[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4155 Introduced in House (IH)]







105th CONGRESS
  2d Session
                                H. R. 4155

 To amend title XIX of the Social Security Act to extend the authority 
  of State Medicaid fraud control units to investigate and prosecute 
  fraud in connection with Federal health care programs and abuse of 
                residents of board and care facilities.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 25, 1998

 Mr. Lazio of New York (for himself, Mr. Stark, Mr. Hastert, Mr. Camp, 
  Mrs. Kelly, Mrs. Morella, Mr. Rogan, Mr. Ehlers, and Mr. Barrett of 
  Wisconsin) introduced the following bill; which was referred to the 
                         Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to extend the authority 
  of State Medicaid fraud control units to investigate and prosecute 
  fraud in connection with Federal health care programs and abuse of 
                residents of board and care facilities.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Senior Citizen Protection Act of 
1998''.

SEC. 2. EXTENSION OF AUTHORITY OF STATE MEDICAID FRAUD CONTROL UNITS.

    (a) Extension of Concurrent Authority To Investigate and Prosecute 
Fraud in Other Federal Health Care Programs.--Section 1903(q)(3) of the 
Social Security Act (42 U.S.C. 1396b(q)(3)) is amended--
            (1) by inserting ``(A)'' after ``in connection with''; and
            (2) by striking ``title.'' and inserting ``title; and (B) 
        upon the approval of the Inspector General of the relevant 
        Federal agency, any aspect of the provision of health care 
        services and activities of providers of such services under any 
        Federal health care program (as defined in section 
        1128B(f)(1)), if the suspected fraud or violation of law is 
        primarily related to the State plan under this title.''.
    (b) Recoupment of Funds.--Section 1903(q)(5) of such Act (42 U.S.C. 
1396b(q)(5)) is amended--
            (1) by inserting ``or under any Federal health care program 
        (as so defined)'' after ``plan''; and
            (2) by adding at the end the following: ``Funds collected 
        in accordance with this paragraph shall be credited to, and 
        available for expenditure under, the Federal health care 
        program (including the State plan under this title) that was 
        subject to the activity that was the basis for the 
        collection.''.
    (c) Extension of Authority To Investigate and Prosecute Resident 
Abuse in Non-Medicaid Board and Care Facilities.--Section 1903(q)(4) of 
such Act (42 U.S.C. 1396b(q)(4)) is amended to read as follows:
            ``(4)(A) The entity has--
                    ``(i) procedures for reviewing complaints of abuse 
                or neglect of patients in health care facilities which 
                receive payments under the State plan under this title;
                    ``(ii) at the option of the entity, procedures for 
                reviewing complaints of abuse or neglect of patients 
                residing in board and care facilities; and
                    ``(iii) procedures for acting upon such complaints 
                under the criminal laws of the State or for referring 
                such complaints to other State agencies for action.
            ``(B) For purposes of this paragraph, the term `board and 
        care facility' means a residential setting which receives 
        payment (regardless of whether such payment is made under the 
        State plan under this title) from or on behalf of two or more 
        unrelated adults who reside in such facility, and for whom one 
        or both of the following is provided:
                    ``(i) Nursing care services provided by, or under 
                the supervision of, a registered nurse, licensed 
                practical nurse, or licensed nursing assistant.
                    ``(ii) A substantial amount of personal care 
                services that assist residents with the activities of 
                daily living, including personal hygiene, dressing, 
                bathing, eating, toileting, ambulation, transfer, 
                positioning, self-medication, body care, travel to 
                medical services, essential shopping, meal preparation, 
                laundry, and housework.''.
    (d) Effective Date.--The amendments made by this section take 
effect on the date of enactment of this Act.
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