January 7, 2026
Mrs. Moody introduced the following bill; which was read twice and referred to the Committee on the Judiciary
To increase the penalties for health care fraud, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
Section 1. Short title
This Act may be cited as the Punishing Health Care Fraudsters Act
.
Sec. 2. Increased penalties for health care fraud under title 18
(a) In general
Section 1347 of title 18, United States Code, is amended, in the flush matter preceding subsection (b)—
(1)
by striking 10 years
and inserting 25 years
; and
(2)
by striking 20 years
and inserting 30 years
.
(b) Effective date
The amendments made by subsection (a) shall apply with respect to acts occurring on or after the date of enactment of this Act.
Sec. 3. Increased criminal penalties for acts involving Federal health care programs
(a) In general
Section 1128B of the Social Security Act (42 U.S.C. 1320a–7b) is amended—
(1)
by striking $100,000
each place it appears and inserting $250,000
;
(2)
by striking 10 years
each place it appears and inserting 25 years
;
(3)
in subsection (a), in the flush matter following paragraph (6), by striking $20,000
and inserting $100,000
; and
(4)
in subsection (e)—
(A)
by striking $4,000
and inserting $100,000
; and
(B)
by striking six months
and inserting 1 year
.
(b) Effective date
The amendments made by subsection (a) shall apply with respect to acts occurring and statements or representations made on or after the date of enactment of this Act.
Sec. 4. United States sentencing guidelines
(a) Covered offense defined
In this section, the term covered offense means—
(1)
an offense under section 1347 of title 18, United States Code; and
(2)
an offense under section 1128B of the Social Security Act (42 U.S.C. 1320a–7b).
(b) Review
Pursuant to its authority under section 994(p) of title 28, United States Code, the United States Sentencing Commission shall review and, if appropriate, amend its guidelines and its policy statements applicable to persons convicted of a covered offense.
(c) Requirements
In carrying out this section, the United States Sentencing Commission shall—
(1)
ensure that the sentencing guidelines and policy statements reflect the seriousness of covered offenses, the growing incidence of covered offenses, and the need for an effective deterrent and appropriate punishment to prevent covered offenses;
(2)
consider relevant factors and the extent to which the guidelines may or may not account for those factors, including—
(A)
the potential and actual loss resulting from the covered offense, including the qualitative impact of the loss on each victim of the covered offense;
(B)
the level of sophistication and planning involved in the covered offense;
(C)
whether the covered offense was committed for purposes of commercial advantage or private financial benefit;
(D)
whether, in committing the covered offense, the defendant acted with intent to cause harm, including physical, psychological, and emotional harm;
(E)
the extent to which the covered offense resulted in the unauthorized disclosure of personal health information or violated the privacy rights of individuals harmed;
(F)
whether the violation was intended to create or had the effect of creating a threat to public health or safety or a threat of injury to any person; and
(G)
the role of the defendant in the covered offense and the duration of the covered offense;
(3)
ensure reasonable consistency with other relevant directives and with other sentencing guidelines;
(4)
account for any additional aggravating or mitigating circumstances that might justify exceptions to the generally applicable sentencing ranges;
(5)
make any necessary conforming changes to the sentencing guidelines; and
(6)
ensure that the guidelines adequately meet the purposes of sentencing as set forth in section 3553(a)(2) of title 18, United States Code.