[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6108 Introduced in House (IH)]
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119th CONGRESS
1st Session
H. R. 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.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 18, 2025
Mr. Pocan (for himself, Mr. Carson, Mr. Cohen, Ms. DeLauro, Mr.
Doggett, Ms. Jayapal, Mr. Khanna, Ms. Norton, Ms. Ocasio-Cortez, Ms.
Schakowsky, Mr. Takano, Mr. Thanedar, Ms. Tlaib, Mr. Bell, and Ms.
Omar) introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Ways and Means, 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
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.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. MAKING CERTAIN EXCLUSIONS FROM PARTICIPATION IN FEDERAL
HEALTH CARE PROGRAMS RELATED TO FRAUD MANDATORY.
(a) In General.--Section 1128 of the Social Security Act (42 U.S.C.
1320a-7) is amended--
(1) in subsection (a), by adding at the end the following
new paragraphs:
``(5) Conviction relating to fraud.--Any individual or
entity that has been convicted for an offense which occurred on
or after the date that is 1 year after the date of the
enactment of this paragraph, under Federal or State law--
``(A) of a criminal offense consisting of a
misdemeanor relating to fraud, theft, embezzlement,
breach of fiduciary responsibility, or other financial
misconduct--
``(i) in connection with the delivery of a
health care item or service, or
``(ii) 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
``(B) 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.
``(6) Fraud, kickbacks, and other prohibited activities.--
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.'';
(2) in subsection (b)--
(A) 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
(B) 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
(3) in subsection (f)(2), by inserting ``(a)(6) or'' after
``subsection'' each place it appears.
(b) Conforming Amendment.--Section 1128D(a)(1)(A)(ii) of the Social
Security Act (42 U.S.C. 1320a-7d(a)(1)(A)(ii)) is amended by striking
``section 1128(b)(7)'' and inserting ``subsection (a)(6) or (b)(7) of
section 1128''.
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