119 HR 6108 IH: 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. U.S. House of Representatives 2025-11-18 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I119th CONGRESS1st SessionH. R. 6108IN THE HOUSE OF REPRESENTATIVESNovember 18, 2025Mr. 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 concernedA BILLTo 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.

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.