**Agency:** HHS

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

**Maximum penalty:** 0

**Minimum penalty:** 8,351

> | <https://www.ecfr.gov/current/title-42/section-488.438#p-488.438(a)(1)(i)> 42 CFR 488.438(a)(1)(i) | CMS | Penalty per day for nursing facility's failure to meet certification (Upper Range) | 2024 | | 0 | | | | 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 nursing facility's failure to meet certification (Upper Range) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the lower range per day

**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 of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the lower range per day | 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 of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the lower range per day — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per day of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the upper range per day

**Maximum penalty:** 0

**Minimum penalty:** 8,351

> | <https://www.ecfr.gov/current/title-42/section-488.438#p-488.438(a)(1)(i)> 42 CFR 488.438(a)(1)(i) | CMS | Penalty per day of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the upper range per day | 2024 | | 0 | | | | 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 of a Skilled Nursing Facility that fails to meet certification requirements. These amounts represent the upper range per day — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per individual not enrolled in a plan as a result of a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in the future

**Maximum penalty:** 39,393

> | | OIG | Penalty per individual not enrolled in a plan as a result of a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in the future | 2024 | 38,395 | 39,393

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

Penalty per individual not enrolled in a plan as a result of a HMO or competitive medical plan that implements practices to discourage enrollment of individuals needing services in the future — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per individual who does not enroll as a result of a Medicaid MCO's practice that would reasonably be expected to have the effect of denying or discouraging enrollment

**Maximum penalty:** 39,393

> | | OIG | Penalty per individual who does not enroll as a result of a Medicaid MCO's practice that would reasonably be expected to have the effect of denying or discouraging enrollment | 2024 | 38,395 | 39,393

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

Penalty per individual who does not enroll as a result of a Medicaid MCO's 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 per individual who does not enroll as a result of a Medicare Advantage organization's practice that would reasonably be expected to have the effect of denying or discouraging enrollment

**Maximum penalty:** 29,299

> | | OIG | Penalty per individual who does not enroll as a result of a Medicare Advantage organization's practice that would reasonably be expected to have the effect of denying or discouraging enrollment | 2024 | 28,557 | 29,299

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

Penalty per individual who does not enroll as a result of a Medicare Advantage organization's 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 per instance for a nursing facility's failure to meet Category 2 certification

**Maximum penalty:** 27,378

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(d)(1)(iv)> 42 CFR 488.408(d)(1)(iv) | CMS | Penalty per instance for a nursing facility's failure to meet Category 2 certification | 2024 | | | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance for a nursing facility's failure to meet Category 2 certification — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per instance for a nursing facility's failure to meet Category 3 certification, which results in immediate jeopardy

**Maximum penalty:** 0

**Minimum penalty:** 2,739

> | <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 instance for a nursing facility's failure to meet Category 3 certification, which results in immediate jeopardy | 2024 | | 0 | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance for a nursing facility's failure to meet Category 3 certification, which results in immediate jeopardy — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

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

**Maximum penalty:** 0

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(e)(1)(iv)> 42 CFR 488.408(e)(1)(iv) | CMS | Penalty per instance for a nursing facility's failure to meet Category 3 certification | 2024 | | 0 | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance 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 instance for nursing facility's failure to meet certification

**Maximum penalty:** 0

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.438#p-488.438(a)(2)> 42 CFR 488.438(a)(2) | CMS | Penalty per instance for nursing facility's failure to meet certification | 2024 | | 0 | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance for nursing facility's failure to meet certification — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per instance of a Skilled Nursing Facility that fails to meet certification requirements

**Maximum penalty:** 0

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.438#p-488.438(a)(2)> 42 CFR 488.438(a)(2) | CMS | Penalty per instance of a Skilled Nursing Facility that fails to meet certification requirements | 2024 | | 0 | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance of a Skilled Nursing Facility that fails to meet certification requirements — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per instance of Category 2 noncompliance by a Skilled Nursing Facility

**Maximum penalty:** 27,378

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(d)(1)(iv)> 42 CFR 488.408(d)(1)(iv) | CMS | Penalty per instance of Category 2 noncompliance by a Skilled Nursing Facility | 2024 | | | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance of Category 2 noncompliance by a Skilled Nursing Facility — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty per instance of Category 3 noncompliance by a Skilled Nursing Facility

**Maximum penalty:** 27,378

**Minimum penalty:** 2,739

> | <https://www.ecfr.gov/current/title-42/section-488.408#p-488.408(e)(1)(iv)> 42 CFR 488.408(e)(1)(iv) | CMS | Penalty per instance of Category 3 noncompliance by a Skilled Nursing Facility | 2024 | | | | | | Minimum | 2024 | 2,670 | 2,739 | | | | 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 instance of Category 3 noncompliance by a Skilled Nursing Facility — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty range imposed for per instance of hospice noncompliance

**Maximum penalty:** 11,413

**Minimum penalty:** 1,141

> | <https://www.ecfr.gov/current/title-42/section-488.1245#p-488.1245(b)(6)> 42 CFR 488.1245(b)(6) | CMS | Penalty range imposed for per instance of hospice noncompliance | 2024 | | | | | | Minimum | 2024 | 1,112 | 1,141 | | | | Maximum | 2024 | 11,124 | 11,413

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

Penalty range imposed for per instance of hospice noncompliance — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Penalty to be applied for violations of 21 U.S.C. 387f(d)(5) or of violations of restrictions on the sale or distribution of tobacco products promulgated under 21 U.S.C. 387f(d) ( e.g., violations of regulations in 21 CFR part 1140 ) with respect to a retailer that does not have an approved training program in the case of the first regulation violation

**Maximum penalty:** 365

> | | FDA | Penalty to be applied for violations of <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d)(5) or of violations of restrictions on the sale or distribution of tobacco products promulgated under <https://www.govinfo.gov/link/uscode/21/387f> 21 U.S.C. 387f(d) ( e.g., violations of regulations in <https://www.ecfr.gov/current/title-21/part-1140> 21 CFR part 1140 ) with respect to a retailer that does not have an approved training program in the case of the first regulation violation | 2024 | 356 | 365

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

Penalty to be applied for violations of 21 U.S.C. 387f(d)(5) or of violations of restrictions on the sale or distribution of tobacco products promulgated under 21 U.S.C. 387f(d) ( e.g., violations of regulations in 21 CFR part 1140 ) with respect to a retailer that does not have an approved training program in the case of the first regulation violation — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Per Day (Minimum)

**Maximum penalty:** 8,351

> | | | Per Day (Minimum) | 2024 | 8,140 | 8,351 | | | | Per Day (Maximum) | 2024 | 26,685 | 27,378

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

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


**Agency:** HHS

**Violation:** Per day penalty for hospitals having greater than 550 beds

**Maximum penalty:** 6,277

> | <https://www.ecfr.gov/current/title-45/section-180.90#p-180.90(c)(2)(ii)(C)> 45 CFR 180.90(c)(2)(ii)(C) | CMS | Per day penalty for hospitals having greater than 550 beds | 2024 | 6,118 | 6,277

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

Per day penalty for hospitals having greater than 550 beds — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Per day penalty for hospitals with equal to or less than 30 beds

**Maximum penalty:** 342

> | <https://www.ecfr.gov/current/title-45/section-180.90#p-180.90(c)(2)(ii)(A)> 45 CFR 180.90(c)(2)(ii)(A) | CMS | Per day penalty for hospitals with equal to or less than 30 beds | 2024 | 333 | 342

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

Per day penalty for hospitals with equal to or less than 30 beds — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Per day, per bed penalty for hospitals having at least 31 and up to and including 550 beds

**Maximum penalty:** 11

> | <https://www.ecfr.gov/current/title-45/section-180.90#p-180.90(c)(2)(ii)(B)> 45 CFR 180.90(c)(2)(ii)(B) | CMS | Per day, per bed penalty for hospitals having at least 31 and up to and including 550 beds | 2024 | 11 | 11

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

Per day, per bed penalty for hospitals having at least 31 and up to and including 550 beds — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** HHS

**Violation:** Per Instance (Maximum)

**Maximum penalty:** 27,378

> | | | Per Instance (Maximum) | 2024 | 26,685 | 27,378

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

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


**Agency:** HHS

**Violation:** Per Instance (Minimum)

**Maximum penalty:** 2,739

> | | | Per Instance (Minimum) | 2024 | 2,670 | 2,739

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

Per Instance (Minimum) — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** National Highway Traffic Safety Administration

**Violation:** School buses

**Statutory authority:** section 30112(a)(1) of Title 49 United States Code

**Maximum penalty:** $15,846 for each violation

> ( 2 ) School buses. ( i ) Notwithstanding <https://www.ecfr.gov/current/title-49/section-578.6#p-578.6(a)(1)> paragraph (a)(1) of this section, a person who: ( A ) Violates section 30112(a)(1) of Title 49 United States Code by the manufacture, sale, offer for sale, introduction or delivery for introduction into interstate commerce, or importation of a school bus or school bus equipment (as those terms are defined in <https://www.govinfo.gov/link/uscode/49/30125> 49 U.S.C. 30125(a) ); or ( B ) Violates section 30112(a)(2) of Title 49 United States Code, shall be subject to a civil penalty of not more than $15,846 for each violation.

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

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


**Agency:** National Highway Traffic Safety Administration

**Violation:** False and misleading reports

**Statutory authority:** Section 30166(o) of Title 49 of the United States Code

**Maximum penalty:** $6,823 per day

> ( 4 ) False and misleading reports. A person who knowingly and willfully submits materially false or misleading information to the Secretary, after certifying the same information as accurate under the certification process established pursuant to Section 30166(o) of Title 49 of the United States Code, shall be subject to a civil penalty of not more than $6,823 per day.

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

False and misleading reports — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** National Highway Traffic Safety Administration

**Violation:** Section 30166

**Statutory authority:** Section 30166 of Title 49 of the United States Code

**Maximum penalty:** $27,874 per violation per day

> ( 3 ) Section 30166. A person who violates Section 30166 of Title 49 of the United States Code or a regulation in this chapter prescribed under that section is liable to the United States Government for a civil penalty for failing or refusing to allow or perform an act required under that section or regulation. The maximum penalty under this <https://www.ecfr.gov/current/title-49/section-578.6#p-578.6(a)(3)> paragraph (a)(3) is $27,874 per violation per day.

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

Section 30166 — Federal civil penalty maximums — current inflation-adjusted amounts across agencies


**Agency:** National Highway Traffic Safety Administration

**Violation:** Motor vehicle safety

**Statutory authority:** sections 30112, 30115, 30117 through 30122, 30123(a), 30125(c), 30127, or 30141 through 30147 of Title 49 of the United States Code

**Maximum penalty:** $27,874 for each violation

> ( a ) Motor vehicle safety — ( 1 ) In general. A person who violates any of sections 30112, 30115, 30117 through 30122, 30123(a), 30125(c), 30127, or 30141 through 30147 of Title 49 of the United States Code or a regulation in this chapter prescribed under any of those sections is liable to the United States Government for a civil penalty of not more than $27,874 for each violation. A separate violation occurs for each motor vehicle or item of motor vehicle equipment and for each failure or refusal to allow or perform an act required by any of those sections. The maximum civil penalty under this <https://www.ecfr.gov/current/title-49/section-578.6#p-578.6(a)(1)> paragraph (a)(1) for a related series of violations is $139,356,994.

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

Motor vehicle safety — Federal civil penalty maximums — current inflation-adjusted amounts across agencies