This bill amends the Social Security Act to strengthen measures against fraud in federal health care programs by making certain exclusions mandatory. It requires the Secretary of Health and Human Services to exclude individuals and entities from participation if they are convicted of specific fraud-related offenses or found to have engaged in prohibited activities. Specifically, the legislation introduces new mandatory exclusion categories for offenses occurring one year after its enactment. These include convictions for misdemeanors relating to fraud, theft, embezzlement, or other financial misconduct connected to health care services or any government-funded program. Furthermore, individuals or entities found to have committed acts described in sections 1128A, 1128B, or 1129, which cover various forms of fraud and kickbacks, will also face mandatory exclusion. The bill includes conforming amendments to existing law, distinguishing between offenses committed before and after these new mandatory provisions take effect, thereby enhancing the government's ability to combat financial misconduct across its programs.