On May 31, 2011, the HHS Office of the National Coordinator (ONC) published a proposed rule establishing a process for addressing instances where the ONC-Approved Accreditor (ONC-AA) engages in improper conduct or does not perform its responsibilities under the permanent certification program. According to the ONC, the rule would mitigate any potential negative consequences of removing and replacing the ONC-AA if required. Comments will be accepted until August 1, 2011.