False Claims Act Regulations by State

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1 False Claims Act Regulations by State Under the False Claims Act, 31 U.S.C , those who knowingly submit, or cause another person or entity to submit, false claims for payment of The purpose of this chart is to list individual State regulations regarding False Claims that discourage fraudulent billing and claims. This chart reflects the laws in effect as of December 31, 2012, that enable States and Cities to recover money at the state and/or municipal level; however, laws may frequently change. Please review individual State regulations for general provisions definitions. If you have any further questions, please contact the National Legal & Compliance Department. State/City Medicaid Only Meets OIG Alabama Yes No Code of AL Provides for criminal penalties only. Alaska No No No Law Arizona No No A.R.S Shall be liable for a civil penalty of not to exceed two thousand dollars for each item or service claimed and is subject to an assessment of not to exceed twice the amount claimed for each item or service. Arkansas Yes No Ark. Code Ann et Liable to the state for full restitution and for a civil penalty of not less than $5,000 and not more than $10,000 for each violation, plus three times the amount of California No Yes Cal. Gov't Code et Chicago No Yes Title 1. Municipal Code of Chicago, Chap through Colorado No No Col.Rev. Stat et Connecticut No Yes Conn. Gen. Stat. 17b-301 et Delaware No No Del. Code Ann. Title et Liable to the state or to the political subdivision for three times the amount of damages, costs of a civil action brought to recover any penalties or damages, and a civil penalty of not less than $5,000 and not more than $10,000 for each false claim. Liable to the city for a civil penalty of not less than $500 and not more than $1,000, plus up to three times the amount of Liable to the state for a civil penalty of not less than $5,000 and not more than $10,000, plus three times the amount of Penalties may be slightly decreased if selfreporting standards are met. Liable for a civil penalty of not less than five thousand dollars or more than ten thousand dollars, (2) three times the amount of damages that the state sustains because of the act of that person, and (3) the costs of investigation and prosecution of such violation. Liable to the Government for a civil penalty of not less than $5,500 and not more than $11,000 for each act constituting a violation of this section, plus three times the amount of

2 District of Columbia No No D.C. Code Ann et Liable to the District for three times the amount of damages which the District sustains and also liable to the District for the costs of a civil action brought to recover penalties or damages, and may be liable to the District for a civil penalty of not less than $5,000, and not more than $10,000, for each false claim. Florida No No Fla. Stat et Liable to the state for a civil penalty of not less than $5,500 and not more than $11,000, plus three times the amount of Georgia Yes Yes Ga. Stat. Ann et Hawaii No Yes Haw. Rev. Stat et Liable to the state for a civil penalty of not less than $5,500 and not more than $11,000 for each false claim, plus three times the amount of Liable to the state for a civil penalty of not less than $5,500 and not more than $11,000, plus three times the amount of Idaho No No No Law Illinois No Yes 740 ILCS 175/1 et Liable to the state for a civil penalty of not less than $5,500 and not more than $11,000, plus three times the amount of Also liable for the costs of a civil action brought to recover the penalties or Indiana No Yes Indiana Code et Liable to the state for a civil penalty of at least $5,000, up to three times the amount of damages, and for the costs of a civil action brought to recover the penalty or Iowa No Yes IA Code et Liable to the state for a civil penalty of not less than and not more than the civil penalty allowed under the federal False Claims Act, as codified in 31 U.S.C et, as may be adjusted in accordance with the inflation adjustment procedures prescribed in the federal Civil Penalties Inflation Adjustment Act of 1990, Pub. L. No , for each false or fraudulent claim, plus three times the amount of damages which the state sustains:

3 Kansas Yes No Kan. Stat. Ann et Kan. Stat. Ann & Kan. Stat. Ann Kentucky Yes No KY Revis. Statu and Kan. Stat. Ann et seq: Liable to the state or any affected political subdivision, for three times the amount of damages, a civil penalty of not less than $1,000 and not more than $11,000 for each violation, and all reasonable costs and attorney fees incurred in a civil action brought to recover any of those penalties or Kan. Stat. Ann & : Unsworn Declarations, as provided for under , that are intentionally, knowingly and falsely made may constitute perjury. Perjury is a criminal act and may be charged as a level 7 or 9 nonperson felony. Kan. Stat. Ann (Medicaid Fraud Control Act) False Claims violations may be charged as a misdemeanor or a level 7 or 9 nonperson felon, dependent on the amount illegally claimed. Destruction or concealment of records that support a claim for payment of services under the Medicaid program, prior to the permitted destruction date, may be charged as a level 9 nonperson felony. Be liable for restitution of any payments received in violation of this chapter, and interest at the maximum legal rate pursuant to KRS in effect on the date any payment was made, for the period from the date payment was made to the date of repayment to the Commonwealth; (b) Be liable for a civil payment in an amount up to three (3) times the amount of excess payments; (c) Be liable for payment of a civil payment of five hundred dollars ($500) for each false or fraudulent claim submitted for providing treatment, services, or goods; (d) Be liable for payment of legal fees and costs of investigation and enforcement of civil payments; and (e) Be removed as a participating provider in the Medical Assistance Program for two (2) months to six (6) months for a first offense, for six (6) months to one (1) year for a second offense, and for one (1) year to five (5) years for a third offense.

4 Louisiana Yes No La. Rev. Stat et Except as limited by this Section, any person who is found to have violated R.S. 46:438.3 shall be subject to a civil fine in an amount not to exceed three times the amount of actual damages sustained by the medical assistance programs as a result of the violation. In addition, one or more of the following civil monetary penalties may be imposed: (a) not less than $5,500, but not more than $11,000 for each false or fraudulent claim, misrepresentation, illegal remuneration, or other prohibited act; and (b) Payment of interest. Any person who is found to have violated this Subpart shall be liable for all costs, expenses, and fees related to investigations and proceedings associated with the violation, including attorney fees. Maine No No Mai. Rev. Stat. Title Subject to civil suit by this State in the Superior Court for recovery of civil penalties to include the following: (1) Restitution for all excess benefits or payments made; (2) Payment of interest on the amount of the excess benefits or payments as set forth in subsection 1 at the maximum legal rate in effect on the date the payment was made and computed for the date payment was made to the date on which repayment is made; (3) Payment of civil penalties, without regard to the amount in controversy, in an amount which threefold the amount of such excess benefits or payments as set forth in subsection 1, but in any case not less than $2,000 for each false claim for assistance, benefits or payments, or for each document submitted in support of such false claim, whichever is the greater amount; (4) Cost of the suit; (5) Costs of investigation; and (6) Attorney's fees. Maryland Yes No Md. Code Ann. Health General et. Prohibits making false claims against a State health plan or program. Provides civil penalties in the amount of up to $10,000 per violation plus three times the amount of damages to the State for making false claims against a State health plan or program. Requires courts to consider specific factors in in determining the fines and penalties provided for in the Act. The State or a person on behalf of the State is authorized to file a civil action against a person who makes a false claim against a State health plan or a State health program.

5 Massachusetts No Yes Mass. Ann. Laws Ch. 12, 5A et Liable to the commonwealth or political subdivision for a civil penalty of not less than $5,000 and not more than $10,000 per violation, plus three times the amount of damages, including consequential Liable to the commonwealth or political subdivision for the expenses of the civil action brought to recover any such penalty or Michigan Yes Yes MCL et Shall forfeit and pay to the state the full amount received, and for each claim a civil penalty of not less than $5,000 or more than $10,000 plus triple the amount of Minnesota No No Minn. Stat. 15C.01 et Liable to the state or the political subdivision for a civil penalty of not less than $5,500 and not more than $11,000 per false or fraudulent claim, plus three times the amount of Mississippi No No No Law Missouri No No Mo. Rev. Stat Ch et. Liable for a civil penalty of not less than $5,000 and not more than $10,000 for each separate act in violation of such subsections, plus three times the amount of damages which the state and federal government sustained. Montana No No Mon. Code Ann et Nebraska No No Neb. Rev. Stat et Liable to a governmental entity for a civil penalty of not less than $5,000 and not more than $10,000 for each act specified in this section, plus three times the amount of Subject to, in addition to any other remedies that may be prescribed by law, a civil penalty of not more than $10,000. In addition to any civil penalty, a person who presents a false Medicaid claim under subsection (1) of this section may be subject to damages in the amount of three times the amount of the false claim submitted to the state. Nevada No Yes Nev. Rev. Stat et New Hampshire No No N.H. Rev. Stat. Ann. 167:61- b et Liable to the State or a political subdivision, whichever is affected, for three times the amount of damages sustained by the State or political subdivision, for the costs of a civil action brought to recover those damages and for a civil penalty of not less than $5,000 or more than $10,000 for each act. Liable to the state for a civil penalty of not less than $5,000 and not more than $10,000, plus three times the amount of

6 New Jersey No No NJ Stat. 2A:32C-1 et Liable to the State for a civil penalty of not less than and not more than the civil penalty allowed under the federal False Claims Act (31 U.S.C et ), as may be adjusted in accordance with the inflation adjustment procedures prescribed in the Federal Civil Penalties Inflation Adjustment Act of 1990, Pub.L , for each false or fraudulent claim, plus three times the amount of New Mexico No No N.M. Stat. Ann et N.M. Stat. Ann et New York Yes Yes NY State Fin. Law Ch. 13, 187 et New York City No Yes Title 7, Ch et Title 46, Ch et North Carolina No No N.C. Gen. Stat. Ann. 108A et Liable for: (1) three times the amount of damages sustained by the state because of the violation; (2) a civil penalty of not less than $5,000 and not more than $10,000 for each violation; (3) the costs of a civil action brought to recover damages or penalties; and (4) reasonable attorney fees, including the fees of the attorney general or state agency counsel. Liable to the state for a civil penalty of not less than $6,000 and not more than $12,000, plus three times the amount of damages and to any local government for three times the amount of Liable to the city for three times the amount of damages and a civil penalty of between $5,000 and $15,000 for each violation plus expenses and attorney fees of a civil enforcement action and for the cost of the city's investigation. Liable to the state for a civil penalty for not less than $5,000 and not more than $10,000, plus three times the amount of damages plus costs of a civil action brought to recover any penalty or damages, interest on the damages at the maximum legal rate in effect on the date the payment was made to the provider for the period from the date upon which payment was made to the provider to the date upon which repayment is made by the provider to the Medical Assistance Program, and the costs of the investigation. North Dakota No No No Law Oklahoma No No Okl. Code Title et Liable to the state for a civil penalty of not less than $5,000 and not more than $10,000, plus three times the amount of Ohio No No No Law

7 Oregon No No Ore. Rev. Stat et Liable to the state for three times the amount of damages, the costs of a civil action brought to recover any of those damages, and for a civil penalty of not less than $5,000 and not more than $10,000 for each violation. Pennsylvania No No No Law Rhode Island No Yes R.I. Gen. Laws et Liable to the state for a civil penalty of not less than $5,000 and not more than $10,000, plus three times the amount of damages and costs of a civil action brought to recover any such penalty or South Carolina No No No Law South Dakota No No No Law Tennessee No Yes Tenn. Stat et Liable to the state for a civil penalty of not less than $5,000 and not more than $25,000, plus three times the amount of Texas Yes Yes Tex. Gov't Code Ann et Utah No No Utah Code Ann et Liable to the state a penalty not to exceed two times the amount paid, if any, plus not less than $5,000 or more than $15,000 for each violation that results in injury to an elderly person, as defined by Section (1), a disabled person, as defined by Section (8)(A), or a person younger than 18 years of age; or not more than $10,000 for each violation that does not result in injury. Liable to pay to the state a civil penalty equal to three times the amount of damages and not less than $5,000 or more than $10,000 for each claim. Vermont No No No Law Virginia No Yes Va. Code Ann et Washington No Yes Wash. Rev. Code et Liable to the commonwealth for a civil penalty of not less than $5,500 and not more than $11,000, plus three times the amount of damages and reasonable attorney fees and costs of a civil action brought to recover any such penalties or A person who violates this section is guilty of a class C felony punishable under chapter 9A.20 RCW. Every person convicted of a classified felony shall be punished as follows: For a class C felony, by imprisonment in a state correctional institution for a maximum term of not more than five years, or by a fine in an amount fixed by the court of not more than ten thousand dollars, or by both such imprisonment and fine. West Virginia No No No Law

8 Wisconsin Yes Yes Wis. Stat et Liable to the state for three times the amount of damages sustained and not less than $5,000 nor more than $10,000 for each violation. Wyoming No No No Law Puerto Rico No No No Law Virgin Islands No No No Law

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