HR 6108
To amend title XI of the Social Security Act to require the Secretary to exclude certain individuals and entities who commit fraud from participation in any Federal health care program.
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Sign in to take action- Introduced
- Passed House
- Passed Senate
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- Became Law
Bill overview
This bill changes the rules for participation in federal health care programs by requiring the Secretary to exclude individuals or entities convicted of fraud-related offenses. Specifically, it expands the definition of fraud to include a wider range of financial misconduct and establishes a one-year lookback period for convictions. The bill aims to prevent fraudulent actors from receiving taxpayer dollars through these programs.
Key provisions
- Requires exclusion of convicted fraudsters from federal health care programs.
- Expands the definition of fraud to include financial misconduct.
- Establishes a one-year lookback period for fraud convictions.
- Addresses fraud related to programs other than health care.
- Modifies existing sections of the Social Security Act to implement these changes.
Who is affected
- Healthcare providers
- Healthcare programs (federal)
- Individuals convicted of fraud
- Entities convicted of fraud
- Federal government agencies
Notable changes
- Broadens the definition of fraud to encompass a wider range of financial misconduct.
- Introduces a one-year lookback period for fraud convictions.
- Updates existing sections of the Social Security Act to incorporate these changes.
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Primary sponsor
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119th CONGRESS — 1st Session
H. R. 6108
IN THE HOUSE OF REPRESENTATIVES
A BILL
To amend title XI of the Social Security Act to require the Secretary to exclude certain individuals and entities who commit fraud from participation in any Federal health care program.
in subsection (a), by adding at the end the following new paragraphs:
of a criminal offense consisting of a misdemeanor relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct—
in connection with the delivery of a health care item or service, or
with respect to any act or omission in a health care program (other than those specifically described in paragraph (1)) operated by or financed in whole or in part by any Federal, State, or local government agency; or
of a criminal offense relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct with respect to any act or omission in a program (other than a health care program) operated by or financed in whole or in part by any Federal, State, or local government agency.
Any individual or entity that the Secretary determines has committed an act which is described in section 1128A, 1128B, or 1129 on or after the date that is 1 year after the date of the enactment of this paragraph.
in subsection (b)—
in paragraph (1), by inserting and before the date that is 1 year after the date of the enactment of subsection (a)(5)
before , under Federal or State law
; and
in paragraph (7), by inserting before the date that is 1 year after the date of the enactment of subsection (a)(6)
before the period at the end; and
in subsection (f)(2), by inserting (a)(6) or
after subsection
each place it appears.
section 1128(b)(7)and inserting
subsection (a)(6) or (b)(7) of section 1128.