According to a recent OIG report, CMS does not always comply with the statutory requirement to report adverse actions against providers to the HIPDB, a national data bank administered by the Health Resources and Services Administration (HRSA) that contains reports of adverse actions against health care practitioners, providers, and suppliers. With regard to specific provider types, CMS failed to report 148 adverse actions against laboratories in 2007 and 30 adverse actions against managed care and prescription drug plans between January 1, 2006 and July 31, 2009. None of the adverse actions against durable medical equipment (DME) suppliers taken after 2008 had been reported to HIPDB at the time of the OIG review, and none of the 45 nursing homes terminated from Medicare from 2004 through 2008 were reported to the HIPDB until 2009, well after the required reporting timeframe. The CMS Division of National Systems, which is responsible for reporting adverse actions against provider types subject to state survey or accreditation, did not report any actions between 2001 and 2008. The OIG recommended that CMS report all adverse actions to the HIPDB as required and educate staff and contractors about reporting requirements; CMS concurred with the recommendations.