This legislation mandates that the Inspector General of the Department of Health and Human Services (HHS) submit comprehensive reports on Medicare and Medicaid fraud . The initial report is due within three months of enactment, with subsequent reports required every three months thereafter for a total period of two years. These reports are to be delivered to key congressional committees, including the House Committees on Ways and Means and Energy and Commerce, and the Senate Committees on Finance and Health, Education, Labor, and Pensions. Each report must provide detailed information for the preceding three-month period, specifically outlining the number of investigations conducted by the Inspector General. It also requires reporting on the number of criminal prosecutions and civil actions initiated as a result of these investigations, along with the dollar amount of fraud alleged in each case and the specific charges. Furthermore, the Inspector General must report on the number of individuals and entities excluded from participating in any federal health care program due to fraud-related convictions or acts. The bill defines "Medicare and Medicaid fraud" as any fraud related to the Medicare program under Title XVIII or the Medicaid program under Title XIX of the Social Security Act. Importantly, the legislation specifies that no additional funds are authorized for its implementation, meaning the requirements must be carried out using existing appropriations allocated to the Secretary of Health and Human Services or the Inspector General. This ensures that the reporting requirements are met without necessitating new budgetary allocations.