,,ii #aae? ,,congress #b;d ,session ,s4 #cbed ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,july #ai1 #bjah ,mr4 ,rubio 7= himself & ,ms4 ,klobu*>7 introduc$ ! foll[+ bill2 :i* 0 read twice & 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 7c71 x %all be unlawful to1 9 or affect+ int]/ate or =eign comm]ce1 kn[+ly & willfully-- 7#a7 solicit or receive any remun]ation 7includ+ any kickback1 bribe1 or rebate7 directly 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 7#b7 be+ a recov]y home or cl9ical treatm5t facility1 or an (fic] or employee ( a recov]y home or cl9ical treatm5t facility act+ 9 ! c\rse ( _! employm5t1 pay or (f]+ any remun]ation 7includ+ any kickback1 bribe1 or rebate7 directly or cov]tly1 9 ca% or 9 k9d1 to-- 7,a7 a p]son 9 ex*ange = ! p]son ref]r+ an individual to t recov]y home or cl9ical treatm5t facility2 or 7,b7 an individual 9 ex*ange = t individual us+ ! s]vices ( t recov]y home or cl9ical treatm5t facility2 or 7#c7 be+ a cl9ical s]vice provid]1 or an (fic] or employee ( a cl9ical s]vice provid] act+ 9 ! c\rse ( _! employm5t1 pay1 solicit1 or receive any remun]ation 7includ+ any kickback1 bribe1 or rebate7 directly or cov]tly1 9 ca% or 9 k9d1 to a recov]y home or cl9ical treatm5t facility1 or to an (fic] or employee ( a recov]y home or cl9ical treatm5t facility1 9 ex*ange = ref]r+ an individual ) a sub/ance use disord] to a cl9ical s]vice provid] = cl9ical s]vices4 7b7 ,p5alty ,any p]son :o violates subsection 7a7 %all be f9$ n m ?an #bjj1jjj1 imprison$ n m ?an #aj ye>s1 or bo?4 7c7 ,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 any am\nt paid by an employ] to an employee 7:o has a bona fide employm5t relation%ip ) su* employ]7 = employm5t 9 ! provision ( cov]$ items or s]vices & ! employee's remun]ation is n det]m9$ by ! numb] ( individuals ref]r$ to a p>ticul> recov]y home or cl9ical treatm5t facility2 7#c7 any am\nt paid by a v5dor ( goods or s]vices to a p]son au?oriz$ to act z a pur*as+ ag5t = a gr\p ( individuals or entities :o are furni%+ s]vices reimburs$ if-- 7,a7 ! p]son has a writt5 contract1 ) ea* su* individual or entity1 :i* specifies ! am\nt to be paid to ! p]son1 :i* am\nt may be a fix$ am\nt or a fix$ p]c5tage ( ! value ( ! pur*ases made by ea* su* individual or entity "u ! contract2 & 7,b7 9 ! case ( a recov]y home or cl9ical treatm5t facility t is a provid] ( s]vices1 ! p]son discloses to ! heal? c>e b5efit program ! remun]ation receiv$ f ea* su* v5dor ) respect to pur*ases made by or on behalf ( ! entity2 7#d7 a disc\nt 9 ! price ( an applicable drug ( a manufactur] t is furni%$ to an applicable b5efici>y "u ! ,m$ic>e cov]age gap disc\nt program "u section #ahfj;,d-#ad;,a7g7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#aad;a7g772 7#e7 any paym5t made by a pr9cipal to an ag5t z comp5sation = ! s]vices ( ! ag5t "u a p]sonal s]vices & managem5t contract t meets ! requirem5ts ( section #ajja4ieb7;d7 ( title #db1 ,code ( ,f$]al ,regulations1 z 9 effect on ! date ( enactm5t ( ?is section2 7#f7 a waiv] or disc\nt 7z def9$ 9 section #ajja4ieb7;h77#e7 ( title #db1 ,code ( ,f$]al ,regulations1 z 9 effect on ! date ( enactm5t ( ?is section7 ( any co9surance or copaym5t by a heal? c>e b5efit program1 z det]m9$ by ! heal? c>e b5efit program2 or 7#g7 any remun]ation betwe5 a heal? c5t] or entity describ$ "u clause 7i7 or 7ii7 ( section #aije7l77#b77;,b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7l77#b77;,b77 & any individual or entity provid+ goods1 items1 s]vices1 donations1 loans1 or a comb9ation !re(1 to su* heal? c5t] entity pursuant to a contract1 lease1 grant1 or o!r agreem5t1 if su* agreem5t contributes to ! ability ( ! heal? c5t] entity to ma9ta9 or increase ! availability1 or enhance ! quality1 ( s]vices provid$ to a m$ically und]s]v$ population s]v$ by ! heal? c5t] entity4 7d7 ,int5t requirem5t ,) respect to a violation ( ?is section1 a p]son ne$ n h actual k ( ?is section or specific int5t to commit a violation ( ?is section4 7e7 ,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$ical sett+ o!r ?an a hospital t provides detoxification1 risk r$uction1 outpati5t treatm5t1 resid5tial treatm5t1 or rehabilitation = sub/ance use2 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+ environm5t free f alcohol & illicit drug use & c5t]$ on pe] support & connections to 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