When physicians refer patients to entities in which they have an ownership interest, a potential conflict of interest exists; A physician having an investment interest in a health care entity shall not refer patients to the entity unless certain conditions are met, including that physicians disclose their investment interest to their patients when making a referral; If the physician has an investment interest in an outside entity, the physician may only refer patients if several conditions are met, including that patients shall be given a list of effective alternative entities if any such entities become reasonably available, informed that they have the option to use one of the alternative entities, and assured that they will not be treated differently by the physician if they do not choose the physician-owned entity; An internal utilization review program must be established to ensure that investing physicians do not exploit their patients in any way, such as by inappropriate or unnecessary utilization.