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State Health Care Fraud Law: An AHLA 50-State Survey with Summaries and Links

  • September 07, 2018

Overview

This updated 50-State Survey summarizes the fraud and abuse statutes, regulations, and other pertinent authorities for each state. Most states have specific laws and regulations on these subjects, and while many are similar and often borrow from federal authorities, each state uses its own terminology and thresholds for governmental oversight. The updated survey aims to make the process of legal research more efficient and to serve as a primer for those new to fraud law. A summary of laws and regulations are provided in the following general categories (some states may include additional categories):

  • Anti-Kickback
  • Prohibitions on Self-Referral
  • False Claims & Fraud and Abuse
  • General Whistleblower Protections
  • Anti-Rebate & Fee Splitting
  • Helpful Links

This update provides direct links to each of the statutes and regulations identified for each state. The “Helpful Links” section at the end of each summary includes direct links to other organization or state and federal agency websites that the user may find helpful when researching the fraud laws of a particular jurisdiction.

The reader may use this resource as a starting point for further research, but it should not be treated as a comprehensive statement of the law for any jurisdiction. AHLA attempts to keep such surveys up to date, but there is no guarantee that the content will be current on every point of law. Like most research tools, this survey should not be your sole source of legal research and analysis. You are encouraged to contact a qualified health lawyer within the particular jurisdiction to assist in the interpretation and application of these legal requirements.

AHLA expresses sincere gratitude to the members of the Fraud and Abuse Practice Group who have compiled the information in this survey. They are identified within the summary for each jurisdiction. Please recognize these individuals by referring any questions, comments, updates, or requests for local representation you may have.

If you prefer a single .pdf that contains all 50 states’ summaries, please visit AHLA's Bookstore.

Listing of States