804(d). (C) Hospital The term hospital has the meaning given that term in section 1861 of the Social Security Act ( 42 U.S.C. 1395x ). . 13. Civil penalties Part G of title IV of the Higher Education Act of 1965 ( 20 U.S.C. 1088 et seq.) is amended by inserting after section 489 the following new section: 489A. Civil penalties and other remedies (a) Sanctions for substantial misrepresentations or serious violations (1) Civil Penalties The Secretary may impose a civil penalty upon an eligible institution upon making a determination, after reasonable notice and opportunity for a hearing, that an eligible institution has engaged in a substantial misrepresentation or other serious violation. (2) Amount of civil penalties A civil penalty imposed for a violation under subparagraph (A) shall be not less than $100,000 or— (A) in the case of a first violation, an amount equal to the product of $1,000,000 multiplied by the institution’s student default risk, whichever is larger