New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Claire Johnson, DC, MSEd, PhD
Dr. Claire Johnson is a professor at National University of Health Sciences and editor in chief of JMPT, the Journal of Chiropractic Medicine and the Journal of Chiropractic Humanities. She also serves as the communications chair for the American Public Health Association (APHA) Chiropractic Health Care (CHC) section.