2022 New York Laws
PBH - Public Health
Article 5 - Laboratories
Title 5 - Clinical Laboratory and Blood Banking Services
576 - Duties and Powers of the Department.

Universal Citation: NY Pub Health L § 576 (2022)
§  576.  Duties  and  powers  of the department. 1. The department may
inquire into the operation of clinical laboratories and blood banks  and
may  conduct  periodic  inspections  and/or  evaluations  of facilities,
methods, procedures, materials, staff and equipment to assess compliance
with requirements set forth in this title, the  regulations  promulgated
hereunder   and  local  laws,  codes  or  regulations  as  specified  in
subdivision three of section five hundred eighty of this title.
  2. The department may require clinical laboratories and blood banks to
submit, in a form prescribed by  the  department,  periodic  reports  of
tests performed and such other information as the department may require
to  carry  out  the  provisions  of this title. The department may adopt
regulations to require clinical laboratories and blood banks  to  report
all  serious  adverse  incidents  which may be connected to the clinical
laboratory or blood bank services provided. Such incident reports  shall
be  deemed  confidential  in  the  same manner as such reports submitted
pursuant to section twenty-eight hundred five-m  of  this  chapter.  The
department  may  also  require  clinical laboratories and blood banks to
submit lists  of  personnel  who  are  employed  to  perform  laboratory
procedures  and to notify the department promptly of any changes in such
personnel.
  3. The department shall operate a reference system and shall prescribe
standards for the proper operation of clinical  laboratories  and  blood
banks  and  for  the examination of specimens. As part of such reference
system, the department may review and approve testing methods  developed
or  modified  by  clinical  laboratories  and  blood  banks prior to the
testing methods being offered in this state, and  may  require  clinical
laboratories  and  blood  banks to analyze test samples submitted by the
department and to report on the results of such analyses. The rules  and
regulations  of  the department shall prescribe the requirements for the
proper operation of  a  clinical  laboratory  or  blood  bank,  for  the
approval  of  methods  and  the  manner  in which proficiency testing or
analyses of samples shall be performed and reports submitted. Failure to
meet department  standards  for  the  proper  operation  of  a  clinical
laboratory  or  blood  bank,  including  the  criteria  for  approval of
methods, or failure to maintain satisfactory performance in  proficiency
testing  shall  result  in  termination of the permit in the category or
categories of testing established by the department in regulation  until
remediation  is  achieved. Such standards shall be at least as stringent
as federal standards promulgated under the federal  clinical  laboratory
improvement  amendments  of  nineteen hundred eighty-eight. Such failure
and  termination  shall  be  subject  to  review  in   accordance   with
regulations adopted by the department.
  4.  (a)  The  department  may adopt and amend rules and regulations to
effectuate the provisions and purposes of this  title.  Such  rules  and
regulations  shall  establish  fees  for clinical laboratories and blood
banks in amounts not exceeding the cost  of  the  reference  system  for
clinical  laboratories  and  blood  banks  and  shall  be subject to the
approval of the director  of  the  budget.  For  the  purposes  of  this
subdivision, standard federally established governmental cost allocation
practices shall be used by the commissioner to determine the cost of the
reference   system.   The   department  shall  make  available,  on  the
department's website, information on the costs included  in  determining
the permitted laboratories' fees. The department shall not deem as costs
of  the  reference  system,  costs  associated  with  federal grants and
patents which are not related to the reference system. The fee  paid  by
the  department  to  maintain an exemption for clinical laboratories and
blood banks from the requirements of  the  federal  clinical  laboratory

improvement  amendments of nineteen hundred eighty-eight shall be deemed
a cost of the reference system.

(b) In determining the fee charges to be assessed, the department shall, on or before May first of each year, compute the costs for the preceding state fiscal year which were expended to operate and administer the duties of the department pursuant to this title. The department shall, at such time or times and pursuant to such procedure as it shall determine by regulation, bill and collect from each clinical laboratory and blood bank an amount computed by multiplying such total computed operating expenses of the department by a fraction the numerator of which is the gross annual receipts of such clinical laboratory or blood bank during such twelve month period preceding the date of computation as the department shall designate by regulation, and the denominator of which is the total gross annual receipts of all clinical laboratories or blood banks operating in the state during such period.

(c) Each such clinical laboratory and blood bank shall submit to the department, in such form and at such times as the department may require, a report containing information regarding its gross annual receipts for all activities performed pursuant to a permit issued by the department in accordance with the provisions of section five hundred seventy-five of this title. The department may require additional information and audit and review such information to verify its accuracy.

(d) Partial payments equal to one-quarter of the total amount billed, may be made on or before June thirtieth, September thirtieth, December thirty-first and March tenth of the fiscal year to which the billing relates.

(e) On or before September fifteenth of each year, the department shall reconcile its costs and expenses for the reference system for the preceding state fiscal year and shall, on or before October fifteenth send to each clinical laboratory and blood bank, a statement setting forth the amount due and payable by, or the amount computed to the credit of, such clinical laboratory or blood bank, computed on the basis of the above stated formula, except that for the purposes of such computation the fraction shall be multiplied against the total recomputed expenses of the department for such fiscal year. Any amount due shall be payable not later than thirty days following the date of such statement. Any credit shall be applied against any succeeding payment due.

(f) The commissioner may waive all or any part of such fee charges for clinical laboratories or blood banks operated by local governments and for nonprofit clinical laboratories or blood banks performing examinations and analyses or providing services under contract with the state or its local governments.

(g) Subject to the approval of the director of the budget, the commissioner shall charge adequate and reasonable fees for the periodic inspection of out-of-state clinical laboratories and blood banks, not exceeding the estimated additional costs incurred for out-of-state inspections under this title. 5. The department, within the amounts appropriated, may employ inspectors, investigators, assistants and other employees or may contract with the city of New York to carry out the provisions of this title, set the compensation of such employees, within limits provided by law, and prescribe the duties of such employees. 6. The commissioner may appoint one or more advisory committees of persons expert in the major categories of clinical laboratory procedures to advise the commissioner in connection with the qualifications of technical personnel employed and the use of appropriate procedures. Each such advisory committee shall include at least one designee of the commissioner of the department of health of the city of New York. 7. The department may adopt rules or regulations applicable only to or in the city of New York which are designed to address special needs or circumstances existing in such city. The department shall consider the recommendations of the city of New York, or the department or board of health of such city, concerning the adoption or amendment of any such rules or regulations. 8. The department may enter into agreements with the secretary of health and human services as authorized by the federal clinical laboratory improvement act of nineteen hundred eighty-eight and title XVIII of the social security act to perform such acts as may be necessary to assure conformance with such laws by laboratories operating in the state.

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