The U.S. Department of Justice (DOJ) reported a record year for False Claims Act (FCA) enforcement in fiscal year 2025, with more than $6.8 billion in settlements and judgments — the largest annual total in the history of the statute. The DOJ also reported a record 1,297 qui tam actions filed by whistleblowers and 401 investigations opened by the government during the year.
The 2025 results confirm that the FCA remains one of the government’s most significant civil enforcement tools, particularly in matters involving federal health care programs, government contracts and grants, cybersecurity obligations, and, increasingly, customs and trade issues. Those results also offer an important preview of likely enforcement priorities in 2026, alongside newer uses of the False Claims Act.
Key Enforcement Themes in FY 2025
Health Care Continues to Drive FCA Recoveries
As in prior years, health care matters accounted for the majority of FCA recoveries, representing more than $5.7 billion of the total amount recovered in FY 2025. The DOJ highlighted several recurring areas of focus, including:
- Managed care, particularly allegations involving unsupported diagnosis codes and retrospective chart reviews used to add improper diagnoses;
- Prescription drugs, including drug pricing, illegal kickbacks, copay assistance arrangements, speaker programs, and dispensing practices; and
- Medically unnecessary services and substandard care, including inappropriate inpatient admissions,...
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