,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #bibe  ,,in ,,the ,,house ,,of  
,,representatives  ,august #a1 #bjac    
,mr4 ,brady of ,texas 7for himself1 ,mr4
 ,mc,dermott1 ,mr4 ,buchanan1 ,mr4      
,gerlach1 ,mr4 ,kind1 ,mr4 ,levin1 ,mr4 
,blumenauer1 ,mr4 ,larson of            
,connecticut1 ,mrs4 ,black1 ,mr4        
,doggett1 ,mr4 ,kelly of ,pennsylvania1 
,mr4 ,boustany1 ,mr4 ,lewis1 ,mr4       
,nunes1 ,mr4 ,griffin of ,arkansas1 ,mr4
 ,smith of ,nebraska1 ,mr4 ,schock1 ,mr4
 ,reichert1 ,mr4 ,sam ,johnson of       
,texas1 ,mr4 ,reed1 ,mr4 ,paulsen1 ,ms4 
,jenkins1 ,mr4 ,renacci1 ,mr4 ,lipinski1
 and ,mr4 ,van ,hollen7 introduced the  
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 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 expand the    
permissive exclusion from participation 
in ,federal health care programs to     
individuals and entities affiliated with
 sanctioned entities4  #a4 ,short title 
,this ,act may be cited as the          
,strengthening ,medicare ,anti-,fraud   
,measures ,act of #bjac4  #b4           
,permissive exclusion from ,federal     
health care programs expanded to        
individuals and entities affiliated with
 sanctioned entities ,section           
#aabh7;b77#ae7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;a-#g7;b77#ae77
 is amended to read as follows3  7#ae7  
,individuals or entities affiliated with
 a sanctioned entity  7,a7 ,any of the  
following3  7i7 ,any individual who--   
7,i7 is a person with an ownership or   
control interest 7as defined in section 
#aabd7;a77#c77 in a sanctioned entity or
 an affiliated entity of such sanctioned
 entity 7or was a person with such an   
interest at the time of any of the      
conduct that formed a basis for the     

conviction or exclusion described in    
subparagraph 7,b772 and  7,,ii7 knows or
 should know 7as defined in section     
#aabh;,a7i77#g77 7or knew or should have
 known7 of such conduct4  7ii7 ,any     
individual who is an officer or managing
 employee 7as defined in section        
#aabf7;b77 of a sanctioned entity or    
affiliated entity of such sanctioned    
entity 7or was such an officer or       
managing employee at the time of any of 
the conduct that formed a basis for the 
conviction or exclusion described in    
subparagraph 7,b774  7iii7 ,any         
affiliated entity of a sanctioned       
entity4  7,b7 ,for purposes of this     
paragraph1 the term sanctioned entity   
means an entity--  7i7 that has been    
convicted of any offense described in   
subsection 7a7 or in paragraph 7#a71    
7#b71 or 7#c7 of this subsection2 or    
7ii7 that has been excluded from        
participation under a program under     
title ,,xviii or under a ,state health  
care program4  7,c7 7i7 ,for purposes of

 this paragraph1 the term affiliated    
entity means1 with respect to a         
sanctioned entity--  7,i7 an entity     
affiliated with such sanctioned entity2 
and  7,,ii7 an entity that was so       
affiliated at the time of any of the    
conduct that formed the basis for the   
conviction or exclusion described in    
subparagraph 7,b74  7ii7 ,for purposes  
of clause 7i71 an entity shall be       
treated as affiliated with another      
entity if--  7,i7 one of the entities is
 a person with an ownership or control  
interest 7as defined in section         
#aabd7;a77#c77 in the other entity 7or  
had such an interest at the time of any 
of the conduct that formed a basis for  
the conviction or exclusion described in
 subparagraph 7,b772  7,,ii7 there is a 
person with an ownership or control     
interest 7as defined in section         
#aabd7;a77#c77 in both entities 7or had 
such an interest at the time of any of  
the conduct that formed a basis for the 
conviction or exclusion described in    

subparagraph 7,b772 or  7,,iii7 there is
 a person who is an officer or managing 
employee 7as defined in section         
#aabf7;b77 of both entities 7or was such
 an officer or managing employee at the 
time of any of the conduct that formed a
 basis for the conviction or exclusion  
described in subparagraph 7,b774  4