Frequently Asked Questions

Product Information & GSA SAM Database

What is the GSA SAM database and why should healthcare providers screen it?

The GSA SAM (System for Award Management) database is a government-wide registry that lists individuals and entities excluded, suspended, or debarred from doing business with federal agencies. Healthcare providers should screen the SAM database to ensure employees, vendors, and contractors are not prohibited from participating in federal programs, protecting against compliance risks and potential penalties. Source

How did the GSA SAM database evolve?

The GSA SAM database evolved from several legacy systems, including the FedBizOpps (FBO), Central Contractor Registration (CCR), and Excluded Parties List System (EPLS). These were merged into SAM to streamline federal procurement and exclusion tracking. The migration occurred in July 2012, with additional functions added in May 2021. Source

What types of actions are reported to the SAM database?

More than a hundred federal agencies report adverse actions such as exclusions, suspensions, and debarments to the SAM database. As of the end of 2023, over 148,000 parties were listed. Source

Is there a cost to use the SAM database?

No, there is no cost to use the SAM database. It is publicly accessible for registration, exclusion searches, and other compliance functions. Source

What functions does the SAM database provide?

The SAM database allows users to register to do business with the U.S. Government, update or check entity registration, search for exclusion records, access contract opportunities, and view award data. Source

How often should healthcare providers screen the SAM database?

Exclusion Screening recommends that healthcare providers conduct comprehensive searches of all available databases, including the SAM database, each month to ensure compliance and avoid penalties. Source

What is the historical significance of the Federal Acquisition Streamlining Act of 1994?

The Federal Acquisition Streamlining Act of 1994 was enacted to reform and streamline federal procurement. It led to the creation and consolidation of several databases, ultimately resulting in the SAM database. Source

What are the risks of not screening the SAM database?

Failing to screen the SAM database can expose healthcare providers to compliance risks, including penalties, legal repercussions, and loss of eligibility for federal programs. Source

How does Exclusion Screening help providers with SAM database compliance?

Exclusion Screening offers comprehensive exclusion screening services, including monthly checks against the SAM database, OIG LEIE, and state Medicaid exclusion lists. This ensures providers remain compliant and avoid penalties. Source

Where can I find a provider’s guide to the GSA SAM database?

Exclusion Screening offers a provider’s guide to the GSA SAM database, explaining its key aspects and compliance requirements. You can access it at this link.

What is the Excluded Parties List System (EPLS) and how does it relate to SAM?

The EPLS was a database of excluded, debarred, or suspended parties from federal contracts. In July 2012, EPLS and other legacy systems were migrated into the SAM database to centralize exclusion tracking. Source

What is the Central Contractor Registration (CCR) program?

The CCR was a centralized electronic registration process for vendors and contractors seeking to do business with the Department of Defense. In July 2012, CCR transitioned to the SAM database. Source

What is the FedBizOpps (FBO) website and its connection to SAM?

The FedBizOpps (FBO) website was a single point-of-entry for federal procurement opportunities over ,000. Its functions were merged into the SAM database in May 2021. Source

How can I schedule a free consultation with Exclusion Screening?

You can schedule a free consultation with Exclusion Screening by calling 1-800-294-0952 or filling out the assessment form on their website. Source

What other exclusion lists should providers screen besides SAM?

Providers should also screen the OIG’s List of Excluded Individuals and Entities (LEIE) and all available State Medicaid exclusion lists to ensure comprehensive compliance. Source

What is the role of Exclusion Screening in monthly compliance?

Exclusion Screening recommends monthly checks against all relevant exclusion databases, including SAM, to protect healthcare organizations from compliance risks and penalties. Source

Where can I find definitions of key compliance terms like OIG, LEIE, and SAM?

Exclusion Screening provides a glossary of key healthcare compliance terms, including OIG, LEIE, and SAM, at this link.

How can I learn about the screening process step-by-step?

Exclusion Screening offers a step-by-step guide to their screening process, from enrollment to monthly reports, at this link.

Where can I find a map of state Medicaid exclusion lists?

Exclusion Screening provides a map of all states with separate Medicaid exclusion lists at this link.

Features & Capabilities

What features does Exclusion Screening offer for compliance?

Exclusion Screening offers employee screening, vendor and contractor screening, a compliance hotline, and proprietary SAFER™ software that automates exclusion checks with daily updates and advanced algorithms. Source

How does the SAFER™ software improve exclusion screening?

The SAFER™ software automates exclusion screening, updates daily, uses advanced algorithms to handle inconsistent data formats and duplicate names, and scales to organizations of all sizes. Source

Does Exclusion Screening offer vendor and contractor screening?

Yes, Exclusion Screening verifies vendors and contractors against exclusion lists to ensure compliant business relationships and reduce regulatory risks. Source

What is the compliance hotline and how does it work?

The compliance hotline is a secure, anonymous channel for employees and partners to report fraud, waste, and abuse, fostering integrity and early issue detection. Source

Does Exclusion Screening offer white label services?

Yes, Exclusion Screening provides partnership and reseller opportunities, allowing organizations to offer exclusion screening software under their own brand. Source

How quickly can Exclusion Screening be implemented?

New clients can begin screening within 1 day, with seamless integration and support from compliance specialists. Source

What makes Exclusion Screening’s approach unique?

Exclusion Screening is developed by nationally recognized former Federal prosecutors, uses resolution-focused screening, and automates compliance with advanced software, providing legal and operational expertise unmatched in the market. Source

Pricing & Plans

What is Exclusion Screening’s pricing model?

Exclusion Screening offers competitive, customized pricing based on the specific monitoring lists and volume of screenings required. Pricing is tailored to each client’s needs, ensuring cost-effectiveness and scalability. Source

How can I get a quote for Exclusion Screening services?

You can request a personalized quote by filling out the form on Exclusion Screening’s contact page. A team member will reach out to discuss your needs and pricing. Source

Use Cases & Benefits

Who can benefit from Exclusion Screening’s services?

Healthcare providers, compliance officers, risk managers, legal teams, and organizations with extensive vendor networks benefit from Exclusion Screening’s tailored solutions for compliance and risk mitigation. Source

What business impact can Exclusion Screening deliver?

Exclusion Screening improves compliance, reduces legal and financial risks, saves time and resources, and enhances operational efficiency for organizations of all sizes. Source

Are there any case studies demonstrating Exclusion Screening’s effectiveness?

Yes, Exclusion Screening provides a case study on OIG exclusions, detailing the impact of a False Claims Act judgment on a Texas-based laboratory services company. Read the full case study here.

What industries are represented in Exclusion Screening’s case studies?

The laboratory services industry is represented in Exclusion Screening’s case studies, specifically a Texas-based laboratory services company. For more industries, contact Exclusion Screening directly. Source

Pain Points & Problem Solving

What compliance challenges does Exclusion Screening address?

Exclusion Screening automates complex compliance processes, resolves manual screening inefficiencies, mitigates regulatory risks, provides fraud detection channels, and offers cost-effective, scalable solutions. Source

How does Exclusion Screening help avoid legal penalties?

Resolution-focused screening confirms identities using multiple data points, helping organizations avoid penalties like Civil Monetary Penalties (CMP) by ensuring thorough and accurate exclusion checks. Source

How does Exclusion Screening address manual screening challenges?

Exclusion Screening uses advanced algorithms and daily updates to handle inconsistent data formats, frequent database changes, and duplicate names, reducing false positives and negatives. Source

How does Exclusion Screening support organizations with resource constraints?

By automating the screening process, Exclusion Screening saves organizations significant time and resources, making compliance manageable for small practices and large healthcare systems alike. Source

Competition & Comparison

How does Exclusion Screening differ from competitors?

Exclusion Screening stands out with proprietary SAFER™ software, resolution-focused screening, expertise from former Federal prosecutors, comprehensive services, and scalable, cost-effective solutions. Source

Why choose Exclusion Screening over other exclusion screening providers?

Exclusion Screening offers daily updates, advanced algorithms, resolution-based screening, legal expertise, and a commitment to affordability and scalability, making it a preferred choice for reliable compliance. Source

Technical Requirements & Support

What technical requirements are needed to use Exclusion Screening?

Exclusion Screening’s SAFER™ software is designed for seamless integration and does not require extensive technical expertise. Dedicated support is provided for setup and ongoing use. Source

What support does Exclusion Screening provide during implementation?

Exclusion Screening offers dedicated support from compliance specialists to ensure a smooth and hassle-free setup, enabling clients to start screening within one day. Source

Company Information & Vision

Who founded Exclusion Screening and what is their expertise?

Exclusion Screening was founded by nationally recognized former Federal prosecutors Robert Liles and Paul Weidenfeld, who have over 70 years of combined experience in healthcare and compliance law. Source

What is Exclusion Screening’s vision and mission?

Exclusion Screening aims to be a national leader in exclusionary screening, providing competitively priced, accessible services to organizations of all sizes. Its mission is to simplify compliance, mitigate legal risks, and support healthcare providers in focusing on their core operations. Source

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A Provider’s Guide to the GSA SAM Database.

Health care providers and suppliers should also screen the General Services Administration’s (GSA’s) System for Award Management (SAM) database to ensure that the individuals and entities they employ or do business with have not been suspended or debarred from doing business with certain federal agencies and the programs they administer.

The importance of screening employees, vendors and contractors against available federal and State exclusion databases cannot be overemphasized.  Despite the best efforts of the Department of Health and Human Services (HHS), Office of Inspector General (OIG), “exclusion screening” remains perhaps the least appreciated compliance risk faced by many small and mid-sized healthcare providers and suppliers.[1] To the extent that a health care provider has, in fact, taken steps to properly screen its staff and contractors, many have restricted their reviews to periodic screens of the OIG’s List of Excluded Individuals and Entities (LEIE),[2] and their State’s list of parties excluded from participation in Medicaid and other state-funded health care programs.  Unfortunately, screening against these databases isn’t sufficient to identify individuals and entities that may have been excluded, suspended or debarred from doing business with other federal agencies and the non-Medicare programs they administer.  For the reasons set out in this article, insurance payors, health care providers and suppliers should also screen the General Services Administration’s (GSA’s) System for Award Management (SAM) database to ensure that the individuals and entities they employ or do business with have not been suspended or debarred from doing business with certain federal agencies and the programs they administer. This article also examines the role of the GSA’s SAM Database with respect to screening for excluded, suspended and debarred individuals and entities.

Historical Overview of the GSA’s System for Award Management (SAM) Database:

Today’s GSA’s SAM database has evolved from humble beginnings over the last 30 years. After being sworn in as President in 1993, President William Clinton instructed his administration to conduct a National Performance Review of the “business” of government.  In September 1993, the task force appointed to conduct this review issued its report and outlined 380 recommendations for (1) management reform, (2) reorganization, and (3) government downsizing.  A year later, in September 1994, the task force reported that 90% of its initial recommendations had been implemented, resulting in projected savings of $46.9 billion and reducing the federal employment rolls by 71,000 positions.[3]

These efforts to reduce and streamline the size of government enjoyed support from both Democratic and Republican legislators. Legislation previously passed by Congress, the “Federal Acquisition Streamlining Act of 1994”,[4] was signed into law by President Clinton in October 1994.  The stated purpose of this legislation was to streamline and reform the federal procurement process.

A. Legacy Databases and Registries Folded into GSA’s SAM Database.

Subsequent to the passage of the “Federal Acquisition Streamlining Act of 1994,” a number of procurement-related programs were implemented by various federal agencies in an effort to reform the federal procurement process.  Several of these efforts included the following: 

  • Establishment of the FedBizOpps (FBO) Website.  In 2002, the GSA first established the FedBizOpps (FBO) website.  The FBO was intended to serve as a single point-of-entry for federal procurement opportunities over $25,000.  While well intended, the FBO was roundly criticized by vendors and contractors hoping to learn of “Requests for Quotes” (RFQs) posted by federal agencies.  Unfortunately, the FBO was plagued with problems and was ultimately referred to as the WORST WEBSITE IN GOVERNMENT” by the Federal News Network[5] Ultimately, the GSA announced in October 2019 that the FBO’s functions would be merged into the beta version of the SAM database.  The migration and merger with the GSA’s SAM database officially occurred in May 2021.
  • Establishment of the Central Contractor Registration (CCR) Program. Not surprisingly, the U.S. Department of Defense (DOD) played a key role in reorganizing and improving the federal government’s processes for purchasing goods and services from private vendors. Among its contributions, the DOD established a centralized electronic registration process known as the “Central Contractor Registration” (CCR) program.  The CCR was a serious step forward with respect to federal procurement.  It was intended to serve as a single point of contact for private vendors and contractors desiring to do business with the DOD.  To accomplish this, the DOD revised the Defense Federal Acquisition Regulation Supplement (DFARS) to require that vendors and contractors register with the CCR if they wanted to do business with DOD.  As required by DFARS 204.7302, the DOD mandated that after May 31, 1998, prospective vendors had to be registered with the CCR before they could be awarded a contract with the DOD. In October 2003, the GSA published a new Federal Acquisition Regulation(FAR)[6] policy[7] which required that ALL federal contractors register in the CCR database prior to awarding contracts and authorizing purchases from private vendors and contractors. In July 2012, the CCR transitioned to the GSA’s SAM database.   
  • Establishment of the Excluded Parties List System (EPLS).  In 2007, the General Services Administration established the Excluded Parties List System (EPLS).  The purpose of the EPLS was to maintain a database of individuals and entities that were excluded, debarred or suspended from doing business with the government.  Unfortunately, the EPLS was criticized by both users and the Government Accountability Office (GAO) because a number of excluded and debarred individuals and companies were able to circumvent the terms of their exclusion or debarment merely by operating under different identities.[8] In July 2012, GSA migrated its EPLS, and a number of other legacy systems to the new GSA’s SAM database.[9]

In addition to the above, a number of other procurement-related federal databases[10] have been folded into the GSA’s SAM database since its creation.  

B. Establishment of the SAM Database.

In 2012, the GSA first launched its “System for Award Management” (SAM) in an effort to address ongoing deficiencies with existing registries and to provide for a government-wide database that covers the needs of private contractors and vendors seeking to conduct business with the government. The SAM database also serves as a central registry for agencies to report certain adverse actions taken against individuals and vendors that have been suspended, excluded, debarred or otherwise sanctioned by a federal agency.  There is no cost to use the SAM database. The GSA’s SAM database website can be used to: 

  • Register to do business with the U.S. Government.
  • Update, renew, or check the status of your entity registration.
  • Search for entity registration and exclusion records.
  • Search for assistance listings (formerly CFDA.gov), wage determinations (formerly WDOL.gov), contract opportunities (formerly FBO.gov), and contract data reports (formerly part of FPDS.gov).
  • View and submit BioPreferred and Service Contract Reports.
  • Access publicly available award data via data extracts and system accounts

The SAM database is one of the sanction lists most frequently searched at the request of Exclusion ScreeningSM clients.  As discussed below, more than a hundred federal agencies, administrative offices, commissions, advisory councils, etc. In fact, a number of federal agencies have their own version of a “Suspension & Debarment Committee” that is responsible for reviewing procurement-related referrals for potential suspension and debarment action.

C. Various Agencies Currently Report Adverse Actions to GSA for Inclusion in the GSA’s SAM Database.

Since being established, the GSA’s SAM database has essentially become the central compendium for excluded, suspended, and debarred individuals and entities.  As of the end of 2023, there were more than 148,000 parties were listed in the SAM database.   

Final Thoughts Regarding the Screening of the GSA’s SAM Database

In order to protect your health care organization, it is strongly recommended that you screen employees, contractors, vendors and against the GSA’s SAM database.  We do not recommend that you limit your search efforts to only the OIG LEIE and all available State Medicaid exclusion lists. To ensure that your office is protected and potentially knows about an excluded, suspended or debarred individual, Exclusion Screening recommends that health care providers conduct a comprehensive search of all available databases, including the SAM database, each month. For a free consultation, please call 1-800-294-0952 or fill out our assessment of needs and costs found below.

Robert Liles is the author of this article. Contact the exclusion experts at Exclusion Screening, LLC today for a free consultation by calling 1-800-294-0952 or by filling out the form below.


[1] A detailed article covering the OIG exclusion process titled “A Provider’s Guide to OIG Exclusions” can be found on Exclusion Screening’s website.  

[2] The authority to exclude was granted to the Secretary of the Department of Health and Human services in the Civil Money Penalties Law (Public Law 97-35, 1981 (as codified at section 1128A of the SSA). The Secretary delegated it to its Office of Inspector General in 1988 (53 Fed. Reg. 12,993 (April 20, 1988)).  

[3] The National Performance Review and Other Government Reform Initiatives: An Overview, 1993-2001.  CRS Report for Congress.  (Updated June 4, 2001).

[4] “Federal Acquisition Streamlining Act of 1994,” Public Law No. 103-355. (10/13/1994). 

[5] See Federal News Network’s article titled “GSA’s eBuy Open pilot reminds us why FBO.gov remains a problem.”  (February 11, 2019).

[6] The Federal Acquisition Regulation(FAR) is the “primary regulation for use by all executive agencies in their acquisition of supplies and services with appropriated funds.” The Department of Defense (DOD), the General Services Administration (GSA), and the National Aeronautics and Space Administration (NASA) are jointly responsible for issuing the FAR. 

[7] Circular 2003-016, FAR case 2002-018. 

[8] Government Accountability Office (GAO) report titled “EXCLUDED PARTIES LIST SYSTEM – Suspended and Debarred Businesses and Individuals Improperly Receive Federal Funds.” GAO-09-174(February 2009).

[9] Department of Health and Human Services, Office of Inspector General (OIG), issuance titled “UPDATED — Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs.”  (Issued May 8, 2013).  See Footnote 6

[10] For example, both the Federal Agency Registration (Fedreg) and the Online Representations and Certifications Application (ORCA) were migrated over to the GSA’s SAM database.

[11] For additional information on the OPM suspension and debarment process, see Liles Parker’s article titled “The OPM Debarment Process – Responding to an FEHBP Debarment or Suspension Action in 2024.

[12]  With respect to vendors and contractors, the OIG suggests that providers use the same analysis in determining “whether or not to screen contractors, subcontractors, and the employees of contractors” that it uses for its own employee.  

[13] The OIG has twice published guidance of the effect of an OIG Exclusion. A Special Advisory Bulletin on the Effects of Exclusion from Federal Health Care Programs” was issued September 2, 1999, and an “Updated Special Advisory Bulletin on the Effect of Exclusions from Participation in Federal Health Care Programs” was issued May 8, 2013.   

[14] The FAR allows for contractors to be suspended or debarred. A contractor is any individual or organization that: (a) Directly or indirectly submits offers for or is awarded, or reasonably may be expected to submit offers for or be awarded, a government contract or subcontract; or (b) Conducts business, or reasonably may be expected to conduct business, with the Government as an agent or representative of another contractor; or (c) Those directly and indirectly involved in the wrongdoing or alleged wrongdoing. See GSA’s Acquisition Policy page.  

[15] See FAR Part 9, Contractor Qualifications, Subpart 9.407-2.

[16] See GSA’s Acquisition Policy page.   

[17] See FAR Part 9, Contractor Qualifications, Subpart 9.406-2

[18] Executive Order 12549 was put into place by President Ronald Reagan on February 18, 1986.

[19] See OFAC’s Civil Penalties and Enforcement Information chart for 2023.

Related Resources

Glossary

Definitions of key healthcare compliance terms like OIG, LEIE, and SAM.

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How It Works

See our step-by-step screening process from enrollment to monthly reports.

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State Databases

Map of all states with separate Medicaid exclusion lists we screen against.

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