U.S. Department of Health and Human Services
Office for Civil Rights

Assurance of Compliance

ASSURANCE OF COMPLIANCE:

All recipients of federal financial assistance from the Department of Health and Human Services (HHS) are required to have an "Assurance of Compliance with Non-Discrimination Laws and Regulations" on file with HHS. This requires a statement that recipient is in compliance with:

• Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq.)
• Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794)
• Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.)
• The Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.)
• Section 1557 of the Patient Protection and Affordable Care Act (42 U.S.C. § 18116)
• The Church Amendments (42 U.S.C. § 300a–7)
• The Coats-Snowe Amendment (42 U.S.C. § 238n)
• The Weldon Amendment (e.g., Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019, Div. B., sec. 507(d), Pub. L. No. 115-245, 132 Stat. 2981, 3118 (Sept. 28, 2018), as extended by the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019, Pub. L. No. 116-59, Div. A., sec. 101(8), 133 Stat. 1093, 1094 (Sept. 27, 2019))
• Section 1553 of the Patient Protection and Affordable Care Act (42 U.S.C. § 18113)
• Section 1303(b)(4) of the Patient Protection and Affordable Care Act (42 U.S.C. § 18023(b)(4))

Additional Federal conscience and anti-discrimination laws, as applicable, as listed at https://www.hhs.gov/conscience/conscience-protections.

These laws and regulations require recipients to take certain steps to ensure non-discrimination, and to protect the rights of conscience and religious freedom. For Medicare Providers and Applicants, we additionally encourage you to review the Technical Assistance for Medicare Providers and Applicants page for further information.