,,ib  ,union ,calendar ,no4 #ccj  #aaeth
 ,,congress  #ast ,session  ,h4 ,r4     
#cbde  ,report ,no4 #aae-ddh1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,july #ad1 #bjag ,mr4
 ,bilirakis 7for himself and ,ms4       
,castor of ,florida7 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 
,december #f1 #bjag ,reported from the  
,committee on ,energy and ,commerce     
,december #f1 #bjag,the ,committee on   
,ways and ,means discharged2 committed  
to the ,committee of the ,whole ,house  
on the ,state of the ,union and ordered 
to be printed  ,a ,,bill  ,to amend     
title ,,xi of the ,social ,security ,act
 to increase civil money penalties and  
criminal fines for ,federal health care 

program fraud and abuse1 and for other  
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,medicare ,civil and
 ,criminal ,penalties ,update ,act4  #b4
 ,increased civil and criminal penalties
 and increased sentences for ,federal   
health care program fraud and abuse  7a7
 ,increased civil money penalties and   
criminal fines  7#a7 ,increased civil   
money penalties ,section #aabh;,a of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acbj;a-#g;a7 is amended--  7,a7 in     
subsection 7a71 in the matter following 
paragraph 7#aj7-- 7i7 by striking       
#aj1jjj and inserting #bj1jjj each place
 it appears2  7ii7 by striking #ae1jjj  
and inserting #cj1jjj2 and  7iii7 by    
striking #ej1jjj and inserting #ajj1jjj 
each place it appears2 and  7,b7 in     
subsection 7b7-- 7i7 in paragraph 7#a71 
in the flush text following subparagraph
 7,b71 by striking #b1jjj and inserting 
#e1jjj2  7ii7 in paragraph 7#b71 by     
striking #b1jjj and inserting #e1jjj2   
and  7iii7 in paragraph 7#c77;,a77i71 by

 striking #e1jjj and inserting #aj1jjj4 
7#b7 ,increased criminal fines ,section 
#aabh;,b of such ,act 7#db ,u4,s4,c4    
#acbj;a-#g;b7 is amended-- 7,a7 in      
subsection 7a71 in the matter following 
paragraph 7#f7--  7i7 by striking       
#be1jjj and inserting #ajj1jjj2 and     
7ii7 by striking #aj1jjj and inserting  
#bj1jjj2  7,b7 in subsection 7b7-- 7i7  
in paragraph 7#a71 in the flush text    
following subparagraph 7,b71 by striking
 #be1jjj and inserting #ajj1jjj2 and    
7ii7 in paragraph 7#b71 in the flush    
text following subparagraph 7,b71 by    
striking #be1jjj and inserting #ajj1jjj2
  7,c7 in subsection 7c71 by striking   
#be1jjj and inserting #ajj1jjj2  7,d7 in
 subsection 7d71 in the flush text      
following paragraph 7#b71 by striking   
#be1jjj and inserting #ajj1jjj2 and     
7,e7 in subsection 7e71 by striking     
#b1jjj and inserting #d1jjj4  7b7       
,increased sentences for felonies       
involving ,federal health care program  
fraud and abuse  7#a7 ,false statements 

and representations ,section #aabh;,b7a7
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acbj;a-#g;b7a77 is amended1  
in the matter following paragraph 7#f71 
by striking not more than five years or 
both1 or 7ii7 and inserting not more    
than #aj years or both1 or 7ii74  7#b7  
,antikickback ,section #aabh;,b7b7 of   
such ,act 7#db ,u4,s4,c4                
#acbj;a-#g;b7b77 is amended-- 7,a7 in   
paragraph 7#a71 in the flush text       
following subparagraph 7,b71 by striking
 not more than five years and inserting 
not more than #aj years2 and  7,b7 in   
paragraph 7#b71 in the flush text       
following subparagraph 7,b71 by striking
 not more than five years and inserting 
not more than #aj years4  7#c7 ,false   
statement or representation with respect
 to conditions or operations of         
facilities ,section #aabh;,b7c7 of such 
,act 7#db ,u4,s4,c4 #acbj;a-#g;b7c77 is 
amended by striking not more than five  
years and inserting not more than #aj   
years4  7#d7 ,excess charges ,section   

#aabh;,b7d7 of such ,act 7#db ,u4,s4,c4 
#acbj;a-#g;b7d77 is amended1 in the     
flush text following paragraph 7#b71 by 
striking not more than five years and   
inserting not more than #aj years4  7c7 
,effective date ,the amendments made by 
this section shall apply to acts        
committed after the date of the         
enactment of this ,act4  ,december #f1  
#bjag ,reported from the ,committee on  
,energy and ,commerce,december #f1      
#bjag,the ,committee on ,ways and ,means
 discharged2 committed to the ,committee
 of the ,whole ,house on the ,state of  
the ,union and ordered to be printed