(3) CLINICAL PRACTICE GUIDELINE.—The term 
‘‘clinical practice guideline’’ means systematically de-
veloped statements based on the review of clinical 
evidence for assisting a health care provider to de-
termine the appropriate health care in specific clin-
ical circumstances. 
(4) ELIGIBLE PROFESSIONAL ORGANIZATION.— 
The term ‘‘eligible professional organization’’ means 
a national or State medical society or medical spe-
cialty society. 
(5) FEDERAL
PAYOR.—The term ‘‘Federal 
payor’’ includes reimbursements made under the 
Medicare program under title XVIII of the Social 
Security Act or the Medicaid program under title 
XIX of the Social Security Act, premium tax credits 
under section 36B of the Internal Revenue Code of 
1986 or cost-sharing reductions under section 1402 
of the Patient Protection and Affordable Care Act, 
or medical screenings, treatments, or transfer serv-
ices provided pursuant to section 1867 of the Social 
Security Act is not made by the individual or any 
non-Federal third party on behalf of the individual. 
(6) HEALTH CARE GOODS OR SERVICES.—The 
term ‘‘health care goods or services’’ means any 
goods or services provided by a health care organiza-
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tion, provider, or by any individual working under 
the supervision of a health care provider, that relates 
to the diagnosis, prevention, or treatment of any 
human disease or impairment, or the assessment or 
care of the health of human beings. 
(7) HEALTH
CARE
LIABILITY
ACTION.—The 
term ‘‘health care liability action’’ means a civil ac-
tion against a health care provider or a health care 
organization, regardless of the theory of liability on 
which the claim is based, or the number of plaintiffs, 
defendants, or other parties, or the number of 
causes of action, in which the claimant alleges a 
health care liability claim. 
(8) HEALTH
CARE
LIABILITY
CLAIM.—The 
term ‘‘health care liability claim’’ means a claim by 
any person against a health care provider or a 
health care organization which is based upon the 
provision of, use of, or payment for (or the failure 
to provide, use, or pay for) health care goods serv-
ices for which at least partial payment was made by 
a Federal payor or which was mandated by Federal 
law, regardless of the theory of liability on which the 
claim is based. 
(9) HEALTH CARE ORGANIZATION.—The term 
‘‘health care organization’’ means any person or en-
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tity which is obligated to provide or pay for health 
benefits under any health plan, including any person 
or entity acting under a contract or arrangement 
with a health care organization to provide or admin-
ister any health benefit. 
(10) HEALTH
CARE
PROVIDER.—The term 
‘‘health care provider’’ means any person or entity 
required by State or Federal laws or regulations to 
be licensed, registered, or certified to provide health 
care services, and being either so licensed, reg-
istered, or certified, or exempted from such require-
ment by other statute or regulation. 
(11) PERFORMANCE PERIOD.—The term ‘‘per-
formance period’’ means the period of time during 
which the final rule establishing a clinical practice 
guideline is in effect. 
(12) 
SECRETARY.—The 
term 
‘‘Secretary’’ 
means the Secretary of Health and Human Services. 
Æ 
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