Page:United States Statutes at Large Volume 91.djvu/1213

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PUBLIC LAW 95-000—MMMM. DD, 1977

PUBLIC LAW 95-142—OCT. 25, 1977 in excess of $25,000, and (B) full and complete information as to any significant business transactions (as defined by the Secretary in regulations), occurring during the five-year period ending on the date of such request, between such entity and any wholly owned supplier or between such entity and any subcontractor.". (2) Section 1903(i)(2) of such Act is amended by inserting before the semicolon at the end thereof the following: ", or by reason of noncompliance with a request made by the Secretary under clause (C)(ii) of such section 1866(b)(2) or under section" 1902(a) (38)". (d)(1) Section 2003(d)(1) of such Act is amended— (A) by striking out "and" at the end of subparagraph (H); (B) by striking out the period at the end of subparagraph (I) and inserting in lieu thereof "; and"; and (C) by adding after subparagraph (I) the following new subparagraph: " (J) provides that any entity (other than an individual practitioner or a group of practitioners) receiving payments for the provision of health related services complies with the requirements of section 1124, and supplies (within such period as may be specified in regulations by the Secretary or by the State agency which administers or supervises the administration of the plan) upon request specifically addressed to such entity by the Secretary or such State agency, respectively, (i) full and complete information as to the ownership of a subcontractor (as defined by the Secretary in regulations) with whom such entity has had, during the previous twelve months, business transactions in an aggregate amount in excess of $25,000, and (ii) full and complete information as to any significant business transactions (as defined by the Secretary in regulations), occurring during the five-year period ending on the date of such request, between such entity and any wholly owned supplier or between such entity and any subcontractor.". (2) Section 2002(a) of such Act is amended by adding at the end thereof the following new paragraph: "(15) No payment may be made under this section with respect to any expenditure for the provision of any health related service if such service is provided by an entity which has failed to comply with a request made by the Secretary or State agency under section 2003 (d)(1)(J), for so long as such entity remains in noncompliance with such request.". (e) The amendment made by subsection (a)(1) shall apply with respect to certifications and recertifications made (and participation in the programs established by titles V, X VIII, X IX, and X X of the Social Security Act pursuant to certifications and recertifications made), and fiscal intermediary or agent agreements or contracts entered into or renewed, on and after the date of the enactment of this Act. The remaining amendments made by this section shall take effect on the date of the enactment of this Act; except that the amendments made by subsections (c) and (d) shall become effective January 1, 1978.

91 STAT. 1179

42 USC 1396b. 42 USC 1395cc. 42 USC 1396a. 42 USC 1397b.

Business records, availability.

Ante, p. 1177.

Payments to States. 42 USC 1397a.

Supra. Effective dates. 42 USC 1320a-3 note. 42 USC 701, 1395, 1396, 1397.

PENALTIES FOR DEFRAUDING MEDICARE AND MEDICAID PROGRAMS

SEC. 4. (a) Section 1877 of the Social Security Act is amended to 42 USC 1395nn. read as follows: