| California Business
and Professions Code 655.6 |
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a) It is unlawful
for any person licensed under this division or under any initiative
act referred to in this division to charge, bill or otherwise
solicit payment from any patient, client, customer, or third-party
payer for cytologic services relating to the examination of
gynecologic slides if those services were not rendered by
that person or under his or her direct supervision. |
b) Clinical
laboratories performing cytologic examination of gynecologic
slides shall directly bill either the patient or the responsible
third-party payer for the cytologic services rendered by those
laboratories. Clinical laboratories shall not bill the patient
or surgeon who requests the tests. |
c) For the purposes
of this section, any person or entity who is responsible to
pay for cytologic examination of gynecologic slide services
provided to that patient shall be considered a responsible
third-party payer. |
| d) This section shall not apply to
any of the following: |
1) Any person who, or any clinical laboratory
that, contracts directly with a health care service plan
licensed pursuant to Section 1349 of the Health and Safety
Code, if services are to be provided to members of the plan
on a prepaid basis.
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2) Any person who, or clinic that, provides
cytologic examination of gynecologic slides services without
charge to the patient, or on a sliding scale payment basis
where the patient’s charge for services is determined
by the patient’s ability to pay.
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3) Health care programs operated by public entities, including,
but not limited to, colleges and universities.
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4) Health care programs operated by private
educational institutions to serve the health care needs
of their students.
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5) Any person who, or clinic that, contracts
with an employer to provide medical services to employees
of the employer if the cytologic services relating to the
examination of gynecologic slides are provided under the
contract.
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