New Jersey § 45:9-22

§ 45:9-22.

a. A practitioner shall not refer a patient or direct an employee of the practitioner

to refer a patient to a health care service in which the practitioner, or the practitioner's

immediate family, or the practitioner in combination with the practitioner's immediate

family has a significant beneficial interest; except that, in the case of a practitioner,

a practitioner's immediate family, or a practitioner in combination with the practitioner's

immediate family who had the significant beneficial interest prior to the effective

date of P.L.1991, c. 187 ( C.26:2H-18.24 et al.), and in the case of a significant beneficial interest in a health care service

that provides lithotripsy or radiation therapy pursuant to an oncological protocol

that was held prior to the effective date of this section of P.L.2009, c. 24, the practitioner may continue to refer a patient or direct an employee to do so if

that practitioner discloses the significant beneficial interest to the patient. b. If a practitioner is permitted to refer a patient to a health care service pursuant

to this section, the practitioner shall provide the patient with a written disclosure

form, prepared pursuant to section 3 of P.L.1989, c. 19 ( C.45:9-22.6 ), and post a copy of this disclosure form in a conspicuous public place in the practitioner's

office. c. The restrictions on referral of patients established in this section shall not

apply to: (1) medical treatment or a procedure that is provided at the practitioner's medical

office and for which a bill is issued directly in the name of the practitioner or

the practitioner's medical office; (2) renal dialysis; (3) ambulatory surgery or procedures involving the use of any anesthesia performed

at a surgical practice licensed by the Department of Health pursuant to subsection

g. of section 12 of P.L.1971, c. 136 ( C.26:2H-12 ) or at an ambulatory care facility licensed by the Department of Health to perform

surgical and related services or lithotripsy services, if the following conditions

are met: (a) the practitioner who provided the referral personally performs the procedure; (b) the practitioner's remuneration as an owner of or investor in the practice or

facility is directly proportional to the practitioner's ownership interest and not

to the volume of patients the practitioner refers to the practice or facility; (c) all clinically-related decisions at a facility owned in part by non-practitioners

are made by practitioners and are in the best interests of the patient; and (d) disclosure of the referring practitioner's significant beneficial interest in

the practice or facility is made to the patient in writing, at or prior to the time

that the referral is made, consistent with the provisions of section 3 of P.L.1989, c. 19 ( C.45:9-22.6 ); (4) medically-necessary intraoperative monitoring services rendered during a neurosurgical,

neurological, or neuro-radiological surgical procedure that is performed in a hospital; (5) a value-based arrangement made in accordance with 42 C.F.R. 411.357(aa) , a payment model authorized under a Medicare shared savings program pursuant to 42 U.S.C. s.1395jjj , or a demonstration operated by the Center for Medicare and Medicaid Innovation established

pursuant to at 42 U.S.C. s.1315a ; and (6) Referrals that a practitioner makes, or directs an employee of the practitioner to

make, to a health care service in which the referring practitioner has a significant

beneficial interest, when participants in an alternative payment model registered

with the Department of Health pursuant to section 3 of P.L.2017, c. 111 ( C.45:9-22.5c ) make a bona fide determination that : the significant beneficial interest is reasonably related to the alternative payment

model standards filed with the Department of Health, provided that the determination

is documented and retained for a period of 10 years ; and the referral is made in accordance with alternative payment model standards

and professional standards applicable to the health care service in which the referring

practitioner has a significant beneficial interest .