6530 - Definitions of professional misconduct.

§ 6530. Definitions  of professional misconduct. Each of the following  is professional misconduct,  and  any  licensee  found  guilty  of  such  misconduct under the procedures prescribed in section two hundred thirty  of  the public health law shall be subject to penalties as prescribed in  section two hundred thirty-a of the public health law  except  that  the  charges may be dismissed in the interest of justice:    1. Obtaining the license fraudulently;    2.  Practicing  the  profession  fraudulently or beyond its authorized  scope;    3.  Practicing  the  profession  with  negligence  on  more  than  one  occasion;    4.  Practicing  the  profession  with gross negligence on a particular  occasion;    5. Practicing the  profession  with  incompetence  on  more  than  one  occasion;    6. Practicing the profession with gross incompetence;    7.  Practicing  the  profession  while  impaired  by  alcohol,  drugs,  physical disability, or mental disability;    8. Being a habitual abuser of alcohol, or  being  dependent  on  or  a  habitual  user  of narcotics, barbiturates, amphetamines, hallucinogens,  or other drugs having similar effects, except  for  a  licensee  who  is  maintained  on an approved therapeutic regimen which does not impair the  ability to practice, or having a psychiatric condition which impairs the  licensee's ability to practice;    9. (a) Being convicted of  committing  an  act  constituting  a  crime  under:    (i) New York state law or,    (ii) federal law or,    (iii)  the  law of another jurisdiction and which, if committed within  this state, would have constituted a crime under New York state law;    (b) Having been found guilty  of  improper  professional  practice  or  professional  misconduct  by a duly authorized professional disciplinary  agency of another state where the conduct upon  which  the  finding  was  based  would,  if  committed  in New York state, constitute professional  misconduct under the laws of New York state;    (c)  Having  been  found  guilty  in  an  adjudicatory  proceeding  of  violating  a state or federal statute or regulation, pursuant to a final  decision or determination, and when  no  appeal  is  pending,  or  after  resolution  of  the proceeding by stipulation or agreement, and when the  violation would constitute  professional  misconduct  pursuant  to  this  section;    (d)  Having his or her license to practice medicine revoked, suspended  or having  other  disciplinary  action  taken,  or  having  his  or  her  application  for  a  license  refused,  revoked  or  suspended or having  voluntarily  or  otherwise  surrendered  his  or  her  license  after  a  disciplinary  action  was  instituted  by a duly authorized professional  disciplinary agency of another state, where the conduct resulting in the  revocation,  suspension  or  other  disciplinary  action  involving  the  license  or  refusal,  revocation  or suspension of an application for a  license or the surrender of the license would, if committed in New  York  state,  constitute  professional  misconduct  under the laws of New York  state;    (e) Having been found by the commissioner of health to be in violation  of article thirty-three of the public health law;    10. Refusing to provide professional service to a  person  because  of  such person's race, creed, color or national origin;    11.  Permitting,  aiding  or  abetting an unlicensed person to perform  activities requiring a license;12. Practicing the  profession  while  the  license  is  suspended  or  inactive  as  defined  in  subdivision  thirteen  of section two hundred  thirty of the public health law, or willfully  failing  to  register  or  notify  the  department  of  education  of any change of name or mailing  address, or, if a professional service corporation, willfully failing to  comply  with sections fifteen hundred three and fifteen hundred fourteen  of the business corporation law or, if  a  university  faculty  practice  corporation  wilfully failing to comply with paragraphs (b), (c) and (d)  of section fifteen hundred three and section fifteen hundred fourteen of  the business corporation law;    13. A willful violation by a licensee of subdivision eleven of section  two hundred thirty of the public health law;    14. A violation of section twenty-eight hundred three-d,  twenty-eight  hundred  five-k or subparagraph (ii) of paragraph (h) of subdivision ten  of section two hundred thirty of the public health law; or    15. Failure to comply with an order  issued  pursuant  to  subdivision  seven,  paragraph  (a)  of subdivision ten, and subdivision seventeen of  section two hundred thirty of the public health law;    16. A willful or grossly negligent failure to comply with  substantial  provisions  of  federal,  state,  or  local  laws, rules, or regulations  governing the practice of medicine;    17. Exercising undue influence on the patient, including the promotion  of the sale of services, goods, appliances, or drugs in such  manner  as  to  exploit  the  patient for the financial gain of the licensee or of a  third party;    18. Directly or indirectly offering, giving, soliciting, or  receiving  or  agreeing  to  receive,  any  fee or other consideration to or from a  third party for the referral of a patient  or  in  connection  with  the  performance of professional services;    19.  Permitting  any  person  to  share  in  the fees for professional  services, other than: a partner, employee, associate in  a  professional  firm or corporation, professional subcontractor or consultant authorized  to  practice  medicine, or a legally authorized trainee practicing under  the supervision of  a  licensee.  This  prohibition  shall  include  any  arrangement  or  agreement  whereby  the  amount received in payment for  furnishing space, facilities, equipment or personnel services used by  a  licensee  constitutes  a  percentage of, or is otherwise dependent upon,  the income or receipts of the licensee from  such  practice,  except  as  otherwise  provided  by law with respect to a facility licensed pursuant  to article twenty-eight of the public health law or article thirteen  of  the mental hygiene law;    20.  Conduct  in  the  practice  of  medicine  which  evidences  moral  unfitness to practice medicine;    21. Willfully making or filing a false report, or failing  to  file  a  report  required  by law or by the department of health or the education  department,  or  willfully  impeding  or  obstructing  such  filing,  or  inducing another person to do so;    22.  Failing  to  make available to a patient, upon request, copies of  documents in the possession or under the control of the  licensee  which  have been prepared for and paid for by the patient or client;    23.  Revealing  of personally identifiable facts, data, or information  obtained in a professional capacity without the  prior  consent  of  the  patient, except as authorized or required by law;    24.  Practicing  or offering to practice beyond the scope permitted by  law, or accepting and performing professional responsibilities which the  licensee knows or has reason to know that he or she is not competent  to  perform,   or   performing  without  adequate  supervision  professional  services which the licensee is authorized  to  perform  only  under  thesupervision of a licensed professional, except in an emergency situation  where a person's life or health is in danger;    25.  Delegating  professional  responsibilities  to  a person when the  licensee delegating such responsibilities knows or has  reason  to  know  that  such  person  is  not qualified, by training, by experience, or by  licensure, to perform them;    25-a. With  respect  to  any  non-emergency  treatment,  procedure  or  surgery  which  is  expected  to  involve  local  or general anesthesia,  failing to disclose to the patient the  identities  of  all  physicians,  except medical residents in certified training programs, podiatrists and  dentists,  reasonably  anticipated  to  be  actively  involved  in  such  treatment, procedure or surgery and to obtain  such  patient's  informed  consent to said practitioners' participation;    26.   Performing  professional  services  which  have  not  been  duly  authorized by the patient or his or her legal representative;    27. Advertising or soliciting for patronage that is not in the  public  interest. (a) Advertising or soliciting not in the public interest shall  include,  but  not be limited to, advertising or soliciting that: (i) is  false, fraudulent, deceptive, misleading, sensational, or flamboyant;    (ii) represents intimidation or undue pressure;    (iii) uses testimonials;    (iv) guarantees any service;    (v) makes any claim relating to professional services or  products  or  the  costs  or  price  therefor  which  cannot  be  substantiated by the  licensee, who shall have the burden of proof;    (vi)  makes  claims  of  professional  superiority  which  cannot   be  substantiated by the licensee, who shall have the burden of proof; or    (vii)  offers bonuses or inducements in any form other than a discount  or reduction in an established fee or price for a  professional  service  or product.    (b)  The  following shall be deemed appropriate means of informing the  public of the availability of professional services:  (i)  informational  advertising not contrary to the foregoing prohibitions; and    (ii)  the  advertising  in  a  newspaper,  periodical  or professional  directory or on radio or television of fixed prices, or a  stated  range  of prices, for specified routine professional services, provided that if  there is an additional charge for related services which are an integral  part  of  the  overall  service  being  provided  by  the  licensee, the  advertisement  shall  so  state,   and   provided   further   that   the  advertisement  indicates  the  period  of  time for which the advertised  prices shall be in effect.    (c)(i) All licensees placing advertisements shall maintain,  or  cause  to  be maintained, an exact copy of each advertisement, transcript, tape  or video tape thereof as appropriate for the medium used, for  a  period  of  one  year  after its last appearance. This copy shall be made avail-  able for inspection upon demand of the department of health;    (ii) A licensee shall not compensate or give anything of value to rep-  resentatives of the press, radio,  television  or  other  communications  media  in  anticipation  of or in return for professional publicity in a  news item;    (d)  No  demonstrations,  dramatizations  or   other   portrayals   of  professional  practice  shall  be  permitted  in advertising on radio or  television;    28. Failing to respond within thirty days  to  written  communications  from the department of health and to make available any relevant records  with   respect   to   an  inquiry  or  complaint  about  the  licensee's  professional misconduct. The period of thirty days shall commence on the  date when such communication was delivered personally to  the  licensee.If the communication is sent from the department of health by registered  or  certified  mail,  with  return  receipt  requested,  to  the address  appearing in the last registration, the  period  of  thirty  days  shall  commence  on  the  date of delivery to the licensee, as indicated by the  return receipt;    29. Violating any term of probation or condition or limitation imposed  on the licensee pursuant to section two hundred  thirty  of  the  public  health law;    30.  Abandoning or neglecting a patient under and in need of immediate  professional  care,  without  making  reasonable  arrangements  for  the  continuation  of such care, or abandoning a professional employment by a  group practice, hospital, clinic or other health care facility,  without  reasonable  notice  and  under  circumstances which seriously impair the  delivery of professional care to patients or clients;    31. Willfully harassing, abusing, or  intimidating  a  patient  either  physically or verbally;    32.  Failing  to  maintain  a record for each patient which accurately  reflects the evaluation and treatment of the patient, provided, however,  that a physician who  transfers  an  original  mammogram  to  a  medical  institution,  or  to a physician or health care provider of the patient,  or to the patient directly, as otherwise provided by law, shall have  no  obligation  under  this  section  to  maintain  the  original  or a copy  thereof. Unless otherwise provided by law, all patient records  must  be  retained  for  at  least  six  years. Obstetrical records and records of  minor patients must be retained for at least six years,  and  until  one  year after the minor patient reaches the age of eighteen years;    33.  Failing  to exercise appropriate supervision over persons who are  authorized to practice only under the supervision of the licensee;    34. Guaranteeing that satisfaction or a  cure  will  result  from  the  performance of professional services;    35.  Ordering  of  excessive  tests,  treatment,  or  use of treatment  facilities not warranted by the condition of the patient;    36. Claiming or using any secret or special method of treatment  which  the licensee refused to divulge to the department of health;    37. Failing to wear an identifying badge, which shall be conspicuously  displayed   and   legible,   indicating   the  practitioner's  name  and  professional title authorized pursuant to this chapter, while practicing  as an employee or operator of a  hospital,  clinic,  group  practice  or  multi-professional  facility,  or at a commercial establishment offering  health services to the public;    38. Entering into an arrangement or agreement with a pharmacy for  the  compounding   and/or   dispensing   of   coded   or   specially   marked  prescriptions;    39. With respect to all  professional  practices  conducted  under  an  assumed  name,  other  than  facilities  licensed  pursuant  to  article  twenty-eight of the public health law or article thirteen of the  mental  hygiene  law, failing to post conspicuously at the site of such practice  the name and licensure  field  of  all  of  the  principal  professional  licensees  engaged  in  the  practice  at  that  site  (i.e.,  principal  partners, officers or principal shareholders);    40.  Failing  to  provide  access  by  qualified  persons  to  patient  information  in  accordance  with  the  standards  set  forth in section  eighteen of the public health law as added by chapter 497 of the laws of  1986;    41. Knowingly or willfully performing a complete or partial autopsy on  a deceased person without lawful authority;    42. Failing to comply with a signed agreement to practice medicine  in  New York state in an area designated by the commissioner of education ashaving  a  shortage of physicians or refusing to repay medical education  costs in lieu of such required service, or failing to  comply  with  any  provision  of  a  written  agreement  with the state or any municipality  within  which  the  licensee  has  agreed to provide medical service, or  refusing to repay funds in lieu of  such  service  as  consideration  of  awards  made  by  the  state  or any municipality thereof for his or her  professional education in  medicine,  or  failing  to  comply  with  any  agreement entered into to aid his or her medical education;    43.   Failing   to   complete   forms  or  reports  required  for  the  reimbursement of a patient by a third  party.  Reasonable  fees  may  be  charged   for   such  forms  or  reports,  but  prior  payment  for  the  professional services to which such forms or reports relate may  not  be  required as a condition for making such forms or reports available;    44.  In  the  practice  of  psychiatry,  (a) any physical contact of a  sexual nature between licensee and  patient  except  the  use  of  films  and/or  other  audiovisual  aids  with  individuals  or  groups  in  the  development of appropriate responses to overcome sexual dysfunction  and  (b) in therapy groups, activities which promote explicit physical sexual  contact between group members during sessions; and    45.  In  the  practice of ophthalmology, failing to provide a patient,  upon request,  with  the  patient's  prescription  including  the  name,  address,   and   signature  of  the  prescriber  and  the  date  of  the  prescription.    46. A violation of section  two  hundred  thirty-nine  of  the  public  health law by a professional.    47.  Failure  to  use  scientifically accepted barrier precautions and  infection control practices as established by the department  of  health  pursuant to section two hundred thirty-a of the public health law.    48.  A  violation of section two hundred thirty-d of the public health  law or the regulations of the commissioner of health enacted thereunder.    49. Except for good cause shown, failing to provide within one day any  relevant records or other information requested by the  state  or  local  department  of  health  with  respect  to  an inquiry into a report of a  communicable disease as defined in the state sanitary code, or HIV/AIDS.