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Session 126 (2025-2026) Bill Number S 915 - Judiciary Committeee Amendment Considered 29-JUN-2026 |
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The Committee on Judiciary proposes the following amendment (SJ-915.SW0002S):
Amend the bill, as and if amended, SECTION 1, by striking Section 43-7-60(A)(1), (2), and (3) and inserting:
(1) "provider" includes Provider" means a person who provides goods, services, or assistance and who is entitled or claims to be entitled to receive reimbursement, payment, or benefits under the state'sState Medicaid programProgram. "Provider" also includes an owner, a billing agent, and a person acting as an employee, representative, or agent of the provider.Amend the bill further, SECTION 1, by striking Section 43-7-60(D) and inserting:
(D) A person who knowingly makes a false claim, statement, or misrepresentation, and any other person who knowingly assists, abets, solicits, or conspires with a person to make a false claim, statement, or misrepresentation, is guilty of a: A person who violates the provisions of this section subsection (B) or subsection (C), or a person who knowingly aids, assists, abets, solicits, or conspires with another person to violate the provisions of subsection (B) or subsection (C), is guilty of medical assistance provider fraud, a: Class A misdemeanor and, upon conviction, must be imprisoned not more than three years and fined not more than one thousand dollars for each offense.Amend the bill further, SECTION 1, by striking Section 43-7-60(F) and inserting:
(E)(F) In addition to all other remedies provided by law, the Attorney General may bring an action to recover damages equal to three times the amount of an overstatement or overpayment and the court may impose a civil penalty of two thousand dollars for each false claim, representation, or overstatement made to a state or federal agency which administers funds under the state's Medicaid program. Upon a finding that the provider has violated a provision of this section, the state agency which administers the Medicaid program may impose other administrative sanctions against the provider authorized by law. A civil or criminal action brought under this section may be filed or brought in either the county where the false claim, statement, or representation violation originated, or in the county in which the false claim, statement, or representation violation was received by the Health and Human Services Finance Commission Department of Health and Human Services or other agency of the State responsible for administering the state's Medicaid Program.Amend the bill further, SECTION 2, by striking Section 43-7-70(B) and inserting:
(B) A person who violates subsection (A), and any other or a person who knowingly aids, assists, abets, solicits, or conspires with a another person to make a false claim, statement, or misrepresentation as described in to violate subsection (A), is guilty of a:A person who violates the provisions of this section is guilty of medical assistance recipient fraud, a Class A misdemeanor and, upon conviction, must be imprisoned not more than three years or fined not more than one thousand dollars, or both.Amend the bill further, SECTION 2, by striking Section 43-7-70(D) and inserting:
(D) In addition to all other remedies under this section, the Attorney General may bring a civil action to recover damages equal to three times the amount of the overpayment by the state agency that administers funds under the State Medicaid Program. A civil or criminal action brought under this section may be filed or brought in either the county where the false claim, statement, or representation violation originated, or in the county in which the false claim, statement, or representation violation was received by the Health and Human Services Finance Commission Department of Health and Human Services or other agency of the State responsible for administering the State Medicaid Program.Renumber sections to conform.
Amend title to conform.