To amend title XI of the Social Security Act to expand the permissive exclusion from Federal health programs to include certain individuals with prior interest in sanctioned entities and entities affiliated with sanctioned entities, and for other purposes.

Fighting Medicare Fraud Act of 2018 This bill expands the authority of the Centers for Medicare & Medicaid Services (CMS) to exclude from participation in federal health programs certain affiliates of a sanctioned entity. (A "sanctioned entity" is one that has been convicted of one of several specified crimes or excluded from participation under either Medicare or a state health care program.) In addition, the bill requires Medicare Advantage organizations to report instances of fraud or abuse to the CMS within 60 days.