18 U.S.C. § 1035
Section 1035 · False statements relating to health care matters
This is § 244 of the Health Insurance Portability and Accountability Act of 1996
Amended 1 time on record
Applied in 129 court decisions — leading case United States v. Kaplan (2007)
Most recently applied in United States v. Thomas O'Lear (January 2024)
Cases citing this section usually also cite 18 U.S.C. § 1347 · 18 U.S.C. § 371 · 18 U.S.C. § 1001
How often courts cite this section
Court decisions citing this, by year.Markers show enactment and consequential amendments — watch for a citation surge after a change. The dip in the last several years is a data-coverage gap, not a real trend — our corpus holds fewer opinions from the most recent years, so recent citations are undercounted.
(a) Whoever, in any matter involving a health care benefit program, knowingly and willfully—
(1) falsifies, conceals, or covers up by any trick, scheme, or device a material fact; or
(2) makes any materially false, fictitious, or fraudulent statements or representations, or makes or uses any materially false writing or document knowing the same to contain any materially false, fictitious, or fraudulent statement or entry,
in connection with the delivery of or payment for health care benefits, items, or services, shall be fined under this title or imprisoned not more than 5 years, or both.
(b) As used in this section, the term “health care benefit program” has the meaning given such term in section 24(b) of this title.