# 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 — Federal civil penalty maximums — current inflation-adjusted amounts across agencies

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, not quoted from the source)_
- **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: appears in the quote below)_
- **Statutory authority:** 1395ss(q)(5)(C) _(verified: appears in the quote below)_
- **Maximum penalty:** 59,114 _(verified: appears in the quote below)_

## 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

## Source

- https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3

Last verified: 2026-08-10. Review by: 2027-02-26.
Part of [Federal civil penalty maximums — current inflation-adjusted amounts across agencies](https://referencesource.org/federal-civil-penalty-maximums/).