Loading chat...
AL HB416
Bill
Status
2/23/2012
Primary Sponsor
Roderick Scott
Click for details
AI Summary
-
Amends Section 22-1-11 of the Alabama Code to expand health care fraud prohibitions beyond Medicaid to include all state agencies administering state or federally funded health care programs.
-
Makes it unlawful to knowingly make false statements, representations, or omissions of material facts in claims or applications for medical benefits from any covered state health care program, with penalties of a fine up to $10,000 and imprisonment of 1-5 years.
-
Prohibits soliciting or receiving remuneration (kickbacks, bribes, rebates) for referring individuals for services or goods subject to reimbursement by covered health care programs, with same penalties of up to $10,000 fine and 1-5 years imprisonment.
-
Prohibits offering or paying remuneration to induce referrals or purchases of services and goods covered by state health care programs, with identical criminal penalties.
-
Exempts properly disclosed price discounts and legitimate employer-employee compensation from the remuneration prohibitions; becomes effective the first day of the third month following passage and approval.
Legislative Description
Health Insurance, unlawful to make false statement in a claim for medical benefits to be paid by state agencies that administer state or federally funded health care programs, unlawful to refer individual for service subject to reimbursement or solicit or receive remuneration for purchasing, leasing, ordering or arranging for or recommending purchashing, leasing, or ordering any good, facility, service or item for which payment may be made by state or federally funded health care program, Sec. 22-1-11 am'd
Health Insurance
Last Action
Read for the first time and referred to the House of Representatives committee on State Government
2/23/2012