Which law does not require proof of intent for violations?

The Stark Law is notable for its strict liability framework, meaning that it does not require proof of intent to establish a violation. Under the Stark Law, a healthcare provider can be found liable for self-referrals, regardless of whether there was any malicious intent or knowledge of the illegality of the action. This distinguishes it from other laws such as the False Claims Act and the Anti-Kickback Statute, where intent or knowledge of wrongdoing must typically be proven to establish a violation.

The Stark Law focuses on whether a financial relationship exists and whether the provider has referred services that are payable by Medicare or Medicaid to a designated health services entity in which they have a financial interest. Since it operates under a strict liability theory, even unintentional violations can result in penalties, making compliance essential for healthcare providers.