42 U.S.C. 1320a-7: Exclusion of certain individuals and entities from participation in Medicare and State health care programs

2019

• Pub. L. 116–16 added par. (17). (Medicaid Services Investment and Accountability Act of 2019) Law text · (b)

2010

• Pub. L. 111–148, §6408(c), inserted "or audit" after "investigation" in the heading, substituted "investigation or audit related to—" for "investigation into any criminal offense described in paragraph (1) or in subsection (a) of this section.", and added cls. (i) and (ii). (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §6406(c), inserted ", ordering, referring for furnishing, or certifying the need for" after "furnishing". (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §6402(d)(1), added par. (16). (Patient Protection and Affordable Care Act) Law text · (b)
• Pub. L. 111–148, §6402(k), substituted "beneficiaries (as defined in section 1320a–7a(i)(5) of this title) of that program" for "individuals entitled to benefits under part A of subchapter XVIII or enrolled under part B of such subchapter, or both". (Patient Protection and Affordable Care Act) Law text · (c)
• Pub. L. 111–148, §6402(e), added par. (4). (Patient Protection and Affordable Care Act) Law text · (f)
• Pub. L. 111–148, §6703(d)(3)(A), inserted "division A of" before "subchapter XX" and substituted "such division" for "such subchapter". (Patient Protection and Affordable Care Act) Law text · (h)

2003

• Pub. L. 108–173 amended first sentence generally. Prior to amendment, first sentence read as follows: "Subject to subparagraph (G), in the case of an exclusion under subsection (a) of this section, the minimum period of exclusion shall be not less than five years, except that, up… (Medicare Prescription Drug, Improvement, and Modernization Act of 2003) Law text · (c)

1997

• Pub. L. 105–33, §4331(c)(1), substituted "any Federal health care program (as defined in section 1320a–7b(f) of this title)" for "any program under subchapter XVIII and shall direct that the following individuals and entities be excluded from participation in any State health care prog… (Balanced Budget Act of 1997) Law text · (a)
• Pub. L. 105–33, §4331(c)(2), substituted "any Federal health care program (as defined in section 1320a–7b(f) of this title)" for "any program under subchapter XVIII and may direct that the following individuals and entities be excluded from participation in any State health care progra… (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4303(a)(1), added cl. (iii). (Balanced Budget Act of 1997) Law text · (b)
• Pub. L. 105–33, §4301(1), inserted "or in the case described in subparagraph (G)" after "subsection (b)(12)". (Balanced Budget Act of 1997) Law text · (c)
• Pub. L. 105–33, §4301(2), substituted "Subject to subparagraph (G), in the case" for "In the case". (Balanced Budget Act of 1997) Law text · (c), (D)
• Pub. L. 105–33, §4301(3), added subpar. (G). (Balanced Budget Act of 1997) Law text · (c)
• Pub. L. 105–33, §4901(b)(2), added par. (4). (Balanced Budget Act of 1997) Law text · (h)
• Pub. L. 105–33, §4303(a)(2), added subsec. (j). (Balanced Budget Act of 1997) Law text · (j)

1996

• Pub. L. 104–191, §211(a)(1), added par. (3). (Health Insurance Portability and Accountability Act of 1996) Law text · (a)
• Pub. L. 104–191, §211(b)(1), added par. (4). (Health Insurance Portability and Accountability Act of 1996) Law text · (a)
• Pub. L. 104–191, §211(a)(2), reenacted heading without change and amended text generally. Prior to amendment, text read as follows: "Any individual or entity that has been convicted, under Federal or State law, in connection with the delivery of a health care item or service or with… (Health Insurance Portability and Accountability Act of 1996) Law text · (b)
• Pub. L. 104–191, §211(b)(2), substituted "Misdemeanor conviction" for "conviction" in heading and "criminal offense consisting of a misdemeanor" for "criminal offense" in text. (Health Insurance Portability and Accountability Act of 1996) Law text · (b)
• Pub. L. 104–191, §213, added par. (15). (Health Insurance Portability and Accountability Act of 1996) Law text · (b)
• Pub. L. 104–191, §212, added subpars. (D) to (F). (Health Insurance Portability and Accountability Act of 1996) Law text · (c)

1994

• Pub. L. 103–296, §206(b)(2)(A), substituted "section 1320a–7a, 1320a–7b, or 1230a–8 of this title" for "section 1320a–7a of this title or section 1320a–7b of this title". · (b)
• Pub. L. 103–296, §206(b)(2)(B), inserted "or 1320a–8" after "section 1320a–7a". · (b)
• Pub. L. 103–296, §108(b)(9)(A), inserted before period at end ", except that, in so applying such sections and section 405(l) of this title, any reference therein to the Commissioner of Social Security or the Social Security Administration shall be considered a reference to the Secr… · (f)
• Pub. L. 103–296, §206(b)(2)(C), inserted ", 1320a–8," after "sections 1320a–7a". · (f)
• Pub. L. 103–296, §108(b)(9)(B), inserted before period at end ", except that, in so applying such section and section 405(l) of this title, any reference therein to the Commissioner of Social Security shall be considered a reference to the Secretary". · (f)

1991

• Pub. L. 102–54 substituted "Department of Veterans Affairs" for "Veterans' Administration". · (b)

1990

• Pub. L. 101–508 substituted "section 1320a–3 of this title, section 1320a–3a of this title," for "section 1320a–3 of this title". · (b)

1989

• Pub. L. 101–239 inserted "or the right to apply for or renew such a license" after "lost such a license". · (b)

1988

• Pub. L. 100–360, §411(k)(10)(D), added Pub. L. 100–203, §4118(e)(3)–(5), which amended subsec. (b)(8)(A)(i), (d)(1), (3)(A), and (i). See 1987 Amendment notes below.
• Pub. L. 100–360, §411(k)(10)(C), struck out "under a program" after "longer than the period of exclusion". · (d)

1987

• Pub. L. 100–93 amended section generally, substituting subsecs. (a) to (i) for former subsecs. (a) to (f).
• Pub. L. 100–203, §4118(e)(3), as added by Pub. L. 100–360, §411(k)(10)(D), inserted at beginning "who has a direct or indirect ownership or control interest of 5 percent or more in the entity or". · (b)
• Pub. L. 100–203, §4118(e)(4)(A), as added by Pub. L. 100–360, §411(k)(10)(D), substituted "this section and section 1320a–7a of this title" for "subsection (b) of this section". · (d)
• Pub. L. 100–203, §4118(e)(4)(B), as added by Pub. L. 100–360, §411(k)(10)(D), struck out "under a program" after "any period of exclusion". · (d)
• Pub. L. 100–203, §4118(e)(2), designated existing provisions as cl. (i) and added cl. (ii). · (d)
• Pub. L. 100–203, §4118(e)(5)(A), as added by Pub. L. 100–360, §411(k)(10)(D), substituted "an individual or entity" for "a physician or other individual" in introductory provisions. · (i)
• Pub. L. 100–203, §4118(e)(5)(B), as added by Pub. L. 100–360, §411(k)(10)(D), which directed amendment of pars. (1) to (4) by substituting "individual or entity" for "physician or other individual" each place it appears, was executed by substituting "individual or entity" for "physician or individu… · (i)
• Pub. L. 100–203, §4118(e)(5)(C), as added by Pub. L. 100–360, §411(k)(10)(D), substituted "first offender, deferred adjudication, or other arrangement or program" for "first offender or other program". · (i)

1986

• Pub. L. 99–509 added subsec. (f). · (f)

1984

• Pub. L. 98–369 added subsec. (b), redesignated former subsecs. (b) to (d) as (c) to (e), respectively, and in subsec. (e) substituted "Any person or entity" for "Any person" and "(a), (b), or (c)" for "(a) or (b)". · (b), (c), (d), (e)

1981

• Pub. L. 97–35, §2105(b)(1), struck out ", for such period as he may deem appropriate," after "subchapter XVIII of this chapter". · (a)
• Pub. L. 97–35, §2353(k), substituted in subpar. (A) "subchapter XIX of this chapter" for "subchapter XIX or subchapter XX of this chapter," and in subpar. (B) "subchapter XIX of this chapter" for "subchapter XIX or subchapter XX of this chapter". · (a)
• Pub. L. 97–35, §2105(b)(2)–(4), added subsec. (b), redesignated former subsecs. (b) and (c) as (c) and (d), respectively, and in subsec. (d) as so redesignated substituted "subsection (a) or (b)" for "subsection (a)". · (b), (c), (d)