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HR 5267 114th Congress House

Fighting Medicare Fraud Act of 2016

Official title: To amend title XI of the Social Security Act to expand the permissive exclusion from Federal health programs to include certain individuals with prior interest… Show full official titleShow less

Official title: To amend title XI of the Social Security Act to expand the permissive exclusion from Federal health programs to include certain individuals with prior interest in sanctioned entities and entities affiliated with sanctioned entities and to provide a criminal penalty for the illegal distribution of Medicare, Medicaid, or CHIP beneficiary identification or provider numbers, and for other purposes.

Introduced: May 17, 2016 Introduced by: Frankel, Lois Democratic · Florida See on congress.gov
Health Business ethicsChild healthCorporate finance and managementCriminal justice information and records
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Drug trafficking and controlled substancesDrug, alcohol, tobacco useFraud offenses and financial crimesHealth care costs and insuranceHealth care qualityHealth programs administration and fundingMedicaidMedicarePoverty and welfare assistancePublic contracts and procurement
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This bill died when the 114th Congress ended
It never became law before the 114th Congress (2015–2016) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 20, 2016
Referred to the Subcommittee on Health.
May 17, 2016
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.
May 17, 2016
Introduced in House
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 Latest action May 20, 2016

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Fighting Medicare Fraud Act of 2016

This bill amends title XI (General Provisions) of the Social Security Act (SSAct) to expand the authority of the Centers for Medicare & Medicaid Services (CMS) to exclude from participation in federal health programs certain affiliates of a sanctioned entity. (A "sanctioned entity" is one that has been convicted of one of several specified crimes or excluded from participation under either Medicare or a state health care program.)

The bill also establishes criminal penalties for the illegal purchase, sale, or distribution of two or more federal health program beneficiary or provider numbers.

In addition, the bill amends title XVIII (Medicare) of the SSAct to require Medicare Advantage organizations to report instances of fraud or abuse to CMS within 60 days.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 1
All 1 Democratic 1
D
Keating, William R.
Massachusetts · May 17, 2016
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5267: Fighting Medicare Fraud Act of 2016. 114th Congress. Open America. https://openamerica.io/bill/114-HR-5267/
MLA
"H.R. 5267: Fighting Medicare Fraud Act of 2016." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-HR-5267/.
Bluebook (legal)
H.R. 5267, 114th Cong. (2026), https://openamerica.io/bill/114-HR-5267/.
Markdown link
[H.R. 5267: Fighting Medicare Fraud Act of 2016](https://openamerica.io/bill/114-HR-5267/)
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