I'm fine with that note, provided they pay for it in all cases, and accept it in all cases if from a defined QHCP. Any burden of proof to prove "abuse" is 100% on them and must be proven beyond a shadow of a doubt, not just implied because it "couldn't be verified" and I'll be fine with that section.

In fact, I actually hope the previous green slip shadow trip provision is included because that was 100% fair and would at least de-incentivize at least some theoretical abuse. It would put to bed the colloquial wisdom that getting a GS after a sick call is automatic abuse, which is BS. Guys who have blanket GS requests in and who do a lot and then get one after a sick anyway can't possibly be viewed as suspicious, otherwise don't allow them to put in for it.