(iii) by inserting before subparagraph 
(B), as redesignated by clause (ii), the fol-
lowing new subparagraph: 
‘‘(A) has actual knowledge of the informa-
tion;’’; and 
(iv) in the matter following subpara-
graph (C), as redesignated by clause (ii)— 
(I) by inserting ‘‘require’’ after 
‘‘and’’; and 
(II) by striking ‘‘is required’’; 
and 
(D) by adding at the end the following new 
paragraphs: 
‘‘(8) The term ‘obligation’ means an established 
duty, whether or not fixed, arising from an express 
or implied contractual, grantor-grantee, or licensor 
licensee relationship, from a fee-based or similar re-
lationship, from statute or regulation, or from the 
retention of any overpayment. 
‘‘(9) The term ‘material’ means having a nat-
ural tendency to influence, or be capable of influ-
encing, the payment or receipt of money or prop-
erty.’’. 
(b) EXCLUSION OF RESPONSIBLE CORPORATE OFFI-
CIALS.—Section 1128(b) of the Social Security Act (42 
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U.S.C. 1320a–7(b)) is amended by striking clauses (i) and 
(ii) of paragraph (15)(A) and inserting the following: 
‘‘(i) who has or had a direct or indi-
rect ownership or control interest in a 
sanctioned entity at the time of and who 
knew or should have known (as defined in 
section 1128(i)(7)) of any of the conduct 
that formed a basis for the conviction or 
exclusion described in subparagraph (B); 
or 
‘‘(ii) who is or was an officer or man-
aging employee (as defined in section 
1126(b)) of such an entity at the time of 
any of the conduct that formed a basis for 
the conviction or exclusion so described.’’. 
(c) PAYMENT SUSPENSIONS.—Subsection (o)(1) of 
section 1862 of the Social Security Act (42 U.S.C. 42 
U.S.C. 1395y), as added by section 6402(h) of the Patient 
Protection and Affordable Care Act (Public Law 111– 
148), is amended by striking ‘‘may’’ and inserting ‘‘shall’’. 
(d) CIVIL MONETARY PENALTIES FOR FALSE STATE-
MENTS OR DELAYING INSPECTIONS.—Paragraph (9) of 
section 1128A(a) of the Social Security Act (42 U.S.C. 
1320a–7a(a)), as added by section 6408(a) of the Patient 
Protection and Affordable Care Act (Public Law 111– 
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148), is amended by inserting ‘‘or to timely provide infor-
mation in response to a request authorized by section 
1128J(b),’’ after ‘‘regulations),’’. 
SEC. 4. ENHANCED SCREENING, MEDICARE DATA-MINING 
SYSTEM; 
BIOMETRIC 
TECHNOLOGY 
PILOT 
PROGRAM. 
(a) 
ENHANCED
SCREENING.—Section 
1866(j)(2)(B)(ii) of the Social Security Act (42 U.S.C. 
1395cc(j)), as inserted by section 6401(a)(3) of the Pa-
tient Protection and Affordable Care Act (Public Law 
111–148), is amended by striking ‘‘may’’ and inserting 
‘‘shall’’. 
(b) ACCESS TO REAL TIME CLAIMS AND PAYMENT 
DATA.—Section1128J(a)(2) of the Social Security Act, as 
added by section 6402(a) of the Patient Protection and 
Affordable Care Act (Public Law 111–148), is amended— 
(1) by inserting ‘‘including real time claims and 
payment data,’’ after ‘‘access to claims and payment 
data’’; and 
(2) by adding at the end the following sentence: 
‘‘In carrying out this section, the Inspector General 
of the Department of Health and Human Services, 
in consultation with the Attorney General, shall im-
plement mechanisms for the sharing of information 
about suspected fraud relating to the Federal health 
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care programs under titles XVIII, XIX, and XXI 
with other appropriate law enforcement officials.’’. 
(c) BIOMETRIC TECHNOLOGY PILOT PROGRAM.— 
(1) IN GENERAL.—By not later than one year 
after the date of the enactment of this Act, the Sec-
retary of Health and Human Services shall carry out 
a 5-year pilot program that implements biometric 
technology to ensure that individuals entitled to ben-
efits under part A of title XVIII of the Social Secu-
rity Act or enrolled under part B of such title are 
physically present at the time and place of receipt of 
certain items and services (specified by the Sec-
retary) for which payment may be made under such 
title. Under such pilot program the Secretary may 
provide for financial incentives to encourage vol-
untary participation of providers of services (as de-
fined in section 1861(u) of such Act) and suppliers 
(as defined in section 1861(d) of such Act). 
(2) REPORTS.—The Secretary of Health and 
Human Services shall, for each of the third, fourth, 
and fifth years of the pilot program under para-
graph (1), submit to Congress a report on the effec-
tiveness of the pilot program in reducing the occur-
rence of waste, fraud, and abuse in the Medicare 
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