2015 New York Laws
PBH - Public Health
Article 44 - (Public Health) HEALTH MAINTENANCE ORGANIZATIONS
4409 - Health maintenance organizations; examinations.

 4409. Health maintenance organizations; examinations. 1. In order to
  carry  out the provisions of this article, the commissioner, pursuant to
  his authority under section two  hundred  six  of  this  chapter,  shall
  examine  not  less  than once every three years, each health maintenance
  organization and all participating entities through  which  such  health
  maintenance  organization  offers  health  services as to the quality of
  health  care  services  offered,  and  the  adequacy  of  its   provider
  arrangements.
2.  The  superintendent  shall  examine not less than once every three
  years  into  the  financial   affairs   of   each   health   maintenance
  organization,   and  transmit  his  findings  to  the  commissioner.  In
  connection with any such  examination,  the  superintendent  shall  have
  convenient  access  at all reasonable hours to all books, records, files
  and other documents relating to the affairs of such organization,  which
  are  relevant  to  the  examination. The superintendent may exercise the
  powers set forth in sections three hundred  four,  three  hundred  five,
  three  hundred  six  and  three  hundred  ten  of  the  insurance law in
  connection with such examinations, and may also require special  reports
  from such health maintenance organizations as specified in section three
  hundred  eight  of  the  insurance  law.  As part of an examination, the
  superintendent shall review determinations of coverage for substance use
  disorder treatment and shall ensure that such determinations are  issued
  in  compliance  with  section  four  thousand three hundred three of the
  insurance law and title one of article forty-nine of this chapter.
3. The superintendent and the commissioner are authorized to share and
  exchange  information  obtained  by  them  in  the  exercise  of   their
  respective responsibilities under the insurance law and this chapter.
4.  Nothing  contained  in this section shall be deemed to require the
  public disclosure of privileged patient information.