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 re-
ferred 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Sober Home Fraud 
Detection Act’’. 
SEC. 2. BEST PRACTICES FOR IDENTIFYING FRAUD IN RE-
COVERY HOUSING PRACTICES. 
(a) DEFINITION.—In this Act, the term ‘‘recovery 
housing’’ means a shared living environment free from al-
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cohol and illicit drug use and centered on peer support 
and connection to services that promote sustained recovery 
from substance use disorders. 
(b) IDENTIFICATION
OF FRAUDULENT RECOVERY 
HOUSING OPERATORS.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this Act as the ‘‘Sec-
retary’’), in consultation with the individuals and en-
tities described in paragraph (2), shall identify or fa-
cilitate the development of common indicators that 
could be used to identify potentially fraudulent or 
disreputable recovery housing operators. 
(2) CONSULTATION.—In carrying out the activi-
ties described in paragraph (1), the Secretary shall 
consult with— 
(A) relevant divisions of the Department of 
Health and Human Services, including the Sub-
stance Abuse and Mental Health Services Ad-
ministration, the Office of Inspector General, 
and the Centers for Medicare & Medicaid Serv-
ices; 
(B) the Attorney General; 
(C) the Secretary of Housing and Urban 
Development; 
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(D) State health departments, State Med-
icaid plans, and State insurance commissioners; 
(E) health insurance issuers; 
(F) national accrediting entities and rep-
utable recovery housing operators; 
(G) the Government Accountability Office; 
and 
(H) other stakeholders identified by the 
Secretary. 
(c) REQUIREMENTS.— 
(1) PRACTICES FOR IDENTIFICATION AND RE-
PORTING.—In carrying out the activities described in 
subsection (b), the Secretary shall consider how law 
enforcement, public and private payers, and the pub-
lic can best identify and report fraudulent or dis-
reputable recovery housing operators. 
(2) FACTORS TO BE CONSIDERED.—In carrying 
out the activities described in subsection (b), the 
Secretary shall also consider identifying or devel-
oping indicators regarding— 
(A) unusual billing practices; 
(B) average lengths of patient stays that 
are longer than the norm; 
(C) excessive levels of drug testing (in 
terms of cost or volume); 
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(D) unusually high levels of recidivism; 
(E) if the recovery housing operator is lo-
cated in a geographic area identified by the 
Secretary as having a high level of health care 
fraud; and 
(F) any other factors identified by the Sec-
retary. 
(d) DISSEMINATION.—The Secretary shall make the 
indicators identified or developed under subsection (b) 
publicly available on the websites of the Department of 
Health and Human Services, the Department of Justice, 
and the Department of Housing and Urban Development, 
and shall disseminate the indicators identified or devel-
oped under subsection (b) to— 
(1) State agencies, which may include the provi-
sion of technical assistance to State agencies seeking 
to adopt or implement policies to better identify po-
tentially fraudulent recovery housing operators; 
(2) health insurance issuers; 
(3) the Administrator of the Centers for Medi-
care & Medicaid Services; 
(4) the Secretary of Labor; 
(5) the Secretary of Housing and Urban Devel-
opment; 
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(6) State and local law enforcement agencies; 
and 
(7) the public, as appropriate. 
(e) UPDATES.—The Secretary shall update the indi-
cators identified under this section as necessary. 
(f) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to provide the Secretary with the 
ability to require States to adhere to minimum standards 
regarding State oversight of recovery housing. 
Æ 
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