On January 28, 2010, the Health Resources and Services Administration (HRSA) published a final rule updating the regulations governing the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners. The rule implements statutory provisions requiring each state to have in effect a system of reporting disciplinary licensure actions taken against all licensed health care practitioners and entities. It also requires states to report any negative action or finding that a peer review organization, private accreditation entity, or a state has concluded against a health care practitioner or entity. The rule is effective March 1, 2010.