On August 26, 2008, HHS published a controversial proposed rule that would implement and enforce federal nondiscrimination statutes protecting the conscience rights of health care providers and other entities. Specifically, the proposed rule would: clarify that non-discrimination protections allowing a provider to refuse to perform health care services to which they may object for religious, moral, ethical, or other reasons apply to institutional health care providers as well as to individual employees working for recipients of certain funds from HHS; require recipients of certain HHS funds to certify their compliance with laws protecting provider conscience rights; designate the HHS Office for Civil Rights as the entity to receive complaints of discrimination addressed by the existing statutes and the proposed regulation; and establish standards for working with entities to ensure compliance, including termination of funding and recoupment of funds paid in violation of the nondiscrimination provisions if voluntary compliance is not achieved. Comments will be accepted until September 25, 2008.