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PPACT: Page 1720, Patient Protection and Affordable Care Act of 2009

1720
HR 3590 EAS/PP
``(1) S
TATE LICENSING OR CERTIFICATION AGEN
-
1
CY
.--The term `State licensing or certification agen-
2
cy' includes any authority of a State (or of a political
3
subdivision thereof) responsible for the licensing of
4
health care practitioners (or any peer review organi-
5
zation or private accreditation entity reviewing the
6
services provided by health care practitioners) or enti-
7
ties.
8
``(2) S
TATE
LAW
OR
FRAUD
ENFORCEMENT
9
AGENCY
.--The term `State law or fraud enforcement
10
agency' includes--
11
``(A) a State law enforcement agency; and
12
``(B) a State medicaid fraud control unit
13
(as defined in section 1903(q)).
14
``(3) F
INAL ADVERSE ACTION
.--
15
``(A) I
N
GENERAL
.--Subject to subpara-
16
graph (B), the term `final adverse action' in-
17
cludes--
18
``(i) civil judgments against a health
19
care provider, supplier, or practitioner in
20
State court related to the delivery of a
21
health care item or service;
22
``(ii) State criminal convictions related
23
to the delivery of a health care item or serv-
24
ice;
25

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Top tags: state, care, health, enforcement, fraud, law, licensing, term, adverse, agen

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