S3593119th Congress

Punishing Health Care Fraudsters Act

Sponsored By: Senator Moody, Ashley [R-FL]

Introduced

Summary

Raises criminal and civil penalties for health care fraud. This bill would increase fines and prison terms and direct the U.S. Sentencing Commission to treat serious health care fraud as a "covered offense" when updating guidelines.

Show full summary
  • Patients and beneficiaries: Aims to strengthen deterrence and protect patients by making harm to victims and unauthorized disclosure of health information key factors in sentencing.
  • Providers and defendants: People convicted of fraud against federal health care programs would face bigger fines, including up to $250,000, and longer prison terms such as increases to 25 years for certain offenses.
  • Courts and sentencing policy: Directs the Sentencing Commission to revise guidelines to weigh loss, planning, commercial motive, privacy breaches, patient harm, offender role, and duration when setting punishments.

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

Tougher penalties for health fraud

This bill would raise criminal penalties for health-care fraud and fraud involving Federal health programs. It would increase some prison maximums in 18 U.S.C. 1347 from 10 years to 25 years and from 20 years to 30 years. It would raise fines in the health-program fraud statute from $100,000 to $250,000, change a $20,000 limit to $100,000, and change a $4,000 penalty to $100,000 and six months to 1 year. The bill would also direct the U.S. Sentencing Commission to treat offenses under 18 U.S.C. 1347 and section 1128B as “covered offenses” and to review and, if appropriate, amend federal sentencing guidelines, considering loss, planning, profit motive, patient harm, privacy breaches, public-health risk, and offender role. These changes would apply to acts and statements on or after the date of enactment.

Sponsors & CoSponsors

Sponsor

Moody, Ashley [R-FL]

FL • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation