Under section 1.2b the proposal is written to say that the information from the episodic visit with a new provider must be sent to the patient's primary care provider. There should be an exclusion added to this to allow for a patient too decline this option because sometimes, a patient may not want the information to make its way back to that patient's primary care physician. An easy scenario to imagine is a time when a patient is dissatisfied with the advice or care that he or she is receiving from a primary care physician and is seeking a new doctor or possibly a second opinion from another physician to verify the accuracy of care which is being provided.