Legislation & Regulations

The National Practitioner Data Bank (NPDB) is a confidential information clearinghouse created by Congress to improve health care quality, protect the public, and reduce health care fraud and abuse in the U.S. Federal legislation and regulations are the foundation of the National Practitioner Data Bank (NPDB). Below are the significant laws and regulations that govern NPDB operations.

NPDB

• Final Regulations, NPDB
• Section 6403 of the Patient Protection and Affordable Care Act (P.L. 111-148)
• Title IV of P.L. 99-660, Health Care Quality Improvement Act of 1986, as amended
• Section 1921 of the Social Security Act (Section 5(b) of P.L. 100-93, the Medicare and Medicaid Patient and Program Protection Act of 1987, as amended)
• Section 1128E of the Social Security Act (P.L. 104-191, the Health Insurance Portability and Accountability Act of 1996)

Other Related Legislation & Regulations

• Freedom of Information Act (FOIA) 5 USC § 552
• Privacy Act of 1974, 5 USC § 552 a
• Civil Money Penalties

Federal Register Notices

• Federal Register Notices

Additional Information

• Information for Attorneys