A sponsor must certify compliance each year
What the document says“Each PDP sponsor shall furnish to the Secretary (at a time and in a manner specified by the Secretary) an annual certification of compliance with this subsection, as well as such information as the Secretary determines necessary to carry out this subsection.”
Each sponsor must give the Secretary an annual certification that it complies with the new subsection, in the time and manner the Secretary specifies, along with any information the Secretary finds necessary. The Secretary may implement this by program instruction or otherwise.
What the document actually says“Each PDP sponsor shall furnish to the Secretary (at a time and in a manner specified by the Secretary) an annual certification of compliance with this subsection, as well as such information as the Secretary determines necessary to carry out this subsection.”
Each year the plan must certify to the health chief that it follows this part. The chief says when and how.
A certification is a signed claim, made under threat of penalty. It puts the plan on record. That gives the agency something to act on.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.