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Title 42 — The Public Health and Welfare

Chapter 117 — Encouraging Good Faith Professional Review Activities

§ 11137. Miscellaneous provisions

Statutory text

(a)

Providing licensing boards and other health care entities with access to information

The Secretary (or the agency designated under section 11134(b) of this title) shall, upon request, provide information reported under this subchapter with respect to a physician or other licensed health care practitioner to State licensing boards, to hospitals, and to other health care entities (including health maintenance organizations) that have entered (or may be entering) into an employment or affiliation relationship with the physician or practitioner or to which the physician or practitioner has applied for clinical privileges or appointment to the medical staff.

(b)

Confidentiality of information

(1)

In general

Information reported under this subchapter is considered confidential and shall not be disclosed (other than to the physician or practitioner involved) except with respect to professional review activity, as necessary to carry out subsections (b) and (c) of section 11135 of this title (as specified in regulations by the Secretary), or in accordance with regulations of the Secretary promulgated pursuant to subsection (a). Nothing in this subsection shall prevent the disclosure of such information by a party which is otherwise authorized, under applicable State law, to make such disclosure. Information reported under this subchapter that is in a form that does not permit the identification of any particular health care entity, physician, other health care practitioner, or patient shall not be considered confidential. The Secretary (or the agency designated under section 11134(b) of this title), on application by any person, shall prepare such information in such form and shall disclose such information in such form.

(2)

Penalty for violations

Any person who violates paragraph (1) shall be subject to a civil money penalty of not more than $10,000 for each such violation involved. Such penalty shall be imposed and collected in the same manner as civil money penalties under subsection (a) of section 1320a–7a of this title are imposed and collected under that section.

(3)

Use of information

Subject to paragraph (1), information provided under section 11135 of this title and subsection (a) is intended to be used solely with respect to activities in the furtherance of the quality of health care.

(4)

Fees

The Secretary may establish or approve reasonable fees for the disclosure of information under this section or section 11136 of this title. The amount of such a fee may not exceed the costs of processing the requests for disclosure and of providing such information. Such fees shall be available to the Secretary (or, in the Secretary’s discretion, to the agency designated under section 11134(b) of this title) to cover such costs.

(c)

Relief from liability for reporting

No person or entity (including the agency designated under section 11134(b) of this title) shall be held liable in any civil action with respect to any report made under this subchapter (including information provided under subsection (a) 1 without knowledge of the falsity of the information contained in the report.

(d)

Interpretation of information

In interpreting information reported under this subchapter, a payment in settlement of a medical malpractice action or claim shall not be construed as creating a presumption that medical malpractice has occurred.

Footnotes

  1. 1 So in original. Probably should be followed by another closing parenthesis.

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 § 427 · 100 Stat. 3743

    Enacted · 42 U.S.C. § 11137

    Pub. L. 99–660, title IV, § 427, Nov. 14, 1986, 100 Stat. 3791

    Source evidence

    Code source credit
    Pub. L. 99–660, title IV, § 427, Nov. 14, 1986, 100 Stat. 3791

    Enacted provision · exact public law section
    SEC. 427. MISCELLANEOUS PROVISIONS. (a) Providing Licensing Boards and Other Health Care Entities With Access to Information.— The Secretary (or the agency designated under section 424(b)) shall, upon request, provide information reported under this part with respect to a physician or other licensed health care practitioner to State licensing boards, to hospitals, and to other health care entities (including health maintenance organizations) that have entered (or may be entering) into an employment or affiliation relationship with the physician or practitioner or to which the physician or practitioner has applied for clinical privileges or appointment to the medical staff. (b) Confidentiality of Information.— (1) In general.— Information reported under this part is considered confidential and shall not be disclosed (other than to the physician or practitioner involved) except with respect to professional review activity, with respect to medical malpractice actions, or in accordance with regulations of the Secretary promulgated pursuant to subsection (a). Nothing in this subsection shall prevent the disclosure of such information by a party which is otherwise authorized, under applicable State law, to make such disclosure. (2) Penalty for violations.— Any person who violates paragraph (1) shall be subject to a civil money penalty of not more than $10,000 for each such violation involved. Such penalty shall be imposed and collected in the same manner as civil money penalties under subsection (a) of section 1128A of the 42 USC 1320a–7a. Social Security Act are imposed and collected under that section. (3) Use of information.— Subject to paragraph (1), information provided under section 425 and subsection (a) is intended to be used solely with respect to activities in the furtherance of the quality of health care. (c) Relief From Liability for Reporting.— No person or entity shall be held liable in any civil action with respect to any report made under this part without knowledge of the falsity of the information contained in the report. (d) Interpretation of Information.— In interpreting information reported under this part, a payment in settlement of a medical malpractice action or claim shall not be construed as creating a presumption that medical malpractice has occurred.

  2. Pub. L. 100–177 § 402(a)(1) · 101 Stat. 986

    1. Substituted · 42 U.S.C. § 11137(b)(1)

      Pub. L. 100–177, § 402(a)(1), substituted “as necessary to carry out subsections (b) and (c) of section 11135 of this title (as specified in regulations by the Secretary)” for “with respect to medical malpractice actions”

    2. Inserted · 42 U.S.C. § 11137(b)(1)

      Pub. L. 100–177, § 402(a)(1), inserted at end “Information reported under this subchapter that is in a form that does not permit the identification of any particular health care entity, physician, other health care practitioner, or patient shall not be considered confidential. The Secretary (or the agency designated under section 11134(b) of this title), on application by any person, shall prepare such information in such form and shall disclose such information in such form.”

    Source evidence

    Code amendment note
    Subsec. (b)(1). Pub. L. 100–177, § 402(a)(1), substituted “as necessary to carry out subsections (b) and (c) of section 11135 of this title (as specified in regulations by the Secretary)” for “with respect to medical malpractice actions” and inserted at end “Information reported under this subchapter that is in a form that does not permit the identification of any particular health care entity, physician, other health care practitioner, or patient shall not be considered confidential. The Secretary (or the agency designated under section 11134(b) of this title), on application by any person, shall prepare such information in such form and shall disclose such information in such form.”

    Enacted provision · exact public law section
    (1) in subsection (b)(1)— (A) by striking out “with respect to medical malpractice actions” and inserting in lieu thereof “as necessary to carry out subsections (b) and (c) of section 425 (as specified in regulations by the Secretary)”; and (B) by adding at the end thereof the following new sentences: “Information reported under this part that is in a form that does not permit the identification of any particular health care entity, physician, other health care practitioner, or patient shall not be considered confidential. The Secretary (or the agency designated under section 424(b)), on application by any person, shall prepare such information in such form end shall disclose such information in such form.”; and

    Effective date note
    Pub. L. 100–177, title IV, § 402(d), formerly § 402(c), Dec. 1, 1987, 101 Stat. 1007, as renumbered and amended by Pub. L. 101–239, title VI, § 6103(e)(6), Dec. 19, 1989, 103 Stat. 2208, provided that:

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

    Added · 42 U.S.C. § 11137(b)(4)

    Pub. L. 100–177, § 402(b), added par. (4)

    Source evidence

    Code amendment note
    Subsec. (b)(4). Pub. L. 100–177, § 402(b), added par. (4).

    Enacted provision · exact public law section
    (b) Fees.— Section 427(b) of such Act is amended by adding at the end thereof the following new paragraph: “(4) Fees.— The Secretary may establish or approve reasonable fees for the disclosure of information under this section or section 426. The amount of such a fee may not exceed the costs of processing the requests for disclosure and of providing such information. Such fees shall be available to the Secretary (or, in the Secretary’s discretion, to the agency designated under section 424(b)) to cover such costs.”.

    Effective date note
    Pub. L. 100–177, title IV, § 402(d), formerly § 402(c), Dec. 1, 1987, 101 Stat. 1007, as renumbered and amended by Pub. L. 101–239, title VI, § 6103(e)(6), Dec. 19, 1989, 103 Stat. 2208, provided that:

  4. Pub. L. 100–177 § 402(a)(2) · 101 Stat. 986

    Inserted · 42 U.S.C. § 11137(c)

    Pub. L. 100–177, § 402(a)(2), inserted “(including the agency designated under section 11134(b) of this title)” after “entity” and “(including information provided under subsection (a)” after “subchapter”

    Source evidence

    Code amendment note
    Subsec. (c). Pub. L. 100–177, § 402(a)(2), inserted “(including the agency designated under section 11134(b) of this title)” after “entity” and “(including information provided under subsection (a)” after “subchapter”.

    Enacted provision · exact public law section
    (2) in subsection (c)— (A) by inserting “(including the agency designated under section 424(b))” after “person or entity”; end (B) by inserting “(including information provided under subsection (a)” after “part”.

    Effective date note
    Pub. L. 100–177, title IV, § 402(d), formerly § 402(c), Dec. 1, 1987, 101 Stat. 1007, as renumbered and amended by Pub. L. 101–239, title VI, § 6103(e)(6), Dec. 19, 1989, 103 Stat. 2208, provided that:

5 of 5 references resolved to an enrolled provision

Editorial Notes

Amendments

1987—Subsec. (b)(1). Pub. L. 100–177, § 402(a)(1), substituted “as necessary to carry out subsections (b) and (c) of section 11135 of this title (as specified in regulations by the Secretary)” for “with respect to medical malpractice actions” and inserted at end “Information reported under this subchapter that is in a form that does not permit the identification of any particular health care entity, physician, other health care practitioner, or patient shall not be considered confidential. The Secretary (or the agency designated under section 11134(b) of this title), on application by any person, shall prepare such information in such form and shall disclose such information in such form.”

Subsec. (b)(4). Pub. L. 100–177, § 402(b), added par. (4).

Subsec. (c). Pub. L. 100–177, § 402(a)(2), inserted “(including the agency designated under section 11134(b) of this title)” after “entity” and “(including information provided under subsection (a)” after “subchapter”.

Statutory Notes and Related Subsidiaries

Effective Date of 1987 Amendment

Pub. L. 100–177, title IV, § 402(d), formerly § 402(c), , 101 Stat. 1007, as renumbered and amended by Pub. L. 101–239, title VI, § 6103(e)(6), , 103 Stat. 2208, provided that:

“(1)

In general.—

The amendments made by subsections (a) and (c) [amending this section and sections 1111 and 1115 of this title] shall become effective on .

“(2)

Fees.—

The amendment made by subsection (b) [amending this section] shall become effective on the date of enactment of this Act [].”

Credits

1986–1987 · 2 acts
  1. 1986Pub. L. 99–660, title IV, § 427, , 100 Stat. 3791
  2. 1987Pub. L. 100–177, title IV, § 402(a), (b), , 101 Stat. 1007.
Show as published

(Pub. L. 99–660, title IV, § 427, , 100 Stat. 3791; Pub. L. 100–177, title IV, § 402(a), (b), , 101 Stat. 1007.)

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