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Health care program: Federal
Sec 1615. -- Enhanced Penalties For Individuals Excluded From Program Participation.
(a) IN GENERAL. - paragraph (3) - paragraph (11)
DIVISION B TITLE VI SUBTITLE B SEC 1615. (a) (3) Quoted: (11)
Automated Concept:

HEALTH care program and person knowing or knowing that claim for iteming or servicing to be presented program ;   During period when person excluded from participation in Federal

Index of Sec 1615. ...

Home health care: limitation
Sec 1615. -- Enhanced Penalties For Individuals Excluded From Program Participation.
(a) IN GENERAL. - paragraph (3) - paragraph (11)
DIVISION B TITLE VI SUBTITLE B SEC 1615. (a) (3) Quoted: (11)
Automated Concept:

HEALTH care ;   Ordering or prescribing item or service including without limitation home

Index of Sec 1615. ...


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111th CONGRESS
1st Session


    To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.


IN THE HOUSE OF REPRESENTATIVES

July 14, 2009

    Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SEC. 1615. Enhanced penalties for individuals excluded from program participation.

(a) In general.—Section 1128A(a) of the Social Security Act (42 U.S.C. 1320a–7a(a)), as amended by the previous sections, is further amended—

(1) by striking “or” at the end of paragraph (9);

(2) by inserting “or” at the end of paragraph (10);

(3) by inserting after paragraph (10) the following new paragraph:

“(11) orders or prescribes an item or service, including without limitation home health care, diagnostic and clinical lab tests, prescription drugs, durable medical equipment, ambulance services, physical or occupational therapy, or any other item or service, during a period when the person has been excluded from participation in a Federal health care program, and the person knows or should know that a claim for such item or service will be presented to such a program;”; and

(4) in the matter following paragraph (11), as inserted by paragraph (2), by striking “$15,000 for each day of the failure described in such paragraph” and inserting “$15,000 for each day of the failure described in such paragraph, or in cases under paragraph (11), $50,000 for each order or prescription for an item or service by an excluded individual”.

(b) Effective date.—The amendments made by subsection (a) shall apply to violations committed on or after January 1, 2010.


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