NY Pub Health L § 24 (2021)
2021 New York Laws PBH - Public Health Article 1 - Short Title and Definitions: General Provisions Title 2 - General Provisions 24 - Disclosure.

§  24.  Disclosure. 1. A health care professional, or a group practice of health care professionals, a diagnostic and  treatment  center  or  a health  center  defined  under 42 U.S.C. § 254b on behalf of health care professionals rendering services at the group practice,  diagnostic  and treatment  center  or  health  center,  shall  disclose  to  patients or prospective patients in writing  or  through  an  internet  website  the health care plans in which the health care professional, group practice, diagnostic  and  treatment  center  or health center, is a participating provider and the hospitals with which the health  care  professional  is affiliated prior to the provision of non-emergency services and verbally at the time an appointment is scheduled.   2.  If  a health care professional, or a group practice of health care professionals, a diagnostic and treatment  center  or  a  health  center defined  under  42  U.S.C. § 254b on behalf of health care professionals rendering services at  the  group  practice,  diagnostic  and  treatment center  or  health  center,  does  not  participate  in the network of a patient's or prospective patient's health care  plan,  the  health  care professional,  group practice, diagnostic and treatment center or health center, shall: (a) prior to the  provision  of  non-emergency  services, inform  a  patient  or  prospective patient that the amount or estimated amount the health care professional will bill  the  patient  for  health care  services  is  available  upon  request;  and (b) upon receipt of a request from a patient or prospective patient, disclose to  the  patient or  prospective  patient  in  writing the amount or estimated amount or, with respect to a health center, a schedule of fees  provided  under  42 U.S.C.  §  254b(k)(3)(G)(i),  that  the  health care professional, group practice, diagnostic and treatment center or health  center,  will  bill the  patient or prospective patient for health care services provided or anticipated to be provided to the patient or prospective patient  absent unforeseen  medical  circumstances  that  may arise when the health care services are provided.   3. A health care professional who  is  a  physician  shall  provide  a patient  or  prospective  patient  with the name, practice name, mailing address, and telephone number of any health care provider  scheduled  to perform  anesthesiology,  laboratory,  pathology, radiology or assistant surgeon  services  in  connection  with  care  to  be  provided  in  the physician's  office  for  the  patient or coordinated or referred by the physician for the patient at the time of referral to or coordination  of services with such provider.   4.  A  health  care  professional  who  is  a  physician  shall, for a patient's scheduled hospital admission or scheduled outpatient  hospital services,  provide  a  patient  and the hospital with the name, practice name, mailing address and telephone number of any other physician  whose services will be arranged by the physician and are scheduled at the time of  the  pre-admission  testing,  registration  or admission at the time non-emergency services are scheduled;  and  information  as  to  how  to determine the healthcare plans in which the physician participates.   5.  A hospital shall establish, update and make public through posting on the hospital's website, to the extent required by federal guidelines, a list of  the  hospital's  standard  charges  for  items  and  services provided   by  the  hospital,  including  for  diagnosis-related  groups established under section 1886(d)(4) of the federal social security act.   6. A hospital shall post on the hospital's  website:  (a)  the  health care  plans  in  which  the  hospital is a participating provider; (b) a statement that (i) physician services provided in the hospital  are  not included in the hospital's charges; (ii) physicians who provide services in  the  hospital  may  or may not participate with the same health care plans as the hospital, and; (iii) the prospective patient  should  check  with  the physician arranging for the hospital services to determine the health  care  plans  in  which  the  physician  participates;   (c)   as applicable,  the  name,  mailing  address  and  telephone  number of the physician  groups  that  the  hospital  has  contracted  with to provide services  including  anesthesiology,   pathology   or   radiology,   and instructions  how  to  contact these groups to determine the health care plan participation of  the  physicians  in  these  groups;  and  (d)  as applicable,   the   name,  mailing  address,  and  telephone  number  of physicians employed by the hospital and whose services may  be  provided at the hospital, and the health care plans in which they participate.   7.  In  registration  or  admission  materials  provided in advance of non-emergency hospital  services,  a  hospital  shall:  (a)  advise  the patient or prospective patient to check with the physician arranging the hospital  services  to  determine:  (i) the name, practice name, mailing address and telephone number of any other physician whose services  will be  arranged  by  the  physician;  and  (ii)  whether  the  services  of physicians who are employed or contracted by  the  hospital  to  provide services   including  anesthesiology,  pathology  and/or  radiology  are reasonably anticipated to be provided to the patient;  and  (b)  provide patients  or  prospective  patients with information as to how to timely determine the health care plans participated in by  physicians  who  are reasonably  anticipated  to  provide  services  to  the  patient  at the hospital,  as  determined  by  the  physician  arranging  the  patient's hospital  services,  and who are employees of the hospital or contracted by the hospital to provide services including anesthesiology,  radiology and/or pathology.   8. For purposes of this section:  (a)  "Health  care  plan"  means a health insurer including an insurer licensed to write accident  and  health  insurance  subject  to  article thirty-two  of  the  insurance  law; a corporation organized pursuant to article forty-three of the insurance law; a municipal cooperative health benefit plan certified pursuant to article forty-seven of the  insurance law;  a  health  maintenance  organization certified pursuant to article forty-four of  this  chapter;  a  student  health  plan  established  or maintained  pursuant  to section one thousand one hundred twenty-four of the insurance law or a self-funded employee welfare benefit plan.  (b)  "Health  care  professional"  means  an  appropriately  licensed, registered or certified health care professional pursuant to title eight of the education law.  (c)  "Hospital" means a general hospital as defined in subdivision ten of section two thousand eight hundred one of this chapter.