S.B. 649                                                  VETOES

15-123.1.

(A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANINGS
INDICATED.

(2)     "BODILY INJURY" MEANS:

(I)      A CUT, ABRASION, BRUISE, BURN, OR DISFIGUREMENT;

(II)     ILLNESS;

(III)   IMPAIRMENT OF THE FUNCTION OF A BODY PART, ORGAN, OR
MENTAL FACULTY;

(IV)   PHYSICAL PAIN; OR

(V)     ANY OTHER INJURY TO THE BODY.

(3) "FALSE REPRESENTATIONS RELATING TO MEDICAID HEALTH
PLANS" MEANS:

(I) KNOWINGLY AND WILLFULLY CONCEALING. FALSIFYING, OR
OMITTING A MATERIAL FACT; OR

(II) KNOWINGLY AND WILLFULLY MAKING A MATERIALLY FALSE
OR FRAUDULENT REPRESENTATION OR USING A DOCUMENT THAT CONTAINS A
MATERIALLY FALSE OR FRAUDULENT REPRESENTATION.

(4) "MEDICAID HEALTH FLAN" MEANS:

(I) A STATE PLAN ESTABLISHED BY TITLE XIX OF THE SOCIAL
SECURITY ACT OF 1939,

(II) A PRIVATE HEALTH INSURANCE CARRIER, HEALTH

MAINTENANCE ORGANIZATION, HEALTH CARE COOPERATIVE OR ALLIANCE, OR
OTHER PERSON THAT PROVIDES OR CONTRACTS TO PROVIDE HEALTH CARE GOODS
OR SERVICES THAT ARE REIMBURSED BY OR ARE A REQUIRED BENEFIT OF A STATE
PLAN ESTABLISHED BY TITLE XIX OF THE SOCIAL SECURITY ACT OF 1939; OR

(III) A PERSON THAT PROVIDES, CONTRACTS, OR SUBCONTRACTS
TO PROVIDE HEALTH CARE GOODS OR SERVICES FOR AN ENTITY DESCRIBED IN
SUBPARAGRAPH (I) OR (II) Or TIBS PARAGRAPH.

(3)     "FALSE REPRESENTATION" MEANS:

(I) KNOWINGLY AND WILLFULLY CONCEALING, FALSIFYING, OR
OMITTING A MATERIAL FACT; OR

(II) KNOWINGLY AND WILLFULLY MAKING A MATERIALLY FALSE
OR FRAUDULENT STATEMENT OR USING A DOCUMENT THAT CONTAINS A
MATERIALLY FALSE OR FRAUDULENT STATEMENT.

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