; and (2) such items and services are billed using the separate unique health identifier established for such department pursuant to paragraph (1). (b) Off-Campus outpatient department of a provider The term off-campus outpatient department of a provider means a department of a provider (as defined in section 413.65(a)(2) of title 42 of the Code of Federal Regulations, as in effect on the date of the enactment of the Bipartisan Primary Care and Health Workforce Act ) that is not located— (1) on the campus (as defined in such section 413.65(a)(2)) of such provider; or (2) within the distance (described in such definition of campus) from a remote location of a hospital (as defined in such section 413.65(a)(2)). (c) Process for reporting suspected violations The Secretary shall establish a process under which a suspected violation of this section may be reported to such Secretary. (d) Penalties The Secretary may assess a civil monetary penalty against a hospital for a violation under this section in an amount— (1) in the case of a hospital with not more than 30 beds (as determined under section 180.90(c)(2)(ii)(D) of title 45, Code of Federal Regulations, as in effect on the date of the enactment of the Bipartisan Primary Care and Health Workforce Act (or any successor regulations)), not to exceed $300 per day that the violation is ongoing, as determined by the Secretary