(C) the sharing by the Office of any such 
information related to the medical antifraud 
programs established under this section. 
(f) PROTECTING LEGITIMATE PROVIDERS AND SUP-
PLIERS.— 
(1) INITIAL IMPLEMENTATION.—Not later than 
2 years after the date of enactment of this Act, the 
Secretary shall establish procedures for the imple-
mentation of fraud and abuse detection methods 
under all Federal health programs (including the 
programs under titles XVIII, XIX, and XXI of the 
Social Security Act) with respect to items and serv-
ices furnished by providers of services and suppliers 
that includes the following: 
(A) In the case of a new applicant to be 
such a provider or supplier, a background 
check, and in the case of a supplier a site visit 
prior to approval of participation in the pro-
gram and random unannounced site visits after 
such approval. 
(B) Not less than 5 years after the date of 
enactment of this Act, in the case of a provider 
or supplier who is not a new applicant, re-en-
rollment under the program, including a new 
background check and, in the case of a supplier, 
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smartinez on DSKB9S0YB1PROD with BILLS
a site-visit as part of the application process for 
such re-enrollment, and random unannounced 
site visits after such re-enrollment. 
(2) REQUIREMENT FOR PARTICIPATION.—In no 
case may a provider of services or supplier who does 
not meet the requirements under paragraph (1) par-
ticipate in any Federal health program. 
(3) BACKGROUND
CHECKS.—The Secretary 
shall determine the extent of the background check 
conducted under paragraph (1), including whether— 
(A) a fingerprint check is necessary; 
(B) a background check shall be conducted 
with respect to additional employees, board 
members, contractors or other interested parties 
of the provider or supplier; and 
(C) any additional national background 
checks regarding exclusion from participation in 
Federal health programs (such as the program 
under titles XVIII, XIX, or XXI of the Social 
Security Act), including conviction of any fel-
ony, crime that involves an act of fraud or false 
statement, adverse actions taken by State li-
censing 
boards, 
bankruptcies, 
outstanding 
taxes, or other indications identified by the In-
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spector General of the Department of Health 
and Human Services are necessary. 
(4) LIMITATION.—No payment may be made to 
a provider of services or supplier under any Federal 
health program if such provider or supplier fails to 
obtain a satisfactory background check under this 
subsection. 
(5) FEDERAL HEALTH PROGRAM.—In this sub-
section, the term ‘‘Federal health program’’ means 
any program that provides Federal payments or re-
imbursements to providers of health-related items or 
services, or suppliers of such items, for the provision 
of such items or services to an individual patient. 
(g) DEFINITION.—The term ‘‘Federal health agency’’ 
means the Department of Health and Human Services, 
the Department of Veterans Affairs, and any Federal 
agency with oversight or authority regarding the provision 
of any medical benefit, item, or service for which payment 
may be made under a Federal health care plan or contract. 
Æ 
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