The proposed rule from the Department of Health and Human Services aims to amend regulations related to the exclusion of individuals and entities from Federal health care programs to prevent fraud and abuse. It reflects changes made by the Medicaid Services Investment and Accountability Act of 2019, involving exclusion authorities for misclassification and false information about outpatient drugs. The rule also proposes updates to the Office of Inspector General's procedures and clarifications on factors influencing the length of exclusions and conditions for reinstatement. Public comments are open until January 31, 2025, and can be submitted electronically or by mail.
Simple Explanation
The government wants to change some rules to make sure people and companies play fair when they are involved in health care programs. They want to be clearer about how long someone can't be part of these programs if they do something wrong, and they want everyone to understand the rules better.