Every page.
The whole site on one page, grouped the way it is built, with a line on each saying what is on it.
Every page listed here resolves. Nothing here points at a page that does not exist yet.
The firm has one page for each kind of matter it takes, and one page for the attorney who takes it. The legal notices sit at the foot of every page as well, so you never have to come back here to find them.
There is also a machine-readable version at /sitemap.xml for search engines.
The firm.
- Home
- Who the firm is for, what it charges, and how a matter starts.
- About the firm
- How the firm is arranged, how an engagement is priced and when it ends, and where the firm can act.
- Babak Kalbasigharavi, Esq.
- Twenty years running healthcare businesses, three of them built and sold, and the states he is admitted in.
- Start a conversation
- A confidential first call at no charge, then a written scope and a flat fee inside forty-eight hours.
Practice.
- Acquisition and Exit
- Selling a healthcare business, for owners with $5 million to $100 million in revenue.
- Digital Health and AI
- HIPAA at the architecture level, FDA software classification, telemedicine, and clinical AI.
- Startups and Founders
- Entity formation, operating agreements, corporate practice of medicine structures, and fraud and abuse compliance.
Where the firm practices.
- Jurisdictions
- Texas, New York, Alaska and the federal layer, and what the firm does in each.
- Texas
- Formation, digital health compliance and the sale, from the Houston office.
- New York
- Physician-owned entities, Article 45-A notice, Council approval, and the sale.
- Alaska
- Entity choice, Certificate of Need exposure, tribal health, and the sale.
- Federal
- Medicare, Stark, Anti-Kickback, HIPAA, FDA and HSR, for an owner in any state.
Resources.
- Resources
- Articles, and handouts and checklists, written by the firm and open to anyone.
- Who may own a Texas practice
- The prohibition is read out of four sections, the workaround is a management company with no statute of its own, and the rule numbers everybody cites moved on January 9, 2025.
- Texas transaction notice
- Thirteen states want advance notice of a healthcare deal. Texas is not one of them, and the two bills that would have made it one died in June 2025.
- Texas license change of ownership
- Every HHSC license stays with the entity it was issued to. The buyer files for its own, the clock starts 30 days before the transfer, and one federal rule can force a Medicare re-enrollment.
- Texas physician non-competes
- One year, five miles, a buyout no larger than a year of pay, and void if the practice fires the doctor without good cause. Every renewal brings an old agreement under the new law.
- Texas seller sequence
- Five steps, in the order they bite. The last one is a franchise-tax certificate most sellers meet for the first time as a closing condition.
- New York Article 45-A
- Article 45-A is the one state transaction law that gives the state no power to approve or block. The threshold is a New York revenue-increase test, not a purchase price, and MSOs are named in it.
- Who may own a New York practice
- Business Corporation Law § 1507 voids the proxies that friendly-PC structures depend on, § 1510 forces a six-month buyback, and Education Law § 6530(19) reaches a management fee set as a share of receipts.
- New York PHHPC approval
- Hospitals, diagnostic and treatment centers, nursing homes, surgery centers and home care agencies all pass through the Council on a change of control. The stacked-ownership rule, not the corporate practice doctrine, is what stops a roll-up.
- New York non-competes
- The common-law reasonableness test governs. The bills that would replace it keep failing, and the one part a seller should watch is the carve-out that would ban a physician covenant while an executive's survived.
- New York seller sequence
- Five steps in the order they bite, and a sixth for a charitable seller: the Attorney General or the Supreme Court must approve a disposition of substantially all assets before it closes.
- Alaska corporate practice
- Alaska never decided the question. A professional corporation cannot be sold to a non-physician; an ordinary LLC may render professional services with no member-licensure rule at all; and no Alaska authority closes the gap between them.
- Alaska Certificate of Need
- The triggers are capital events, not sales. The sleeper is 7 AAC 07.001(b): a physician office is excluded from review only while physicians own all of it.
- Alaska licenses and Medicaid
- No agency gets advance warning of an Alaska deal. The licensing agency sets the timeline instead, the license does not move without the Department's say, and the day-counts that circulate could not be confirmed.
- Alaska non-competes
- No statute, no duration cap, no physician rule. One 1988 case, and it puts the burden on the employer to prove the covenant was drafted in good faith before a court will save it.
- What is distinctly Alaskan
- About 99% of the Indian Health Service's Alaska budget runs through tribal organizations under federal law, a clinician licensed anywhere may work in that system on a 14-day notice, and Alaska joined the medical licensure compact three months ago.
- State healthcare transaction notice laws
- Thirteen states that want notice before a healthcare deal closes, and eight that review hospital sales: trigger, days, agency, and whether the state can refuse.
Notices and this page.
- Disclaimer
- Information, not advice. The admissions and the attorney advertising notice.
- Privacy Policy
- What we collect, why we hold it, and who else can see it.
- Terms and Conditions
- The terms you accept by using this website, including Texas governing law and venue.
- Accessibility
- How the pages are built, what nobody has audited, and how to report a problem.
- Sitemap
- This page.
If a link on this page is broken, or a page you looked for is missing, write to info@bellalawpllc.com and we will put it right.