not to exceed double the amount of the defendant's gain
from a violation of such provisions. In such event, the provisions of
subdivision three of section 80.00 of the penal law shall be applicable
to the sentence; or
(d) both the imprisonment and the fine.
4. Any medical assistance provider who violates the provisions of this
section and thereby obtains money or property having a value in excess
of seven thousand five hundred dollars shall be guilty of a class E
felony.
Definitions. As used in this section, "medical assistance provider"
means any person, firm, partnership, group, association, fiduciary,
employer or representative thereof or other entity who is furnishing
care, services or supplies under title eleven of article five of this
chapter.
2. No medical assistance provider shall:
(a) solicit, receive, accept or agree to receive or accept any
payment or other consideration in any form from another person to the
extent such payment or other consideration is given: (i) for the
referral of services for which payment is made under title eleven of
article five of this chapter; or (ii) to purchase, lease or order any
good, facility, service or item for which payment is made under title
eleven of article five of this chapter; or
(b) offer, agree to give or give any payment or other consideration
in any form to another person to the extent such payment or other
consideration is given: (i) for the referral of services for which
payment is made under title eleven of article five of this chapter; or
(ii) to purchase, lease or order any good, facility, service or item for
which payment is made under title eleven of article five of this
chapter;
(c) as used in this section "person" shall have the meaning set
forth in subdivision seven of section 10.00 of the penal law.
(d) this subdivision shall not apply to any activity specifically
exempt by federal statute or federal regulations promulgated thereunder.
3. Any medical assistance provider who violates the provisions of this
section is guilty of a misdemeanor punishable by:
(a) a term of imprisonment in accordance with the penal law; or
(b) a fine of not less than five hundred dollars nor more than ten
thousand dollars; or
(c) if the defendant has obtained money or property through a
violation of the provisions of this section, a fine in an amount, fixed
by the court, not to exceed double the amount of the defendant's gain
from a violation of such provisions. In such event, the provisions of
subdivision three of section 80.00 of the penal law shall be applicable
to the sentence; or
(d) both the imprisonment and the fine.
4. Any medical assistance provider who violates the provisions of this
section and thereby obtains money or property having a value in excess
of seven thousand five hundred dollars shall be guilty of a class E
felony.