On Motion to Suspend the Rules and Pass, as Amended
✓ PassedPassed396 Yea · 0 Nay · 35 Not Voting
Yea:198 D197 R
Nay:0 D0 R
What This Bill Does
This bill explicitly authorizes the Department of Labor to suspend payments under the federal workers’ compensation program to certain providers convicted of fraud. (Current regulations establish various grounds for excluding a provider from payment under the program, including a conviction for fraudulent activity in connection with a federal or state medical benefit program.)Under the bill, Labor may suspend payments to a provider convicted of fraud related to the federal workers’ compensation program, a similar state program, or a federal health care benefit program (e.g., Medicare). Specifically, Labor may suspend (1) payments to such a provider for services, appliances, or supplies covered under the program; or (2) payments for certain initial expenses incurred by an employing agency with respect to such a provider.Labor must issue regulations to carry out these provisions.
This bill prioritizes the needs of patients by holding healthcare providers accountable.
What it actually does
This bill authorizes the Department of Labor to suspend payments under the federal workers' compensation program to certain providers who have committed fraud, specifically related to this program, similar state programs, or federal health care benefit programs.
Watch Items
•The title implies a patient-centric approach by mentioning 'patients first', which is not explicitly connected to the bill's actual content.
•The bill does not strengthen provider accountability, but rather provides a new reason for suspending payments, which could be interpreted as holding providers accountable.
•The title implies a proactive approach to addressing provider wrongdoing, but the bill mainly authorizes existing Labor Department power to suspend payments.