Reference Source

Penalty for any person that fails to suspend the policy of a policyholder made eligible for medical assistance or automatically reinstates the policy of a policyholder who has lost eligibility for medical assistance, under certain circumstances

For Penalty for any person that fails to suspend the policy of a policyholder made eligible for medical assistance or automatically reinstates the policy of a policyholder who has lost eligibility for medical assistance, under certain circumstances, agency is HHS; statutory authority is 1395ss(q)(5)(C); maximum penalty is 59,114, recorded from its source on 2026-08-10.

Agency
HHS our reading
Violation
Penalty for any person that fails to suspend the policy of a policyholder made eligible for medical assistance or automatically reinstates the policy of a policyholder who has lost eligibility for medical assistance, under certain circumstances verified
Statutory authority
1395ss(q)(5)(C) verified
Maximum penalty
59,114 verified
Sourceecfr.gov
Verified
Review by
DatasetFederal civil penalty maximums — current inflation-adjusted amounts across agencies

Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.

What the source says

1395ss(q)(5)(C) | <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(f)(5)> 42 CFR 402.105(f)(5) | CMS | Penalty for any person that fails to suspend the policy of a policyholder made eligible for medical assistance or automatically reinstates the policy of a policyholder who has lost eligibility for medical assistance, under certain circumstances | 2024 | 57,617 | 59,114

ecfr.gov, retrieved 2026-08-10

Source

Last verified against source: . Due for re-check by . This page as Markdown · OKF bundle · full dataset as JSON.