Which law prohibits routinely discounting services and waiving co-pays and deductibles unless legitimate determination of financial need can be made based upon federal poverty guidelines?

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Waiving patient copays or deductibles only when there’s a legitimate, documented financial need based on federal poverty guidelines is a compliance issue tied to keeping government health programs honest and free from improper inducements. The Civil Monetary Penalties Law gives authorities the power to penalize practices that inappropriately discount or waive cost-sharing to influence patient choices or to funnel business, unless there’s a proper hardship determination using recognized guidelines. This makes it the most direct, relevant rule for audits and penalties when such waivers occur without documented need. The Anti-Kickback Statute targets improper incentives to referrals, Stark Law focuses on physician referrals and financial relationships, and the False Claims Act deals with submitting or causing false claims to government programs; while related in the broad sense, they aren’t the specific mechanism governing improper waivers tied to financial hardship documentation.