Relating to health care and insurance fraud; creating a criminal offense; authorizing a civil penalty.

HB 4012 creates civil penalties for healthcare and insurance fraud targeting providers who defraud vulnerable groups, including the elderly, disabled individuals, or minors. It authorizes fines of $5,500 to $15,000 per violation for such cases, plus interest on recovered funds. The bill also requires coordination between the Office of Inspector General and the Texas Department of Insurance to detect and prevent fraud in health care funding. These penalties apply when fraud results in payments or benefits being issued by health plans.