AFFILIATIONS ; Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management
Index of Sec 1757. ...AFFILIATIONS ; Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management
Index of Sec 1757. ...AFFILIATIONS ; Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management
Index of Sec 1757. ...TITLE during period determining by Secretary or State agency to be delinquent ; Unpaid overpayments under
Index of Sec 1757. ...TITLE during period ; Suspending or excluded from participation or whose participation terminated under
Index of Sec 1757. ...TITLE during period ; Affiliating with individual or entity suspended or excluded from participation under title or whose participation terminated under
Index of Sec 1757. ...1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
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
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
(a) State plan requirement.—Section 1902(a) of the Social Security Act (42 U.S.C. 1396a(a)), as amended by sections 1631(b)(1), 1703(a), 1729, and 1753, is further amended—
(1) in paragraph (76), by striking at the end “and”;
(2) in paragraph (77), by striking at the end the period and inserting “; and”; and
(3) by inserting after paragraph (77) the following new paragraph:
“(78) provide that the State agency described in paragraph (9) exclude, with respect to a period, any individual or entity from participation in the program under the State plan if such individual or entity owns, controls, or manages an entity that (or if such entity is owned, controlled, or managed by an individual or entity that)—
“(A) has unpaid overpayments under this title during such period determined by the Secretary or the State agency to be delinquent;
“(B) is suspended or excluded from participation under or whose participation is terminated under this title during such period; or
“(C) is affiliated with an individual or entity that has been suspended or excluded from participation under this title or whose participation is terminated under this title during such period.”.
(b) Child health plan requirement.—Section 2107(e)(1)(A) of such Act (42 U.S.C. 1397gg(e)(1)(A)), as amended by section 1756(b), is amended by striking “section 1902(a)(39)” and inserting “sections 1902(a)(39) and 1902(a)(78)”.
(c) Effective date.—Except as provided in section 1790, the amendments made by this section shall apply to services furnished on or after January 1, 2011, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.