The agency to which our customers in the US don't really have to export data - there's another one which was vetted by association when this one lost the contract - but they seem to have caught them in a tight contract. And by the contract they collect they rehash and pass the data (which the clinics export to them) to this authorized agency, and get paid for that. Smooth players...
And I have to write these exports. There are other similar agencies in other countries, but they're generally nice. These guys, however, never communicate directly with us, never give us specs, we have to get them from our customers, who never get them on time. Once (on asrm 2007) I laid my hands on their main programmer, demanding that we get regular documentation, to which he got very evasive and vanished. Within a few months we heard he left the company. Guess he felt uneasy enforcing its policy.
The only comparable shitters in this regard were EONS and MedAdat. It went smoothly with the canadian (CAAR), belgian, ozzie-nz, and the UK (hfea) agencies. Ah, there was also the norwegian, but that almost doesn't count, because I did that one in two hours, literally deleting unneeded pieces of code from the next simplest, I'd say the A-NZ.
On the subject of them agencies, they aren't legal, except maybe in the Brittany. As in many other new branches, the law is slow and the practice initially wild. Then various cases surface, which tarnish the branch's reputation, which in this case was planting multiple fertilized eggs, hoping that at least one of them would survive, which sometimes led to births of four, or even six.
Then the practice somehow settles, rules emerge, what must not and what may be done, and now the rules need to be applied somehow. The general practice in the west (primarily the far, but near also) is that it's better that the profession organizes and brings itself to order, so that the legislators wouldn't have to learn what's what in it. The way it's done is to form bodies like this, which are similar to lawyers' bar or guild's court of honor. In practice it comes down to collection of data and publishing lists of statistics - what's the success rate of each clinic, on which try, by which method etc. Not exactly a rating system, but not too far from it either.