3.0.0 454 2022-02-03T05:53:29Z 2022-02-03T05:53:29Z Senate S S 2011-03-02 112 ssfi00 Finance Committee Senate Standing Referred to 2011-03-02T19:35:55Z 2011-03-02 ssfi00 Finance Committee Senate Read twice and referred to the Committee on Finance. IntroReferral 2011-03-02 Sponsor introductory remarks on measure. (CR S1140-1141) IntroReferral B00100 9 Library of Congress 2011-03-02 Introduced in Senate IntroReferral 10000 9 Library of Congress G000386 Sen. Grassley, Chuck [R-IA] Charles Grassley R IA E. N Health Administrative law and regulatory procedures Child health Computer security and identity theft Congressional oversight Department of Health and Human Services Drug trafficking and controlled substances Fraud offenses and financial crimes Government information and archives Government studies and investigations Health care costs and insurance Health care quality Health programs administration and funding Home and outpatient care Medicaid Medical ethics Medicare Prescription drugs Health 00 2011-03-02 Introduced in Senate 2011-03-15T16:02:07Z Strengthening Program Integrity and Accountability in Health Care Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) change from discretionary to mandatory the authority of the Secretary of Health and Human Services (HHS) to suspend Medicare and Medicaid payments pending investigation of credible allegations of fraud; and (2) require the Secretary to extend to up to 365 calendar days for particular categories of service providers or suppliers in which fraud, waste, or abuse is likely the number of days in which Medicare claims are required to be paid in order to ensure that they are clean claims.

Requires the Inspector General of HHS to notify the relevant congressional committees within 30 days after transmitting to another HHS agency a management implication report (which details investigative findings about the possible implication of agency management in prohibited or otherwise inappropriate transactions).

Directs the Secretary, acting through the Administrator of the Centers for Medicare & Medicaid Services, to establish an information sharing program regarding beneficiary medical ID theft under the programs under SSA titles XVIII (Medicare), XIX (Medicaid), and XXI (State Children's Health Insurance) (CHIP).

Amends SSA title XI to authorize the Secretary to exclude from federal health care programs entities affiliated with a sanctioned entity, as well as any officer or managing employee of an affiliated entity (currently, only individuals with an ownership or control interest in a sanctioned entity), if the affiliated entity was so affiliated at the time of any of the conduct forming the basis for the conviction or exclusion of the sanctioned entity.

Directs the Secretary to make available to the public Medicare claims and payment data.

Amends SSA title XIX to require a state Medicaid agency to exclude from program participation with respect to a particular period any individual or entity which owns, controls, or manages an entity that: (1) has delinquent unpaid overpayments during such period; (2) is suspended or excluded from Medicaid participation or whose participation is terminated; or (3) is affiliated with an individual or entity that has been suspended or excluded from Medicaid participation or whose participation is terminated.

Amends the Federal Food, Drug, and Cosmetic Act to require the Secretary to list on the Food and Drug Administration (FDA) Internet website certain new drugs (for human consumption) or new animal drugs that have not been approved by the FDA, together with the name of the person who listed such drug and the authority under such Act that does not require such drug to be subject to FDA approval.

Amends SSA title XIX to prohibit a state from making a Medicaid payment for a covered outpatient drug which has not been FDA-approved.

Amends SSA title XI to require individuals or entities that participate in or conduct activities under federal health care programs to comply with certain congressional requests for documents, information, or interviews.

]]> Strengthening Program Integrity and Accountability in Health Care Act of 2011 Short Titles as Introduced Strengthening Program Integrity and Accountability in Health Care Act of 2011 Display Title Strengthening Program Integrity and Accountability in Health Care Act of 2011 Official Title as Introduced A bill to amend titles XVIII and XIX of the Social Security Act to prevent fraud, waste, and abuse under Medicare, Medicaid, and CHIP, and for other purposes. Introduced in Senate 2011-03-02T05:00:00Z https://www.govinfo.gov/content/pkg/BILLS-112s454is/xml/BILLS-112s454is.xml 2011-03-02 Read twice and referred to the Committee on Finance. 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. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.