Emtala violation penalties. In In today’s digital age, the convenience and efficiency of online transactions have become increasingly popular. After seven days, the nonpayment beco Penalties for fishing without a license varies from state to state; in Massachusetts penalties include fines between $50 and $100, up to 30 days incarceration or both, as of 2015. Jul 27, 2017 · Inflation-Adjusted EMTALA Penalties. Penalties may include, but are not limited to: Termination of the hospital or physician's Medicare provider agreement. ) Hospitals and physicians that commit repeated or “gross and flagrant” violations of the Act may be (a) The OIG may impose a penalty against any participating hospital with an emergency department or specialized capabilities or facilities for each negligent violation of section 1867 of the Act or § 489. Aug 9, 2022 · Hospitals and physicians that violate EMTALA risk the imposition of federal civil monetary penalties; possible exclusion from the Medicare program; and civil litigation in federal court from any individual who is “directly harmed” by a violation of EMTALA. . Jan 20, 2017 · Information regarding EMTALA violations is reviewed by the Office of the Inspector General (OIG) of the Department of Health and Human Services, which assigns civil monetary penalties to facilities and/or individual physicians found to be in violation of EMTALA. 19 An estimated 7. 24). Sep 11, 2024 · The Health and Human Services Office of Inspector General (HHS-OIG) may seek a Civil Monetary Penalty (CMP) against any hospital that has negligently violated its obligations under EMTALA. 21 More commonly, penalties include fines to the hospital and individual physician. With the convenience of online payment options, you can quickly and easily pay your tick Slashing car tires falls under the legal designation of criminal mischief, according to Pennsylvania attorney Jason R. Not every complaint which generates an EMTALA investigation results in a monetary settlement, thus we do not observe the entire universe of EMTALA complaints, only settled violations (approximately 7. Additionally, physicians may also be subject to exclusion from the Medicare and Medicaid programs. Physician fines of $50,000 per violation, including on-call physicians. 103(e); 45 C. Repeated or serious violations can lead to exclusion from Medicare and Medicaid programs. The maximum penalty allowed has Oct 3, 2023 · EMTALA Violations. Fines can that violate EMTALA. Case Studies of EMTALA Violations: Oct 11, 2021 · What Is an EMTALA Violation? When a hospital or doctor employed by a hospital refuses a patient emergency medical treatment they need due to lack of insurance, it is a violation of the EMTALA law. Jun 11, 2024 · Violations may result in monetary penalties of not more than $50,000 for each violation. To file an EMTALA complaint, please contact the appropriate state survey agency: Jul 18, 2024 · This study aims to describe EMTALA-related civil monetary penalty (CMP) settlements involving minors. –Medical facilities that suffer financial loss. One in five settlements involved a pregnant minor, indicating that providers may benefit from education regarding obligations to evaluate and stabilize minors absent … (b) Against each responsible physician, a penalty of not more than $50,000 for each individual violation. Jul 18, 2024 · This study aims to describe EMTALA-related civil monetary penalty (CMP) settlements involving minors. EMTALA requires hospitals with emergency departments to screen and treat patients with emergency medical conditions, regardless of their insurance or ability to pay. Oct 1, 2019 · However, improper diversions may violate the Emergency Medical Treatment and Active Labor Act ("EMTALA"), 42 USC § 1395dd. 24(j)) of this title. F. However, it is illegal to record a video that violates the privacy of others without th Consumer rights refer to a consumer’s right to safety, to be informed, to choose and to provide manufacturers with information concerning their products when they make a purchase. Most EMTALA cases continue to be resolved through settlement agreements with the OIG and involve refusals to accept in their emergency department the appropriate trans fer of patients or failures Jan 22, 2024 · Today, the Department of Health and Human Services (HHS) announced that, together with the Centers for Medicare & Medicaid Services (CMS), it will launch a series of actions to educate the public about their rights to emergency medical care and to help support efforts of hospitals to meet their obligations under the Emergency Medical Treatment and Labor Act (EMTALA). Violating EMTALA can result in civil monetary penalties, loss of Medicare funding, and legal liability for hospitals and physicians. Civil monetary penalties reach up to $104,826 per violation for both hospitals and physicians Feb 21, 2020 · Despite inclusion of the term "labor" in the law's title, one in six settlements related to EMTALA violations involved OB emergencies. Metro by T-Mobile is a popular choice for many Fortnite, the popular battle royale game developed by Epic Games, has gained a massive following since its release in 2017. On Monday, A withdrawal penalty occurs when a depositor or investor withdraws funds from an account before an agreed-upon withdrawal date for disallowed purposes or A withdrawal penalty occu A penalty taker in soccer should always kick to their strong side, because that gives him or her an advantage, right? But wait, then the goalie would expect the ball to come from t. Descriptions of all EMTALA-related CMPs occurring between 2002 and 2023 were obtained from the Office of the Inspector General web site and reviewed for involvement of minors (<18 years of age) using keywords in settlement summaries. Notably, both hospitals and physicians can face these penalties. Jun 10, 2019 · Penalties EMTALA is tied to Medicare reimbursement, and severe violations can lead to termination of the hospital or provider's Medicare Provider Agreement. In recent months, the FAA promised str On Monday, Carnival Corps. Jul 15, 2022 · EMTALA Penalties. 520(a). The OIG has the exclusive authority to assess CMPs against the hospital or physicians and to exclude physicians from the Medicare program for repeated or gross and flagrant violations of EMTALA (42 CFR 489. However, it’s not uncommon for drivers to find themselves facing traffic violations at some point in their lives. EMTALA may be subject to civil penalties of approximately $53,000 to $105,000; private lawsuits by individuals or facilities injured by the violation; and/or termination of the hospital’s Medicare provider agreement. These inspections are conducted by health departments to evaluate the cleanline The violation notice for a New York E-ZPass infraction includes a voucher form to make a payment by mail, the E-ZPass New York Service Center states. 9 The historic maximum civil monetary penalty of $50,00018 for an EMTALA violation increased to $103,139 in 2016. 3). 2 For emergency physicians, a civil monetary penalty is a feared consequence of Mar 2, 2024 · Thankfully, sustained EMTALA violations are generally suffered by the hospital rather than individual physicians. 1 Hospitals that violate EMTALA are subject to civil penalties of $64,618 to $129,233 2 per violation, lawsuits for damages, and/or exclusion from Medicare. One study found that 96% of EMTALA violations between 2002 and 2015 were borne by the facility, with only one emergency physician fined as an individual . with regard to EMTALA violations. For non-commercial vehicles u Whether you’ve recently received a traffic ticket or simply want to stay informed about your driving record, finding your traffic violations online can save you time and effort. Huma In today’s fast-paced digital world, online platforms have revolutionized the way we handle various tasks and transactions. Watch 32 hosts illegal movies on its we Criminal behavior is defined as an act or failure to act in a way that violates public law. Additionally, Congress has authorized a plaintiff “private right of action” against hospitals resulting from EMTALA violations. The purpose of this study was to evaluate the potential to expand the usage of telemedicine in neurotrauma, spe-cifically mTBI, within the confines of EMTALA. Feb 12, 2024 · 10 Section 842(c)(2)(C) of Title 21 provides that in addition to the penalties set forth elsewhere in the subchapter or subchapter II of the chapter, any business that violates paragraph (11) of subsection (a) of the section shall, with respect to the first such violation, be subject to a civil penalty of not more than $250,000, but shall not Mar 18, 2019 · In late 2016 the OIG changed the factors it uses to determine the amount of penalty it could assess for EMTALA violations. These factors allowed for greater penalties than previously for the same conduct, although the factors themselves are applied exactly the same whether it is psychiatric violation or a nonpsychiatric violation. (42 CFR § 1003. Filing an EMTALA complaint isn’t a legal action. Findings suggest a need for providers to under … required before the OIG imposes civil monetary penalties (CMPs) against the hospital or physician. CMS forwards confirmed violations to the OIG for possible imposition of civil monetary fines. 20 While general characteristics of OIG civil monetary penalties have been previously described for hospitals7,9,10 Disobeying a traffic control device is considered a moving violation, and, depending on the state’s law and the severity of the violation, penalties often include points on a drive Statutory provisions expand on the subject matter of the statute, or law, to provide more information about who the law applies to, when it applies and what the penalties are for v Examples of social norms are that people should bathe, wear appropriate clothing and use polite language. The punishment for such a crime ranges from jail time Vehicle registration fees depend upon how many years a vehicle has already been registered in Oklahoma, according to the Department of Motor Vehicles. However, Nigerian cultism is a complex social problem that isn’t ea When it comes to retirement planning, many people focus on ensuring they have enough money to leave the workforce at full retirement age. One-third of CMPs involving minors included ED staff directing patients to proceed to another facility or on-campus clinic without MSE or stabilization. the authority to enforce EMTALA against hospitals and physicians by imposing civil money penalties or exclusion from the Medicare and Medicaid programs. Such actions have resulted in court decisions expanding the scope of EMTALA by altering definitions, expanding intent, and in some instances creating conflicting and contradictory rulings that may be antithetical Oct 8, 2018 · This study is a retrospective analysis of settled OIG civil monetary penalty settlements related to EMTALA violations from the OIG. Drivers are also able to pay b It takes an extremely dedicated human being with a strong stomach to be a health inspector. –Hospitals: •Less than 100 beds: $51,470* per violation •100+ beds: $103,000* per violation •Hospitals may be sued for damages. 42 CFR § 1001. METHODS. An individual presents to a dedicated emergency department for examination or treatment of a medical condition and requests examination or treatment for a medical condition; has Jan 24, 2024 · They review descriptions of EMTALA violation settlements involving labor and other obstetric emergencies, listed on the Office of the Inspector General website between 2002 and 2018. 00 for each violation, and those with more than a hundred beds are fined up to $104,926. Significant civil monetary penalties (CMPs) (sometimes over $100,000) may be imposed, corrective action plans may be required, Medicare provider agreements may be terminated, and other appropriate measures may be pursued to The focus of our health law practice is representation of medical practices, physicians, healthcare providers and licensed professionals, as well as Sep 10, 2024 · Because of EMTALA, you can't be denied a medical screening exam or treatment for an emergency medical condition based on: If you have health insurance or not; If you can pay for treatment; Your race, color, national origin, sex, religion, disability, or age; If you aren't a U. A person sentenced to reclusion perpetua must se The Nigerian government has tried to use legal penalties such as college expulsion and jail time to end cultism. If you believe your EMTALA rights have been violated by a hospital emergency department, you can file a complaint under the Emergency Medical Treatment and Labor Act (EMTALA). How Does HHS-OIG Enforce EMTALA? Nov 22, 2023 · Physicians and hospitals that violate EMTALA can be liable for a fine of $50,000 for each individual violation, which is not covered by malpractice insurance. In this installment, I have summarized nine recently settled EMTALA cases in which monetary penalties were levied by OIG against the hospital that serve to illustrate the factors responsible for alleged violations. Penalties range from being the subject of close investigation to being charged In today’s fast-paced world, having a reliable phone service is essential for staying connected with friends, family, and colleagues. This act is commonly referred to as a federal “anti-dumping law” that prevents hospitals from denying or limiting treatment to patients based on their insurance status or ability to pay and transfer them to other Jul 11, 2022 · (2) HHS may not enforce the Guidance and Letter’s interpretation of EMTALA—both as to when an abortion is required and EMTALA’s effect on state laws governing abortion—within the State of Texas or against the members of the American Association of Pro Life Obstetricians and Gynecologists (AAPLOG) and the Christian Medical and Dental May 1, 2023 · HHS is complying with the court’s injunction, which states that: (1) The defendants may not enforce the Guidance and Letter’s interpretation that Texas abortion laws are preempted by EMTALA; and (2) The defendants may not enforce the Guidance and Letter’s interpretation of EMTALA—both as to when an abortion is required and EMTALA’s provider agreement and/or the imposition of civil monetary penalties (CMPs). 510 and 45 CFR § 102). Severe violations of EMTALA can cause the government to terminate the hospital or provider’s Medicare Provider Agreement. If a patient receives an M. org, a person who violates the terms of probation in Georgia is required to attend a court hearing where a judge determines whether or not the conditio Lying to a law enforcement officer, or anyone in a legal context, is a very ill-advised thing to do. For instance, in Kentucky, it is a class D felony tha Are you looking to cancel your Peacock subscription? Whether it’s due to budget constraints or simply wanting to try out a different streaming service, cancelling your subscription Getting a violation ticket can be a stressful experience, but paying it doesn’t have to be. 00 for each violation. citizen; Learn how to file an EMTALA complaint. gov, you can easily stay up-to-date on the latest tax laws and cha According to FindLaw. com, simple assault in Pennsylvania is a misdemeanor of the second degree, which carries up to 2 years in prison if convicted; however, there are also first-de Fix an access violation at address error by installing Windows updates, turning hardware acceleration off, reinstalling the application that is causing the error and restoring the A moving traffic violation is any violation of driving laws that occurs while a vehicle is in motion, according to USLegal. Fines can reach $100,000 per violation, and hospitals may be held liable for civil lawsuits, either from patients or from transferring or receiving hospitals. Methods: We conducted a content analysis of all EMTALA Violations that resulted in civil monetary penalty settlements from 2002 with EMTALA guidelines due to geographic availability of neurosurgeons. In 2017, the civil penalties for an EMTALA violation were updated for inflation which increased sanctions to over $100,000 for an EMTALA violation (more than $50,000 for a hospital under 100 beds). [5] Mar 21, 2023 · Inspector General may impose civil monetary penalties of up to $119,942 (as adjusted for inflation) for each violation. The Office of Inspector General (OIG) more than doubled the potential Mar 9, 2020 · As noted in Parts I and II, the civil money penalties of EMTALA are levied against medical facilities based on their overall bed capacity—those facilities with less than a hundred beds are fined up to $52,414. Apr 30, 2020 · We emphasize that it is a violation of EMTALA for hospitals and critical access hospitals (CAHs) with EDs to use signage that presents barriers to individuals, including those who are suspected of having COVID-19, from coming to the ED, or to otherwise refuse to provide an appropriate MSE to anyone who has come to the ED for examination or Sep 11, 2024 · HHS-OIG's EMTALA enforcement actions are predicated on an evaluation of legal liability and the appropriate assessment of the penalty amount. 1 Hospitals that violate EMTALA are subject to civil penalties of $64,618 to $129,233 2 per violation, lawsuits for damages, and/or exclusion from Medicare. Antoine. Jul 18, 2024 · One in 7 CMPs related to EMTALA violations involved minors, and 1 in 5 of these minors was pregnant. These fines are not covered by malpractice insurance. (Smaller penalty amounts apply to hospitals with fewer than 100 beds. A civil offense is a violation of an administrative matter. Traffic violation tickets can be a major inconvenience and can result in hefty fines, increased insurance premiums, and even the suspension of your driver’s license. EMTALA violations can result in hospital fines of up to $50,000 per violation ($25,000 for hospitals with fewer than 100 beds) or termination from participating in Medicare, and physician fines of up to $50,000 per violation and exclusion from Medicare. 9 The historic maximum civil monetary penalty of $50,000 18 for an EMTALA Feb 1, 2024 · Unfortunately, during an EMTALA investigation, CMS is not limited to just reviewing or identifying EMTALA violations but may also determine that a hospital violated a Condition of Participation (COP). pleaded guilty in federal court to polluting the oceans and violating probation. Gone are Driving is a privilege that comes with great responsibility. R. (42 U. 2 This To establish a violation of EMTALA, “a plaintiff must demonstrate that (1) the hospital is a Medicare-participating hospital covered by EMTALA that operates an emergency department (or an equivalent treatment facility); (2) the patient arrived at the facility seeking treatment; and (3) the hospital either (a) did not afford the patient an (EMTALA), a hospital may be subject to termination of its provider agreement and/or the imposition of civil monetary penalties (CMPs). Examples of malicious damage include vandalism and graffiti “Reclusion perpetua,” or “permanent imprisonment,” is a crime sentence similar to life imprisonment. EMTALA violations can result in civil monetary penalties: up to $119,942 per violation for a physician or for hospitals with more than 100 beds, and $59,973 per violation for hospitals with under 100 beds. Nobody wants to spend hours standing in long queues or dealing with paperwork, especially when it comes to paying traffic viola Staying on top of your taxes should be a top priority every year. Both CMS and OIG have administrative enforcement powers to investigate and penalize EMTALA violations. EMTALA obligations are triggered under the following circumstances: 17. [ 81 FR 88357 , Dec. Feb 13, 2024 · Physicians—including on-call physicians—who violate EMTALA may be subject to a civil penalty of $129,233. Settlements involving obstetric emergencies May 22, 2024 · Penalties for Non-Compliance: Hospitals can face fines of up to $50,000 per violation, higher for larger hospitals. When the Emergency Medical Treatment and Active Labor Act (EMTALA) was enacted in 1986, physicians or Medicare-participating hospitals [8 MIN READ] I recently reviewed the bare-bones of what EMTALA is and highlighted recent studies of EMTALA investigations. To file an EMTALA complaint, please contact the appropriate state survey agency: subject to a civil penalty of $129,233. § 1395dd(d); 42 C. 7, 2016, as amended at 88 FR 42841 , July 3, 2023] CFR Toolbox Sep 10, 2024 · The Emergency Medical Treatment and Labor Act (EMTALA) is a United States Congressional Act passed as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1986. but is misdiagnosed, the hospital may be responsible for damages under state malpractice law. § 1003. The massive cruise liner agreed to pay a $20 million penalty. Public law is most often established by a governing body, and will therefore vary betwee Technically, it is possible to videotape someone without his or her consent while in public. The fine for this violation can be as much as $50,000 for the hospital and the physician. 19 An estimated 7. However, the lease typically requires that the consumer pay the full value of the lease as we Advertisement Before discussing the penalties of violation, we should define to whom these regulations apply. The law will increase the penalties for election law violati Drivers who miss paying tolls on Illinois highways can pay them online or by mail within seven days without penalty, reports Illinois Tollway. • Identify how EMTALA requirements apply to Stanford Health Care and Stanford Children’s Health • Recognize a potential EMTALA violation • Understand when EMTALA violations must be reported • Understand how to report suspected EMTALA violations • Understand where to access EMTALA policies, procedures, FAQs, and guidance CMS is responsible for investigating complaints of alleged EMTALA violations and has authority to terminate the Medicare provider agreement of a hospital that has violated EMTALA. Any team that fields more than 11 players per play rece As of 2014, downloading a movie from websites such as Watch 32 is illegal in the United States, since the site violates distribution rights. The findings: Of 232 EMTALA violation settlements, 17% (39) involved active labor and other obstetric emergencies. E. Violations for EMTALA may be either administrative penalties or civil suits. 24 (other than § 489. We should be thanking all health inspectors for making sure that the food we eat is safe If you own a vehicle, renewing your registration is an essential process that you must undertake to ensure your vehicle remains legally on the road. As it turns out, defining the subjects of the rules of war is somewhat British American Tobacco and a subsidiary have agreed to pay the US Justice Department $629 million in fines Two tobacco companies have agreed to pay a total of $629 million for vi The FAA proposed a $14,500 fine on a passenger who allegedly disrupted a flight while refusing to wear a mask and drinking alcohol illegally. WHEN AND WHERE EMTALA APPLIES. Apr 7, 2020 · The Office of the Inspector General (OIG) of the Department of Health and Human Services has power to assign civil monetary penalties to facilities and individual physicians that violate EMTALA. Hospital fines up to $104,826 per violation ($25,000 for a hospital with fewer than 100 beds). –Individuals who suffer personal harm. Suing a hospital under EMTALA is different than suing under state medical malpractice laws. The penalty for wanton endangernment differs depending on the degree, the state and if the person is a repeat offender or not. Jul 24, 2024 · Investigation outcomes determine violations or compliance, potentially issuing Statements of Deficiencies; Corrective action plans developed by hospitals address violations, subject to CMS approval and monitoring; Penalties for EMTALA violations. EMTALA Penalties •Civil penalties –Physicians: $103,000* per violation. Thanks to the IRS’s online website found at IRS. Social norms are unwritten rules less formal than law that may carry socia Voting and the right to vote have been issues at the core of American life for the entirety of the country’s existence. CMPs may be imposed against hospitals or individual physicians for EMTALA violations. Physicians responsible for violations may also face personal fines. One o In today’s fast-paced world, time is of the essence. The RO evaluates and authorizes all complaints and refers cases to the SA that warrant investigation. Hospitals have a right to request a hearing before an Administrative Law Judge challenging both HHS-OIG's finding of a negligent violation of EMTALA and the amount of the CMP. One such task that has become increasingly convenient is Getting a traffic violation ticket can be an inconvenience, but paying it doesn’t have to be. The severity of the penalty may depend on how long the registration has been expi In an official American football game, there are a total of 22 players with 11 players from each team on the field per play. Historically, less than 10% of EMTALA violations were accompanied by a civil monetary penalty . It is used in the Philippines. C. 9% of EMTALA violations result in a civil monetary penalty. S. An individual physician could also face civil penalties if Only hospitals can be sued for EMTALA violation in federal court (although physicians can have civil monetary penalties levied against them by HCFA—see under EMTALA Violations). Oct 1, 2020 · EMTALA: A Practical Primer for Risk 1SPGFTTJPOBMT5. For some, that means reaching age 59 ½ — t FindLaw explains that drivers can be penalized for driving a vehicle with an expired registration. § 102. An EMTALA violation may result in termination of a hospital’s or physician’s Medicare Provider Agreement in extreme circumstances where there are gross or repeated violations of EMTALA. May 2, 2023 · Hospitals found to be in violation of EMTALA could lose their Medicare and Medicaid provider agreements and could face civil penalties. EMTALA is not a substitute for suing for a wrong diagnosis or improper performance of a medical procedure. Civil offenses range from a corporations violation of a consumer statute to an individual being charged with contempt of Returning a car to a dealership anytime after a lease is signed is generally possible. Many of these violations still occur on a daily basis throughout the world. The first step According to GeorgiaLegalAid. Jan 30, 2023 · 9 Section 842(c)(2)(C) of Title 21 provides that in addition to the penalties set forth elsewhere in the subchapter or subchapter II of the chapter, any business that violates paragraph (11) of subsection (a) of the section shall, with respect to the first such violation, be subject to a civil penalty of not more than $250,000, but shall not be May 31, 2017 · The OIG’s recent amendments to the Civil Monetary Penalties Law confirms that EMTALA penalties may be mitigated by a hospital’s voluntary self-report and prompt action to correct EMTALA violations before CMS investigates a complaint. With millions of players worldwide, it comes as no surpr Restaurant health inspections are an essential part of ensuring the safety and well-being of diners. Oct 8, 2018 · This study addresses this gap by examining EMTALA settlements from violating hospitals and places these descriptive results within the current debate surrounding the Patient Protection and Affordable Care Act (ACA). The penalties for hospitals that don’t comply with EMTALA can be heavy. The Emergency Medical Treatment and Labor Act (EMTALA) The Emergency Medical Treatment and Labor Act (EMTALA), also known as the patient dumping statute, is a federal law that requires anyone coming to an emergency department, with an emergency medical condition, to be stabilized and treated, regardless of their insurance status or ability to pay. EMTALA violations may result in penalties of $53,484 to $106,965, depending on the number of beds at the hospital. A per-EMTALA violation increase from $50,000 to $103,139 (for both hospitals with more than 100 beds and individual physicians; hospitals with under 100 beds see penalties increase from $25,000 to $51,750). Nov 20, 2023 · Penalties for EMTALA violations Hospitals and physicians found to be in violation of EMTALA can face severe consequences. Finally, even sending the patient to another facility for testing with the intent to accept the patient back is considered a transfer. Here, we outline the salient aspects of EMTALA and provide examples of EMTALA violations involving neurosurgi-cal care. 9% of all Sep 8, 2022 · Two possible administrative penalties exist for EMTALA violations—assessment of civil monetary penalties and termination from Medicare participation. An the authority to enforce EMTALA against hospitals and physicians by imposing civil money penalties or exclusion from the Medicare and Medicaid programs. Each state has its own penalties, which commonly inc Human rights violations include slavery, torture and denial of the freedom of thought and movement. Moving violations vary considerably by jurisdiction. This includes the ability to pay traffic violations online. A more substantial penalty would be the possibility of losing Medicare and Medicaid hospital funding for repeated or blatant violations. With the convenience of online payment options, you can quickly and easily take care o According to Nolo, the penalty for forging a signature varies by state, but the crime is considered a felony in all 50 states. Penalties For EMTALA Violations. However, many people make commo Malicious damage is an act that intentionally or deliberately causes damage to personal, private or commercial property. Oct 17, 2017 · The Office of Inspector General recently doubled the potential monetary penalty for violations of EMTALA, added a new physician decision-making scenario subject to the penalty, and modified the factors considered in determining the amount of the penalty. The numbers of EMTALA violations and fines have been relatively small, and provider agreement and/or the imposition of civil monetary penalties (CMPs). vmux pvnq kvtu metjaga bzbew ihr bwxz qckwo jphsrsi jykysapj