New York Healthcare & Telehealth Compliance Guide
New York has some of the strictest Corporate Practice of Medicine (CPOM) laws in the United States. Only licensed physicians can own and operate medical practices. This is rooted in New York's Education Law, which reserves the practice of medicine exclusively for licensed professionals. It prohibits business corporations, investors, and non-physicians from hiring doctors, influencing medical decisions, or sharing in physician profits.
- Corporate Practice of Medicine (CPOM): Strict
- Telehealth prescribing permitted: Yes
- In-person exam required first: Yes
- Audio-only visits allowed: Yes
- Nurse practitioner authority: Reduced
- Collaborative practice agreement required: Yes
- Good Faith Exam required: Yes
Frequently asked questions
How does New York's strict CPOM doctrine affect my healthcare business?
New York enforces strict Corporate Practice of Medicine laws, meaning non-physician entities cannot directly employ physicians or control clinical decisions. You'll need a properly structured PC-MSO arrangement to operate compliantly. TrueEval can guide you through the entity formation and management services agreements required.
Do I need a medical director for my medspa or IV therapy clinic in New York?
Yes — New York requires physician oversight for medical procedures performed in medspas, IV therapy clinics, and similar brick-and-mortar healthcare establishments. A medical director develops protocols, provides clinical oversight, and ensures regulatory compliance. TrueEval places board-certified medical directors licensed in New York who understand both telehealth and in-person practice requirements.
Are Collaborative Practice Agreements required for NPs in New York?
Yes, New York requires Collaborative Practice Agreements (CPAs) between nurse practitioners and supervising physicians. NPs in New York have reduced practice authority, meaning a CPA is necessary for prescriptive authority. TrueEval provides New York-specific CPA templates and matches NPs with qualified collaborating physicians.
What are the Good Faith Exam requirements for prescribing in New York?
New York requires a Good Faith Exam before prescribing medications via telehealth. An initial in-person visit may be required before telehealth prescribing. Audio-only telehealth is permitted. TrueEval's physician network conducts compliant GFEs for New York patients.
What compliance requirements apply to cash-pay healthcare businesses in New York?
Cash-pay healthcare operations in New York — including telehealth, medspas, IV therapy, and wellness clinics — must still comply with all state medical practice acts, CPOM laws, prescribing regulations, and scope of practice requirements. The main difference is you won't deal with insurance billing compliance, but you must still maintain proper corporate structure, physician oversight, and clinical documentation. TrueEval specializes in cash-pay compliance frameworks for New York.