| by action of the health care practitioner while the health care | 
| practitioner was the subject of disciplinary proceedings, and it | 
| also must include situations where employment or privileges have | 
| been revoked, suspended, limited or otherwise adversely affected by | 
| act of the health care practitioner in return for the health care | 
| provider's or health careproviderentity's terminating suchentity | 
| proceeding.  Any reversal, modification or change of action | 
| reported pursuant to this section must be reported immediately to | 
| the practitioner's board or authority, together with a brief | 
| statement of the reasons for that reversal, modification or change. | 
| If the adverse action requiring a report as a result of a reversal, | 
| modification or change of action consists of the revocation, | 
| suspension or limitation of clinical privileges of a physician, | 
| physician assistant or advanced practice registered nurse by a | 
| health care provider or health care entity for reasons relating to | 
| clinical competence or unprofessional conduct and is taken pursuant | 
| to medical staff bylaws or other credentialing and privileging | 
| policies, whether or not the practitioner is employed by that | 
| health care provider or entity, then the provider or entity shall | 
| include in its initial report to the disciplined practitioner's | 
| licensing board or authority the names of all patients whose care | 
| by the disciplined practitioner gave rise to the adverse action. | 
| The failure of any health care provider or health care entity to | 
| report as required is a civil violation for which a fine of not | 
| more than $5,000 may be adjudged.$1,000 |