91.50—Exhaustion of administrative remedies.
        
        (a) 
         A complainant may file a civil action following the exhaustion of administrative remedies under the Act. Administrative remedies are exhausted if:
    
    
        
        (1) 
         180 days have elapsed since the complainant filed the complaint and HHS has made no finding with regard to the complaint; or
    
    
    
        
        (b) 
         If HHS fails to make a finding within 180 days or issues a finding in favor of the recipient, HHS shall:
    
    
    
    
    
        
        (i) 
         That the complainant may bring a civil action only in a United States district court for the district in which the recipient is found or transacts business;
    
    
        
        (ii) 
         That a complainant prevailing in a civil action has the right to be awarded the costs of the action, including reasonable attorney's fees, but that the complainant must demand these costs in the complaint;
    
    
        
        (iii) 
         That before commencing the action the complainant shall give 30 days notice by registered mail to the Secretary, the Attorney General of the United States, and the recipient;
    
    
        
        (iv) 
         That the notice must state: the alleged violation of the Act; the relief requested; the court in which the complainant is bringing the action; and, whether or not attorney's fees are demanded in the event the complainant prevails; and
    
    
        
        (v) 
         That the complainant may not bring an action if the same alleged violation of the Act by the same recipient is the subject of a pending action in any court of the United States.