An OIG report, released September 21, 2010, found that CMS failed to report many adverse actions taken against providers to the Healthcare Integrity and Protection Data Bank (HIPDB) as required by law. CMS frequently takes adverse actions against providers which must be reported to the HIPDB, including revocations and suspensions of laboratory certifications; terminations of providers from participation in Medicare; and civil monetary penalties against all types of providers, managed care plans and prescription drug plans. According to the OIG, CMS was under the impression that only adverse actions related to fraud and abuse were required to be reported to the data bank, but this was in contravention of the Social Security Act. CMS's reporting varied by provider type, such that none of the 148 adverse actions imposed against laboratories in 2007 and the 30 adverse actions imposed against managed care and prescription drug plans between January 1, 2006, and July 31, 2009, had been reported to the HIPDB. CMS also failed to report any adverse actions taken against durable medical equipment suppliers in 2008, reportedly as a cost-saving policy decision. Finally, 45 nursing homes were terminated from participating in Medicare between 2004 and 2008, but CMS failed to report these providers until well after the required reporting period. CMS's response to the report stated that it agreed with the OIG's recommendation that all adverse actions be reported and that it would work to develop procedures and educate staff and contractors about HIPDB reporting.