Medicare Civil and Criminal Penalties Update Act

Bill: 115-hr-3245
Sponsor: full_name: Rep. Bilirakis, Gus M. [R-FL-12]
Introduced: 2017-07-14
Policy area: Health
Subjects: Civil actions and liability

Fraud offenses and financial crimes

Health programs administration and funding

Medicaid

Medicare
Latest action: action_date: 2017-12-06
text: Placed on the Union Calendar, Calendar No. 330.

Summaries:
action_date: 2017-07-14
action_desc: Introduced in House
text: <p><b>Medicare Civil and Criminal Penalties Update Act</b></p> <p>This bill increases civil and criminal penalties relating to false claims and other&nbsp;abuse under&nbsp;Medicare, Medicaid, and other federal health care programs. </p>

action_date: 2017-12-06
action_desc: Reported to House without amendment, Part I
text: <p>(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.)</p> <p><b>Medicare Civil and Criminal Penalties Update Act</b></p> <p>(Sec. 2) This bill increases civil and criminal penalties relating to false claims and other&nbsp;abuse under&nbsp;Medicare, Medicaid, and other federal health care programs. </p>

tv_txt: I 115th CONGRESS 1st Session H. R. 3245 IN THE HOUSE OF REPRESENTATIVES July 14, 2017 Mr. Bilirakis (for himself and Ms. Castor of Florida ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 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.

1. Short title This Act may be cited as the Medicare Civil and Criminal Penalties Update Act . 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 Section 1128A of the Social Security Act ( 42 U.S.C. 1320a–7a ) is amended— (A) in subsection (a), in the matter following paragraph (10)— (i) by striking $10,000 and inserting $20,000 each place it appears; (ii) by striking $15,000 and inserting $30,000 ; and (iii) by striking $50,000 and inserting $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 ; (ii) in paragraph (2), by striking $2,000 and inserting $5,000 ; and (iii) in paragraph (3)(A)(i), by striking $5,000 and inserting $10,000 . (2) Increased criminal fines Section 1128B of such Act ( 42 U.S.C. 1320a–7b ) is amended— (A) in subsection (a), in the matter following paragraph (6)— (i) by striking $25,000 and inserting $100,000 ; and (ii) by striking $10,000 and inserting $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 following paragraph (2), by striking $25,000 and inserting $100,000 ; and (E) in subsection (e), by striking $2,000 and inserting $4,000 . (b) Increased sentences for felonies involving Federal health care program fraud and abuse (1) False statements and representations 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 following 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 following 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 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.

tv_txt: IB Union Calendar No. 330 115th CONGRESS 1st Session H. R. 3245 [Report No. 115–448, Part I] IN THE HOUSE OF REPRESENTATIVES July 14, 2017 Mr. Bilirakis (for himself and Ms. Castor of Florida ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee 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 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.

1. Short title This Act may be cited as the Medicare Civil and Criminal Penalties Update Act . 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 Section 1128A of the Social Security Act ( 42 U.S.C. 1320a–7a ) is amended— (A) in subsection (a), in the matter following paragraph (10)— (i) by striking $10,000 and inserting $20,000 each place it appears; (ii) by striking $15,000 and inserting $30,000 ; and (iii) by striking $50,000 and inserting $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 ; (ii) in paragraph (2), by striking $2,000 and inserting $5,000 ; and (iii) in paragraph (3)(A)(i), by striking $5,000 and inserting $10,000 . (2) Increased criminal fines Section 1128B of such Act ( 42 U.S.C. 1320a–7b ) is amended— (A) in subsection (a), in the matter following paragraph (6)— (i) by striking $25,000 and inserting $100,000 ; and (ii) by striking $10,000 and inserting $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 following paragraph (2), by striking $25,000 and inserting $100,000 ; and (E) in subsection (e), by striking $2,000 and inserting $4,000 . (b) Increased sentences for felonies involving Federal health care program fraud and abuse (1) False statements and representations 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 following 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 following 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 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.

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