PlainBillCongress, translated.Legislation. Context. Public interest.Congressional Research Service
Version 00 · Introduced in Senate · Sep 29, 2010
Fighting Fraud and Abuse to Save Taxpayers' Dollars Act or FAST Act - Directs the Secretary of Health and Human Services (HHS), in order to ensure that service providers and suppliers that have operated in one state but are excluded from participation in the Medicare program are unable to participate in other federal health care programs in another state, to provide for increased coordination among specified federal, state, and related agencies.
Requires the Secretary to allow greater integration between Medicare databases so that: (1) Medicare administrative contractors, fiscal intermediaries, and carriers have immediate access to information identifying providers and suppliers excluded from participation in programs under titles XVIII (Medicare), XIX (Medicaid), or XXI (Children's Health Insurance Program) (CHIP) of the Social Security Act (SSA), as well as other federal health care programs; and (2) such information can be shared on a real-time basis across federal health care programs and agencies, and with state health agencies, state Medicaid and CHIP plans, and related contractors.
Requires the Secretary to implement fully the waste, fraud, and abuse detection solution of the Centers for Medicare & Medicaid Services called the One PI project by January 1, 2013.
Showing the opening paragraphs of the official summary.
Grants federal and state agencies real-time access to the National Practitioner Data Bank. Authorizes the Secretary to allow state Medicaid fraud control units and state and local law enforcement officials access to federal Medicare, Medicaid, and CHIP claims and payment data.
Directs the Comptroller General to study and report to Congress on whether and, if so, to what degree, the Federation of State Medical Boards may be useful in further strengthening the integrity of processes for enrolling service providers and suppliers under federal health care programs.
Amends the SSA, as amended by the Patient Protection and Affordable Care Act, to authorize information in the National Practitioner Data Bank to be made available on a real-time basis to specified federal, state, and private health care entities.
Directs the Secretary to establish an appeals process under which service providers or suppliers may have their names removed from the National Practitioner Data Bank.
Prohibits the Secretary from contracting with a Medicare administrative contractor unless the contractor agrees to reimburse the Secretary for any amounts paid for any non-emergency item or service furnished by or at the medical direction of an individual or entity excluded from Medicare participation.
Denies discharge in bankruptcy proceedings of: (1) civil monetary penalties; (2) amounts due the Secretary for overpayment of service providers where a health care provider or a supplier engages in fraudulent activity; or (3) amounts due from breach of a scholarship or loan contract.
Prohibits Medicaid or CHIP payments for items or services unless the claim contains a valid beneficiary identification number and a valid National Provider Identifier.
Requires managed care entities and Medicaid managed care organizations to comply with certain screening, oversight, and reporting requirements.
Subjects to specified criminal penalties the knowing, intentional, and fraudulent purchase, sale, or distribution of a Medicare, Medicaid, or CHIP beneficiary identification number or billing privileges.
Directs the Secretary to establish a two-year pilot program under which Medicare claims for items covered by universal product numbers (UPNs) contain the UPN.
Requires the Secretary to establish cost-effective procedures to ensure that a Social Security account number (or any derivative) is not displayed, coded, or embedded on an individual's Medicare card.
People & committees
Sen. Coburn, Tom [R-OK] · R–OK
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Read twice and referred to the Committee on Finance.
Sponsor introductory remarks on measure. (CR S7804)
Introduced in Senate
Primary sources
Text links open the official source. We currently store references to these documents.
Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.
AI Conversation Starters
Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.
Analyze S.3900 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.
Examine S.3900 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.
Examine S.3900 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.
Examine S.3900 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.