,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ceic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #g1 #bjbf,mrs4 
,moody introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on !
 ,judici>y  ,a ,,bill  ,to increase !   
p5alties = heal? c>e fraud1 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,puni%+ ,heal? ,c>e        
,fraud/]s ,act4  #b4 ,increas$ p5alties 
= heal? c>e fraud "u title #ah  7a7 ,9  
g5]al ,section #acdg ( title #ah1 ,unit$
 ,/ates ,code1 is am5d$1 9 ! flu% matt] 
prec$+ subsection 7b7-- 7#a7 by /rik+   
#aj ye>s & ins]t+ #be ye>s2 &  7#b7 by  
/rik+ #bj ye>s & ins]t+ #cj ye>s4  7b7  
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
acts occurr+ on or aft] ! date (        
enactm5t ( ?is ,act4  #c4 ,increas$     
crim9al p5alties = acts involv+ ,f$]al  
heal? c>e programs  7a7 ,9 g5]al        
,section #aabh;,b ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;a-#g;b7 is    
am5d$-- 7#a7 by /rik+ #ajj1jjj ea* place

 x appe>s & ins]t+ #bej1jjj2  7#b7 by   
/rik+ #aj ye>s ea* place x appe>s &     
ins]t+ #be ye>s2  7#c7 9 subsection 7a71
 9 ! flu% matt] foll[+ p>agraph 7#f71 by
 /rik+ #bj1jjj & ins]t+ #ajj1jjj2 &     
7#d7 9 subsection 7e7-- 7,a7 by /rik+   
#d1jjj & ins]t+ #ajj1jjj2 &  7,b7 by    
/rik+ six mon?s & ins]t+ #a ye>4  7b7   
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply ) respect to  
acts occurr+ & /atem5ts or              
repres5tations made on or aft] ! date ( 
enactm5t ( ?is ,act4  #d4 ,unit$ ,/ates 
s5t5c+ guidel9es  7a7 ,cov]$ (f5se def9$
 ,9 ?is section1 ! t]m cov]$ (f5se      
means-- 7#a7 an (f5se "u section #acdg (
 title #ah1 ,unit$ ,/ates ,code2 &  7#b7
 an (f5se "u section #aabh;,b ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;b74  7b7 ,review ,pursuant to
 its au?ority "u section #iid7p7 ( title
 #bh1 ,unit$ ,/ates ,code1 ! ,unit$     
,/ates ,s5t5c+ ,commission %all review  
&1 if appropriate1 am5d its guidel9es & 
its policy /atem5ts applicable to p]sons

 convict$ ( a cov]$ (f5se4  7c7         
,requirem5ts ,9 c>ry+ out ?is section1 !
 ,unit$ ,/ates ,s5t5c+ ,commission      
%all-- 7#a7 ensure t ! s5t5c+ guidel9es 
& policy /atem5ts reflect ! s]i\sness ( 
cov]$ (f5ses1 ! gr[+ incid5ce ( cov]$   
(f5ses1 & ! ne$ = an effective det]r5t &
 appropriate puni%m5t to prev5t cov]$   
(f5ses2  7#b7 consid] relevant factors &
 ! ext5t to :i* ! guidel9es may or may n
 acc\nt = ^? factors1 includ+-- 7,a7 !  
pot5tial & actual loss result+ f ! cov]$
 (f5se1 includ+ ! qualitative impact ( !
 loss on ea* victim ( ! cov]$ (f5se2    
7,b7 ! level ( sophi/ication & plann+   
involv$ 9 ! cov]$ (f5se2  7,c7 :e!r !   
cov]$ (f5se 0 committ$ = purposes (     
comm]cial advantage or private f9ancial 
b5efit2  7,d7 :e!r1 9 committ+ ! cov]$  
(f5se1 ! def5dant act$ ) int5t to cause 
h>m1 includ+ physical1 psy*ological1 &  
emotional h>m2  7,e7 ! ext5t to :i* !   
cov]$ (f5se result$ 9 ! unau?oriz$      
disclosure ( p]sonal heal? in=mation or 
violat$ ! privacy rights ( individuals  

h>m$2  7,f7 :e!r ! violation 0 int5d$ to
 create or _h ! effect ( creat+ a ?reat 
to public heal? or safety or a ?reat (  
injury to any p]son2 &  7,g7 ! role ( ! 
def5dant 9 ! cov]$ (f5se & ! duration ( 
! cov]$ (f5se2  7#c7 ensure reasonable  
consi/5cy ) o!r relevant directives & ) 
o!r s5t5c+ guidel9es2  7#d7 acc\nt = any
 additional aggravat+ or mitigat+       
circum/ances t might ju/ify exceptions  
to ! g5]ally applicable s5t5c+ ranges2  
7#e7 make any necess>y con=m+ *anges to 
! s5t5c+ guidel9es2 &  7#f7 ensure t !  
guidel9es adequately meet ! purposes (  
s5t5c+ z set =? 9 section #ceec7;a77#b7 
( title #ah1 ,unit$ ,/ates ,code4