# N.Y. PBH Law § 4913: Conflict of interest

> New York · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4913

## Section

- **Citation:** N.Y. PBH Law § 4913
- **Heading:** Conflict of interest
- **Jurisdiction:** New York
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** New York Code / Act PBH / Article 49 / Title 2 / Section 4913

## Text

§ 4913. Conflict of interest. 1. No external appeal agent or officer,\ndirector, or management employee thereof; or clinical peer reviewer\nemployed or engaged thereby to conduct any external appeal pursuant to\nthis title, shall have any material professional affiliation, material\nfamilial affiliation, material financial affiliation, or other\naffiliation prescribed pursuant to regulation, with any of the\nfollowing:\n (a) the health care plan;\n (b) any officer, director, or management employee of the health care\nplan;\n (c) any health care provider, physician's medical group, independent\npractice association, or provider of pharmaceutical products or services\nor durable medical equipment, proposing to provide or supply the health\nservice;\n (d) the facility at which the health service would be provided;\n (e) the developer or manufacturer of the principal health service\nwhich is the subject of the appeal; or\n (f) the enrollee whose health care service is the subject of the\nappeal, or the enrollee's designee.\n 2. Notwithstanding the provisions of subdivision one of this section,\nthe commissioner shall promulgate regulations to minimize any conflict\nof interest where such conflict may be unavoidable.\n

## Nearby sections

- [N.Y. PBH Law § 4910 Right to external appeal established](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4910.md)
- [N.Y. PBH Law § 4911 Powers of the commissioner](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4911.md)
- [N.Y. PBH Law § 4912 Standards for certification](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4912.md)
- [N.Y. PBH Law § 4913 Conflict of interest](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4913.md)
- [N.Y. PBH Law § 4914 Procedures for external appeals of adverse determinations](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4914.md)
- [N.Y. PBH Law § 4915 Prohibited practices](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4915.md)
- [N.Y. PBH Law § 4916 Oversight and surveillance of the external appeal process](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4916.md)
- [N.Y. PBH Law § 4917 Hold harmless](https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4917.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NY_APBH_A49_T2_S4913. Check the current official text before relying on it. Not legal advice.