76R11770 KKA-D By Dutton H.B. No. 990 Substitute the following for H.B. No. 990: By Gray C.S.H.B. No. 990 A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to administrative procedures and criminal convictions for 1-3 welfare fraud. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subchapter C, Chapter 531, Government Code, is 1-6 amended by adding Section 531.109 to read as follows: 1-7 Sec. 531.109. ADMINISTRATIVE FINDING OF FRAUD; IMMUNITY FROM 1-8 CRIMINAL PROSECUTION. (a) The commission by rule shall adopt 1-9 administrative procedures to be used by the commission or an 1-10 appropriate health and human services agency in determining whether 1-11 an individual has engaged in fraudulent conduct to obtain or 1-12 attempt to obtain: 1-13 (1) financial assistance and services under Chapter 1-14 31, Human Resources Code; 1-15 (2) food stamps under the food stamp program 1-16 administered under Chapter 33, Human Resources Code; or 1-17 (3) medical assistance under the state Medicaid 1-18 program. 1-19 (b) The commission or a health and human services agency may 1-20 not seek criminal prosecution of an individual alleged to have 1-21 engaged in fraudulent conduct in obtaining or attempting to obtain 1-22 assistance or benefits described by Subsection (a) and may use only 1-23 the administrative procedures established under this section to 1-24 sanction that individual if: 2-1 (1) the individual has not previously engaged in 2-2 fraudulent conduct in obtaining or attempting to obtain assistance 2-3 or benefits described by Subsection (a); and 2-4 (2) the monetary value of the assistance or benefits 2-5 obtained or sought by the individual through the allegedly 2-6 fraudulent conduct is less than $5,000. 2-7 (c) The commission may provide for the imposition of an 2-8 administrative penalty against an individual determined to have 2-9 engaged in fraudulent conduct through the administrative procedures 2-10 established under Subsection (a). 2-11 (d) The administrative procedures must require the 2-12 commission or appropriate agency to provide written notice to an 2-13 individual of an allegation that the individual has engaged in 2-14 fraudulent conduct in obtaining or attempting to obtain assistance 2-15 or benefits described by Subsection (a). The notice must include: 2-16 (1) a specific description of the allegedly fraudulent 2-17 conduct, including the monetary value of any benefits or assistance 2-18 the individual received as a result of the alleged conduct; 2-19 (2) a copy of the procedures adopted under this 2-20 section; 2-21 (3) a statement that an administrative penalty may be 2-22 imposed against the individual, if a penalty is authorized by the 2-23 commission under Subsection (c); 2-24 (4) a statement that a finding of fraudulent conduct 2-25 will subject the individual to criminal prosecution for subsequent 2-26 fraudulent conduct to which Subsection (a) applies; and 2-27 (5) a statement that the individual is entitled to 3-1 submit a written response or to request a hearing before the 3-2 commission or the appropriate agency. 3-3 (e) After considering any written response and after 3-4 conducting a hearing, if requested, the commission or appropriate 3-5 agency shall determine whether the individual engaged in fraudulent 3-6 conduct in obtaining or attempting to obtain assistance or benefits 3-7 described by Subsection (a). If the commission or agency 3-8 determines that the individual engaged in fraudulent conduct, the 3-9 commission or agency: 3-10 (1) shall: 3-11 (A) issue a finding of fraudulent conduct; 3-12 (B) maintain a permanent record of the finding; 3-13 and 3-14 (C) seek recovery from the individual of the 3-15 amount of benefits or assistance, if any, obtained through the 3-16 fraudulent conduct; and 3-17 (2) may impose an administrative penalty against the 3-18 individual, if a penalty is authorized by the commission under 3-19 Subsection (c). 3-20 (f) A hearing under this section shall be conducted in the 3-21 manner provided for a contested case hearing under Chapter 2001. 3-22 (g) The administrative procedures required by this section 3-23 may be combined with any other appropriate administrative procedure 3-24 conducted by the commission or an appropriate health and human 3-25 services agency. 3-26 (h) Except as provided by Subsection (i), an individual who 3-27 engages in fraudulent conduct in obtaining or attempting to obtain 4-1 assistance or benefits listed under Subsection (a) with a monetary 4-2 value of less than $5,000 may be convicted of perjury under Section 4-3 37.02, Penal Code, tampering with a governmental record under 4-4 Section 37.10, Penal Code, an offense against property under Title 4-5 7, Penal Code, or an offense under Section 33.011, Human Resources 4-6 Code, in connection with the fraudulent conduct only if the 4-7 individual has been found under this section by the commission or 4-8 an appropriate agency to have previously engaged in fraudulent 4-9 conduct to which Subsection (a) applies. 4-10 (i) The immunity from conviction granted by Subsection (h) 4-11 does not apply to an individual who fails to pay or defaults in a 4-12 payment plan relating to an amount sought by the commission or an 4-13 appropriate agency under Subsection (e)(1)(C) or imposed under 4-14 Subsection (e)(2). 4-15 SECTION 2. Section 531.109, Government Code, as added by 4-16 this Act, applies only to conduct committed on or after the 4-17 effective date of this Act. Conduct committed before the effective 4-18 date of this Act is covered by the law in effect when the conduct 4-19 was committed, and the former law is continued in effect for that 4-20 purpose. 4-21 SECTION 3. This Act takes effect September 1, 1999. 4-22 SECTION 4. The importance of this legislation and the 4-23 crowded condition of the calendars in both houses create an 4-24 emergency and an imperative public necessity that the 4-25 constitutional rule requiring bills to be read on three several 4-26 days in each house be suspended, and this rule is hereby suspended.