PA HB216

Amends Pennsylvania's Human Services Code to expand medical assistance fraud prohibitions from "providers" to any "person," broadening who can be held liable for Medicaid fraud

Creates tiered criminal penalties based on fraud amount: second-degree felony for over $100,000 or prior convictions, third-degree felony for $2,000-$100,000, and first-degree misdemeanor for under $2,000

Adds new prohibition against submitting claims while excluded from the medical assistance program or listed on the Federal List of Excluded Individuals/Entities, punishable as a second-degree felony

Requires convicted individuals to repay excess benefits plus interest and up to triple damages, with mandatory five-year exclusion from participating in the medical assistance program

Redirects fraud referral reporting from the Department of Justice to the Office of Attorney General's Medicaid Fraud Control Unit; takes effect 60 days after enactment