,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fajh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ah1         
#bjbe,mr4 ,pocan 7= himself1 ,mr4       
,c>son1 ,mr4 ,coh51 ,ms4 ,de,lauro1 ,mr4
 ,doggett1 ,ms4 ,jayapal1 ,mr4 ,khanna1 
,ms4 ,norton1 ,ms4 ,ocasio-,cortez1 ,ms4
 ,s*ak[sky1 ,mr4 ,takano1 ,mr4 ,?an$>1  
,ms4 ,tlaib1 ,mr4 ,bell1 & ,ms4 ,om>7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xi ( ! ,social
 ,security ,act to require ! ,secret>y  
to exclude c]ta9 individuals & entities 
:o commit fraud f p>ticipation 9 any    
,f$]al heal? c>e program4  #a4 ,mak+    
c]ta9 exclusions f p>ticipation 9 ,f$]al
 heal? c>e programs relat$ to fraud     
m&atory  7a7 ,9 g5]al ,section #aabh ( !
 ,social ,security ,act 7#db ,u4,s4,c4  

#acbj;a-#g7 is am5d$-- 7#a7 9 subsection
 7a71 by add+ at ! end ! foll[+ new     
p>agraphs3  7#e7 ,conviction relat+ to  
fraud ,any individual or entity t has   
be5 convict$ = an (f5se :i* occurr$ on  
or aft] ! date t is #a ye> aft] ! date (
 ! enactm5t ( ?is p>agraph1 "u ,f$]al or
 ,/ate law-- 7,a7 ( a crim9al (f5se     
consi/+ ( a misdemeanor relat+ to fraud1
 !ft1 embezzlem5t1 brea* ( fiduci>y     
responsibility1 or o!r f9ancial         
misconduct--  7i7 9 connection ) !      
deliv]y ( a heal? c>e item or s]vice1 or
  7ii7 ) respect to any act or omission 
9 a heal? c>e program 7o!r ?an ^?       
specifically describ$ 9 p>agraph 7#a77  
op]at$ by or f9anc$ 9 :ole or 9 "p by   
any ,f$]al1 ,/ate1 or local gov]nm5t    
ag5cy2 or  7,b7 ( a crim9al (f5se relat+
 to fraud1 !ft1 embezzlem5t1 brea* (    
fiduci>y responsibility1 or o!r f9ancial
 misconduct ) respect to any act or     
omission 9 a program 7o!r ?an a heal?   
c>e program7 op]at$ by or f9anc$ 9 :ole 
or 9 "p by any ,f$]al1 ,/ate1 or local  

gov]nm5t ag5cy4  7#f7 ,fraud1 kickbacks1
 & o!r prohibit$ activities ,any        
individual or entity t ! ,secret>y      
det]m9es has committ$ an act :i* is     
describ$ 9 section #aabh;,a1 #aabh;,b1  
or #aabi on or aft] ! date t is #a ye>  
aft] ! date ( ! enactm5t ( ?is p>agraph4
  2  7#b7 9 subsection 7b7-- 7,a7 9     
p>agraph 7#a71 by ins]t+ & be=e ! date t
 is #a ye> aft] ! date ( ! enactm5t (   
subsection 7a77#e7 be=e 1 "u ,f$]al or  
,/ate law2 &  7,b7 9 p>agraph 7#g71 by  
ins]t+ be=e ! date t is #a ye> aft] !   
date ( ! enactm5t ( subsection 7a77#f7  
be=e ! p]iod at ! end2 &  7#c7 9        
subsection 7f77#b71 by ins]t+ 7a77#f7 or
 aft] subsection ea* place x appe>s4    
7b7 ,con=m+ am5dm5t ,section            
#aabh;,d7a77#a77;,a77ii7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;d7a77#a77;,a77ii77 is am5d$  
by /rik+ section #aabh7;b77#g7 & ins]t+ 
subsection 7a77#f7 or 7b77#g7 ( section 
#aabh4