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Title 42

Displaying title 42, up to date as of 7/16/2026. Title 42 was last amended 7/01/2026.
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Title 42Public HealthPart / Section
Chapter VOffice of Inspector General-Health Care, Department of Health and Human Services1000 – 1099
Subchapter BOIG Authorities1001 – 1099
Part 1001Program Integrity—Medicare and State Health Care Programs1001.1 – 1001.3005
Subpart CPermissive Exclusions1001.201 – 1001.1701
§ 1001.201Conviction relating to program or health care fraud.
§ 1001.301Conviction relating to obstruction of an investigation or audit.
§ 1001.401Conviction relating to controlled substances.
§ 1001.501License revocation or suspension.
§ 1001.601Exclusion or suspension under a Federal or State health care program.
§ 1001.701Excessive claims or furnishing of unnecessary or substandard items and services.
§ 1001.801Failure of HMOs and CMPs to furnish medically necessary items and services.
§ 1001.901False or improper claims.
§ 1001.951Fraud and kickbacks and other prohibited activities.
§ 1001.952Exceptions.
§ 1001.1001Exclusion of entities owned or controlled by a sanctioned person.
§ 1001.1101Failure to disclose certain information.
§ 1001.1201Failure to provide payment information.
§ 1001.1301Failure to grant immediate access.
§ 1001.1401Violations of PPS corrective action.
§ 1001.1501Default of health education loan or scholarship obligations.
§ 1001.1551Exclusion of individuals with ownership or control interest in sanctioned entities.
§ 1001.1552Making false statements or misrepresentation of material facts.
§ 1001.1601Violations of the limitations on physician charges.
§ 1001.1701Billing for services of assistant at surgery during cataract operations.
Appendix A to Subpart C of Part 1001
Appendix A to Subpart C of Part 1001