Amends titles XVIII (Medicare), XIX (Medicaid), and XI (Part A, General Provisions) of the Social Security Act to provide for civil and…
Official title: A bill to amend titles XI, XVIII, and XIX of the Social Security Act to provide for civil monetary and criminal penalties for an individual who has made a material misrepresentation in order to be licensed as a physician and for whose services payments are made under the medicare or medicaid programs.
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Amends titles XVIII (Medicare), XIX (Medicaid), and XI (Part A, General Provisions) of the Social Security Act to provide for civil and criminal penalties for any individual who presents a claim for a physician's service and knows or has reason to know that the individual who furnished the service either: (1) was not a licensed physician; (2) was licensed, but obtained the license through a material misrepresentation; or (3) misrepresented certification in a medical specialty.
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