Federal
Factors considered in determining the amount of a civil money penalty.
45 CFR § 160.408
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45 CFR § 160.408
45 CFR § 160.408
Factors considered in determining the amount of a civil money penalty. In determining the amount of any civil money penalty, the Secretary will consider the following factors, which may be mitigating or aggravating as appropriate:
(a)
The nature and extent of the violation, consideration of which may include but is not limited to:
(1)
The number of individuals affected; and
(2)
The time period during which the violation occurred;
(b)
The nature and extent of the harm resulting from the violation, consideration of which may include but is not limited to:
(1)
Whether the violation caused physical harm;
(2)
Whether the violation resulted in financial harm;
(3)
Whether the violation resulted in harm to an individual's reputation; and
(4)
Whether the violation hindered an individual's ability to obtain health care;
(c)
The history of prior compliance with the administrative simplification provisions, including violations, by the covered entity or business associate, consideration of which may include but is not limited to:
(1)
Whether the current violation is the same or similar to previous indications of noncompliance;
(2)
Whether and to what extent the covered entity or business associate has attempted to correct previous indications of noncompliance;
(3)
How the covered entity or business associate has responded to technical assistance from the Secretary provided in the context of a compliance effort; and
(4)
How the covered entity or business associate has responded to prior complaints;
(d)
The financial condition of the covered entity or business associate, consideration of which may include but is not limited to:
(1)
Whether the covered entity or business associate had financial difficulties that affected its ability to comply;
(2)
Whether the imposition of a civil money penalty would jeopardize the ability of the covered entity or business associate to continue to provide, or to pay for, health care; and
(3)
The size of the covered entity or business associate; and
(e)
Such other matters as justice may require.
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