2006 New York Code - Health Maintenance Organizations; Powers.



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

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