Section 6003 of the newly enacted Patient Protection and Affordable Healthcare Act, H.R. 3590 (the "Act"), places new disclosure requirements on physicians who refer patients for certain in-office imaging and other designated health services ("DHS").  The Act amends the federal Stark law statutory exception for in-office ancillary services to require a referring physician to inform a patient in writing, at the time of the referral, that the patient may obtain specified imaging services (i.e., MRI, CT, and PET), or other DHS as designated by the Secretary of Health and Human Services, from a person other than the referring physician, a physician in the same group practice as the referring physician, or an individual directly supervised by the referring physician or another physician in the group practice.  The Act further requires a referring physician to provide the patient with a written list of suppliers who furnish such services in the area in which the patient resides.