N.Y. Social Services Law 366-D – Medical assistance provider; prohibited practices
§ 366-d. Medical assistance provider; prohibited practices. 1. Definitions. As used in this section, "medical assistance provider" means any person, firm, partnership, group, association, fiduciary, employer or representative thereof or other entity who is furnishing care, services or supplies under title eleven of article five of this chapter.
Attorney's Note
Under the New York Laws, punishments for crimes depend on the classification. In the case of this section:| Class | Prison | Fine |
|---|---|---|
| Class E felony | between 1 and 4 years | up to $5,000 |
Terms Used In N.Y. Social Services Law 366-D
- Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
- Fiduciary: A trustee, executor, or administrator.
- Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- Statute: A law passed by a legislature.
2. No medical assistance provider shall:
(a) solicit, receive, accept or agree to receive or accept any payment or other consideration in any form from another person to the extent such payment or other consideration is given: (i) for the referral of services for which payment is made under title eleven of article five of this chapter; or (ii) to purchase, lease or order any good, facility, service or item for which payment is made under title eleven of article five of this chapter; or
(b) offer, agree to give or give any payment or other consideration in any form to another person to the extent such payment or other consideration is given: (i) for the referral of services for which payment is made under title eleven of article five of this chapter; or (ii) to purchase, lease or order any good, facility, service or item for which payment is made under title eleven of article five of this chapter;
(c) as used in this section "person" shall have the meaning set forth in subdivision seven of § 10.00 of the penal law.
(d) this subdivision shall not apply to any activity specifically exempt by federal statute or federal regulations promulgated thereunder.
3. Any medical assistance provider who violates the provisions of this section is guilty of a misdemeanor punishable by:
(a) a term of imprisonment in accordance with the penal law; or
(b) a fine of not less than five hundred dollars nor more than ten thousand dollars; or
(c) if the defendant has obtained money or property through a violation of the provisions of this section, a fine in an amount, fixed by the court, not to exceed double the amount of the defendant's gain from a violation of such provisions. In such event, the provisions of subdivision three of § 80.00 of the penal law shall be applicable to the sentence; or
(d) both the imprisonment and the fine.
4. Any medical assistance provider who violates the provisions of this section and thereby obtains money or property having a value in excess of seven thousand five hundred dollars shall be guilty of a class E felony.