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Title 42 — The Public Health and Welfare

Chapter 117 — Encouraging Good Faith Professional Review Activities

§ 11111. Professional review

Statutory text

(a)

In general

(1)

Limitation on damages for professional review actions

If a professional review action (as defined in section 11151(9) of this title) of a professional review body meets all the standards specified in section 11112(a) of this title, except as provided in subsection (b)—

(A)

the professional review body,

(B)

any person acting as a member or staff to the body,

(C)

any person under a contract or other formal agreement with the body, and

(D)

any person who participates with or assists the body with respect to the action,

shall not be liable in damages under any law of the United States or of any State (or political subdivision thereof) with respect to the action. The preceding sentence shall not apply to damages under any law of the United States or any State relating to the civil rights of any person or persons, including the Civil Rights Act of 1964, 42 U.S.C. 2000e, et seq. and the Civil Rights Acts, 42 U.S.C. 1981, et seq. Nothing in this paragraph shall prevent the United States or any Attorney General of a State from bringing an action, including an action under section 15c of title 15, where such an action is otherwise authorized.

(2)

Protection for those providing information to professional review bodies

Notwithstanding any other provision of law, no person (whether as a witness or otherwise) providing information to a professional review body regarding the competence or professional conduct of a physician shall be held, by reason of having provided such information, to be liable in damages under any law of the United States or of any State (or political subdivision thereof) unless such information is false and the person providing it knew that such information was false.

(b)

Exception

If the Secretary has reason to believe that a health care entity has failed to report information in accordance with section 11133(a) of this title, the Secretary shall conduct an investigation. If, after providing notice of noncompliance, an opportunity to correct the noncompliance, and an opportunity for a hearing, the Secretary determines that a health care entity has failed substantially to report information in accordance with section 11133(a) of this title, the Secretary shall publish the name of the entity in the Federal Register. The protections of subsection (a)(1) shall not apply to an entity the name of which is published in the Federal Register under the previous sentence with respect to professional review actions of the entity commenced during the 3-year period beginning 30 days after the date of publication of the name.

(c)

Treatment under State laws

(1)

Professional review actions taken on or after

Except as provided in paragraph (2), subsection (a) shall apply to State laws in a State only for professional review actions commenced on or after .

(2)

Exceptions

(A)

State early opt-in

Subsection (a) shall apply to State laws in a State for actions commenced before , if the State by legislation elects such treatment.

(B)

Effective date of election

An election under State law is not effective, for purposes of,1 for actions commenced before the effective date of the State law, which may not be earlier than the date of the enactment of that law.

Footnotes

  1. 1 So in original. Probably should be “for purposes of subparagraph (A),”.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

  1. Health Care Quality Improvement Act of 1986

    Pub. L. 99–660 title IV § 411 · 100 Stat. 3743

    Enacted · 42 U.S.C. § 11111

    Pub. L. 99–660, title IV, § 411, Nov. 14, 1986, 100 Stat. 3784

    Source evidence

    Code source credit
    Pub. L. 99–660, title IV, § 411, Nov. 14, 1986, 100 Stat. 3784

    Enacted provision · exact public law section
    SEC. 411. PROFESSIONAL REVIEW. (a) State and local governments. In General.— (1) Limitation on damages for professional review actions.— If a professional review action (as defined in section 431(9)) of a professional review body meets all the standards specified in section 412(a), except as provided in subsection (b)— (A) the professional review body, (B) any person acting as a member or staff to the body, (C) any person under a contract or other formal agreement with the body, and (D) any person who participates with or assists the body with respect to the action, shall not be liable in damages under any law of the United States or of any State (or political subdivision thereof) with respect to the action. The preceding sentence shall not apply to damages under any law of the United States or any State relating to the civil rights of any person or persons, including the Civil Rights Act of 1964, 42 U.S.C. 2000e, et seq. and the Civil Rights Acts, 42 U.S.C. 1981, et seq. Nothing in this paragraph shall prevent the United States or any Attorney General of a State from bringing an action, including an action under section 4C of the Clayton Act, 15 U.S.C. 15C, where such an action is otherwise authorized. (2) Protection for those providing information to professional review bodies.— Notwithstanding any other provision of law, no person (whether as a witness or otherwise) providing information to a professional review body regarding the competence or professional conduct of a physician shall be held, by reason of having provided such information, to be liable in damages under any law of the United States or of any State (or political subdivision thereof) unless such information is false and the person providing it knew that such information was false. (b) Exception.— If the Secretary has reason to believe that a health care entity has failed to report information in accordance with section 423(a), the Secretary shall conduct an investigation. If, Federal Register, publication. after providing notice of noncompliance, an opportunity to correct the noncompliance, and an opportunity for a hearing, the Secretary determines that a health care entity has failed substantially to report information in accordance with section 423(a), the Secretary shall publish the name of the entity in the Federal Register. The protections of subsection (a)(1) shall not apply to an entity the name of which is published in the Federal Register under the previous sentence with respect to professional review actions of the entity commenced during the 3-year period beginning 30 days after the date of publication of the name. (c) Treatment Under State Laws.— (1) Professional review actions taken on or after October 14, 1989.— Except as provided in paragraph (2), subsection (a) shall apply to State laws in a State only for professional review actions commenced on or after October 14, 1989. (2) Exceptions.— (A) State early opt-in.— Subsection (a) shall apply to State laws in a State for actions commenced before October 14, 1989, if the State by legislation elects such treatment. (B) State opt-out.— Subsection (a) shall not apply to State laws in a State for actions commenced on or after October 14, 1989, if the State by legislation elects such treatment. (C) Effective date of election.— An election under State law is not effective, for purposes of subparagraphs (A) and (B), for actions commenced before the effective date of the State law, which may not be earlier than the date of the enactment of that law.

  2. Omnibus Budget Reconciliation Act of 1989

    Pub. L. 101–239 title VI § 6103(e)(6)(A) · 103 Stat. 2106

    Added · 42 U.S.C. § 11111(c)(2)(B); 42 U.S.C. § 11111(c)(2)(C)

    Pub. L. 101–239 added Pub. L. 100–177, § 402(c), see 1987 Amendment note below

    Source evidence

    Code amendment note
    Subsec. (c)(2)(B), (C). Pub. L. 101–239 added Pub. L. 100–177, § 402(c), see 1987 Amendment note below.

    Enacted provision · exact public law section
    (A) by redesignating subsection (c) as subsection (d) and by inserting after subsection (b) the following new subsection: “(c) Such Act is amended in section 411(c)(2) by striking subparagraph (B), by striking ‘subparagraphs (A) and (B)’ in subparagraph (C), and by redesignating subparagraph (C) as subparagraph (B). Such Act is amended in section 415(a) by inserting before the period at the end the following: ‘or as preempting or overriding any State law which provides incentives, immunities, or protection for those engaged in a professional review action that is in addition to or greater than that provided by this part’”; and

  3. Pub. L. 100–177 § 402(c) · 101 Stat. 986

    1. Added · 42 U.S.C. § 11111(c)(2)(B); 42 U.S.C. § 11111(c)(2)(C)

      Pub. L. 100–177, § 402(c), as added by Pub. L. 101–239

    2. Redesignated · 42 U.S.C. § 11111(c)(2)(B); 42 U.S.C. § 11111(c)(2)(C)

      Pub. L. 100–177, § 402(c), as redesignated subpar. (C) as (B)

    3. Struck · 42 U.S.C. § 11111(c)(2)(B); 42 U.S.C. § 11111(c)(2)(C)

      Pub. L. 100–177, § 402(c), as struck out “subparagraphs (A) and (B)” after “for purposes of”

    4. Struck · 42 U.S.C. § 11111(c)(2)(B); 42 U.S.C. § 11111(c)(2)(C)

      Pub. L. 100–177, § 402(c), as struck out former subpar. (B) which read as follows: “Subsection (a) of this section shall not apply to State laws in a State for actions commenced on or after October 14, 1989, if the State by legislation elects such treatment.”

    Source evidence

    Code amendment note
    Subsec. (c)(2)(B), (C). Pub. L. 100–177, § 402(c), as added by Pub. L. 101–239, redesignated subpar. (C) as (B), struck out “subparagraphs (A) and (B)” after “for purposes of”, and struck out former subpar. (B) which read as follows: “Subsection (a) of this section shall not apply to State laws in a State for actions commenced on or after October 14, 1989, if the State by legislation elects such treatment.”

    Enacted provision · exact public law section
    (c) Effective Dates.— (1) In general.— The amendments made by subsection (a) shall become effective on November 14, 1986. (2) Fees.— The amendment made by subsection (b) shall become effective on the date of enactment of this Act.

    Effective date note
    Amendment by Pub. L. 100–177 effective Nov. 14, 1986, see section 402(d) of Pub. L. 100–177, as renumbered and amended, set out as a note under section 11137 of this title.

6 of 6 references resolved to an enrolled provision

Editorial Notes

References in Text

The Civil Rights Act of 1964, referred to in subsec. (a)(1), is Pub. L. 88–352, , 78 Stat. 241, which is classified principally to subchapters II to IX (§ 2000a et seq.) of chapter 21 of this title. Title VII of this Act relates to equal employment opportunities, and is classified generally to subchapter VI (§ 2000e et seq.) of chapter 21 of this title. For complete classification of this Act to the Code, see Short Title note set out under section 2000a of this title and Tables.

The Civil Rights Acts, referred to in subsec. (a)(1), are classified generally to chapter 21 (§ 1981 et seq.) of this title.

Amendments1987–1989 · 2 rounds

1989

Subsec. (c)(2)(B), (C). Pub. L. 101–239 added Pub. L. 100–177, § 402(c), see 1987 Amendment note below.

1987

Subsec. (c)(2)(B), (C). Pub. L. 100–177, § 402(c), as added by Pub. L. 101–239, redesignated subpar. (C) as (B), struck out “subparagraphs (A) and (B)” after “for purposes of”, and struck out former subpar. (B) which read as follows: “Subsection (a) of this section shall not apply to State laws in a State for actions commenced on or after , if the State by legislation elects such treatment.”

Statutory Notes and Related Subsidiaries

Effective Date of 1987 Amendment

Amendment by Pub. L. 100–177 effective , see section 402(d) of Pub. L. 100–177, as renumbered and amended, set out as a note under section 11137 of this title.

Effective Date

Pub. L. 99–660, title IV, § 416, , 100 Stat. 3788, provided that: “This part [part A (§§ 411–416) of title IV of Pub. L. 99–660, enacting this subchapter] shall apply to professional review actions commenced on or after the date of the enactment of this Act [].”

Credits

1986–1989 · 2 acts
  1. 1986Pub. L. 99–660, title IV, § 411, , 100 Stat. 3784
  2. 1989Pub. L. 100–177, title IV, § 402(c), as added Pub. L. 101–239, title VI, § 6103(e)(6)(A), , 103 Stat. 2208.
Show as published

(Pub. L. 99–660, title IV, § 411, , 100 Stat. 3784; Pub. L. 100–177, title IV, § 402(c), as added Pub. L. 101–239, title VI, § 6103(e)(6)(A), , 103 Stat. 2208.)

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