42 CFR § 1003.810 - Amount of penalties.

---
identifier: "/us/cfr/t42/s1003.810"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 1003.810 - Amount of penalties."
title_number: 42
title_name: "Public Health"
section_number: "1003.810"
section_name: "Amount of penalties."
chapter_name: "OFFICE OF INSPECTOR GENERAL-HEALTH CARE, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "OIG AUTHORITIES"
part_number: "1003"
part_name: "CIVIL MONEY PENALTIES, ASSESSMENTS AND EXCLUSIONS"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 262a, 300jj-52, 1302, 1320a-7, 1320a-7a, 1320b-10, 1395u(j), 1395u(k), 1395cc(j), 1395w-141(i)(3), 1395dd(d)(1), 1395mm, 1395nn(g), 1395ss(d), 1396b(m), 11131(c), and 11137(b)(2)."
regulatory_source: "51 FR 34777, Sept. 30, 1986, unless otherwise noted."
cfr_part: "1003"
---


# 1003.810 Amount of penalties.

The OIG may impose a penalty of not more than—

(a) $11,000 for each payment for which there was a failure to report required information in accordance with § 1003.800(a)(1) or for each improper disclosure, use, or access to information in accordance with a determination under § 1003.800(b); and

(b) $25,000 against a health plan for each failure to report information on an adverse action required to be reported in accordance with section 1128E of the Act and § 1003.800(a)(2).

[81 FR 88362, Dec. 7, 2016, as amended at 88 FR 42841, July 3, 2023]