45 CFR §156.959

1. (a)Filing of an action for review. Any responsible entity against whom a final order imposing a civil money penalty or decertification of a QHP is entered may obtain review in the United States District Court for any district in which the entity is located or in the United States District Court for the District of Columbia by doing the following:
   1. (1)Filing a notice of appeal in that court within 30 days from the date of a final order.
   2. (2)Simultaneously sending a copy of the notice of appeal by registered mail to HHS.
2. (b)Certification of administrative record. HHS promptly certifies and files with the court the record upon which the penalty was assessed.
3. (c)Standard of review. The findings of HHS and the ALJ may not be set aside unless they are found to be unsupported by substantial evidence, as provided by 5 U.S.C. 706(2)(E).