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Bill

Bill

HR 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.

119th Congress Introduced by Wesley Bell and 17 co-sponsors

Bill requires HHS to exclude healthcare fraud perpetrators from all federal health programs to reduce fraud and protect taxpayer dollars while raising implementation and fairness questions.

Introduced in House
0
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Bill Summary · HR 6108

Legislative bill overview

HR 6108 amends the Social Security Act to mandate that the Secretary of Health and Human Services exclude individuals and entities convicted of healthcare fraud from participation in all Federal health care programs. This expands existing authority by potentially making exclusions more systematic and comprehensive across Medicare, Medicaid, and other federal health initiatives.

Why is this important

Healthcare fraud costs taxpayers billions annually and undermines program integrity. Broader exclusion mechanisms could deter fraudulent actors and prevent repeat offenders from accessing federal funds, though implementation depends on how "certain individuals and entities" and fraud convictions are defined in the final language.

Potential points of contention

  • Definitional clarity: The bill's scope depends on what constitutes "certain individuals and entities" and which fraud convictions trigger exclusion—narrow definitions limit impact, broad ones may affect borderline cases
  • Due process concerns: Exclusion from all federal healthcare programs is substantial; stakeholders may debate whether current appeal processes and evidentiary standards are sufficient
  • Administrative burden: Enforcement across multiple federal programs requires coordination between agencies and may create compliance costs for providers and institutions managing these exclusions

Compiled from official sources — confirm details with the bill’s official record.

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