Corporate Crimes Against Health Care Act
Summary
What This Bill Does
This bill targets health care ownership and financing practices. It creates a criminal offense for covered parties whose actions contribute to a triggering event causing patient death or injury at a target firm, with 1 to 6 years imprisonment, civil penalties up to 5 times clawback amounts, and clawbacks of covered compensation received during the 10 years before or after the triggering event. The Attorney General and state attorneys general can enforce clawbacks. It excludes entities that sell assets to or newly pledge assets as collateral for loans with real estate investment trusts from federal health care program participation, repeals special REIT rules for taxable REIT subsidiaries with qualified health care property, removes qualified REIT dividends from qualified business income treatment, requires annual health-related ownership reports beginning January 1, 2027, and requires HHS OIG to study profit-driven practices and moral injury in health care.
Who Benefits and How
Patients, health care workers, state attorneys general, the Department of Justice, HHS, CMS, and the public benefit from penalties, clawback authority, federal payment exclusions, ownership transparency, and a federal study of practices such as overbilling, upcoding, staffing cuts, revenue-focused compensation, service mix changes, and moral injury.
Who Bears the Burden and How
Covered health care owners, executives, investors, target firms, REITs with health care property, specified health-related entities, and health care management firms face criminal exposure, civil penalties, compensation clawbacks, federal program exclusion risk, reduced tax benefits, and annual ownership reporting. DOJ, state attorneys general, HHS, CMS, Treasury, IRS, and HHS OIG must enforce, administer, publish data, and report.
Key Provisions
- Creates criminal penalties of 1 to 6 years for covered parties whose actions contribute to patient death or injury at a target firm.
- Authorizes DOJ and state attorneys general to claw back covered compensation from covered parties for the 10 years before or after a triggering event.
- Bars federal health care program payments to entities that sell assets to or newly pledge assets as collateral for loans with a REIT.
- Repeals health-care-property REIT tax rules and removes qualified REIT dividends from qualified business income treatment.
- Requires annual health-related ownership reports on mergers, acquisitions, control changes, affiliations, management services agreements, and ownership structures.
- Directs HHS OIG to study profit-driven health care practices and report to Congress on moral injury and care-delivery effects.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
Creates criminal, civil, tax, payment-exclusion, ownership-reporting, and HHS OIG study tools aimed at health care corporate transactions and profit-driven practices that contribute to patient death, injury, or care harms.
Key Policy Areas
Healthcare, Financial Services, Tax, Law Enforcement
Primary Purpose
Creates criminal, civil, tax, payment-exclusion, ownership-reporting, and HHS OIG study tools aimed at health care corporate transactions and profit-driven practices that contribute to patient death, injury, or care harms.
Policy Domains
Substantive provisions
Identified Gains
- Patients of target health care firms
- Health care workers
- Department of Justice
- State attorneys general
- CMS
- HHS Office of Inspector General
Identified Costs
- Covered health care owners
- Health care executives
- Real estate investment trusts
- Specified health-related entities
- Internal Revenue Service
- Department of Health and Human Services
Legislative Progress
In CommitteeReferred to the Committee on Ways and Means, and in …
Introduced in House
Ms. Goodlander introduced the following bill; which was referred to …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Covered health care owners, Health care management firms, Health care providers selling assets to REITs
Positive-direction: Health care workers, Patients affected by profit-driven practices, Patients of reporting entities, Patients of target health care firms
Negative-direction: Covered health care owners, Health care management firms, Health care providers selling assets to REITs, Specified health-related entities
Congressional health committees, Department of Health and Human Services, Department of Justice
Positive-direction: Congressional health committees, State attorneys general
Negative-direction: Department of Health and Human Services, Department of Justice, HHS Office of Inspector General
Health care REIT subsidiaries, Real estate investment trusts
Internal Revenue Service, Taxpayers
Positive-direction: Taxpayers
Negative-direction: Internal Revenue Service
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "secretary"
- → Secretary of Health and Human Services
- "attorney_general"
- → Attorney General of the United States
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology