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18 U.S.C. § 24 — Definitions relating to Federal health care offense

Federal law — U.S. Code and appendices · legal_authorities

18 U.S.C. § 24 — Definitions relating to Federal health care offense

**(a)** As used in this title, the term “Federal health care offense” means a violation of, or a criminal conspiracy to violate— (1) section 669, 1035, 1347, or 1518 of this title or section 1128B of the Social Security Act ([42 U.S.C. 1320a–7b](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1320a–7b&num=0&edition=prelim)); or (2) section 287, 371, 664, 666, 1001, 1027, 1341, 1343, 1349, or 1954 of this title section 301 of the Federal Food, Drug, and Cosmetic Act ([21 U.S.C. 331](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title21-section331&num=0&edition=prelim)), or section 501 of the Employee Retirement Income Security Act of 1974 ([29 U.S.C. 1131](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section1131&num=0&edition=prelim)), or section 411, 518, or 511 of the Employee Retirement Income Security Act of 1974,,11 So in original. The second comma probably should follow “1954 of this title”. if the violation or conspiracy relates to a health care benefit program. **(b)** As used in this title, the term “health care benefit program” means any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and includes any individual or entity who is providing a medical benefit, item, or service for which payment may be made under the plan or contract.

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Source location: Title 18, Chapter 1, § 24; chapter-001-general-provisions.md

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**(a)** As used in this title, the term “Federal health care offense” means a violation of, or a criminal conspiracy to violate— (1) section 669, 1035, 1347, or 1518 of this title or section 1128B of the Social Security Act ([42 U.S.C. 1320a–7b](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1320a–7b&num=0&edition=prelim)); or (2) section 287, 371, 664, 666, 1001, 1027, 1341, 1343, 1349, or 1954 of this title section 301 of the Federal Food, Drug, and Cosmetic Act ([21 U.S.C. 331](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title21-section331&num=0&edition=prelim)), or section 501 of the Employee Retirement Income Security Act of 1974 ([29 U.S.C. 1131](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section1131&num=0&edition=prelim)), or section 411, 518, or 511 of the Employee Retirement Income Security Act of 1974,,11 So in original. The second comma probably should follow “1954 of this title”. if the violation or conspiracy relates to a health care benefit program. **(b)** As used in this title, the term “health care benefit program” means any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and includes any individual or entity who is providing a medical benefit, item, or service for which payment may be made under the plan or contract.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1320a–7b — Criminal penalties for acts involving Federal health care programs

**(a) Making or causing to be made false statements or representations** Whoever— (1) knowingly and willfully makes or causes to be made any false statement or representation of a material fact in any application for any benefit or payment under a Federal health care program (as defined in subsection (f)), (2) at any time knowingly and willfully makes or causes to be made any false statement or representation of a material fact for use in determining rights to such benefit or payment, (3) having knowledge of the occurrence of any event affecting (A) his initial or continued right to any such benefit or payment, or (B) the initial or continued right to any such benefit or payment of any other individual in whose behalf he has applied for or is receiving such benefit or payment, conceals or fails to disclose such event with an intent fraudulently to secure such benefit or payment either in a greater amount or quantity than is due or when no such benefit or payment is authorized, (4) having made application to receive any such benefit or payment for the use and benefit of another and having received it, knowingly and willfully converts such benefit or payment or any part thereof to a use other than for the use and benefit of such other person, (5) presents or causes to be presented a claim for a physician’s service for which payment may be made under a Federal health care program and knows that the individual who furnished the service was not licensed as a physician, or (6) for a fee knowingly and willfully counsels or assists an individual to dispose of assets (including by any transfer in trust) in order for the individual to become eligible for medical assistance under a State plan under subchapter XIX, if disposing of the assets results in the imposition of a per

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Federal law — U.S. Code and appendices · legal_authorities

21 U.S.C. § 331 — Prohibited acts

The following acts and the causing thereof are prohibited: **(a)** The introduction or delivery for introduction into interstate commerce of any food, drug, device, tobacco product, or cosmetic that is adulterated or misbranded. **(b)** The adulteration or misbranding of any food, drug, device, tobacco product, or cosmetic in interstate commerce. **(c)** The receipt in interstate commerce of any food, drug, device, tobacco product, or cosmetic that is adulterated or misbranded, and the delivery or proffered delivery thereof for pay or otherwise. **(d)** The introduction or delivery for introduction into interstate commerce of any article in violation of section 344, 350d, 355,,11 So in original. 360bbb–3, or 364c of this title. **(e)** The refusal to permit access to or copying of any record as required by section 350a, 350c, 350f(j), 350e, 354, 360bbb–3, 364a, 373, 374(a), 379aa, or 379aa–1 of this title; or the failure to establish or maintain any record, or make any report, required under section 350a, 350c(b), 350f, 350e, 354, 355(i) or (k), 360b(a)(4)(C), 360b(j), (l) or (m), 360ccc–1(i), 360e(f), 360i, 360bbb–3, 364a, 364g, 379aa, 379aa–1, 387i, or 387t of this title or the refusal to permit access to or verification or copying of any such required record; or the violation of any recordkeeping requirement under section 2223 22 See References in Text note below. of this title (except when such violation is committed by a farm). **(f)** The refusal to permit entry or inspection as authorized by [section 374 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title21-section374&num=0&edition=prelim). **(g)** The manufacture within any Territory of any food, drug, device, tobacco product, or cosmetic that is adulterated or misbranded. *

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Federal law — U.S. Code and appendices · legal_authorities

29 U.S.C. § 1131 — Criminal penalties

**(a)** Any person who willfully violates any provision of part 1 of this subtitle, or any regulation or order issued under any such provision, shall upon conviction be fined not more than $100,000 or imprisoned not more than 10 years, or both; except that in the case of such violation by a person not an individual, the fine imposed upon such person shall be a fine not exceeding $500,000. **(b)** Any person that violates [section 1149 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title29-section1149&num=0&edition=prelim) shall upon conviction be imprisoned not more than 10 years or fined under title 18, or both.

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Federal law — U.S. Code and appendices · legal_authorities

18 U.S.C. § 24 — Definitions relating to Federal health care

Page 19 TITLE 18—CRIMES AND CRIMINAL PROCEDURE § 27 1 So in original. No section 22 has been enacted. 2 So in original. Probably should be followed by a comma. 1 So in original. The second comma probably should follow ‘‘1954 of this title’’. 1 So in original. Probably should be followed by a period. § 23.1 Court of the United States defined As used in this title, except where otherwise expressly provided 2 the term ‘‘court of the United States’’ includes the District Court of Guam, the District Court for the Northern Mar- iana Islands, and the District Court of the Vir- gin Islands. (Added Pub. L. 103–322, title XXXII, § 320914(a), Sept. 13, 1994, 108 Stat. 2128.) § 24. Definitions relating to Federal health care offense (a) As used in this title, the term ‘‘Federal health care offense’’ means a violation of, or a criminal conspiracy to violate— (1) section 669, 1035, 1347, or 1518 of this title or section 1128B of the Social Security Act (42 U.S.C. 1320a–7b); or (2) section 287, 371, 664, 666, 1001, 1027, 1341, 1343, 1349, or 1954 of this title section 301 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 331), or section 501 of the Employee Re- tirement Income Security Act of 1974 (29 U.S.C. 1131), or section 411, 518, or 511 of the Employee Retirement Income Security Act of 1974,,1 if the violation or conspiracy relates to a health care benefit program. (b) As used in this title, the term ‘‘health care benefit program’’ means any public or private plan or contract, affecting commerce, under which any medical benefit, item, or service is provided to any individual, and includes any in- dividual or entity who is providing a medical benefit, item, or service for which payment may be made under the plan or contract. (Added Pub. L. 10

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Federal law — U.S. Code and appendices · legal_authorities

21 U.S.C. § 331 — Prohibited acts

Page 47 TITLE 21—FOOD AND DRUGS § 331 1 So in original. 2 See References in Text note below. § 321c. Nonfat dry milk; ‘‘milk’’ defined For the purposes of the Federal Food, Drug, and Cosmetic Act of June 26, 1938, (ch. 675, sec. 1, 52 Stat. 1040) [21 U.S.C. 301 et seq.] nonfat dry milk is the product resulting from the removal of fat and water from milk, and contains the lactose, milk proteins, and milk minerals in the same relative proportions as in the fresh milk from which made. It contains not over 5 per cen- tum by weight of moisture. The fat content is not over 11⁄2 per centum by weight unless other- wise indicated. The term ‘‘milk’’, when used herein, means sweet milk of cows. (Mar. 2, 1944, ch. 77, 58 Stat. 108; July 2, 1956, ch. 495, 70 Stat. 486.) Editorial Notes REFERENCES IN TEXT The Federal Food, Drug, and Cosmetic Act of June 26, 1938 (ch. 675, sec. 1, 52 Stat. 1040), referred to in text, probably means act June 25, 1938, ch. 675, 52 Stat. 1040, which is classified generally to this chapter (§ 301 et seq.). For complete classification of this Act to the Code, see section 301 of this title and Tables. CODIFICATION Section was not enacted as a part of the Federal Food, Drug, and Cosmetic Act which comprises this chapter, but was made applicable thereto. AMENDMENTS 1956—Act July 2, 1956, substituted ‘‘nonfat dry milk’’ for ‘‘nonfat dry milk solids or defatted milk solids’’. § 321d. Market names for catfish and ginseng (a) Catfish labeling (1) In general Notwithstanding any other provision of law, for purposes of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.)— (A) the term ‘‘catfish’’ may only be consid- ered to be a common or usual name (or part thereof) for fish classified within the family Ictaluridae;

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Federal law — U.S. Code and appendices · legal_authorities

29 U.S.C. § 1131 — Criminal penalties

Page 534 TITLE 29—LABOR § 1131 would be and if such provision of services was not, at the time of such provision, a pro- hibited transaction (within the meaning of section 503(b) of title 26) or the cor- responding provisions of prior law; or (5) the sale, exchange, or other disposition of property which is owned by a plan on June 30, 1974, and all times thereafter, to a party in in- terest, if such plan is required to dispose of such property in order to comply with the pro- visions of section 1107(a) of this title (relating to the prohibition against holding excess em- ployer securities and employer real property), and if the plan receives not less than adequate consideration. (d) Any election, or failure to elect, by a dis- qualified person under section 2003(c)(1)(B) of this Act shall be treated for purposes of this part (but not for purposes of section 1144 of this title) as an act or omission occurring before the effective date of this part. (e) The preceding provisions of this section shall not apply with respect to amendments made to this part in provisions enacted after September 2, 1974. (Pub. L. 93–406, title I, § 414, Sept. 2, 1974, 88 Stat. 889; Pub. L. 101–239, title VII, § 7894(e)(6), (h)(4), Dec. 19, 1989, 103 Stat. 2450, 2451.) Editorial Notes REFERENCES IN TEXT Section 2003(c)(1)(B) of this Act, referred to in subsec. (d), is section 2003(c)(1)(B) of Pub. L. 93–406, which is set out as an Effective Date; Savings Provisions note under section 4975 of Title 26, Internal Revenue Code. AMENDMENTS 1989—Subsec. (c)(2). Pub. L. 101–239, § 7894(e)(6), sub- stituted ‘‘Internal Revenue Code of 1986’’ for ‘‘Internal Revenue Code of 1954’’, which for purposes of codifica- tion was translated as ‘‘title 26’’ thus requiring no change in t

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1320a — Uniform reporting systems for health services facilities and organizations

**(a) Establishment; criteria for regulations; requirements for hospitals** For the purposes of reporting the cost of services provided by, of planning, and of measuring and comparing the efficiency of and effective use of services in, hospitals, skilled nursing facilities, intermediate care facilities, home health agencies, health maintenance organizations, and other types of health services facilities and organizations to which payment may be made under this chapter, the Secretary shall establish by regulation, for each such type of health services facility or organization, a uniform system for the reporting by a facility or organization of that type of the following information: (1) The aggregate cost of operation and the aggregate volume of services. (2) The costs and volume of services for various functional accounts and subaccounts. (3) Rates, by category of patient and class of purchaser. (4) Capital assets, as defined by the Secretary, including (as appropriate) capital funds, debt service, lease agreements used in lieu of capital funds, and the value of land, facilities, and equipment. (5) Discharge and bill data. The uniform reporting system for a type of health services facility or organization shall provide for appropriate variation in the application of the system to different classes of facilities or organizations within that type and shall be established, to the extent practicable, consistent with the cooperative system for producing comparable and uniform health information and statistics described in [section 242k(e)(1) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section242k/e/1&num=0&edition=prelim). In reporting under such a system, hospitals shall employ such chart of accounts, definitions, principles, and

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 1320a — Uniform reporting systems for health

Page 2598 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1320 chapter has made a finding (prior to making such expenditure) that (A) such home is so de- fective that continued occupancy is unwar- ranted, (B) unless repairs are made to such home, rental quarters will be necessary for such individual, and (C) the cost of rental quarters to take care of the needs of such indi- vidual (including his spouse living with him in such home and any other individual whose needs were taken into account in determining the need of such individual) would exceed (over such time as the Secretary may specify) the cost of repairs needed to make such home habitable together with other costs attrib- utable to continued occupancy of such home, and (2) no such expenditures were made for re- pairing such home pursuant to any prior find- ing under this section, the amount paid to any such State for any quar- ter under section 303(a), 1203(a), 1353(a), or 1383(a) of this title shall be increased by 50 per centum of such expenditures, except that the ex- cess above $500 expended with respect to any one home shall not be included in determining such expenditures. (Aug. 14, 1935, ch. 531, title XI, § 1119, as added Pub. L. 90–248, title II, § 209(a), Jan. 2, 1968, 81 Stat. 894; amended Pub. L. 104–193, title I, § 108(g)(5), Aug. 22, 1996, 110 Stat. 2168.) Editorial Notes REFERENCES IN TEXT Section 1383(a) of this title, referred to in text, is a reference to section 1383(a) of this title as it existed prior to the general revision of this subchapter by Pub. L. 92–603, title III, § 301, Oct. 30, 1972, 86 Stat. 1465, eff. Jan. 1, 1974. The prior section (which is set out as a note under section 1383 of this title) continues in effect for Puerto Rico, Guam, and the Virgin Islands

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