On June 13, 2010, CMS published a proposed rule on how the new disclosure requirements under Section 6003 of the PPACA would be implemented. See 75 Fed. Reg. 40140-2 (“Proposed Rule”). The Proposed Rule required that written notice must include no fewer than 10 other suppliers within a 25-mile radius, unless fewer than 10 suppliers exist within such radius. The list of suppliers in the disclosure notice must include the name, address, phone number, and distance from the referring physician’s office location. The proposal also required the physician to obtain the patient’s signature on the disclosure notice and retain a copy of the signed disclosure in the patient’s medical record.