1. Short title This Act may be cited as the Punishing Medicare Fraudsters Act . 2. Increased penalties for health care fraud under title 18 (a) In general Section 1347 of title 18, United States Code, is amended, in the flush matter preceding subsection (b)— (1) by striking 10 years and inserting 25 years ; and (2) by striking 20 years and inserting 30 years . (b) Effective date The amendments made by subsection (a) shall apply with respect to acts occurring on or after the date of enactment of this Act. 3. Increased criminal penalties for acts involving Federal health care programs (a) In general Section 1128B of the Social Security Act ( 42 U.S.C. 1320a–7b ) is amended— (1) by striking $100,000 each place it appears and inserting $250,000 ; (2) by striking 10 years each place it appears and inserting 25 years ; (3) in subsection (a), in the flush matter following paragraph (6), by striking $20,000 and inserting $100,000 ; and (4) in subsection (e)— (A) by striking $4,000 and inserting $100,000 ; and (B) by striking six months and inserting 1 year . (b) Effective date The amendments made by subsection (a) shall apply with respect to acts occurring and statements or representations made on or after the date of enactment of this Act. 4. United States sentencing guidelines (a) Covered offense defined In this section, the term covered offense means— (1) an offense under section 1347 of title 18, United States Code