HRSA_FRDOC_0001-0053[1] - Thursday Part III Department of...

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Thursday, January 28, 2010 Part III Department of Health and Human Services Health Resources and Services Administration 45 CFR Part 60 National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Reporting on Adverse and Negative Actions; Final Rule VerDate Nov<24>2008 17:47 Jan 27, 2010 Jkt 220001 PO 00000 Frm 00001 Fmt 4717 Sfmt 4717 E:\FR\FM\28JAR3.SGM 28JAR3 jlentini on DSKJ8SOYB1PROD with RULES3
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4656 Federal Register / Vol. 75, No. 18 / Thursday, January 28, 2010 / Rules and Regulations DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration 45 CFR Part 60 RIN 0906–AA57 National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Reporting on Adverse and Negative Actions AGENCY: Health Resources and Services Administration (HRSA), HHS. ACTION: Final rule. SUMMARY: This final rule revises existing regulations under sections 401 through 432 of the Health Care Quality Improvement Act of 1986, governing the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, to incorporate statutory requirements under section 1921 of the Social Security Act, as amended by section 5(b) of the Medicare and Medicaid Patient and Program Protection Act of 1987 (MMPPPA), and as amended by the Omnibus Budget Reconciliation Act of 1990 (OBRA). The MMPPPA, along with certain additional provisions in the OBRA, was designed to protect program beneficiaries from unfit health care practitioners, and otherwise improve the anti-fraud provisions of Medicare and State health care programs. Section 1921, the statutory authority upon which this regulatory action is based, requires each State to adopt a system of reporting to the Secretary of Health and Human Services (the Secretary) certain adverse licensure actions taken against health care practitioners and health care entities licensed or otherwise authorized by a State (or a political subdivision thereof) to provide health care services. It also requires each State to report any negative actions or findings that a State licensing authority, peer review organization, or private accreditation entity has concluded against a health care practitioner or health care entity. DATES: This rule is effective March 1, 2010. FOR FURTHER INFORMATION CONTACT: Mr. Darryl Gray, Director, Division of Practitioner Data Banks, Bureau of Health Professions, Health Resources and Services Administration (HRSA), Parklawn Building, 5600 Fishers Lane, Room 8–103, Rockville, MD 20857; telephone number: (301) 443–2300. SUPPLEMENTARY INFORMATION: I. Background A. The Health Care Quality Improvement Act of 1986 The National Practitioner Data Bank (NPDB) was established by the Health Care Quality Improvement Act (HCQIA) of 1986, as amended (42 U.S.C. 11101 et seq. ). The NPDB contains reports of adverse licensure actions against physicians and dentists (including revocations, suspensions, reprimands,
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This note was uploaded on 10/20/2010 for the course FINANCE fi505 taught by Professor Sham during the Spring '10 term at DeVry Chicago O'Hare.

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HRSA_FRDOC_0001-0053[1] - Thursday Part III Department of...

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