Cost of living adjustments of civil monetary penalties.

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§ 269.4 Cost of living adjustments of civil monetary penalties.

(a) The inflation adjustment under § 269.3 must be determined by increasing the maximum civil monetary penalty or the range of minimum and maximum civil monetary penalties, as applicable, for each civil monetary penalty by the cost-of-living adjustment. Any increase determined under this subsection shall be rounded to the nearest multiple of $1.

(b) For purposes of paragraph (a) of this section, the term “cost-of-living adjustment” means the percentage (if any) for each civil monetary penalty by which the Consumer Price Index for the month of October preceding the date of the adjustment (January 15), exceeds the Consumer Price Index for the month of October in the previous calendar year. For example, if the Consumer Price Index for October 2016 is 1.0 and the Consumer Price Index for October 2015 was 0.75, then all applicable penalties will need to be positively adjusted by 0.25 by January 15, 2017.

(c) Limitation on initial adjustment. The initial adjustment of civil monetary penalty pursuant to § 269.3 may not exceed 150 percent of such penalty.

(d) Inflation adjustment. Maximum civil monetary penalties within the jurisdiction of the Department are adjusted for inflation as follows:

Table 1 to Paragraph (d)

United States code Civil monetary penalty description Maximum
penalty
amount as
of 02/21/20
New
adjusted
maximum
penalty
amount
National Defense Authorization Act for FY 2005, 10 U.S.C. 113, note Unauthorized Activities Directed at or Possession of Sunken Military Craft 134,807 136,400
10 U.S.C. 1094(c)(1) Unlawful Provision of Health Care 11,837 11,977
10 U.S.C. 1102(k) Wrongful Disclosure - Medical Records:
First Offense 6,999 7,082
Subsequent Offense 46,663 47,214
10 U.S.C. 2674(c)(2) Violation of the Pentagon Reservation Operation and Parking of Motor Vehicles Rules and Regulations 1,928 1,951
31 U.S.C. 3802(a)(1) Violation Involving False Claim 11,665 11,803
31 U.S.C. 3802(a)(2) Violation Involving False Statement 11,665 11,803
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(1) False claims 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(1) Claims submitted with a false certification of physician license 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(2) Claims presented by excluded party 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(2); (b)(2)(ii) Employing or contracting with an excluded individual 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(1) Pattern of claims for medically unnecessary services/supplies 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(2) Ordering or prescribing while excluded 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(5) Known retention of an overpayment 20,866 21,112.64
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(4) Making or using a false record or statement that is material to a false or fraudulent claim 104,330 105,563.18
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(6) Failure to grant timely access to OIG for audits, investigations, evaluations, or other statutory functions of OIG 31,300 31,669.97
42 U.S.C. 1320a-7a(a); 32 CFR 200.210(a)(3) Making false statements, omissions, misrepresentations in an enrollment application 104,330 105,563.18
42 U.S.C. 1320a-7a(a); 32 CFR 200.310(a) Unlawfully offering, paying, soliciting, or receiving remuneration to induce or in return for the referral of business in violation of 1128B(b) of the Social Security Act 104,330 105,563.18

[81 FR 33391, May 26, 2016, as amended at 82 FR 6249, Jan. 19, 2017; 83 FR 3078, Jan. 23, 2018; 84 FR 12099, Apr. 1, 2019; 85 FR 13049, Mar. 6, 2020; 86 FR 46600, Aug. 19, 2021]


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