I 

115TH CONGRESS 

2D SESSION H. R. 6092 

To develop and identify indicators of potentially fraudulent and disreputable 

recovery housing operators, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JUNE 13, 2018 

Mr. BILIRAKIS (for himself, Mrs. MIMI WALTERS of California, Ms. FRANKEL

of Florida, and Mr. RUIZ) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To develop and identify indicators of potentially fraudulent 

and disreputable recovery housing operators, and for 

other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Sober Home Fraud 

5 Detection Act’’. 

6 SEC. 2. BEST PRACTICES FOR IDENTIFYING FRAUD IN RE7 COVERY HOUSING PRACTICES. 

8 (a) DEFINITION.—In this Act, the term ‘‘recovery 

9 housing’’ means a shared living environment free from alVerDate Sep 11 2014 21:45 Jun 18, 2018 Jkt 079200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H6092.IH H6092

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1 cohol and illicit drug use and centered on peer support 

2 and connection to services that promote sustained recovery 

3 from substance use disorders. 

4 (b) IDENTIFICATION OF FRAUDULENT RECOVERY

5 HOUSING OPERATORS.— 

6 (1) IN GENERAL.—The Secretary of Health and 

7 Human Services (referred to in this Act as the ‘‘Sec8 retary’’), in consultation with the individuals and en9 tities described in paragraph (2), shall identify or fa10 cilitate the development of common indicators that 

11 could be used to identify potentially fraudulent or 

12 disreputable recovery housing operators. 

13 (2) CONSULTATION.—In carrying out the activi14 ties described in paragraph (1), the Secretary shall 

15 consult with— 

16 (A) relevant divisions of the Department of 

17 Health and Human Services, including the Sub18 stance Abuse and Mental Health Services Ad19 ministration, the Office of Inspector General, 

20 and the Centers for Medicare & Medicaid Serv21 ices; 

22 (B) the Attorney General; 

23 (C) the Secretary of Housing and Urban 

24 Development; 


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1 (D) State health departments, State Med2 icaid plans, and State insurance commissioners; 

3 (E) health insurance issuers; 

4 (F) national accrediting entities and rep5 utable recovery housing operators; 

6 (G) the Government Accountability Office; 

7 and 

8 (H) other stakeholders identified by the 

9 Secretary. 

10 (c) REQUIREMENTS.— 

11 (1) PRACTICES FOR IDENTIFICATION AND RE12 PORTING.—In carrying out the activities described in 

13 subsection (b), the Secretary shall consider how law 

14 enforcement, public and private payers, and the pub15 lic can best identify and report fraudulent or dis16 reputable recovery housing operators. 

17 (2) FACTORS TO BE CONSIDERED.—In carrying 

18 out the activities described in subsection (b), the 

19 Secretary shall also consider identifying or devel20 oping indicators regarding— 

21 (A) unusual billing practices; 

22 (B) average lengths of patient stays that 

23 are longer than the norm; 

24 (C) excessive levels of drug testing (in 

25 terms of cost or volume); 


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1 (D) unusually high levels of recidivism; 

2 (E) if the recovery housing operator is lo3 cated in a geographic area identified by the 

4 Secretary as having a high level of health care 

5 fraud; and 

6 (F) any other factors identified by the Sec7 retary. 

8 (d) DISSEMINATION.—The Secretary shall make the 

9 indicators identified or developed under subsection (b) 

10 publicly available on the websites of the Department of 

11 Health and Human Services, the Department of Justice, 

12 and the Department of Housing and Urban Development, 

13 and shall disseminate the indicators identified or devel14 oped under subsection (b) to— 

15 (1) State agencies, which may include the provi16 sion of technical assistance to State agencies seeking 

17 to adopt or implement policies to better identify po18 tentially fraudulent recovery housing operators; 

19 (2) health insurance issuers; 

20 (3) the Administrator of the Centers for Medi21 care & Medicaid Services; 

22 (4) the Secretary of Labor; 

23 (5) the Secretary of Housing and Urban Devel24 opment; 


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1 (6) State and local law enforcement agencies; 

2 and 

3 (7) the public, as appropriate. 

4 (e) UPDATES.—The Secretary shall update the indi5 cators identified under this section as necessary. 

6 (f) RULE OF CONSTRUCTION.—Nothing in this sec7 tion shall be construed to provide the Secretary with the 

8 ability to require States to adhere to minimum standards 

9 regarding State oversight of recovery housing. 

Æ 


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