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The Stark Act, 42 U.S.C. Â§ 1395nn, is a piece of legislation that was enacted to combat kickbacks to physicians for the referral of lab tests. Elsenety v. Health Care Fin. Admin., 85 Fed. Appx. 405, 409 (6th Cir. 2003).
The Omnibus Budget Reconciliation Act of 1993 contained what is known as Stark II amendments to the original law.  Stark II extended the Stark I provisions to Medicaid patients and to DHS other than clinical laboratory services.