Election law states that any expenses incurred for 'the promotion of the candidate' must be declared locally and are subject to tightly defined limits.

In some cases, named neighborhoods or developments are part of the boroughs, though often with few residents and not clearly defined limits.

Such privileges should be reviewed and approved by the institution's medical staff credentialing committee and should be within the defined limits of state law.

A special case exists where a defined special authority can set its own multiplier within centrally defined limits.