PRIA, Government Policy, Made Personal

Summary

Names certain crimes "Federal health care offenses" when someone breaks or plans to break specified federal laws. Those laws include violations of 18 U.S.C. sections 669, 1035, 1347, 1518, 287, 371, 664, 666, 1001, 1027, 1341, 1343, 1349, and 1954; section 1128B of the Social Security Act (42 U.S.C. 1320a–7b); section 301 of the FD&C Act (21 U.S.C. 331); and ERISA sections 501 (29 U.S.C. 1131), 411, 518, and 511. Defines "health care benefit program" as any public or private plan that affects commerce and gives medical benefits, items, or services, and it also covers the people or businesses that provide those services and can be paid under the plan.

Title 18, §24

Crimes and Criminal Procedure, Source: USLM XML via OLRC

(a)As used in this title, the term “Federal health care offense” means a violation of, or a criminal conspiracy to violate—

(1)section 669, 1035, 1347, or 1518 of this title or section 1128B of the Social Security Act (42 U.S.C. 1320a–7b); or

(2)section 287, 371, 664, 666, 1001, 1027, 1341, 1343, 1349, or 1954 of this title section 301 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 331), or section 501 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1131), or section 411, 518, or 511 of the Employee Retirement Income Security Act of 1974,, if the violation or conspiracy relates to a health care benefit program.

(b)As used in this title, the term “health care benefit program” means any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and includes any individual or entity who is providing a medical benefit, item, or service for which payment may be made under the plan or contract.

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 411, 518, and 511 of the Employee Retirement Income Security Act of 1974, referred to in subsec. (a)(2), are classified to section 1111, 1148, and 1141, respectively, of Title 29, Labor.

Amendments

2010—Subsec. (a)(1). Pub. L. 111–148, § 10606(c)(1), substituted “or section 1128B of the Social Security Act (42 U.S.C. 1320a–7b); or” for semicolon. Subsec. (a)(2). Pub. L. 111–148, § 10606(c)(2)(B), which directed insertion of “section 301 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 331), or section 501 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1131),” after “title,” was executed by making the insertion after “title” to reflect the probable intent of Congress because “title,” did not appear subsequent to amendment by Pub. L. 111–148, § 6602. See below. Pub. L. 111–148, § 10606(c)(2)(A), inserted “1349,” after “1343,”. Pub. L. 111–148, § 6602, inserted “or section 411, 518, or 511 of the Employee Retirement Income Security Act of 1974,” after “1954 of this title”.

§24 Definitions Relating to Federal Health Care Offense