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H.R.1255 / 103rd Congress

National Health Care Anti-Fraud and Abuse Act of 1993

Referred to the Subcommittee on Health and the Environment.

Official summary

Version 00 · Introduced in House · Mar 9, 1993

TABLE OF CONTENTS: Title I: All-Payer Fraud and Abuse Program Title II: Revisions to Current Sanctions for Fraud and Abuse Title III: Administrative and Miscellaneous Provisions National Health Care Anti-Fraud and Abuse Act of 1993 - Title I: All-Payer Fraud and Abuse Program - Requires the Secretary of Health and Human Services to establish a national program to control health care fraud and abuse and facilitate Federal, State, and local enforcement of Medicare and Medicaid (titles XVIII and XIX of the Social Security Act (SSA)) fraud and abuse programs. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund. Authorizes appropriations. Amends SSA title XI to provide for the application of sanctions under the Medicare and Medicaid fraud and abuse programs for specified violations to similar violations by any health benefit plan. Requires the Secretary to establish a program through which Medicare beneficiaries may report allegations of fraud by providers under Medicare. Requires the annual notice of benefits mailed to Medicare beneficiaries to contain a description of such programs. Title II: Revisions to Current Sanctions for Fraud and Abuse - Makes revisions in specified current sanctions for fraud and abuse under Medicare and Medicaid and transfers certain of them for application under the new national program created above. Title III: Administrative and Miscellaneous Provisions - Requires providers to submit claims in a uniform claims format according to standards prescribed by the Secretary. Amends SSA title XI part A to direct the Secretary to publish in the Federal Register a listing of all final adverse actions taken during the quarter. Requires the Secretary to study and report to the Congress on electronic reporting of provider ownership information under the new program.

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Who introduced it

Rep. Stark, Fortney Pete [D-CA-13] · D–CA

Committees

  • Energy and Commerce Committee
  • Ways and Means Committee
7 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Referred to the Subcommittee on Health and the Environment.

  2. Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.

  3. Referred to the Subcommittee on Health.

  4. Referred to the House Committee on Ways and Means.

  5. Referred to the House Committee on Energy and Commerce.

  6. Sponsor introductory remarks on measure. (CR E541-542)

  7. Introduced in House

  8. Introduced in House

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.1255 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.1255 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

Examine H.R.1255 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Individual rights and government power

Liberty lens

Examine H.R.1255 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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