**Agency:** DOJ

**Violation:** IRCA; Unfair immigration-related employment practices, subsequent order (per individual discriminated against)

**Statutory authority:** 8 U.S.C. 1324b(g)(2)(B)(iv)(III)

**Maximum penalty:** 23,647

**Minimum penalty:** 7,093,

> <https://www.govinfo.gov/link/uscode/8/1324b> 8 U.S.C. 1324b(g)(2)(B)(iv)(III) | IRCA; Unfair immigration-related employment practices, subsequent order (per individual discriminated against) | <https://www.ecfr.gov/current/title-28/section-68.52#p-68.52(d)(1)(x)> 28 CFR 68.52(d)(1)(x) | Min 6,913, Max 23,048 | Min 7,093, Max 23,647

Source: <https://www.ecfr.gov/current/title-28/chapter-I/part-85/section-85.5>

IRCA; Unfair immigration-related employment practices, subsequent order (per individual discriminated against) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** DOJ

**Violation:** IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document)

**Statutory authority:** 8 U.S.C. 1324c(d)(3)(A)

**Maximum penalty:** 4,730

**Minimum penalty:** 590,

> <https://www.govinfo.gov/link/uscode/8/1324c> 8 U.S.C. 1324c(d)(3)(A) | IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document) | <https://www.ecfr.gov/current/title-28/section-68.52#p-68.52(e)(1)(i)> 28 CFR 68.52(e)(1)(i) | Min 575, Max 4,610 | Min 590, Max 4,730

Source: <https://www.ecfr.gov/current/title-28/chapter-I/part-85/section-85.5>

IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** DOJ

**Violation:** IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document)

**Statutory authority:** 8 U.S.C. 1324c(d)(3)(A)

**Maximum penalty:** 3,988

**Minimum penalty:** 500,

> <https://www.govinfo.gov/link/uscode/8/1324c> 8 U.S.C. 1324c(d)(3)(A) | IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document) | <https://www.ecfr.gov/current/title-28/section-68.52#p-68.52(e)(1)(ii)> 28 CFR 68.52(e)(1)(ii) | Min 487, Max 3,887 | Min 500, Max 3,988

Source: <https://www.ecfr.gov/current/title-28/chapter-I/part-85/section-85.5>

IRCA; Document fraud, first order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** DOJ

**Violation:** IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document)

**Statutory authority:** 8 U.S.C. 1324c(d)(3)(B)

**Maximum penalty:** 11,823

**Minimum penalty:** 4,730,

> <https://www.govinfo.gov/link/uscode/8/1324c> 8 U.S.C. 1324c(d)(3)(B) | IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document) | <https://www.ecfr.gov/current/title-28/section-68.52#p-68.52(e)(1)(iii)> 28 CFR 68.52(e)(1)(iii) | Min 4,610, Max 11,524 | Min 4,730, Max 11,823

Source: <https://www.ecfr.gov/current/title-28/chapter-I/part-85/section-85.5>

IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(1)-(4) (per document) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** DOJ

**Violation:** IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document)

**Statutory authority:** 8 U.S.C. 1324c(d)(3)(B)

**Maximum penalty:** 9,970

**Minimum penalty:** 3,988,

> <https://www.govinfo.gov/link/uscode/8/1324c> 8 U.S.C. 1324c(d)(3)(B) | IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document) | <https://www.ecfr.gov/current/title-28/section-68.52#p-68.52(e)(1)(iv)> 28 CFR 68.52(e)(1)(iv) | Min 3,887, Max 9,718 | Min 3,988, Max 9,970

Source: <https://www.ecfr.gov/current/title-28/chapter-I/part-85/section-85.5>

IRCA; Document fraud, subsequent order—for violations described in U.S.C. 1324c(a)(5)-(6) (per document) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Adjustment to penalties. Maximum penalty assessment for each day a hospice is not in substantial compliance with one or more conditions of participation

**Maximum penalty:** 11,413

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(2)(iii)> 42 CFR 488.1245(b)(2)(iii) | CMS | Adjustment to penalties. Maximum penalty assessment for each day a hospice is not in substantial compliance with one or more conditions of participation | 2024 | 11,124 | 11,413

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

Adjustment to penalties. Maximum penalty assessment for each day a hospice is not in substantial compliance with one or more conditions of participation — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Applicable solely to CY 2021 penalties, per day penalty for a hospital's noncompliance with making public standard charges for hospital items and services

**Maximum penalty:** 348

> | <https://www.ecfr.gov/current/title-45/section-180.90#p-180.90(c)(2)(i)> 45 CFR 180.90(c)(2)(i) | CMS | Applicable solely to CY 2021 penalties, per day penalty for a hospital's noncompliance with making public standard charges for hospital items and services | 2024 | 339 | 348

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

Applicable solely to CY 2021 penalties, per day penalty for a hospital's noncompliance with making public standard charges for hospital items and services — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** First occurrence (Minimum)

**Maximum penalty:** 1,227

> | | | First occurrence (Minimum) | 2024 | 1,196 | 1,227

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

First occurrence (Minimum) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** First occurrence

**Maximum penalty:** 1,227

> | | | First occurrence | 2024 | 1,196 | 1,227

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

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


**Agency:** HHS

**Violation:** For each individual not enrolled as a result of the PACE organization's discrimination in enrollment or disenrollment or practice that would deny or discourage enrollment

**Maximum penalty:** 122,661

**Minimum penalty:** 18,399

> | | CMS | For each individual not enrolled as a result of the PACE organization's discrimination in enrollment or disenrollment or practice that would deny or discourage enrollment | 2024 | | | | | | Minimum | 2024 | 17,933 | 18,399 | | | | Maximum | 2024 | 119,555 | 122,661

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

For each individual not enrolled as a result of the PACE organization's discrimination in enrollment or disenrollment or practice that would deny or discourage enrollment — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Incremental increases for each subsequent occurrence

**Maximum penalty:** 614

> | | | Incremental increases for each subsequent occurrence | 2024 | 598 | 614

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

Incremental increases for each subsequent occurrence — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Maximum (Per Day)

**Maximum penalty:** 122

> | | | Maximum (Per Day) | 2024 | 119 | 122

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

Maximum (Per Day) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** National Highway Traffic Safety Administration

**Violation:** Medium- and heavy-duty vehicle fuel efficiency

**Maximum penalty:** $51,668 per vehicle or engine

> ( i ) Medium- and heavy-duty vehicle fuel efficiency. The maximum civil penalty for a violation of the fuel consumption standards of <https://www.ecfr.gov/current/title-49/part-535> 49 CFR part 535 is not more than $51,668 per vehicle or engine. The maximum civil penalty for a related series of violations shall be determined by multiplying $51,668 times the vehicle or engine production volume for the model year in question within the regulatory averaging set.

Source: <https://www.ecfr.gov/current/title-49/subtitle-B/chapter-V/part-578/section-578.6>

Medium- and heavy-duty vehicle fuel efficiency — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Minimum penalty for the second offense of an administrator who fails to provide notice of facility closure

**Maximum penalty:** 2,166

> | | | Minimum penalty for the second offense of an administrator who fails to provide notice of facility closure | 2024 | 2,111 | 2,166

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

Minimum penalty for the second offense of an administrator who fails to provide notice of facility closure — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Minimum penalty for the third and subsequent offenses of an administrator who fails to provide notice of facility closure

**Maximum penalty:** 4,329

> | | | Minimum penalty for the third and subsequent offenses of an administrator who fails to provide notice of facility closure | 2024 | 4,219 | 4,329

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

Minimum penalty for the third and subsequent offenses of an administrator who fails to provide notice of facility closure — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty against any individual who—with knowledge or reason to know—makes, presents or submits a false, fictitious or fraudulent claim to the Department

**Maximum penalty:** 13,133

> | <https://www.ecfr.gov/current/title-45/section-79.3#p-79.3(b)(1)(ii)> 45 CFR 79.3(b)(1)(ii) | HHS | Penalty against any individual who—with knowledge or reason to know—makes, presents or submits a false, fictitious or fraudulent claim to the Department | 2024 | 12,800 | 13,133

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

Penalty against any individual who—with knowledge or reason to know—makes, presents or submits a false, fictitious or fraudulent claim to the Department — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a clinical laboratory's failure to meet participation and certification requirements and the failure does not pose immediate jeopardy

**Maximum penalty:** 7,877

**Minimum penalty:** 132

> | <https://www.ecfr.gov/current/title-42/section-493.1834#p-493.1834(d)(2)(ii)> 42 CFR 493.1834(d)(2)(ii) . | CMS | Penalty for a clinical laboratory's failure to meet participation and certification requirements and the failure does not pose immediate jeopardy | 2024 | | | | | | Minimum | 2024 | 129 | 132 | | | | Maximum | 2024 | 7,678 | 7,877

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

Penalty for a clinical laboratory's failure to meet participation and certification requirements and the failure does not pose immediate jeopardy — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a HMO or competitive medical plan that expels or refuses to reenroll an individual per prescribed conditions

**Maximum penalty:** 68,445

> | | OIG | Penalty for a HMO or competitive medical plan that expels or refuses to reenroll an individual per prescribed conditions | 2024 | 66,712 | 68,445

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

Penalty for a HMO or competitive medical plan that expels or refuses to reenroll an individual per prescribed conditions — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in future

**Maximum penalty:** 273,774

> | | OIG | Penalty for a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in future | 2024 | 266,841 | 273,774

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

Penalty for a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in future — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to an individual or any other entity

**Maximum penalty:** 68,445

> | | OIG | Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to an individual or any other entity | 2024 | 66,712 | 68,445

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

Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to an individual or any other entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to the Secretary

**Maximum penalty:** 273,774

> | | OIG | Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to the Secretary | 2024 | 266,841 | 273,774

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

Penalty for a HMO or competitive medical plan that misrepresents or falsifies information to the Secretary — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in potential for harm

**Maximum penalty:** 23,634

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(3)(ii)> 42 CFR 488.845(b)(3)(ii) | CMS | Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in potential for harm | 2024 | 23,036 | 23,634

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

Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in potential for harm — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in actual harm

**Maximum penalty:** 26,262

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(3)(i)> 42 CFR 488.845(b)(3)(i) | CMS | Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in actual harm | 2024 | 25,597 | 26,262

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

Penalty for a home health agency's deficiency or deficiencies that cause immediate jeopardy and result in actual harm — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a hospital with less than 100 beds dumping patients needing emergency medical care

**Maximum penalty:** 68,445

> | | OIG | Penalty for a hospital with less than 100 beds dumping patients needing emergency medical care | 2024 | 66,712 | 68,445

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

Penalty for a hospital with less than 100 beds dumping patients needing emergency medical care — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid managed care organization that fails to comply with the applicable statutory requirements for such organizations.

**Maximum penalty:** 48,833

> | | CMS | Penalty for a Medicaid managed care organization that fails to comply with the applicable statutory requirements for such organizations. | 2024 | 47,596 | 48,833

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

Penalty for a Medicaid managed care organization that fails to comply with the applicable statutory requirements for such organizations. — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid managed care organization that misrepresents or falsifies information to another individual or entity

**Maximum penalty:** 48,833

> | | CMS | Penalty for a Medicaid managed care organization that misrepresents or falsifies information to another individual or entity | 2024 | 47,596 | 48,833

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

Penalty for a Medicaid managed care organization that misrepresents or falsifies information to another individual or entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid MCO misrepresenting or falsifying information to an individual or another entity

**Maximum penalty:** 65,653

> | | OIG | Penalty for a Medicaid MCO misrepresenting or falsifying information to an individual or another entity | 2024 | 63,991 | 65,653

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

Penalty for a Medicaid MCO misrepresenting or falsifying information to an individual or another entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid MCO misrepresenting or falsifying information to the Secretary

**Maximum penalty:** 262,614

> | | OIG | Penalty for a Medicaid MCO misrepresenting or falsifying information to the Secretary | 2024 | 255,964 | 262,614

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

Penalty for a Medicaid MCO misrepresenting or falsifying information to the Secretary — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid MCO that charges excessive premiums

**Maximum penalty:** 65,653

> | | OIG | Penalty for a Medicaid MCO that charges excessive premiums | 2024 | 63,991 | 65,653

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

Penalty for a Medicaid MCO that charges excessive premiums — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid MCO that fails to comply with contract requirements with respect to physician incentive plans

**Maximum penalty:** 59,114

> | | OIG | Penalty for a Medicaid MCO that fails to comply with contract requirements with respect to physician incentive plans | 2024 | 57,617 | 59,114

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

Penalty for a Medicaid MCO that fails to comply with contract requirements with respect to physician incentive plans — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicaid MCO that improperly expels or refuses to reenroll a beneficiary

**Maximum penalty:** 262,614

> | | OIG | Penalty for a Medicaid MCO that improperly expels or refuses to reenroll a beneficiary | 2024 | 255,964 | 262,614

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

Penalty for a Medicaid MCO that improperly expels or refuses to reenroll a beneficiary — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization employing or contracting with an individual or entity who violates 1395w-27(g)(1)(A)-(J)

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization employing or contracting with an individual or entity who violates 1395w-27(g)(1)(A)-(J) | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization employing or contracting with an individual or entity who violates 1395w-27(g)(1)(A)-(J) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization enrolling an individual in without prior written consent

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization enrolling an individual in without prior written consent | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization enrolling an individual in without prior written consent — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization failing to comply with marketing restrictions or applicable implementing regulations or guidance

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization failing to comply with marketing restrictions or applicable implementing regulations or guidance | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization failing to comply with marketing restrictions or applicable implementing regulations or guidance — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization misrepresenting or falsifying information to individual or other entity

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization misrepresenting or falsifying information to individual or other entity | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization misrepresenting or falsifying information to individual or other entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization misrepresenting or falsifying information to Secretary

**Maximum penalty:** 195,335

> | | OIG | Penalty for a Medicare Advantage organization misrepresenting or falsifying information to Secretary | 2024 | 190,389 | 195,335

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

Penalty for a Medicare Advantage organization misrepresenting or falsifying information to Secretary — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization that charges excessive premiums

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization that charges excessive premiums | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization that charges excessive premiums — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization that employs or contracts with excluded individual or entity

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization that employs or contracts with excluded individual or entity | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization that employs or contracts with excluded individual or entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization that engages in practice that would reasonably be expected to have the effect of denying or discouraging enrollment

**Maximum penalty:** 195,335

> | | OIG | Penalty for a Medicare Advantage organization that engages in practice that would reasonably be expected to have the effect of denying or discouraging enrollment | 2024 | 190,389 | 195,335

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

Penalty for a Medicare Advantage organization that engages in practice that would reasonably be expected to have the effect of denying or discouraging enrollment — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization that improperly expels or refuses to reenroll a beneficiary

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization that improperly expels or refuses to reenroll a beneficiary | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization that improperly expels or refuses to reenroll a beneficiary — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a Medicare Advantage organization transferring an enrollee to another plan without consent or solely for the purpose of earning a commission

**Maximum penalty:** 48,833

> | | OIG | Penalty for a Medicare Advantage organization transferring an enrollee to another plan without consent or solely for the purpose of earning a commission | 2024 | 47,596 | 48,833

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

Penalty for a Medicare Advantage organization transferring an enrollee to another plan without consent or solely for the purpose of earning a commission — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a PACE organization misrepresenting or falsifying information to CMS or the State

**Maximum penalty:** 195,335

> | | CMS | Penalty for a PACE organization misrepresenting or falsifying information to CMS or the State | 2024 | 190,389 | 195,335

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

Penalty for a PACE organization misrepresenting or falsifying information to CMS or the State — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a PACE organization that charges excessive premiums

**Maximum penalty:** 48,833

> | | CMS | Penalty for a PACE organization that charges excessive premiums | 2024 | 47,596 | 48,833

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

Penalty for a PACE organization that charges excessive premiums — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a physician who executes a document that falsely certifies home health needs for Medicare beneficiaries

**Maximum penalty:** 12,797

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(10)> 42 CFR 1003.210(a)(10) | OIG | Penalty for a physician who executes a document that falsely certifies home health needs for Medicare beneficiaries | 2024 | 12,473 | 12,797

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

Penalty for a physician who executes a document that falsely certifies home health needs for Medicare beneficiaries — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy and that is related predominately to structure or process-oriented conditions (Lower Range)

**Maximum penalty:** 0

**Minimum penalty:** 1,313

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(5)> 42 CFR 488.845(b)(5) | CMS | Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy and that is related predominately to structure or process-oriented conditions (Lower Range) | 2024 | | 0 | | | | Minimum | 2024 | 1,280 | 1,313 | | | | Maximum | 2024 | 2,559 | 2,625

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

Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy and that is related predominately to structure or process-oriented conditions (Lower Range) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy, but is directly related to poor quality patient care outcomes (Lower Range)

**Maximum penalty:** 0

**Minimum penalty:** 3,941

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(4)> 42 CFR 488.845(b)(4) | CMS | Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy, but is directly related to poor quality patient care outcomes (Lower Range) | 2024 | | 0 | | | | Minimum | 2024 | 3,841 | 3,941 | | | | Maximum | 2024 | 21,757 | 22,322

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

Penalty for a repeat and/or condition-level deficiency that does not constitute immediate jeopardy, but is directly related to poor quality patient care outcomes (Lower Range) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate above tobacco product requirement violations adjudicated in a single proceeding

**Maximum penalty:** 14,601,958

> | | | Penalty for aggregate above tobacco product requirement violations adjudicated in a single proceeding | 2024 | 14,232,205 | 14,601,958

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

Penalty for aggregate above tobacco product requirement violations adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such above violations adjudicated in a single proceeding

**Maximum penalty:** 15,108,023

> | | FDA | Penalty for aggregate of all such above violations adjudicated in a single proceeding | 2024 | 14,725,456 | 15,108,023

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

Penalty for aggregate of all such above violations adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such above violations in a single proceeding

**Maximum penalty:** 1,510,803

> | | FDA | Penalty for aggregate of all such above violations in a single proceeding | 2024 | 1,472,546 | 1,510,803

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

Penalty for aggregate of all such above violations in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such violations of tobacco product requirement adjudicated in a single proceeding

**Maximum penalty:** 1,460,195

> | | FDA | Penalty for aggregate of all such violations of tobacco product requirement adjudicated in a single proceeding | 2024 | 1,423,220 | 1,460,195

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

Penalty for aggregate of all such violations of tobacco product requirement adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such violations of tobacco product requirements adjudicated in a single proceeding

**Maximum penalty:** 1,460,195

> | | FDA | Penalty for aggregate of all such violations of tobacco product requirements adjudicated in a single proceeding | 2024 | 1,423,220 | 1,460,195

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

Penalty for aggregate of all such violations of tobacco product requirements adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such violations related to adulterated food adjudicated in a single proceeding

**Maximum penalty:** 997,034

> | | FDA | Penalty for aggregate of all such violations related to adulterated food adjudicated in a single proceeding | 2024 | 971,787 | 997,034

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

Penalty for aggregate of all such violations related to adulterated food adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all such violations related to tobacco product requirements adjudicated in a single proceeding

**Maximum penalty:** 14,601,958

> | | FDA | Penalty for aggregate of all such violations related to tobacco product requirements adjudicated in a single proceeding | 2024 | 14,232,205 | 14,601,958

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

Penalty for aggregate of all such violations related to tobacco product requirements adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of all violations related to devices in a single proceeding

**Maximum penalty:** 2,364,503

> | | FDA | Penalty for aggregate of all violations related to devices in a single proceeding | 2024 | 2,304,629 | 2,364,503

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

Penalty for aggregate of all violations related to devices in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for aggregate of for all such above violations adjudicated in a single proceeding

**Maximum penalty:** 1,460,195

> | | FDA | Penalty for aggregate of for all such above violations adjudicated in a single proceeding | 2024 | 1,423,220 | 1,460,195

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

Penalty for aggregate of for all such above violations adjudicated in a single proceeding — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an excluded party retaining ownership or control interest in a participating entity

**Maximum penalty:** 25,595

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(3)> 42 CFR 1003.210(a)(3) | OIG | Penalty for an excluded party retaining ownership or control interest in a participating entity | 2024 | 24,947 | 25,595

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

Penalty for an excluded party retaining ownership or control interest in a participating entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an isolated incident of noncompliance in violation of established HHA policy

**Maximum penalty:** 22,322

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(3)(iii)> 42 CFR 488.845(b)(3)(iii) | CMS | Penalty for an isolated incident of noncompliance in violation of established HHA policy | 2024 | 21,757 | 22,322

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

Penalty for an isolated incident of noncompliance in violation of established HHA policy — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an issuer that sells a Medicare supplemental policy and fails to make available for sale the core group of basic benefits when selling other Medicare supplemental policies with additional benefits or fails to provide the individual, before selling the policy, an outline of coverage describing benefits

**Maximum penalty:** 59,114

> | <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(f)(3)> 42 CFR 402.105(f)(3) , <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(4)> (4) | CMS | Penalty for an issuer that sells a Medicare supplemental policy and fails to make available for sale the core group of basic benefits when selling other Medicare supplemental policies with additional benefits or fails to provide the individual, before selling the policy, an outline of coverage describing benefits | 2024 | 57,617 | 59,114

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

Penalty for an issuer that sells a Medicare supplemental policy and fails to make available for sale the core group of basic benefits when selling other Medicare supplemental policies with additional benefits or fails to provide the individual, before selling the policy, an outline of coverage describing benefits — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an issuer that sells or issues a Medicare supplemental policy without disclosure statement

**Maximum penalty:** 59,114

> | | CMS | Penalty for an issuer that sells or issues a Medicare supplemental policy without disclosure statement | 2024 | 57,617 | 59,114

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

Penalty for an issuer that sells or issues a Medicare supplemental policy without disclosure statement — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an issuer that sells or issues Medicare supplemental polices after a given date that fail to conform to the NAIC or Federal standards established by statute

**Maximum penalty:** 59,114

> | <https://www.ecfr.gov/current/title-42/section-402.1#p-402.1(c)(25)> 42 CFR 402.1(c)(25) , <https://www.ecfr.gov/current/title-42/section-405402.105#p-405402.105(f)(2)> 405402.105(f)(2) | CMS | Penalty for an issuer that sells or issues Medicare supplemental polices after a given date that fail to conform to the NAIC or Federal standards established by statute | 2024 | 57,617 | 59,114

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

Penalty for an issuer that sells or issues Medicare supplemental polices after a given date that fail to conform to the NAIC or Federal standards established by statute — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for an issuer who sells, issues, or renews a Medigap Rx policy who is a Part D enrollee

**Maximum penalty:** 42,657

> | | CMS | Penalty for an issuer who sells, issues, or renews a Medigap Rx policy who is a Part D enrollee | 2024 | 41,577 | 42,657

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

Penalty for an issuer who sells, issues, or renews a Medigap Rx policy who is a Part D enrollee — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for any other person who violates safety and security procedures related to handling dangerous biological agents and toxins

**Maximum penalty:** 870,549

> | <https://www.ecfr.gov/current/title-42/section-1003.1410> 42 CFR 1003.1410 | OIG | Penalty for any other person who violates safety and security procedures related to handling dangerous biological agents and toxins | 2024 | 848,505 | 870,549

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

Penalty for any other person who violates safety and security procedures related to handling dangerous biological agents and toxins — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for any other violation specified in 42 CFR 460.40

**Maximum penalty:** 48,833

> | | CMS | Penalty for any other violation specified in <https://www.ecfr.gov/current/title-42/section-460.40> 42 CFR 460.40 | 2024 | 47,596 | 48,833

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

Penalty for any other violation specified in 42 CFR 460.40 — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for any person or entity who knowingly and willfully bills or collects for any outpatient therapy services or comprehensive outpatient rehabilitation services on other than an assignment-related basis. (Penalties are assessed in the same manner as 42 U.S.C. 1395m(k)(6) and 1395u(j)(2)(B) , which is assessed according to 1320a-7a(a))

**Maximum penalty:** 19,940

> | <https://www.ecfr.gov/current/title-42/section-402.1#p-402.1(c)(31)> 42 CFR 402.1(c)(31) , <https://www.ecfr.gov/current/title-42/section-402.105#p-402.105(d)(3)> 402.105(d)(3) | CMS | Penalty for any person or entity who knowingly and willfully bills or collects for any outpatient therapy services or comprehensive outpatient rehabilitation services on other than an assignment-related basis. (Penalties are assessed in the same manner as <https://www.govinfo.gov/link/uscode/42/1395m> 42 U.S.C. 1395m(k)(6) and <https://www.govinfo.gov/link/uscode/42/1395u> 1395u(j)(2)(B) , which is assessed according to 1320a-7a(a)) | 2024 | 19,435 | 19,940

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

Penalty for any person or entity who knowingly and willfully bills or collects for any outpatient therapy services or comprehensive outpatient rehabilitation services on other than an assignment-related basis. (Penalties are assessed in the same manner as 42 U.S.C. 1395m(k)(6) and 1395u(j)(2)(B) , which is assessed according to 1320a-7a(a)) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each day of noncompliance (Maximum)

**Maximum penalty:** 26,262

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(d)(1)(ii)> 42 CFR 488.845(d)(1)(ii) | CMS | Penalty for each day of noncompliance (Maximum) | 2024 | 25,597 | 26,262

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

Penalty for each day of noncompliance (Maximum) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each day of noncompliance (Maximum)

**Maximum penalty:** 26,262

> | | | Penalty for each day of noncompliance (Maximum) | 2024 | 25,597 | 26,262

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


**Agency:** HHS

**Violation:** Penalty for each day of noncompliance (Minimum)

**Maximum penalty:** 2,625

> | | | Penalty for each day of noncompliance (Minimum) | 2024 | 2,559 | 2,625

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

Penalty for each day of noncompliance (Minimum) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred

**Maximum penalty:** 73,011

**Minimum penalty:** 14,602

**Annual cap:** 2,190,294

> | <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(b)(2)(iii)(A)> 45 CFR 160.404(b)(2)(iii)(A) , <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(B)> (B) | OCR | Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred | 2024 | | | | | | Minimum | 2024 | 14,232 | 14,602 | | | | Maximum | 2024 | 71,162 | 73,011 | | | | Calendar Year Cap | 2024 | 2,134,831 | 2,190,294

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

Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred

**Maximum penalty:** 2,190,294

**Minimum penalty:** 73,011

**Annual cap:** 2,190,294

> | <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(b)(2)(iv)(A)> 45 CFR 160.404(b)(2)(iv)(A) , <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(B)> (B) | OCR | Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred | 2024 | | | | | | Minimum | 2024 | 71,162 | 73,011 | | | | Maximum | 2024 | 2,134,831 | 2,190,294 | | | | Calendar Year Cap | 2024 | 2,134,831 | 2,190,294

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

Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the covered entity or business associate knew, or, by exercising reasonable diligence, would have known that the violation occurred — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to reasonable cause and not to willful neglect

**Maximum penalty:** 73,011

**Minimum penalty:** 1,461

**Annual cap:** 2,190,294

> | <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(b)(2)(ii)(A)> 45 CFR 160.404(b)(2)(ii)(A) , <https://www.ecfr.gov/current/title-45/section-160.404#p-160.404(B)> (B) | OCR | Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to reasonable cause and not to willful neglect | 2024 | | | | | | Minimum | 2024 | 1,424 | 1,461 | | | | Maximum | 2024 | 71,162 | 73,011 | | | | Calendar Year Cap | 2024 | 2,134,831 | 2,190,294

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

Penalty for each February 18, 2009 or later violation of a HIPAA administrative simplification provision in which it is established that the violation was due to reasonable cause and not to willful neglect — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each per instance of hospice noncompliance, maximum per day per hospice program

**Maximum penalty:** 11,413

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(d)(1)(ii)> 42 CFR 488.1245(d)(1)(ii) | CMS | Penalty for each per instance of hospice noncompliance, maximum per day per hospice program | 2024 | 11,124 | 11,413

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

Penalty for each per instance of hospice noncompliance, maximum per day per hospice program — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each subsequent above violation in any 3-year period

**Maximum penalty:** 755,402

> | | | Penalty for each subsequent above violation in any 3-year period | 2024 | 736,274 | 755,402

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

Penalty for each subsequent above violation in any 3-year period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred

**Maximum penalty:** 51,299

**Minimum penalty:** 10,260

**Annual cap:** 1,538,970

> | <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(a)> 42 CFR 2.3(a) and <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(c)> (c) | OCR | Penalty for each violation of a <https://www.ecfr.gov/current/title-42/part-2> 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred | 2024 | | | | | | Minimum | 2024 | 10,000 | 10,260 | | | | Maximum | 2024 | 50,000 | 51,299 | | | | Calendar Year Cap | 2024 | 1,500,000 | 1,538,970

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

Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred

**Maximum penalty:** 1,538,970

**Minimum penalty:** 51,299

**Annual cap:** 1,538,970

> | <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(a)> 42 CFR 2.3(a) and <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(c)> (c) | OCR | Penalty for each violation of a <https://www.ecfr.gov/current/title-42/part-2> 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred | 2024 | | | | | | Minimum | 2024 | 50,000 | 51,299 | | | | Maximum | 2024 | 1,500,000 | 1,538,970 | | | | Calendar Year Cap | 2024 | 1,500,000 | 1,538,970

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

Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to willful neglect and was not corrected during the 30-day period beginning on the first date the person knew, or, by exercising reasonable diligence, would have known that the violation occurred — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to reasonable cause and not to willful neglect

**Maximum penalty:** 51,299

**Minimum penalty:** 1,026

**Annual cap:** 1,538,970

> | <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(a)> 42 CFR 2.3(a) and <https://www.ecfr.gov/current/title-42/section-2.3#p-2.3(c)> (c) | OCR | Penalty for each violation of a <https://www.ecfr.gov/current/title-42/part-2> 42 CFR part 2 provision in which it is established that the violation was due to reasonable cause and not to willful neglect | 2024 | | | | | | Minimum | 2024 | 1,000 | 1,026 | | | | Maximum | 2024 | 50,000 | 51,299 | | | | Calendar Year Cap | 2024 | 1,500,000 | 1,538,970

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

Penalty for each violation of a 42 CFR part 2 provision in which it is established that the violation was due to reasonable cause and not to willful neglect — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for employing or contracting with an excluded individual

**Maximum penalty:** 25,595

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(4)> 42 CFR 1003.210(a)(4) | OIG | Penalty for employing or contracting with an excluded individual | 2024 | 24,947 | 25,595

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

Penalty for employing or contracting with an excluded individual — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for failure by HMO or competitive medical plan to assure prompt payment of Medicare risk sharing contracts or incentive plan provisions

**Maximum penalty:** 68,445

> | | OIG | Penalty for failure by HMO or competitive medical plan to assure prompt payment of Medicare risk sharing contracts or incentive plan provisions | 2024 | 66,712 | 68,445

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

Penalty for failure by HMO or competitive medical plan to assure prompt payment of Medicare risk sharing contracts or incentive plan provisions — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for failure to grant timely access to HHS OIG for audits, investigations, evaluations, and other statutory functions of HHS OIG

**Maximum penalty:** 38,393

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(9)> 42 CFR 1003.210(a)(9) | OIG | Penalty for failure to grant timely access to HHS OIG for audits, investigations, evaluations, and other statutory functions of HHS OIG | 2024 | 37,421 | 38,393

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

Penalty for failure to grant timely access to HHS OIG for audits, investigations, evaluations, and other statutory functions of HHS OIG — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for failure to grant timely access, upon reasonable request, to the I.G. for purposes of audits, investigations, evaluations, or other statutory functions of I.G. in matters involving grants, contracts, or other agreements

**Maximum penalty:** 18,724

> | <https://www.ecfr.gov/current/title-42/section-1003.710#p-1003.710(a)(5)> 42 CFR 1003.710(a)(5) | OIG | Penalty for failure to grant timely access, upon reasonable request, to the I.G. for purposes of audits, investigations, evaluations, or other statutory functions of I.G. in matters involving grants, contracts, or other agreements | 2024 | 18,250 | 18,724

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

Penalty for failure to grant timely access, upon reasonable request, to the I.G. for purposes of audits, investigations, evaluations, or other statutory functions of I.G. in matters involving grants, contracts, or other agreements — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for failure to provide certification regarding lobbying in the award documents for all sub-awards of all tiers

**Maximum penalty:** 0

**Minimum penalty:** 25,132

> | <https://www.ecfr.gov/current/title-45/part-93/appendix-Appendix%20A%20to%20Part%2093> 45 CFR Part 93, Appendix A | HHS | Penalty for failure to provide certification regarding lobbying in the award documents for all sub-awards of all tiers | 2024 | | 0 | | | | Minimum | 2024 | 24,496 | 25,132 | | | | Maximum | 2024 | 244,958 | 251,322

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

Penalty for failure to provide certification regarding lobbying in the award documents for all sub-awards of all tiers — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for failure to provide statement regarding lobbying for loan guarantee and loan insurance transactions

**Maximum penalty:** 0

**Minimum penalty:** 25,132

> | | HHS | Penalty for failure to provide statement regarding lobbying for loan guarantee and loan insurance transactions | 2024 | | 0 | | | | Minimum | 2024 | 24,496 | 25,132 | | | | Maximum | 2024 | 244,958 | 251,322

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

Penalty for failure to provide statement regarding lobbying for loan guarantee and loan insurance transactions — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for HMO that employs or contracts with excluded individual or entity

**Maximum penalty:** 62,829

> | | OIG | Penalty for HMO that employs or contracts with excluded individual or entity | 2024 | 61,238 | 62,829

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

Penalty for HMO that employs or contracts with excluded individual or entity — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for HMOs/competitive medical plans that charge premiums in excess of permitted amounts

**Maximum penalty:** 68,445

> | | OIG | Penalty for HMOs/competitive medical plans that charge premiums in excess of permitted amounts | 2024 | 66,712 | 68,445

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

Penalty for HMOs/competitive medical plans that charge premiums in excess of permitted amounts — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for issuer that sells or issues a Medicare supplemental policy without an acknowledgement form

**Maximum penalty:** 59,114

> | | CMS | Penalty for issuer that sells or issues a Medicare supplemental policy without an acknowledgement form | 2024 | 57,617 | 59,114

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

Penalty for issuer that sells or issues a Medicare supplemental policy without an acknowledgement form — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowing and willful solicitation, receipt, offer, or payment of remuneration for referring an individual for a service or for purchasing, leasing, or ordering an item to be paid for by a Federal health care program

**Maximum penalty:** 127,973

> | <https://www.ecfr.gov/current/title-42/section-1003.310#p-1003.310(a)(3)> 42 CFR 1003.310(a)(3) | OIG | Penalty for knowing and willful solicitation, receipt, offer, or payment of remuneration for referring an individual for a service or for purchasing, leasing, or ordering an item to be paid for by a Federal health care program | 2024 | 124,732 | 127,973

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

Penalty for knowing and willful solicitation, receipt, offer, or payment of remuneration for referring an individual for a service or for purchasing, leasing, or ordering an item to be paid for by a Federal health care program — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowing of an overpayment and failing to report and return

**Maximum penalty:** 25,595

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(8)> 42 CFR 1003.210(a)(8) | OIG | Penalty for knowing of an overpayment and failing to report and return | 2024 | 24,947 | 25,595

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

Penalty for knowing of an overpayment and failing to report and return — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly giving or causing to be presented to a participating provider or supplier false or misleading information that could reasonably be expected to influence a discharge decision

**Maximum penalty:** 38,393

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(2)> 42 CFR 1003.210(a)(2) | OIG | Penalty for knowingly giving or causing to be presented to a participating provider or supplier false or misleading information that could reasonably be expected to influence a discharge decision | 2024 | 37,421 | 38,393

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

Penalty for knowingly giving or causing to be presented to a participating provider or supplier false or misleading information that could reasonably be expected to influence a discharge decision — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly making or causing to be made a false statement, omission or misrepresentation of a material fact in any application, bid, or contract to participate or enroll as a provider or supplier

**Maximum penalty:** 127,973

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(6)> 42 CFR 1003.210(a)(6) | OIG | Penalty for knowingly making or causing to be made a false statement, omission or misrepresentation of a material fact in any application, bid, or contract to participate or enroll as a provider or supplier | 2024 | 124,732 | 127,973

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

Penalty for knowingly making or causing to be made a false statement, omission or misrepresentation of a material fact in any application, bid, or contract to participate or enroll as a provider or supplier — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per each false record or statement

**Maximum penalty:** 65,098

> | <https://www.ecfr.gov/current/title-42/section-1003.710#p-1003.710(a)(4)> 42 CFR 1003.710(a)(4) | OIG | Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per each false record or statement | 2024 | 63,450 | 65,098

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

Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per each false record or statement — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per day

**Maximum penalty:** 13,037

> | | | Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per day | 2024 | 12,707 | 13,037

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

Penalty for knowingly making, using, or causing to be made or used, a false record or statement material to an obligation to pay or transmit funds or property with respect to grant, contract, or other agreement, or knowingly conceals or improperly avoids or decreases any such obligation, per day — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for Knowingly making, using, or causing to be made or used, a false record or statement material to a false or fraudulent specified claim under grant, contract, or other agreement

**Maximum penalty:** 62,411

> | <https://www.ecfr.gov/current/title-42/section-1003.710#p-1003.710(a)(3)> 42 CFR 1003.710(a)(3) | OIG | Penalty for Knowingly making, using, or causing to be made or used, a false record or statement material to a false or fraudulent specified claim under grant, contract, or other agreement | 2024 | 60,831 | 62,411

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

Penalty for Knowingly making, using, or causing to be made or used, a false record or statement material to a false or fraudulent specified claim under grant, contract, or other agreement — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly making, using, or causing to be made or used any false statement, omission, or misrepresentation of a material fact in any application, proposal, bid, progress report, or other document required to directly or indirectly receive or retain funds provided pursuant to grant, contract, or other agreement

**Maximum penalty:** 62,411

> | <https://www.ecfr.gov/current/title-42/section-1003.710#p-1003.710(a)(2)> 42 CFR 1003.710(a)(2) | OIG | Penalty for knowingly making, using, or causing to be made or used any false statement, omission, or misrepresentation of a material fact in any application, proposal, bid, progress report, or other document required to directly or indirectly receive or retain funds provided pursuant to grant, contract, or other agreement | 2024 | 60,831 | 62,411

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

Penalty for knowingly making, using, or causing to be made or used any false statement, omission, or misrepresentation of a material fact in any application, proposal, bid, progress report, or other document required to directly or indirectly receive or retain funds provided pursuant to grant, contract, or other agreement — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for knowingly presenting or causing to be presented a request for payment which violates the terms of an assignment, agreement, or PPS agreement

**Maximum penalty:** 25,595

> | | OIG | Penalty for knowingly presenting or causing to be presented a request for payment which violates the terms of an assignment, agreement, or PPS agreement | 2024 | 24,947 | 25,595

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

Penalty for knowingly presenting or causing to be presented a request for payment which violates the terms of an assignment, agreement, or PPS agreement — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for making or using a false record or statement that is material to a false or fraudulent claim

**Maximum penalty:** 72,163

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(7)> 42 CFR 1003.210(a)(7) | OIG | Penalty for making or using a false record or statement that is material to a false or fraudulent claim | 2024 | 70,336 | 72,163

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

Penalty for making or using a false record or statement that is material to a false or fraudulent claim — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for Medicaid managed care organization that acts to discriminate among enrollees on the basis of their health status

**Maximum penalty:** 195,335

> | | CMS | Penalty for Medicaid managed care organization that acts to discriminate among enrollees on the basis of their health status | 2024 | 190,389 | 195,335

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

Penalty for Medicaid managed care organization that acts to discriminate among enrollees on the basis of their health status — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for Medicaid managed care organization that imposes premiums or charges on enrollees in excess of the premiums or charges permitted

**Maximum penalty:** 48,833

> | | CMS | Penalty for Medicaid managed care organization that imposes premiums or charges on enrollees in excess of the premiums or charges permitted | 2024 | 47,596 | 48,833

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

Penalty for Medicaid managed care organization that imposes premiums or charges on enrollees in excess of the premiums or charges permitted — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for Medicare Advantage organization interfering with provider's advice to enrollee and non-MCO affiliated providers that balance bill enrollees

**Maximum penalty:** 48,833

> | | OIG | Penalty for Medicare Advantage organization interfering with provider's advice to enrollee and non-MCO affiliated providers that balance bill enrollees | 2024 | 47,596 | 48,833

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

Penalty for Medicare Advantage organization interfering with provider's advice to enrollee and non-MCO affiliated providers that balance bill enrollees — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for ordering or prescribing medical or other item or service during a period in which the person was excluded

**Maximum penalty:** 25,595

> | <https://www.ecfr.gov/current/title-42/section-1003.210#p-1003.210(a)(1)> 42 CFR 1003.210(a)(1) | OIG | Penalty for ordering or prescribing medical or other item or service during a period in which the person was excluded | 2024 | 24,947 | 25,595

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

Penalty for ordering or prescribing medical or other item or service during a period in which the person was excluded — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for physicians who knowingly receive payments from a hospital or critical access hospital to induce such physician to reduce or limit services to individuals under direct care of physician or who are entitled to certain medical assistance benefits

**Maximum penalty:** 6,398

> | | OIG | Penalty for physicians who knowingly receive payments from a hospital or critical access hospital to induce such physician to reduce or limit services to individuals under direct care of physician or who are entitled to certain medical assistance benefits | 2024 | 6,236 | 6,398

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

Penalty for physicians who knowingly receive payments from a hospital or critical access hospital to induce such physician to reduce or limit services to individuals under direct care of physician or who are entitled to certain medical assistance benefits — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for post-notice violation of modified risk tobacco product post-market surveillance shall double for every 30-day period thereafter that the tobacco product requirement violation continues for any 30-day period, but may not exceed penalty amount for any 30-day period

**Maximum penalty:** 1,460,195

> | | FDA | Penalty for post-notice violation of modified risk tobacco product post-market surveillance shall double for every 30-day period thereafter that the tobacco product requirement violation continues for any 30-day period, but may not exceed penalty amount for any 30-day period | 2024 | 1,423,220 | 1,460,195

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

Penalty for post-notice violation of modified risk tobacco product post-market surveillance shall double for every 30-day period thereafter that the tobacco product requirement violation continues for any 30-day period, but may not exceed penalty amount for any 30-day period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for REMS violation that continues after written notice to responsible person doubles for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period

**Maximum penalty:** 1,510,803

> | | FDA | Penalty for REMS violation that continues after written notice to responsible person doubles for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period | 2024 | 1,472,546 | 1,510,803

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

Penalty for REMS violation that continues after written notice to responsible person doubles for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for remuneration offered to induce program beneficiaries to use particular providers, practitioners, or suppliers

**Maximum penalty:** 25,595

> | <https://www.ecfr.gov/current/title-42/section-1003.1010> 42 CFR 1003.1010 | OIG | Penalty for remuneration offered to induce program beneficiaries to use particular providers, practitioners, or suppliers | 2024 | 24,947 | 25,595

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

Penalty for remuneration offered to induce program beneficiaries to use particular providers, practitioners, or suppliers — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for second and subsequent offenses by individuals who fail to file or amend a lobbying disclosure form, absent aggravating circumstances

**Maximum penalty:** 0

**Minimum penalty:** 25,132

> | | | Penalty for second and subsequent offenses by individuals who fail to file or amend a lobbying disclosure form, absent aggravating circumstances | 2024 | | 0 | | | | Minimum | 2024 | 24,496 | 25,132 | | | | Maximum | 2024 | 244,958 | 251,322

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

Penalty for second and subsequent offenses by individuals who fail to file or amend a lobbying disclosure form, absent aggravating circumstances — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for second and subsequent offenses by individuals who make an expenditure prohibited by regulations regarding lobbying disclosure

**Maximum penalty:** 0

**Minimum penalty:** 25,132

> | | | Penalty for second and subsequent offenses by individuals who make an expenditure prohibited by regulations regarding lobbying disclosure | 2024 | | 0 | | | | Minimum | 2024 | 24,496 | 25,132 | | | | Maximum | 2024 | 244,958 | 251,322

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

Penalty for second and subsequent offenses by individuals who make an expenditure prohibited by regulations regarding lobbying disclosure — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for someone other than issuer that sells health insurance that duplicates benefits

**Maximum penalty:** 35,466

> | | OIG | Penalty for someone other than issuer that sells health insurance that duplicates benefits | 2024 | 34,568 | 35,466

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

Penalty for someone other than issuer that sells health insurance that duplicates benefits — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for the first time an individual makes an expenditure prohibited by regulations regarding lobbying disclosure, absent aggravating circumstances

**Maximum penalty:** 25,132

> | | | Penalty for the first time an individual makes an expenditure prohibited by regulations regarding lobbying disclosure, absent aggravating circumstances | 2024 | 24,496 | 25,132

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

Penalty for the first time an individual makes an expenditure prohibited by regulations regarding lobbying disclosure, absent aggravating circumstances — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for violation of 42 U.S.C. 1320a-8(a)(1) if the violator is a person who receives a fee or other income for services performed in connection with determination of the benefit amount or the person is a physician or other health care provider who submits evidence in connection with such a determination

**Maximum penalty:** 9,956

> | | | Penalty for violation of <https://www.govinfo.gov/link/uscode/42/1320a-8> 42 U.S.C. 1320a-8(a)(1) if the violator is a person who receives a fee or other income for services performed in connection with determination of the benefit amount or the person is a physician or other health care provider who submits evidence in connection with such a determination | 2024 | 9,704 | 9,956

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

Penalty for violation of 42 U.S.C. 1320a-8(a)(1) if the violator is a person who receives a fee or other income for services performed in connection with determination of the benefit amount or the person is a physician or other health care provider who submits evidence in connection with such a determination — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty for violation of tobacco product requirements that continues after written notice to such person shall double for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period

**Maximum penalty:** 1,460,195

> | | FDA | Penalty for violation of tobacco product requirements that continues after written notice to such person shall double for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period | 2024 | 1,423,220 | 1,460,195

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

Penalty for violation of tobacco product requirements that continues after written notice to such person shall double for every 30-day period thereafter the violation continues, but may not exceed penalty amount for any 30-day period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty imposed for any related series of violations of requirements relating to electronic products

**Maximum penalty:** 1,244,258

> | | FDA | Penalty imposed for any related series of violations of requirements relating to electronic products | 2024 | 1,212,751 | 1,244,258

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

Penalty imposed for any related series of violations of requirements relating to electronic products — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty

**Maximum penalty:** 11,413

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(3)(i)> 42 CFR 488.1245(b)(3)(i) | CMS | Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty | 2024 | 11,124 | 11,413

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

Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty

**Maximum penalty:** 10,271

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(3)(ii)> 42 CFR 488.1245(b)(3)(ii) | CMS | Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty | 2024 | 10,011 | 10,271

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


**Agency:** HHS

**Violation:** Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty

**Maximum penalty:** 9,701

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(3)(iii)> 42 CFR 488.1245(b)(3)(iii) | CMS | Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty | 2024 | 9,455 | 9,701

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


**Agency:** HHS

**Violation:** Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty

**Maximum penalty:** 11,413

**Minimum penalty:** 9,701

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(3)> 42 CFR 488.1245(b)(3) | CMS | Penalty imposed for hospice condition-level deficiency that is immediate jeopardy. These amounts represent the upper range of penalty | 2024 | | | | | | Minimum | 2024 | 9,455 | 9,701 | | | | Maximum | 2024 | 11,124 | 11,413

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


**Agency:** HHS

**Violation:** Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy and are related predominantly to structure or process-oriented conditions rather than directly related to patient outcomes. These amounts represent the lower range of penalty

**Maximum penalty:** 4,566

**Minimum penalty:** 570

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(5)> 42 CFR 488.1245(b)(5) | CMS | Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy and are related predominantly to structure or process-oriented conditions rather than directly related to patient outcomes. These amounts represent the lower range of penalty | 2024 | | | | | | Minimum | 2024 | 556 | 570 | | | | Maximum | 2024 | 4,450 | 4,566

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

Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy and are related predominantly to structure or process-oriented conditions rather than directly related to patient outcomes. These amounts represent the lower range of penalty — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy but is directly related to poor quality patient care outcomes. These amounts represent the middle range of penalty

**Maximum penalty:** 9,701

**Minimum penalty:** 1,711

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(4)> 42 CFR 488.1245(b)(4) | CMS | Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy but is directly related to poor quality patient care outcomes. These amounts represent the middle range of penalty | 2024 | | | | | | Minimum | 2024 | 1,668 | 1,711 | | | | Maximum | 2024 | 9,455 | 9,701

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

Penalty imposed for hospice repeat or condition-level deficiency or both that does not constitute immediate jeopardy but is directly related to poor quality patient care outcomes. These amounts represent the middle range of penalty — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty imposed for instance of noncompliance that may be assessed for one or more singular events of condition-level noncompliance that are identified and where the noncompliance was corrected during the onsite survey

**Maximum penalty:** 0

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(6)> 42 CFR 488.845(b)(6) | CMS | Penalty imposed for instance of noncompliance that may be assessed for one or more singular events of condition-level noncompliance that are identified and where the noncompliance was corrected during the onsite survey | 2024 | | 0

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

Penalty imposed for instance of noncompliance that may be assessed for one or more singular events of condition-level noncompliance that are identified and where the noncompliance was corrected during the onsite survey — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a fifth violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 36-month period

**Maximum penalty:** 7,300

> | | FDA | Penalty in the case of a fifth violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 36-month period | 2024 | 7,115 | 7,300

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

Penalty in the case of a fifth violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 36-month period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a fourth violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period

**Maximum penalty:** 2,920

> | | FDA | Penalty in the case of a fourth violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period | 2024 | 2,846 | 2,920

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

Penalty in the case of a fourth violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a second violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 12-month period

**Maximum penalty:** 727

> | | FDA | Penalty in the case of a second violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 12-month period | 2024 | 709 | 727

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

Penalty in the case of a second violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 12-month period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a sixth or subsequent violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 48-month period as determined on a case-by-case basis

**Maximum penalty:** 14,602

> | | FDA | Penalty in the case of a sixth or subsequent violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 48-month period as determined on a case-by-case basis | 2024 | 14,232 | 14,602

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

Penalty in the case of a sixth or subsequent violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 48-month period as determined on a case-by-case basis — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a third violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period

**Maximum penalty:** 1,461

> | | FDA | Penalty in the case of a third violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period | 2024 | 1,424 | 1,461

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

Penalty in the case of a third violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of a third violation of 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period

**Maximum penalty:** 727

> | | FDA | Penalty in the case of a third violation of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of the tobacco product regulations within a 24-month period | 2024 | 709 | 727

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


**Agency:** HHS

**Violation:** Penalty in the case of any other person (other than an individual) for such introduction or delivery of adulterated food

**Maximum penalty:** 498,517

> | | FDA | Penalty in the case of any other person (other than an individual) for such introduction or delivery of adulterated food | 2024 | 485,893 | 498,517

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

Penalty in the case of any other person (other than an individual) for such introduction or delivery of adulterated food — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty in the case of any other person (other than an individual) per above violation

**Maximum penalty:** 2,226,101

> | | FDA | Penalty in the case of any other person (other than an individual) per above violation | 2024 | 2,169,731 | 2,226,101

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

Penalty in the case of any other person (other than an individual) per above violation — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day and per instance for a Skilled Nursing Facility that has Category 3 noncompliance with Immediate Jeopardy

**Maximum penalty:** 0

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(e)(2)(ii)> 42 CFR 488.408(e)(2)(ii) | CMS | Penalty per day and per instance for a Skilled Nursing Facility that has Category 3 noncompliance with Immediate Jeopardy | 2024 | | 0

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

Penalty per day and per instance for a Skilled Nursing Facility that has Category 3 noncompliance with Immediate Jeopardy — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day for a nursing facility's failure to meet Category 3 certification

**Maximum penalty:** 27,378

**Minimum penalty:** 8,351

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(e)(1)(iii)> 42 CFR 488.408(e)(1)(iii) | CMS | Penalty per day for a nursing facility's failure to meet Category 3 certification | 2024 | | | | | | Minimum | 2024 | 8,140 | 8,351 | | | | Maximum | 2024 | 26,685 | 27,378

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

Penalty per day for a nursing facility's failure to meet Category 3 certification — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day for a Skilled Nursing Facility that has a Category 3 violation of certification requirements

**Maximum penalty:** 27,378

**Minimum penalty:** 8,351

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(e)(1)(iii)> 42 CFR 488.408(e)(1)(iii) | CMS | Penalty per day for a Skilled Nursing Facility that has a Category 3 violation of certification requirements | 2024 | | | | | | Minimum | 2024 | 8,140 | 8,351 | | | | Maximum | 2024 | 26,685 | 27,378

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

Penalty per day for a Skilled Nursing Facility that has a Category 3 violation of certification requirements — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day for home health agency's noncompliance (Upper Range)

**Maximum penalty:** 0

**Minimum penalty:** 22,322

> | <https://www.ecfr.gov/current/title-42/section-488.845#p-488.845(b)(3)> 42 CFR 488.845(b)(3) | CMS | Penalty per day for home health agency's noncompliance (Upper Range) | 2024 | | 0 | | | | Minimum | 2024 | 21,757 | 22,322 | | | | Maximum | 2024 | 25,597 | 26,262

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

Penalty per day for home health agency's noncompliance (Upper Range) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day for nursing facility's failure to meet certification (Lower Range)

**Maximum penalty:** 0

**Minimum penalty:** 136

> | <https://www.ecfr.gov/current/title-42/section-488.438#p-488.438(a)(1)(ii)> 42 CFR 488.438(a)(1)(ii) | CMS | Penalty per day for nursing facility's failure to meet certification (Lower Range) | 2024 | | 0 | | | | Minimum | 2024 | 133 | 136 | | | | Maximum | 2024 | 8,003 | 8,211

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

Penalty per day for nursing facility's failure to meet certification (Lower Range) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies