The healthcare security department has been established for a short time, professional administrative law enforcement are understaffed, and the number of administrative penalty cases investigated is small. The formulation and implementation of administrative penalty discretion standards can provide law enforcement agencies with enforcement standards, ensuring reasonable discretion in case penalties. Each of the 32 current provincial administrative penalty discretion standards of the medical insurance department has its own characteristics, but there are also some common problems in discretion of cases, such as not following the discretion standards, overriding the discretion order of discretion factors, unclear initial violation standards, confusion in the statistical caliber of illegal amounts, and failure to reflect the social and economic development status. This article analyzes and explores the improvement of administrative penalty discretion standards for healthcaresecurity, in order to accurately guide case handling and effectively regulate law enforcement behavior.