(b) The commissioner may only obtain enrollee information subject to
the establishment of protocols that will ensure that such
patient-specific information is not disclosed to third parties other
than to entities serving as agents of the state for the purposes of
quality assurance and oversight. Such protocols shall be developed in
consultation with representatives of health maintenance organizations,
health care provider organizations and consumer organizations and shall,
where possible, include the development of a unique confidential
identifier to be used in connection with patient-specific data. These
protocols shall address issues relating to the collection, maintenance,
and disclosure of such patient-specific information. Such protocols
shall be promulgated as regulations, provided however, that protocols or
regulations in use prior to the effective date of this subdivision shall
remain in effect until the regulations developed hereunder are
promulgated.
(c) In addition to any other sanction or penalty as provided by law,
any employee of the department who willfully violates this regulation or
any other rule or procedure pertaining to the disclosure of any material
collected pursuant to this subdivision shall be deemed to have committed
an act of misconduct and shall be disciplined in accordance with the
provisions of the civil service law.
Structure New York Laws
Article 44 - Health Maintenance Organizations
4400 - Statement of Policy and Purposes.
4402 - Health Maintenance Organizations; Application for Certificate of Authority.
4403 - Health Maintenance Organizations; Issuance of Certificate of Authority.
4403-A - Special Purpose Certificate of Authority.
4403-B - Development of Comprehensive Health Services Plans.
4403-C - Comprehensive HIV Special Needs Plan Certification.
4403-D - Special Needs Managed Care Plans.
4403-E - Primary Care Partial Capitation Providers; Partial Capitation Certificate of Authority.
4403-F - Managed Long Term Care Plans.
4403-G - Developmental Disabilty Individual Support and Care Coordination Organizations.
4404 - Health Maintenance Organizations; Continuance of Certificate of Authority.
4405 - Health Maintenance Organizations; Powers.
4405-A - Immunizations Against Poliomyelitis, Mumps, Measles, Diphtheria and Rubella.
4406 - Health Maintenance Organizations; Regulation of Contracts.
4406-A - Arbitration Provisions of Health Maintenance Organization Contracts.
4406-B - Primary and Preventive Obstetric and Gynecologic Care.
4406-D - Health Care Professional Applications and Terminations.
4406-E - Access to End of Life Care.
4406-F - Maternal Depression Screenings.
4406-G - Telehealth Delivery of Services.
4406-H - Health Care Facility Applications.
4406-I - Utilization Review Determinations for Medically Fragile Children.
4407 - Health Maintenance Organizations; Employer Requirements.
4408 - Disclosure of Information.
4408-A - Integrated Delivery Systems.
4408-A*2 - Grievance Procedure.
4409 - Health Maintenance Organizations; Examinations.
4410 - Health Maintenance Organizations; Professional Services.
4414 - Health Care Compliance Programs.
4416 - Excess Reserves of Certain Health Maintenance Organizations.