,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fijb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bf1        
#bjah,mr4 ,knight 7= himself & ,ms4     
,e%oo7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ! ,judici>y   
,a ,,bill  ,to am5d title #ah1 ,unit$   
,/ates ,code1 to e/abli% crim9al        
p5alties = unlawful paym5ts = ref]rals  
to recov]y homes & cl9ical treatm5t     
facilities4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,elim9at+ ,kickbacks 9  
,recov]y ,act ( #bjah4  #b4 ,crim9al    
p5alties  7a7 ,9 g5]al ,*apt] #aa (     
title #ah1 ,unit$ ,/ates ,code1 is am5d$
 by ins]t+ aft] section #bai ! foll[+3  
#bbj4 ,illegal remun]ations = ref]rals  
to recov]y homes & cl9ical treatm5t     
facilities  7a7 ,(f5se ,except z provid$
 9 subsection 7b71 :oev]1 ) respect to  
s]vices cov]$ by a heal? c>e b5efit     
program1 9 or affect+ int]/ate or =eign 
comm]ce1 kn[+ly & willfully--  7#a7     
solicits or receives any remun]ation    
7includ+ any kickback1 bribe1 or rebate7

 directly or indirectly1 ov]tly or      
cov]tly1 9 ca% or 9-k9d1 9 return =     
ref]r+ a pati5t or patronage to a       
recov]y home or cl9ical treatm5t        
facility2 or  7#b7 pays or (f]s any     
remun]ation 7includ+ any kickback1      
bribe1 or rebate7 directly or           
indirectly1 ov]tly or cov]tly1 9 ca% or 
9-k9d--  7,a7 to induce a ref]ral ( an  
individual to a recov]y home or cl9ical 
treatm5t facility2 or  7,b7 9 ex*ange = 
an individual us+ ! s]vices ( t recov]y 
home or cl9ical treatm5t facility1  %all
 be f9$ n m ?an #bjj1jjj1 imprison$ n m 
?an #aj ye>s1 or bo?1 = ea* occurr5ce4  
7b7 ,applicability ,subsection 7a7 %all 
n apply to-- 7#a7 a disc\nt or o!r      
r$uction 9 price obta9$ by a provid] (  
s]vices or o!r entity "u a heal? c>e    
b5efit program if ! r$uction 9 price is 
prop]ly disclos$ & appropriately        
reflect$ 9 ! co/s claim$ or *>ges made  
by ! provid] or entity2  7#b7 a paym5t  
made by an employ] to an employee or    
indep5d5t contract 7:o has a bona fide  

employm5t or contractual relation%ip )  
su* employ]7 = employm5t1 if !          
employee's paym5t is n det]m9$ by or    
does n v>y by--  7,a7 ! numb] (         
individuals ref]r$ to a p>ticul> recov]y
 home or cl9ical treatm5t facility2     
7,b7 ! numb] ( te/s or proc$ures p]=m$2 
or  7,c7 ! am\nt bill$ to or receiv$ f1 
9 "p or 9 :ole1 ! heal? c>e b5efit      
program f ! individuals ref]r$ to a     
p>ticul> recov]y home or cl9ical        
treatm5t facility2  7#c7 a disc\nt 9 !  
price ( an applicable drug ( a          
manufactur] t is furni%$ to an          
applicable b5efici>y "u ! ,m$ic>e       
cov]age gap disc\nt program "u section  
#ahfj;,d-#ad;,a7g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g772 
7#d7 a paym5t made by a pr9cipal to an  
ag5t z comp5sation = ! s]vices ( ! ag5t 
"u a p]sonal s]vices & managem5t        
contract t meets ! requirem5ts ( section
 #ajja4ieb7;d7 ( title #db1 ,code (     
,f$]al ,regulations1 z 9 effect on !    
date ( enactm5t ( ?is section2  7#e7 a  

waiv] or disc\nt 7z def9$ 9 section     
#ajja4ieb7;h77#e7 ( title #db1 ,code (  
,f$]al ,regulations1 or any successor   
regulation7 ( any co9surance or copaym5t
 by a heal? c>e b5efit program if--     
7,a7 ! waiv] or disc\nt is n r\t9ely    
provid$2 &  7,b7 ! waiv] or disc\nt is  
provid$ 9 good fai?2  7#f7 a remun]ation
 describ$ 9 section #aabh;,b7b77#c77;,i7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acbj;a-#g;b7b77#c77;,i772    
7#g7 a remun]ation made pursuant to an  
alt]native paym5t model 7z def9$ 9      
section #ahcc7z77#c77;,c7 ( ! ,social   
,security ,act7 or pursuant to a paym5t 
arrangem5t us$ by a ,/ate1 heal?        
insurance issu]1 or gr\p heal? plan if !
 ,secret>y ( ,heal? & ,human ,s]vices   
has det]m9$ t su* arrangem5t is necess>y
 = c>e coord9ation or value-bas$ c>e2 or
  7#h7 any o!r paym5t1 remun]ation1     
disc\nt1 or r$uction z det]m9$ by !     
,attorney ,g5]al1 9 consultation ) !    
,secret>y ( ,heal? & ,human ,s]vices1 by
 regulation4  7c7 ,regulations ,!       

,attorney ,g5]al1 9 consultation ) !    
,secret>y ( ,heal? & ,human ,s]vices1   
may promulgate regulations to cl>ify !  
exceptions describ$ 9 subsection 7b74   
7d7 ,def9itions ,9 ?is section-- 7#a7 ! 
t]ms applicable b5efici>y & applicable  
drug h ! mean+s giv5 ^? t]ms 9 section  
#ahfj;,d-#ad;,a7g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g772 
7#b7 ! t]m cl9ical treatm5t facility    
means a m$ical sett+1 o!r ?an a hospital
 or a facility t is own$ & op]at$ by1   
controll$ by1 or controll$ 9 common by a
 hospital1 t provides detoxification1   
risk r$uction1 outpati5t treatm5t & c>e1
 resid5tial treatm5t1 or rehabilitation 
= sub/ance use1 pursuant to lic5sure or 
c]tification "u ,/ate law2  7#c7 ! t]m  
heal? c>e b5efit program has ! mean+    
giv5 ! t]m 9 section #bd7;b72 &  7#d7 ! 
t]m recov]y home means a %>$ liv+       
environm5t1 except = a facility t is    
own$ & op]at$ by1 controll$ by1 or      
controll$ 9 common by a hospital1 or    
purports to be1 free f alcohol & illicit

 drug use & c5t]$ on pe] support &      
connection to s]vices t promote su/a9$  
recov]y f sub/ance use disord]s4  4  7b7
 ,cl]ical am5dm5t ,! table ( sections = 
*apt] #aa ( title #ah1 ,unit$ ,/ates    
,code1 is am5d$ by ins]t+ aft] ! item   
relat$ to section #bai ! foll[+3  #bbj4 
,illegal remun]ations = ref]rals to     
recov]y homes & cl9ical treatm5t        
facilities4  4