IB 
Union Calendar No. 330 
115TH CONGRESS 
1ST SESSION H. R. 3245 
[Report No. 115–448, Part I] 
To amend title XI of the Social Security Act to increase civil money penalties 
and criminal fines for Federal health care program fraud and abuse, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 14, 2017 
Mr. BILIRAKIS (for himself and Ms. CASTOR of Florida) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
DECEMBER 6, 2017 
Reported from the Committee on Energy and Commerce 
DECEMBER 6, 2017 
The Committee on Ways and Means discharged; committed to the Committee 
of the Whole House on the State of the Union and ordered to be printed 
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A BILL 
To amend title XI of the Social Security Act to increase 
civil money penalties and criminal fines for Federal 
health care program fraud and abuse, and for other 
purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Civil and 
Criminal Penalties Update Act’’. 
SEC. 2. INCREASED CIVIL AND CRIMINAL PENALTIES AND 
INCREASED 
SENTENCES 
FOR 
FEDERAL 
HEALTH CARE PROGRAM FRAUD AND ABUSE. 
(a) INCREASED
CIVIL
MONEY
PENALTIES
AND 
CRIMINAL FINES.— 
(1) INCREASED CIVIL MONEY PENALTIES.—Sec-
tion 1128A of the Social Security Act (42 U.S.C. 
1320a–7a) is amended— 
(A) in subsection (a), in the matter fol-
lowing paragraph (10)— 
(i) by striking ‘‘$10,000’’ and insert-
ing ‘‘$20,000’’ each place it appears; 
(ii) by striking ‘‘$15,000’’ and insert-
ing ‘‘$30,000’’; and 
(iii) by striking ‘‘$50,000’’ and insert-
ing ‘‘$100,000’’ each place it appears; and 
(B) in subsection (b)— 
(i) in paragraph (1), in the flush text 
following subparagraph (B), by striking 
‘‘$2,000’’ and inserting ‘‘$5,000’’; 
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(ii) in paragraph (2), by striking 
‘‘$2,000’’ and inserting ‘‘$5,000’’; and 
(iii) in paragraph (3)(A)(i), by strik-
ing ‘‘$5,000’’ and inserting ‘‘$10,000’’. 
(2) 
INCREASED
CRIMINAL
FINES.—Section 
1128B of such Act (42 U.S.C. 1320a–7b) is amend-
ed— 
(A) in subsection (a), in the matter fol-
lowing paragraph (6)— 
(i) by striking ‘‘$25,000’’ and insert-
ing ‘‘$100,000’’; and 
(ii) by striking ‘‘$10,000’’ and insert-
ing ‘‘$20,000’’; 
(B) in subsection (b)— 
(i) in paragraph (1), in the flush text 
following subparagraph (B), by striking 
‘‘$25,000’’ and inserting ‘‘$100,000’’; and 
(ii) in paragraph (2), in the flush text 
following subparagraph (B), by striking 
‘‘$25,000’’ and inserting ‘‘$100,000’’; 
(C) 
in 
subsection 
(c), 
by 
striking 
‘‘$25,000’’ and inserting ‘‘$100,000’’; 
(D) in subsection (d), in the flush text fol-
lowing paragraph (2), by striking ‘‘$25,000’’ 
and inserting ‘‘$100,000’’; and 
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(E) in subsection (e), by striking ‘‘$2,000’’ 
and inserting ‘‘$4,000’’. 
(b) INCREASED SENTENCES FOR FELONIES INVOLV-
ING FEDERAL HEALTH CARE PROGRAM FRAUD
AND 
ABUSE.— 
(1) FALSE
STATEMENTS
AND
REPRESENTA-
TIONS.—Section 1128B(a) of the Social Security Act 
(42 U.S.C. 1320a–7b(a)) is amended, in the matter 
following paragraph (6), by striking ‘‘not more than 
five years or both, or (ii)’’ and inserting ‘‘not more 
than 10 years or both, or (ii)’’. 
(2) ANTIKICKBACK.—Section 1128B(b) of such 
Act (42 U.S.C. 1320a–7b(b)) is amended— 
(A) in paragraph (1), in the flush text fol-
lowing subparagraph (B), by striking ‘‘not more 
than five years’’ and inserting ‘‘not more than 
10 years’’; and 
(B) in paragraph (2), in the flush text fol-
lowing subparagraph (B), by striking ‘‘not more 
than five years’’ and inserting ‘‘not more than 
10 years’’. 
(3) FALSE
STATEMENT
OR
REPRESENTATION 
WITH RESPECT TO CONDITIONS OR OPERATIONS OF 
FACILITIES.—Section 1128B(c) of such Act (42 
U.S.C. 1320a–7b(c)) is amended by striking ‘‘not 
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more than five years’’ and inserting ‘‘not more than 
10 years’’. 
(4) EXCESS
CHARGES.—Section 1128B(d) of 
such Act (42 U.S.C. 1320a–7b(d)) is amended, in 
the flush text following paragraph (2), by striking 
‘‘not more than five years’’ and inserting ‘‘not more 
than 10 years’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to acts committed after the date 
of the enactment of this Act. 
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Union Calendar No. 330 
115TH CONGRESS 
1ST SESSION 
H. R. 3245 
[Report No. 115–448, Part I] 
A BILL 
To amend title XI of the Social Security Act to in-
crease civil money penalties and criminal fines 
for Federal health care program fraud and 
abuse, and for other purposes. 
DECEMBER 6, 2017 
Reported from the Committee on Energy and Commerce 
DECEMBER 6, 2017 
The Committee on Ways and Means discharged; com-
mitted to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
VerDate Sep 11 2014 
01:59 Dec 07, 2017
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