SC H5285

Creates tiered criminal penalties for Medicaid fraud based on dollar amounts: misdemeanor for fraud under $5,000 (up to 3 years imprisonment, $1,000 fine); felony for $5,000-$50,000 (up to 5 years, $5,000-$20,000 fine); felony for $50,000+ (up to 10 years, $20,000-$50,000 fine)

Requires courts to order full restitution to victims for any economic advantage or benefit obtained through Medicaid fraud violations

Authorizes the Attorney General to issue administrative subpoenas to gather information and documents for Medicaid fraud investigations

Allows the Attorney General to enter consent agreements with alleged violators where the person neither admits nor denies charges but agrees to pay civil penalties or restitution

Establishes escalating civil penalties for recipient fraud violations: up to $5,000 for first offense, $5,000-$20,000 for second offense, and $20,000-$50,000 for third and subsequent offenses