Section 238. Definitions  


Latest version.
  • As used in this title, the following terms shall
      have  the  following  meanings,  unless  the  context  clearly  requires
      otherwise:
        1.  "Clinical  laboratory  services"  shall  mean the microbiological,
      serological,  chemical,  hematological,  biophysical,   cytological   or
      pathological  examination  of materials derived from the human body, for
      the purposes of obtaining information for the diagnosis, prevention,  or
      treatment of disease or the assessment of health condition.
        2.   "Fair   market  value"  shall  mean  the  value  in  arms  length
      transactions, consistent  with  the  general  market  value,  and,  with
      respect  to  rentals or leases, the value of rental property for general
      commercial purposes, not taking into account its intended use,  and,  in
      the  case  of  a  lease of space, not adjusted to reflect the additional
      value the prospective lessee or lessor would attribute to the  proximity
      or  convenience  to the lessor where the lessor is a potential source of
      patient referrals to the lessee.
        3.  "Financial  relationship"  shall  mean  an   ownership   interest,
      investment interest or compensation arrangement.
        4.  "General  hospital" shall have the same meaning as is set forth in
      subdivision ten of section twenty-eight hundred one of this chapter.
        5. "Group practice" shall mean a group of two  or  more  practitioners
      organized   as  a  partnership,  professional  corporation,  foundation,
      not-for-profit   corporation,   faculty   practice   plan   or   similar
      association; and
        (a)  in  which each practitioner who is a member of the group provides
      substantially  the  full  range  of  services  which  the   practitioner
      routinely  provides,  including medical care, consultation, diagnosis or
      treatment, through the joint use of  shared  office  space,  facilities,
      equipment and personnel; and
        (b)  for  which substantially all of the services of the practitioners
      who are members of the group are provided  through  the  group  and  are
      billed  in  the name of the group and amounts so received are treated as
      receipts of the group; and
        (c) in which the overhead expenses of the income from the practice are
      distributed in accordance with methods previously determined by  members
      of the group; and
        (d)  provided,  however,  in  the  case  of  a  faculty  practice plan
      associated with a hospital with an approved residency  training  program
      in  which  practitioner  members  may  provide  a  variety  of different
      specialty services and provide professional  services  both  within  and
      outside  the group, as well as perform other tasks such as research, the
      provisions of paragraphs (a), (b) and (c) of this subdivision  shall  be
      applied  only  with  respect to the services provided within the faculty
      practice plan.
        6. "Health care provider" shall mean a practitioner in  an  individual
      practice, group practice, partnership, professional corporation or other
      authorized  form  of  association,  a  hospital  or  other  health  care
      institution issued an operating certificate pursuant to this chapter  or
      the  mental  hygiene  law,  a certified home health agency or a licensed
      home care services agency, and any other purveyor of  health  or  health
      related  items  or  services  including  but  not  limited to a clinical
      laboratory, a physiological laboratory, a pharmacy, a purveyor of  x-ray
      or imaging services, a purveyor of physical therapy services, a purveyor
      of  health  or  health  related supplies, appliances or equipment, or an
      ambulance service.
        7. "Health or health related items or services" shall include, but not
      be limited to, items and services available under the medical assistance
    
      program pursuant to title eleven of article five of the social  services
      law.
        8.  "Immediate family member" shall include spouse; birth and adoptive
      parents,  children   and   siblings;   stepparents,   stepchildren   and
      stepsiblings;     fathers-in-law,    mothers-in-law,    brothers-in-law,
      sisters-in-law, sons-in-law and daughters-in-law; and  grandparents  and
      grandchildren.
        9.  "Interested  investor"  shall  mean, with respect to a health care
      provider, an investor who is a practitioner in a position to make or  to
      influence  referrals  or business to the health care provider, or who is
      an immediate family member of such an investor.
        10. "Investor" shall mean, with respect to a health care  provider,  a
      person  with  a  financial  relationship  with the health care provider,
      subject to the exceptions  provided  in  paragraph  (b)  of  subdivision
      three, subdivision four and paragraph (b) of subdivision five of section
      two hundred thirty-eight-a of this title.
        11.  "Practitioner"  shall  mean  a  licensed or registered physician,
      dentist, podiatrist, chiropractor, nurse, midwife,  physician  assistant
      or specialist assistant, physical therapist, or optometrist.
        12.  "Rural"  shall mean (i) a county with a population of two hundred
      thousand persons or less, or a town with a  population  density  of  one
      hundred  fifty  persons  or  less  per square mile; and (ii) other rural
      areas  pursuant  to  standards  promulgated   in   regulation   by   the
      commissioner.
        13.   "X-ray  or  imaging  services"  shall  mean  diagnostic  imaging
      techniques which shall include but not be limited to the following:
        (a) Conventional x-ray or radiology.
        (b) Fluoroscopy.
        (c) Digital radiography.
        (d) Computed tomography.
        (e) Magnetic resonance imaging.
        (f) Nuclear imaging.
        (g) Ultrasonography.
        (h) Angiography.
        14.  "Pharmacy  services"  shall  mean  the  preparing,   compounding,
      preserving  or,  the  dispensing  of  drugs,  medicines  and therapeutic
      devices on the basis of prescriptions or other legal authority.
        15. "Radiation therapy services" shall mean the  use  of  high  energy
      x-rays,  particles,  or  radiation materials for the treatment of cancer
      and other diseases.
        16. "Physical therapy services" means physical therapy as  defined  by
      section sixty-seven hundred thirty-one of the education law.