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Bills/119th Congress · House

H.R. 6108

Introduced

To amend title XI of the Social Security Act to require the Secretary to exclude certain individuals and entities who commit fraud from participation in any Federal health care program.

Sponsor
DMark Pocan· Wisconsin
Introduced
November 18, 2025
Policy area
Health
Latest action
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.November 18, 2025
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6108 Introduced in House (IH)]

<DOC>

119th CONGRESS
1st Session
H. R. 6108

To amend title XI of the Social Security Act to require the Secretary 
to exclude certain individuals and entities who commit fraud from 
participation in any Federal health care program.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

November 18, 2025

Mr. Pocan (for himself, Mr. Carson, Mr. Cohen, Ms. DeLauro, Mr. 
Doggett, Ms. Jayapal, Mr. Khanna, Ms. Norton, Ms. Ocasio-Cortez, Ms. 
Schakowsky, Mr. Takano, Mr. Thanedar, Ms. Tlaib, Mr. Bell, and Ms. 
Omar) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, 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 require the Secretary 
to exclude certain individuals and entities who commit fraud from 
participation in any Federal health care program.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. MAKING CERTAIN EXCLUSIONS FROM PARTICIPATION IN FEDERAL 
HEALTH CARE PROGRAMS RELATED TO FRAUD MANDATORY.

(a) In General.--Section 1128 of the Social Security Act (42 U.S.C. 
1320a-7) is amended--
(1) in subsection (a), by adding at the end the following 
new paragraphs:
``(5) Conviction relating to fraud.--Any individual or 
entity that has been convicted for an offense which occurred on 
or after the date that is 1 year after the date of the 
enactment of this paragraph, under Federal or State law--
``(A) of a criminal offense consisting of a 
misdemeanor relating to fraud, theft, embezzlement, 
breach of fiduciary responsibility, or other financial 
misconduct--
``(i) in connection with the delivery of a 
health care item or service, or
``(ii) with respect to any act or omission 
in a health care program (other than those 
specifically described in paragraph (1)) 
operated by or financed in whole or in part by 
any Federal, State, or local government agency; 
or
``(B) of a criminal offense relating to fraud, 
theft, embezzlement, breach of fiduciary 
responsibility, or other financial misconduct with 
respect to any act or omission in a program (other than 
a health care program) operated by or financed in whole 
or in part by any Federal, State, or local government 
agency.
``(6) Fraud, kickbacks, and other prohibited activities.--
Any individual or entity that the Secretary determines has 
committed an act which is described in section 1128A, 1128B, or 
1129 on or after the date that is 1 year after the date of the 
enactment of this paragraph.'';
(2) in subsection (b)--
(A) in paragraph (1), by inserting ``and before the 
date that is 1 year after the date of the enactment of 
subsection (a)(5)'' before ``, under Federal or State 
law''; and
(B) in paragraph (7), by inserting ``before the 
date that is 1 year after the date of the enactment of 
subsection (a)(6)'' before the period at the end; and
(3) in subsection (f)(2), by inserting ``(a)(6) or'' after 
``subsection'' each place it appears.
(b) Conforming Amendment.--Section 1128D(a)(1)(A)(ii) of the Social 
Security Act (42 U.S.C. 1320a-7d(a)(1)(A)(ii)) is amended by striking 
``section 1128(b)(7)'' and inserting ``subsection (a)(6) or (b)(7) of 
section 1128''.
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