[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: 45CFR61.11]

[Page 168-169]
 
                        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 B_Reporting of Information
 
Sec. 61.11  Reporting other adjudicated actions or decisions.

    (a) Who must report. Federal and State governmental agencies and 
health plans must report other adjudicated actions or decisions as 
defined in Sec. 61.3 related to the delivery, payment or provision of a 
health care item or service against health care providers, suppliers, 
and practitioners (regardless of whether the other adjudicated action or 
decision is subject to a pending appeal).
    (b) Entities described in paragraph (a) of this section must report 
the information as required in Sec. 61.10(b).
    (c) Entities described in paragraph (a) of this section should 
report, if known the information as described in Sec. 61.10(c).
    (d) Sanctions for failure to report. Any health plan that fails to 
report information on an other adjudicated action or decision required 
to be reported under this section will be subject to a civil money 
penalty (CMP) of not more than $25,000 for each such action not 
reported. Such penalty will be imposed

[[Page 169]]

and collected in the same manner as CMPs under subsection (a) of section 
1128A of the Act. The Secretary will provide for publication of a public 
report that identifies those Government agencies that have failed to 
report information on other adjudicated actions as required to be 
reported under this section.