S 3186 · 102th Congress · Health

Ethics in Referrals and Billing Act of 1992

Introduced 1992-08-12· Sponsored by Sen. Adams, Brock [D-WA]· Senate

Bill Progress

Introduced
2
Committee
3
Senate Vote
4
House
5
Enacted
Latest: Read twice and referred to the Committee on Labor and Human Resources.(1992-08-12)

Plain Language Summary

[AI summary unavailable — showing source text] Ethics in Referrals and Billing Act of 1992 - Amends the Public Health Service Act to create a new title on physician referral and billing. Prohibits, subject to exceptions, referrals and related billing by physicians involving an entity in which the physician (or an immediate family member) has a financial relationship. Requires each entity providing health-related items or services to disclose certain information concerning the entity's ownership. Declares that no individual, entity, or third party payor shall be required to pay for items or services in connection with a prohibited referral. Makes any person collecting such payments liable to the payor. Requires insurance payors to report violation patterns. Provides for civil fines for persons repeatedly presenting bills, physicians repeatedly making referrals, and persons acting in concert in violation. Allows for violations: (1) suspension, revocation, or limitation of laboratory certificates; and (2) exclusion from any program under title XVIII (Medicare) of the Social Security Act. Makes it unlawful, subject to exception, for any: (1) person who furnishes ancillary health services to present a bill to any person other than t…

Summarized by Claude AI · Non-partisan · For informational purposes only

Cosponsors (2)

2 Democrats