direct or indirect payment
(4)For purposes of paragraph (2), the term “direct or indirect payment” shall not include any payment for treatment (as defined in) of an individual. (b)The Secretary shall by rule provide that any written fundraising communication that is a healthcare operation as defined under, shall, in a clear and conspicuous manner, provide an opportunity for the recipient of the communications to elect not to receive any further such communication. When an individual elects not to receive any further such communication, such election shall be treated as a revocation of authorization under. (c)This section shall apply to written communications occurring on or after the effective date specified under section 13423.