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Section 1921 of the Social Security Act

Initially, the NPDB collected and released information only under HCQIA. However, in 1987, Section 5(b) of the Medicare and Medicaid Patient and Program Protection Act (Section 1921 of the Social Security Act), Public Law 100-93, was enacted. It authorized the Federal Government to collect information concerning sanctions taken by State licensing authorities against all health care practitioners and entities.

On March 1, 2010, regulations went into effect that implemented Section 1921, which expanded the information the NPDB collects and disseminates. The intent of this expansion is to protect the public from any and all unfit health care practitioners and to improve the antifraud provisions of the Social Security Act's health care programs.