42 U.S.C. § 1320d: General requirements for adoption of standards

A health plan. A health care clearinghouse. A health care provider who transmits any health information in electronic form in connection with a transaction referred to in section 1320d–2(a)(1) of this title . Any standard adopted under this part shall be consistent with the objective of reducing the administrative costs of providing and paying for health care. Except as provided in paragraph (2), any standard adopted under this part shall be a standard that has been developed, adopted, or modified by a standard setting organization. the different standard will substantially reduce administrative costs to health care providers and health plans compared to the alternatives; and the standard is promulgated in accordance with the rulemaking procedures of subchapter III of chapter 5 of title 5. paragraph (1) shall not apply; and subsection (f) shall apply. in the case of a standard that has been developed, adopted, or modified by a standard setting organization, the organization consulted with each of the organizations described in subparagraph (B) in the course of such development, adoption, or modification; and in the case of any other standard, the Secretary, in complying with the requirements of subsection (f), consulted with each of the organizations described in subparagraph (B) before adopting the standard. The National Uniform Billing Committee. The National Uniform Claim Committee. The Workgroup for Electronic Data Interchange. The American Dental Association. The Secretary shall establish specifications for implementing each of the standards adopted under this part. Except as otherwise required by law, a standard adopted under this part shall not require disclosure of trade secrets or confidential commercial information by a person required to comply with this part. In complying with the requirements of this part, the Secretary shall rely on the recommendations of the National Committee on Vital and Health Statistics established under section 242k(k) of this title , and shall consult with appropriate Federal and State agencies and private organizations. The Secretary shall publish in the Federal Register any recommendation of the National Committee on Vital and Health Statistics regarding the adoption of a standard under this part. This section shall apply to a modification to a standard (including an addition to a standard) adopted under section 1320d–3(b) of this title in the same manner as it applies to an initial standard adopted under section 1320d–3(a) of this title .