[Code of Federal Regulations]
[Title 45, Volume 1]
[Revised as of October 1, 2007]
From the U.S. Government Printing Office via GPO Access
[CITE: 45CFR61.1]

[Page 161]
 
                        TITLE 45--PUBLIC WELFARE
 
                           AND HUMAN SERVICES
 
PART 61_HEALTHCARE INTEGRITY AND PROTECTION DATA BANK FOR FINAL 
ADVERSE INFORMATION ON HEALTH CARE PROVIDERS, SUPPLIERS
 
                      Subpart A_General Provisions
 
Sec. 61.1  The Healthcare Integrity and Protection Data Bank.


    (a) Section 1128E of the Social Security Act (the Act) authorizes 
the Secretary of Health and Human Services (the Secretary) to implement 
a national health care fraud and abuse data collection program for the 
reporting and disclosing of certain final adverse actions taken against 
health care providers, suppliers, or practitioners. Section 1128E of the 
Act also directs the Secretary to maintain a database of final adverse 
actions taken against health care providers, suppliers or practitioners. 
This data bank will be known as the Healthcare Integrity and Protection 
Data Bank (HIPDB). Settlements in which no findings or admissions of 
liability have been made will be excluded from being reported. However, 
if another action is taken against the provider, supplier or 
practitioner of a health care item or service as a result of or in 
conjunction with the settlement, that action is reportable to the HIPDB.
    (b) Section 1128E of the Act also requires the Secretary to 
implement the HIPDB in such a manner as to avoid duplication with the 
reporting requirements established for the National Practitioner Data 
Bank (NPDB) (See 45 CFR part 60). In accordance with the statute, the 
reporter responsible for reporting the final adverse actions to both the 
HIPDB and the NPDB will be required to submit only one report, provided 
that reporting is made through the Department's consolidated reporting 
mechanism that will sort the appropriate actions into the HIPDB, NPDB, 
or both.
    (c) The regulations in this part set forth the reporting and 
disclosure requirements for the HIPDB.