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18 U.S.C. § 1347 — Health care fraud

submitted 30 years ago by Pub. L. 104-191 to r/title-18-CRIMES-AND-CRIMINAL-PROCEDURE · 175 words · no verdicts yet

in plain englishAI-generated · not legal advice

Knowingly and willfully using a scheme to defraud a health care benefit program, or to obtain its money or property through false statements, is punishable by fines or imprisonment. The maximum increases for serious bodily injury or death.

(a) Whoever knowingly and willfully carries out or tries to carry out a scheme or artifice (1) to defraud a health care benefit program, or (2) to obtain, through false or fraudulent pretenses, representations, or promises, money or property owned by or controlled by a health care benefit program in connection with delivering or paying for health care benefits, items, or services, may be fined under this title, imprisoned for up to 10 years, or both. If the violation causes serious bodily injury as defined in section 1365 of this title, the person may be fined, imprisoned for up to 20 years, or both. If it causes death, the person may be fined, imprisoned for any number of years or for life, or both.

(b) For a violation of this section, a person does not need actual knowledge of this section or a specific intent to violate it.

the actual law source: uscode.house.gov ↗public domain
(a)

Whoever knowingly and willfully executes, or attempts to execute, a scheme or artifice—

(1)

to defraud any health care benefit program; or

(2)

to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program,

in connection with the delivery of or payment for health care benefits, items, or services, shall be fined under this title or imprisoned not more than 10 years, or both. If the violation results in serious bodily injury (as defined in section 1365 of this title), such person shall be fined under this title or imprisoned not more than 20 years, or both; and if the violation results in death, such person shall be fined under this title, or imprisoned for any term of years or for life, or both.

(b)

With respect to violations of this section, a person need not have actual knowledge of this section or specific intent to commit a violation of this section.

Source credit: (Added Pub. L. 104–191, title II, § 242(a)(1), Aug. 21, 1996, 110 Stat. 2016; amended Pub. L. 111–148, title X, § 10606(b), Mar. 23, 2010, 124 Stat. 1008.)

history & why it existsrecord from the source credit
  • 1996Enacted · Pub. L. 104-191 · 110 Stat. 2016
  • 2010Amended · Pub. L. 111-148 · 124 Stat. 1008

A history note hasn’t been published yet. The record shows enactment by Pub. L. 104-191 on 1996-08-21.

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