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A BILL TO BE ENTITLED
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AN ACT
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relating to the creation of offices of inspectors general at the |
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Health and Human Services Commission, Texas Youth Commission, Texas |
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Department of Criminal Justice, Texas Department of |
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Transportation, and Texas Education Agency; providing penalties. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subtitle B, Title 4, Government Code, is amended |
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by adding Chapter 422 to read as follows: |
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CHAPTER 422. OFFICES OF INSPECTORS GENERAL |
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SUBCHAPTER A. GENERAL PROVISIONS |
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Sec. 422.001. SHORT TITLE. This chapter may be cited as the |
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Texas Inspector General Act. |
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Sec. 422.002. PURPOSE. The purpose of this chapter is to |
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establish guidelines for the offices of inspectors general at |
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certain state agencies. |
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Sec. 422.003. DEFINITIONS. In this chapter: |
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(1) "Agency" means a state agency subject to this |
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chapter under Section 422.004. |
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(2) "Fraud" has the meaning assigned by Section |
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531.1011. |
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(3) "Inspector general" means the person appointed |
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under this chapter to serve as inspector general for an agency. |
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(4) "Office" means the office of inspector general for |
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an agency. |
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(5) "Provider" has the meaning assigned by Section |
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531.1011. |
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(6) "Review": |
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(A) includes an inspection, investigation, |
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audit, or similar activity; and |
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(B) does not include a criminal or administrative |
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investigation conducted by the office established for the Texas |
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Department of Criminal Justice. |
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(7) "State funds" or "state money" includes federal |
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funds or money received and appropriated by the state or for which |
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the state has oversight responsibility. |
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Sec. 422.004. APPLICABILITY. (a) This chapter applies |
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only to the: |
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(1) Health and Human Services Commission; |
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(2) Texas Youth Commission; |
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(3) Texas Department of Transportation; |
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(4) Texas Department of Criminal Justice; and |
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(5) Texas Education Agency. |
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(b) A state agency may not establish an office of inspector |
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general without specific legislative authorization. |
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Sec. 422.005. REFERENCE IN OTHER LAW. Notwithstanding any |
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other provision of law, a reference in law or rule to an agency's |
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office of inspector general means the office of inspector general |
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established under this chapter for that agency. |
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[Sections 422.006-422.050 reserved for expansion] |
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SUBCHAPTER B. OFFICE OF INSPECTOR GENERAL |
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Sec. 422.051. ESTABLISHMENT OF OFFICE. (a) Each agency |
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subject to this chapter shall establish an office of inspector |
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general in the agency. |
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(b) The office is governed by the inspector general for the |
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agency. |
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(c) The inspector general shall: |
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(1) manage daily operations of the office; |
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(2) supervise office staff; |
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(3) create office operating procedures, personnel |
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policies, and employment policies; |
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(4) allocate resources in the office; |
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(5) oversee office information resources systems; |
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(6) determine the location of office facilities; and |
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(7) coordinate office activities with the activities |
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of other state agencies, including other health and human services |
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agencies. |
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(d) The inspector general is responsible for office |
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procurement and contracts. |
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Sec. 422.052. INDEPENDENCE OF OFFICE. Except as otherwise |
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provided by this chapter, the office and inspector general operate |
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independently of the agency. |
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Sec. 422.053. ADMINISTRATIVE ATTACHMENT. The office is |
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administratively attached to the agency. The agency shall provide |
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to the office administrative support services. |
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Sec. 422.054. SERVICE LEVEL AGREEMENT. (a) The agency and |
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the office shall enter into a service level agreement that |
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establishes the performance standards and deliverables with regard |
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to administrative support by the agency. |
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(b) The service level agreement must be reviewed at least |
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annually to ensure that services and deliverables are provided in |
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accordance with the agreement. |
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Sec. 422.055. APPROPRIATIONS AND BUDGET. (a) The |
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inspector general shall submit a budget for the office in |
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accordance with the reporting requirements of the General |
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Appropriations Act. |
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(b) The inspector general shall submit to the Legislative |
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Budget Board and the agency a legislative appropriations request |
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and an operating budget in accordance with the service level |
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agreement entered into under Section 422.054 and applicable law. |
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(c) If required by or under law, the agency shall submit the |
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operating budget to the legislature. The budget is not subject to |
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review, alteration, or modification by the agency or the governing |
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body or governing officer of the agency before submission to the |
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legislature. |
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Sec. 422.056. DUTIES OF AGENCY. (a) The agency shall: |
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(1) provide administrative assistance to the office; |
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and |
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(2) coordinate administrative responsibilities with |
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the office to avoid unnecessary duplication of duties. |
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(b) The agency may not take an action that affects or |
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relates to the validity, status, or terms of an interagency |
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agreement or a contract to which the office is a party without the |
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office's approval. |
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[Sections 422.057-422.100 reserved for expansion] |
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SUBCHAPTER C. INSPECTOR GENERAL AND PERSONNEL |
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Sec. 422.101. APPOINTMENT; STATE OFFICER. (a) The |
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governing body or, at an agency that is not governed by a |
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multimember governing body, the governor with the advice and |
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consent of the senate shall appoint an inspector general to serve as |
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director of the office. |
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(b) The appointment shall be made without regard to |
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political affiliation, race, color, disability, sex, religion, |
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age, or national origin. |
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(c) In making the appointment, the governing body or the |
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governor shall consider the person's integrity, education, |
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training, knowledge of law, experience in the enforcement of law, |
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executive ability, capability for strong leadership, and |
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demonstrated ability in accounting, auditing, financial analysis, |
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management analysis, public administration, investigation, |
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criminal justice administration, or other closely related fields. |
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(d) The inspector general is a state officer. |
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Sec. 422.102. TERM. The inspector general serves a |
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two-year term that expires on February 1 of each odd-numbered year. |
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Sec. 422.103. ELIGIBILITY. (a) To be eligible for |
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appointment as inspector general, a person must: |
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(1) have unquestioned integrity and moral character; |
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(2) hold a bachelor's degree; |
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(3) have either: |
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(A) at least five years of experience as a |
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certified public accountant, certified internal auditor, or |
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certified inspector general; or |
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(B) a peace officer certification issued by the |
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Commission on Law Enforcement Officer Standards and Education that |
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the person has held for at least five years; and |
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(4) have either: |
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(A) at least five years of experience in a |
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professional or administrative position that included as a major |
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duty fiscal management, the review of fiscal management, or the |
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auditing or review of operational efficiency or program |
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performance; or |
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(B) experience carrying out law enforcement |
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duties to prevent fraud, waste, and abuse. |
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(b) The person appointed as inspector general must obtain |
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certification as a certified inspector general within the time |
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required by rules adopted by the governing body or governing |
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officer of the agency, as applicable. |
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(c) A person formerly employed by an agency as an executive |
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or manager may not serve as inspector general for that agency before |
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the fifth anniversary of the date of the termination of that |
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person's employment by the agency. |
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(d) A person is not eligible for appointment as inspector |
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general if the person or the person's spouse: |
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(1) is an officer or paid consultant of a business |
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entity or other organization that holds a license, certificate of |
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authority, or other authorization from the agency or that receives |
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funds from the agency; |
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(2) owns or controls, directly or indirectly, more |
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than a 10 percent interest in a business entity or other |
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organization receiving funds from the agency; or |
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(3) uses or receives a substantial amount of tangible |
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goods or funds from the agency, other than compensation or |
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reimbursement authorized by law. |
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(e) A person is not eligible to serve as inspector general |
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if the person or the person's spouse is required to register as a |
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lobbyist under Chapter 305 because of the person's or spouse's |
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activities for compensation related to the operation of the agency. |
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Sec. 422.104. CONFLICT OF INTEREST. (a) The inspector |
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general may not serve as an ex officio member on the governing body |
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of a governmental entity. |
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(b) The inspector general may not have a financial interest |
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in the transactions of the office, the agency, or a contractor or |
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provider of the agency or office. |
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(c) The inspector general and office staff may not |
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participate in partisan political activities related to the work of |
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the inspector general's office. The inspector general may select |
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the most efficient personnel available for each position in the |
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inspector general's office. It is against the public policy of this |
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state for an officer or employee of this state to recommend a person |
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to serve on the staff of the inspector general. |
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Sec. 422.105. PEACE OFFICERS. (a) The office may employ |
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and commission peace officers to assist the inspector general in |
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carrying out the duties of the office relating to detection, |
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investigation, and prevention of fraud, waste, and abuse in agency |
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programs or in programs receiving state or federal funds that are |
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implemented, administered, or overseen by or for a state agency. |
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(b) A commissioned peace officer or otherwise designated |
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law enforcement officer employed by the office, except for an |
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officer employed by the office established for the Texas Department |
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of Criminal Justice, is not entitled to supplemental benefits from |
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the law enforcement and custodial officer supplemental retirement |
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fund unless the officer transfers from a position, without a break |
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in service, that qualifies for supplemental retirement benefits |
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from the fund. |
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Sec. 422.106. EXPERTS. Subject to the availability of |
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funds, the inspector general may contract with certified public |
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accountants, qualified management consultants, or other |
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professional experts as necessary to independently perform the |
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functions of the office. |
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Sec. 422.107. EMPLOYEES; TRAINING. (a) The inspector |
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general may employ personnel as necessary to implement the duties |
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of the office. |
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(b) The inspector general shall train office personnel to |
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pursue, efficiently and as necessary, fraud, waste, and abuse cases |
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in state agency programs or other state or federally funded |
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programs implemented, administered, or overseen by or for the |
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agency. |
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(c) The inspector general for the Texas Department of |
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Criminal Justice shall train personnel to efficiently and |
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effectively perform law enforcement duties. |
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Sec. 422.108. ASSISTANCE BY AGENCY EMPLOYEES. (a) The |
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inspector general may require employees of a state agency to |
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provide assistance to the office in connection with the office's |
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duties relating to conducting reviews of fraud, waste, and abuse in |
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the provision of services for agency programs or state or federally |
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funded programs implemented, administered, or overseen by or for |
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the agency. |
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(b) The inspector general for the Health and Human Services |
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Commission may also require employees of any health and human |
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services agency to provide assistance under Subsection (a). |
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[Sections 422.109-422.150 reserved for expansion] |
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SUBCHAPTER D. GENERAL POWERS AND DUTIES |
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Sec. 422.151. GENERAL RESPONSIBILITIES. (a) The office is |
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responsible for: |
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(1) conducting reviews of fraud, waste, and abuse in |
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the provision or funding of services by or for the agency or under a |
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program implemented, administered, or overseen by or for the |
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agency; |
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(2) the enforcement of state law and the protection of |
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the public relating to the provision of those services; and |
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(3) the prevention and detection of crime relating to |
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the provision of those services. |
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(b) In addition to the responsibilities under Subsection |
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(a), the office established for the Texas Department of Criminal |
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Justice is responsible for the investigation of criminal cases and |
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administrative violations. |
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Sec. 422.152. RULEMAKING BY INSPECTOR GENERAL. (a) |
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Notwithstanding Section 531.0055(e) and any other law, the |
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inspector general shall adopt the rules necessary to administer the |
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functions of the office, including rules to address the imposition |
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of sanctions and penalties for violations and due process |
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requirements for imposing sanctions and penalties. |
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(b) A rule, standard, or form of the agency that is |
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necessary to accomplish the duties of the office is considered to |
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also be a rule, standard, or form of the office and remains in |
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effect as a rule, standard, or form of the office until changed by |
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the inspector general. |
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(c) The office shall submit proposed rules and adopted rules |
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to the agency for publication. The agency shall promptly provide |
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for the publication of the proposed or adopted rules in accordance |
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with law. The agency, including the governing body or governing |
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officer of the agency, may not amend or modify a rule submitted by |
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the office. |
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(d) The rules must include standards for the office that |
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emphasize: |
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(1) coordinating reviews and investigative efforts to |
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aggressively recover money; |
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(2) allocating resources to cases that have the |
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strongest supportive evidence and the greatest potential for |
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recovery of money; and |
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(3) maximizing opportunities for referral of cases to |
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the office of attorney general. |
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(e) In addition to the standards under Subsection (d), the |
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rules of the office established for the Texas Department of |
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Criminal Justice must include standards for the office that |
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emphasize the investigation of criminal cases and administrative |
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violations. |
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Sec. 422.153. PUBLIC INTEREST INFORMATION AND COMPLAINTS. |
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(a) The office shall develop and implement policies that provide |
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the public a reasonable opportunity to appear before the office and |
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to speak on any issue under the office's jurisdiction. |
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(b) The office shall prepare information of public interest |
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describing the functions of the office and the office's procedures |
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by which complaints are filed with and resolved by the office. The |
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office shall make the information available to the public and |
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appropriate state agencies. |
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(c) The office shall keep an information file about each |
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complaint filed with the office relating to a state agency or entity |
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receiving state or federal money and falling under the |
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investigatory jurisdiction of the office. |
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[Sections 422.154-422.200 reserved for expansion] |
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SUBCHAPTER E. REVIEWS, INVESTIGATIONS, AND AUDITS |
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Sec. 422.201. REVIEW, INVESTIGATION, AND AUDIT AUTHORITY. |
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(a) The inspector general may review any activity or operation of |
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the agency, a provider, if applicable, or a person in this state |
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that is related to the investigation, detection, or prevention of |
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fraud, waste, abuse, or employee misconduct in an agency program or |
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state or federally funded program implemented, administered, or |
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overseen by or for the agency. A review may include an |
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investigation or other inquiry into a specific act or allegation |
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of, or a specific financial transaction or practice that may |
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involve, impropriety, malfeasance, or nonfeasance in the |
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obligation, spending, receipt, or other use of state or federal |
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money. |
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(b) The office shall conduct reviews to protect the public |
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and detect and prevent fraud, waste, and abuse in the provision or |
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funding of services or programs. |
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(c) The office shall conduct internal affairs |
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investigations in instances of suspected fraud, waste, and abuse |
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and in instances of suspected misconduct by employees, contractors, |
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subcontractors, and vendors. |
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(d) The office established for the Texas Department of |
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Criminal Justice shall conduct criminal and administrative |
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investigations involving suspected misconduct by employees, |
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contractors, subcontractors, vendors, and offenders. |
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(e) A state agency or the governing body or governing |
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officer of a state agency may not impair or prohibit the inspector |
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general from initiating or completing a review, or attempt to |
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influence the inspector general in conducting a review. |
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(f) The inspector general may review the use and |
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effectiveness of state or federal funds, including contract and |
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grant funds, administered by a person or state agency receiving the |
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funds in connection with an agency or state or federally funded |
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program implemented, administered, or overseen by or for the |
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agency. |
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Sec. 422.202. INITIATION OF REVIEW. The inspector general |
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may initiate a review: |
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(1) on the inspector general's own initiative; |
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(2) at the request of the agency or the governing body |
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or governing officer of the agency; or |
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(3) based on a complaint from any source concerning a |
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matter described by Section 422.201. |
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Sec. 422.203. ACCESS TO INFORMATION. To further a review |
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conducted by the office, the inspector general is entitled to |
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access all books, records, accounts, documents, reports, vouchers, |
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databases, systems, or other information, including confidential |
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information, electronic data, and internal records relevant to the |
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functions of the office that are maintained by or for a person, |
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state agency, or provider, if applicable, in connection with an |
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agency or a state or federally funded program implemented, |
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administered, or overseen by or for the agency. |
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Sec. 422.204. COOPERATION REQUIRED. To further a review |
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conducted by the inspector general's office, the inspector general |
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is entitled to full and unrestricted access to all offices, limited |
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access or restricted areas, employees, equipment, and computers, |
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including areas, equipment, and computers that contain |
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confidential information and internal records, relevant to the |
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functions of the office that are maintained by or for a person, |
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agency, or provider, if applicable, in connection with an agency or |
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a state or federally funded program implemented, administered, or |
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overseen by or for the agency. |
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Sec. 422.205. SUBPOENAS. (a) The inspector general may |
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issue a subpoena to compel the attendance of a relevant witness or |
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the production, for inspection or copying, of relevant evidence in |
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connection with a review conducted under this subchapter. |
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(b) A subpoena may be served personally or by certified |
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mail. |
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(c) If a person fails to comply with a subpoena, the |
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inspector general, acting through the attorney general, may file |
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suit to enforce the subpoena in a district court in this state. |
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(d) On finding that good cause exists for issuing the |
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subpoena, the court shall order the person to comply with the |
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subpoena. The court may hold in contempt a person who fails to obey |
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the court order. |
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(e) The reimbursement of the expenses of a witness whose |
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attendance is compelled under this section is governed by Section |
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2001.103. |
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Sec. 422.206. INTERNAL AUDITOR. (a) In this section, |
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"internal auditor" means a person appointed under Section 2102.006. |
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(b) The internal auditor for the agency shall provide the |
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inspector general with a copy of the agency's internal audit plan |
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to: |
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(1) assist in the coordination of efforts between the |
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inspector general and the internal auditor; and |
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(2) limit duplication of effort regarding reviews by |
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the inspector general and internal auditor. |
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(c) The internal auditor shall provide to the inspector |
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general all final audit reports concerning audits of any: |
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(1) part or division of the agency; |
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(2) contract, procurement, or grant; and |
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(3) program conducted by the agency. |
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Sec. 422.207. COOPERATION WITH LAW ENFORCEMENT OFFICIALS |
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AND OTHER ENTITIES. (a) The inspector general may provide |
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information and evidence relating to criminal acts to the state |
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auditor's office and appropriate law enforcement officials. |
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(b) The inspector general may refer matters for further |
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civil, criminal, and administrative action to appropriate |
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administrative and prosecutorial agencies, including the attorney |
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general. |
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(c) The inspectors general for the Texas Department of |
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Criminal Justice and the Texas Youth Commission shall refer a |
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criminal or delinquent conduct case to the appropriate prosecuting |
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attorney or the special prosecution unit under Subchapter E, |
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Chapter 41. |
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(d) The inspector general may enter into a memorandum of |
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understanding with a law enforcement or prosecutorial agency, |
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including the office of the attorney general, to assist in |
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conducting a review under this subchapter. |
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Sec. 422.208. COOPERATION AND COORDINATION WITH STATE |
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AUDITOR. (a) The state auditor may, on request of the inspector |
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general, provide appropriate information or other assistance to the |
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inspector general or office, as determined by the state auditor. |
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(b) The inspector general may meet with the state auditor's |
|
office to coordinate a review conducted under this subchapter, |
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share information, or schedule work plans. |
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(c) The state auditor is entitled to access all information |
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maintained by the inspector general, including vouchers, |
|
electronic data, internal records, and information obtained under |
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Section 422.203 or subject to Section 422.254. |
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(d) Any information obtained or provided by the state |
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auditor under this section is confidential and not subject to |
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disclosure under Chapter 552. |
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Sec. 422.209. AUTHORITY OF STATE AUDITOR AND SUNSET |
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ADVISORY COMMISSION NOT IMPAIRED. (a) This chapter or other law |
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related to the operation of an inspector general does not take |
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precedence over the authority of the state auditor to conduct an |
|
audit under Chapter 321 or other law. |
|
(b) This chapter or other law related to the operation of an |
|
inspector general does not take precedence over the authority of |
|
the Sunset Advisory Commission or other legislative bodies to |
|
review an agency under other law. |
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Sec. 422.210. PREVENTION. (a) The inspector general may |
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recommend to the agency policies on: |
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(1) promoting economical and efficient administration |
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of state or federal funds administered by an individual or entity |
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that received the funds from a state agency; and |
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(2) preventing and detecting fraud, waste, and abuse |
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in the administration of those funds. |
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(b) The inspector general may provide training or other |
|
education regarding the prevention of fraud, waste, or abuse to |
|
employees of a state agency. The training or education provided |
|
must be approved by the agency director. |
|
[Sections 422.211-422.250 reserved for expansion] |
|
SUBCHAPTER F. REPORTS |
|
Sec. 422.251. PERIODIC REPORTING TO STATE AUDITOR AND |
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AGENCY REQUIRED. The inspector general shall timely inform the |
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state auditor and the agency director of the initiation of a review |
|
of an agency program and the ongoing status of each review. |
|
Sec. 422.252. REPORTING OFFICE FINDINGS. The inspector |
|
general shall report the findings of the office for any review |
|
conducted under Subchapter E to: |
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(1) the governing body or governing officer of the |
|
agency, as applicable; |
|
(2) the governor; |
|
(3) the lieutenant governor; |
|
(4) the speaker of the house of representatives; |
|
(5) the state auditor's office; and |
|
(6) appropriate law enforcement and prosecutorial |
|
agencies, including the office of the attorney general, if the |
|
findings suggest the probability of criminal conduct. |
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Sec. 422.253. FLAGRANT VIOLATIONS; IMMEDIATE REPORT. The |
|
inspector general shall immediately report to the governing body or |
|
governing officer of the agency, as applicable, the governor's |
|
general counsel, and the state auditor a problem that the inspector |
|
general determines is particularly serious or flagrant and that |
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relates to the administration of a program, operation of a state |
|
agency, or interference with an inspector general review. |
|
Sec. 422.254. INFORMATION CONFIDENTIAL. (a) Except as |
|
provided by this section and Sections 422.251, 422.252, 422.255, |
|
422.256, 531.103, and 531.1031, all information and material |
|
compiled or maintained by the inspector general during a review |
|
under this chapter is: |
|
(1) confidential and not subject to disclosure under |
|
Chapter 552; and |
|
(2) not subject to disclosure, discovery, subpoena, or |
|
other means of legal compulsion for release to anyone other than the |
|
state auditor's office, the agency, or the office or its agents |
|
involved in the review related to that information or material. |
|
(b) As the inspector general determines appropriate based |
|
on evidence sufficient to support an allegation, information |
|
relating to a review may be disclosed to: |
|
(1) a law enforcement agency; |
|
(2) a district or county attorney with jurisdiction; |
|
(3) the attorney general's office; |
|
(4) the state auditor's office; or |
|
(5) the agency. |
|
(c) A person that receives information under Subsection (b) |
|
may not disclose the information except to the extent that |
|
disclosure is consistent with the authorized purpose for which the |
|
person first obtained the information. |
|
Sec. 422.255. DRAFT OF FINAL REVIEW REPORT; AGENCY |
|
RESPONSE. (a) Except in cases in which the office has determined |
|
that fraud, waste, or abuse exists, the office shall provide a draft |
|
of the final review report of any review of the operations of a |
|
state agency to the state agency director before publishing the |
|
office's final review report. |
|
(b) The state agency director may provide a response to the |
|
office's draft report in the manner prescribed by the office not |
|
later than the 10th day after the date the draft report is received |
|
by the state agency director. The inspector general by rule shall |
|
specify the format and requirements of the agency response. |
|
(c) Notwithstanding Subsection (a), the office may not |
|
provide a draft report to the state agency director if in the |
|
inspector general's opinion providing the draft report could |
|
negatively affect any anticipated civil or criminal proceedings. |
|
(d) The office may include any portion of the state agency's |
|
response in the office's final report. |
|
Sec. 422.256. FINAL REVIEW REPORTS; AGENCY RESPONSE. (a) |
|
The inspector general shall prepare a final report for each review |
|
conducted under this chapter. The final report must include: |
|
(1) a summary of the activities performed by the |
|
inspector general in conducting the review; |
|
(2) a determination of whether wrongdoing or |
|
substantial waste was found; and |
|
(3) a description of any findings of wrongdoing or |
|
substantial waste or, if no wrongdoing or substantial waste was |
|
found, a statement indicating that finding. |
|
(b) The inspector general's final review reports are |
|
subject to disclosure under Chapter 552. |
|
(c) All working papers and other documents related to |
|
compiling the final review reports remain confidential and are not |
|
subject to disclosure under Chapter 552. |
|
(d) Not later than the 60th day after the date the office |
|
issues a final report that identifies deficiencies or |
|
inefficiencies in, or recommends corrective measures in the |
|
operations of, a state agency, the state agency shall file a |
|
response that includes: |
|
(1) an implementation plan and timeline for |
|
implementing corrective measures; or |
|
(2) the state agency's rationale for declining to |
|
implement corrective measures for the identified deficiencies or |
|
inefficiencies or the office's recommended corrective measures, as |
|
applicable. |
|
(e) Unless otherwise prohibited by this chapter or other |
|
law, the inspector general shall deliver a copy of each final report |
|
to: |
|
(1) the agency director of the subject state agency; |
|
(2) the governing body or governing officer of the |
|
state agency; |
|
(3) any appropriate advisory council; |
|
(4) the governor; |
|
(5) the lieutenant governor; |
|
(6) the speaker of the house of representatives; |
|
(7) any appropriate law enforcement and prosecutorial |
|
agencies; |
|
(8) the state auditor; and |
|
(9) any appropriate licensing or certification |
|
agencies. |
|
Sec. 422.257. COSTS. (a) The inspector general shall |
|
maintain information regarding the cost of reviews. |
|
(b) The inspector general may cooperate with appropriate |
|
administrative and prosecutorial agencies, including the office of |
|
the attorney general, in recovering costs incurred under this |
|
chapter from nongovernmental entities, including contractors or |
|
individuals involved in: |
|
(1) violations of applicable state or federal rules or |
|
statutes; |
|
(2) abusive or wilful misconduct; or |
|
(3) violations of a provider contract or program |
|
policy. |
|
(c) In a criminal prosecution to which this chapter applies, |
|
the attorney representing the state shall request that the court |
|
require restitution as a condition of a convicted person's |
|
community supervision or parole. |
|
[Sections 422.258-422.300 reserved for expansion] |
|
SUBCHAPTER G. PENALTIES |
|
Sec. 422.301. ADMINISTRATIVE OR CIVIL PENALTY; INJUNCTION. |
|
(a) The office may: |
|
(1) act for a state agency in the assessment by the |
|
office of administrative or civil penalties the agency is |
|
authorized to assess under applicable law; and |
|
(2) request that the attorney general obtain an |
|
injunction to prevent a person from disposing of an asset |
|
identified by the office as potentially subject to recovery by the |
|
office due to the person's fraud, waste, or abuse. |
|
(b) If the office imposes an administrative or civil penalty |
|
under Subsection (a) for an agency: |
|
(1) the agency may not impose an administrative or |
|
civil penalty against the same person for the same violation; and |
|
(2) the office shall impose the penalty under |
|
applicable rules of the office, this chapter, applicable laws |
|
governing the imposition of a penalty by the agency, and any other |
|
applicable law. |
|
SECTION 2. Section 493.019, Government Code, is amended to |
|
read as follows: |
|
Sec. 493.019. ENFORCEMENT OFFICERS. In accordance with |
|
Section 422.105, the [The] inspector general appointed under |
|
Chapter 422 may appoint employees who are certified by the |
|
Commission on Law Enforcement Officer Standards and Education as |
|
qualified to be peace officers to serve under the direction of the |
|
inspector general and assist the inspector general in performing |
|
the enforcement duties of the department. |
|
SECTION 3. Section 493.028(b), Government Code, is amended |
|
to read as follows: |
|
(b) The inspector general of the department appointed under |
|
Chapter 422 shall on a quarterly basis prepare and deliver to the |
|
board of directors of the special prosecution unit a report |
|
concerning any alleged criminal offense concerning the department |
|
and described by Article 104.003(a), Code of Criminal Procedure, |
|
that occurred during the preceding calendar quarter. |
|
SECTION 4. Section 501.174, Government Code, is amended to |
|
read as follows: |
|
Sec. 501.174. DEPARTMENT TO ADOPT POLICY. The department |
|
shall adopt a policy providing for: |
|
(1) a designated administrator at each correctional |
|
facility to post information throughout the facility describing how |
|
an inmate may confidentially contact the ombudsperson regarding a |
|
sexual assault; |
|
(2) an inmate to write a confidential letter to the |
|
ombudsperson regarding a sexual assault; |
|
(3) employees at correctional facilities, on |
|
notification of the occurrence of a sexual assault, to immediately: |
|
(A) contact the ombudsperson and the office of |
|
the inspector general; and |
|
(B) ensure that the alleged victim is safe; |
|
(4) the office of the inspector general established |
|
under Chapter 422, at the time the office is notified of the sexual |
|
assault, to arrange for a medical examination of the alleged victim |
|
to be conducted in accordance with Article 56.06, Code of Criminal |
|
Procedure, or, if an appropriate employee of the office of the |
|
inspector general is not available at the time the office is |
|
notified of the sexual assault, a qualified employee at the |
|
correctional facility to conduct a medical examination of the |
|
alleged victim in accordance with Article 56.06, Code of Criminal |
|
Procedure; |
|
(5) a grievance proceeding under Section 501.008 based |
|
on an alleged sexual assault to be exempt from any deadline |
|
applicable to grievances initiated under that section; and |
|
(6) each correctional facility to collect statistics |
|
on all alleged sexual assaults against inmates confined in the |
|
facility and to report the statistics to the ombudsperson. |
|
SECTION 5. Section 501.176(b), Government Code, is amended |
|
to read as follows: |
|
(b) The report must include public information regarding: |
|
(1) each investigation and monitoring activity |
|
relating to sexual assault completed during the fiscal year by the |
|
ombudsperson and the inspector general appointed under Chapter 422; |
|
and |
|
(2) statistics collected by the ombudsperson |
|
regarding allegations of sexual assault. |
|
SECTION 6. Section 501.177, Government Code, is amended to |
|
read as follows: |
|
Sec. 501.177. STATE AUDITOR AUDITS, INVESTIGATIONS, AND |
|
ACCESS TO INFORMATION NOT IMPAIRED. This subchapter or other law |
|
related to the operation of the ombudsperson or related to the |
|
office of the inspector general established under Chapter 422 does |
|
not prohibit the state auditor from conducting an audit, |
|
investigation, or other review or from having full and complete |
|
access to all records and other information, including witnesses |
|
and electronic data, that the state auditor considers necessary for |
|
the audit, investigation, or other review. |
|
SECTION 7. Section 501.178, Government Code, is amended to |
|
read as follows: |
|
Sec. 501.178. AUTHORITY OF STATE AUDITOR TO CONDUCT TIMELY |
|
AUDITS NOT IMPAIRED. This subchapter or other law related to the |
|
operation of the ombudsperson or of the office of the inspector |
|
general established under Chapter 422 does not take precedence over |
|
the authority of the state auditor to conduct an audit under Chapter |
|
321 or other law. |
|
SECTION 8. Section 531.001, Government Code, is amended by |
|
adding Subdivision (4-a) to read as follows: |
|
(4-a) "Office of inspector general" means the office |
|
of inspector general established under Chapter 422 for the |
|
commission. |
|
SECTION 9. Section 531.008(c), Government Code, is amended |
|
to read as follows: |
|
(c) The executive commissioner shall establish the |
|
following divisions and offices within the commission: |
|
(1) the eligibility services division to make |
|
eligibility determinations for services provided through the |
|
commission or a health and human services agency related to: |
|
(A) the child health plan program; |
|
(B) the financial assistance program under |
|
Chapter 31, Human Resources Code; |
|
(C) the medical assistance program under Chapter |
|
32, Human Resources Code; |
|
(D) the nutritional assistance programs under |
|
Chapter 33, Human Resources Code; |
|
(E) long-term care services, as defined by |
|
Section 22.0011, Human Resources Code; |
|
(F) community-based support services identified |
|
or provided in accordance with Section 531.02481; and |
|
(G) other health and human services programs, as |
|
appropriate; |
|
(2) [the office of inspector general to perform fraud
|
|
and abuse investigation and enforcement functions as provided by
|
|
Subchapter C and other law;
|
|
[(3)] the office of the ombudsman to: |
|
(A) provide dispute resolution services for the |
|
commission and the health and human services agencies; and |
|
(B) perform consumer protection functions |
|
related to health and human services; |
|
(3) [(4)] a purchasing division as provided by Section |
|
531.017; and |
|
(4) [(5)] an internal audit division to conduct a |
|
program of internal auditing in accordance with [Government Code,] |
|
Chapter 2102. |
|
SECTION 10. Sections 531.101(a) and (b), Government Code, |
|
are amended to read as follows: |
|
(a) The office of inspector general [commission] may grant |
|
an award to an individual who reports activity that constitutes |
|
fraud or abuse of funds in the state Medicaid program or reports |
|
overcharges in the program if the office [commission] determines |
|
that the disclosure results in the recovery of an administrative |
|
penalty imposed under Section 32.039, Human Resources Code. The |
|
office [commission] may not grant an award to an individual in |
|
connection with a report if the office [commission] or attorney |
|
general had independent knowledge of the activity reported by the |
|
individual. |
|
(b) The office of inspector general [commission] shall |
|
determine the amount of an award. The award may not exceed five |
|
percent of the amount of the administrative penalty imposed under |
|
Section 32.039, Human Resources Code, that resulted from the |
|
individual's disclosure. In determining the amount of the award, |
|
the office [commission] shall consider how important the disclosure |
|
is in ensuring the fiscal integrity of the program. The office |
|
[commission] may also consider whether the individual participated |
|
in the fraud, abuse, or overcharge. |
|
SECTION 11. Section 531.102, Government Code, is amended to |
|
read as follows: |
|
Sec. 531.102. OFFICE OF INSPECTOR GENERAL: CLAIMS CRITERIA |
|
FOR INVESTIGATION; REFERRAL TO FRAUD CONTROL UNIT; HOLD ON PAYMENT. |
|
(a) [The commission, through the commission's office of inspector
|
|
general, is responsible for the investigation of fraud and abuse in
|
|
the provision of health and human services and the enforcement of
|
|
state law relating to the provision of those services. The
|
|
commission may obtain any information or technology necessary to
|
|
enable the office to meet its responsibilities under this
|
|
subchapter or other law.
|
|
[(a-1)
The governor shall appoint an inspector general to
|
|
serve as director of the office. The inspector general serves a
|
|
one-year term that expires on February 1.
|
|
[(b)
The commission, in consultation with the inspector
|
|
general, shall set clear objectives, priorities, and performance
|
|
standards for the office that emphasize:
|
|
[(1)
coordinating investigative efforts to
|
|
aggressively recover money;
|
|
[(2)
allocating resources to cases that have the
|
|
strongest supportive evidence and the greatest potential for
|
|
recovery of money; and
|
|
[(3)
maximizing opportunities for referral of cases to
|
|
the office of the attorney general in accordance with Section
|
|
531.103.
|
|
[(c)
The commission shall train office staff to enable the
|
|
staff to pursue priority Medicaid and other health and human
|
|
services fraud and abuse cases as necessary.
|
|
[(d)
The commission may require employees of health and
|
|
human services agencies to provide assistance to the office in
|
|
connection with the office's duties relating to the investigation
|
|
of fraud and abuse in the provision of health and human services.
|
|
The office is entitled to access to any information maintained by a
|
|
health and human services agency, including internal records,
|
|
relevant to the functions of the office.
|
|
[(e)] The commission, in consultation with the inspector |
|
general, by rule shall set specific claims criteria that, when met, |
|
require the office of inspector general to begin an investigation. |
|
(b) [(f)(1)] If the office of inspector general |
|
[commission] receives a complaint of Medicaid fraud or abuse from |
|
any source, the office must conduct an integrity review to |
|
determine whether there is sufficient basis to warrant a full |
|
investigation. An integrity review must begin not later than the |
|
30th day after the date the office [commission] receives a |
|
complaint or has reason to believe that fraud or abuse has occurred. |
|
An integrity review shall be completed not later than the 90th day |
|
after it began. |
|
(c) [(2)] If the findings of an integrity review give the |
|
office of inspector general reason to believe that an incident of |
|
fraud or abuse involving possible criminal conduct has occurred in |
|
the Medicaid program, the office must take the following action, as |
|
appropriate, not later than the 30th day after the completion of the |
|
integrity review: |
|
(1) [(A)] if a provider is suspected of fraud or abuse |
|
involving criminal conduct, the office must refer the case to the |
|
state's Medicaid fraud control unit, provided that the criminal |
|
referral does not preclude the office from continuing its |
|
investigation of the provider, which investigation may lead to the |
|
imposition of appropriate administrative or civil sanctions; or |
|
(2) [(B)] if there is reason to believe that a |
|
recipient has defrauded the Medicaid program, the office may |
|
conduct a full investigation of the suspected fraud. |
|
(d) [(g)(1)] Whenever the office of inspector general |
|
learns or has reason to suspect that a provider's records are being |
|
withheld, concealed, destroyed, fabricated, or in any way |
|
falsified, the office shall immediately refer the case to the |
|
state's Medicaid fraud control unit. However, such criminal |
|
referral does not preclude the office from continuing its |
|
investigation of the provider, which investigation may lead to the |
|
imposition of appropriate administrative or civil sanctions. |
|
(e) [(2)] In addition to other instances authorized under |
|
state or federal law, the office of inspector general shall impose |
|
without prior notice a hold on payment of claims for reimbursement |
|
submitted by a provider to compel production of records or when |
|
requested by the state's Medicaid fraud control unit, as |
|
applicable. The office must notify the provider of the hold on |
|
payment not later than the fifth working day after the date the |
|
payment hold is imposed. |
|
(f) [(3)] On timely written request by a provider subject to |
|
a hold on payment under Subsection (e) [Subdivision (2)], other |
|
than a hold requested by the state's Medicaid fraud control unit, |
|
the office of inspector general shall file a request with the State |
|
Office of Administrative Hearings or the hearings division of the |
|
Health and Human Services Commission for an expedited |
|
administrative hearing regarding the hold. The provider must |
|
request an expedited hearing under this subsection [subdivision] |
|
not later than the 10th day after the date the provider receives |
|
notice from the office under Subsection (e) [Subdivision (2)]. |
|
(g) [(4)] The inspector general [commission] shall adopt |
|
rules that allow a provider subject to a hold on payment under |
|
Subsection (e) [Subdivision (2)], other than a hold requested by |
|
the state's Medicaid fraud control unit, to seek an informal |
|
resolution of the issues identified by the office of inspector |
|
general in the notice provided under that subsection [subdivision]. |
|
A provider must seek an informal resolution under this subsection |
|
[subdivision] not later than the deadline prescribed by Subsection |
|
(f) [Subdivision (3)]. A provider's decision to seek an informal |
|
resolution under this subsection [subdivision] does not extend the |
|
time by which the provider must request an expedited administrative |
|
hearing under Subsection (f) [Subdivision (3)]. However, a hearing |
|
initiated under Subsection (f) [Subdivision (3)] shall be stayed at |
|
the office's request until the informal resolution process is |
|
completed. |
|
(h) [(5)] The office of inspector general shall, in |
|
consultation with the state's Medicaid fraud control unit, |
|
establish guidelines under which holds on payment, [or] program |
|
exclusions, administrative actions, or other sanctions: |
|
(1) [(A)] may permissively be imposed on or taken |
|
against a provider; or |
|
(2) [(B)] shall automatically be imposed on or taken |
|
against a provider. |
|
(i) [(h)] In addition to performing functions and duties |
|
otherwise provided by law, the office of inspector general may: |
|
(1) take administrative action, impose administrative |
|
sanctions, and assess administrative penalties otherwise |
|
authorized by law on behalf of the commission or a health and human |
|
services agency; |
|
(2) request that the attorney general obtain an |
|
injunction to prevent a person from disposing of an asset |
|
identified by the office as potentially subject to recovery by the |
|
office due to the person's fraud or abuse; |
|
(3) provide for coordination between the office and |
|
special investigative units formed by managed care organizations |
|
under Section 531.113 or entities with which managed care |
|
organizations contract under that section; |
|
(4) audit the use and effectiveness of state or |
|
federal funds, including contract and grant funds, administered by |
|
a person or state agency receiving the funds from a health and human |
|
services agency; |
|
(5) conduct investigations relating to the funds |
|
described by Subdivision (4); [and] |
|
(6) recommend policies promoting economical and |
|
efficient administration of the funds described by Subdivision (4) |
|
and the prevention and detection of fraud and abuse in |
|
administration of those funds; |
|
(7) request the attorney general to represent the |
|
office of inspector general in a legal proceeding that arises from a |
|
review conducted by the office and coordinate the activities of the |
|
office with the office of the attorney general during the legal |
|
proceeding; |
|
(8) settle for the commission a case filed in response |
|
to a review conducted by the office; and |
|
(9) recover overpayments, assessments, and |
|
liabilities in a settlement regardless of the origin of the |
|
overpayment, assessment, or liability. |
|
(j) [(i)] Notwithstanding any other provision of law, a |
|
reference in law or rule to the commission's office of |
|
investigations and enforcement means the office of inspector |
|
general established under Chapter 422 [this section]. |
|
[(j)
The office
shall prepare a final report on each audit
|
|
or investigation conducted under this section.
The final report
|
|
must include:
|
|
[(1)
a summary of the activities performed by the
|
|
office in conducting the audit or investigation;
|
|
[(2)
a statement regarding whether the audit or
|
|
investigation resulted in a finding of any wrongdoing; and
|
|
[(3) a description of any findings of wrongdoing.] |
|
(k) A final report on an audit or investigation is subject |
|
to required disclosure under Chapter 552. All information and |
|
materials compiled during the audit or investigation remain |
|
confidential and not subject to required disclosure [in accordance
|
|
with Section 531.1021(g)]. |
|
SECTION 12. Sections 531.103(a), (c), and (d), Government |
|
Code, are amended to read as follows: |
|
(a) The [commission, acting through the commission's] |
|
office of inspector general[,] and the office of the attorney |
|
general shall enter into a memorandum of understanding to develop |
|
and implement joint written procedures for processing cases of |
|
suspected fraud, waste, or abuse, as those terms are defined by |
|
state or federal law, or other violations of state or federal law |
|
under the state Medicaid program or other program administered by |
|
the commission or a health and human services agency, including the |
|
financial assistance program under Chapter 31, Human Resources |
|
Code, a nutritional assistance program under Chapter 33, Human |
|
Resources Code, and the child health plan program. The memorandum |
|
of understanding shall require: |
|
(1) the office of inspector general and the office of |
|
the attorney general to set priorities and guidelines for referring |
|
cases to appropriate state agencies for investigation, |
|
prosecution, or other disposition to enhance deterrence of fraud, |
|
waste, abuse, or other violations of state or federal law, |
|
including a violation of Chapter 102, Occupations Code, in the |
|
programs and maximize the imposition of penalties, the recovery of |
|
money, and the successful prosecution of cases; |
|
(1-a) the office of inspector general to refer each |
|
case of suspected provider fraud, waste, or abuse to the office of |
|
the attorney general not later than the 20th business day after the |
|
date the office of inspector general determines that the existence |
|
of fraud, waste, or abuse is reasonably indicated; |
|
(1-b) the office of the attorney general to take |
|
appropriate action in response to each case referred to the |
|
attorney general, which action may include direct initiation of |
|
prosecution, with the consent of the appropriate local district or |
|
county attorney, direct initiation of civil litigation, referral to |
|
an appropriate United States attorney, a district attorney, or a |
|
county attorney, or referral to a collections agency for initiation |
|
of civil litigation or other appropriate action; |
|
(2) the office of inspector general to keep detailed |
|
records for cases processed by that office or the office of the |
|
attorney general, including information on the total number of |
|
cases processed and, for each case: |
|
(A) the agency and division to which the case is |
|
referred for investigation; |
|
(B) the date on which the case is referred; and |
|
(C) the nature of the suspected fraud, waste, or |
|
abuse; |
|
(3) the office of inspector general to notify each |
|
appropriate division of the office of the attorney general of each |
|
case referred by the office of inspector general; |
|
(4) the office of the attorney general to ensure that |
|
information relating to each case investigated by that office is |
|
available to each division of the office with responsibility for |
|
investigating suspected fraud, waste, or abuse; |
|
(5) the office of the attorney general to notify the |
|
office of inspector general of each case the attorney general |
|
declines to prosecute or prosecutes unsuccessfully; |
|
(6) representatives of the office of inspector general |
|
and of the office of the attorney general to meet not less than |
|
quarterly to share case information and determine the appropriate |
|
agency and division to investigate each case; and |
|
(7) the office of inspector general and the office of |
|
the attorney general to submit information requested by the |
|
comptroller about each resolved case for the comptroller's use in |
|
improving fraud detection. |
|
(c) The office of inspector general [commission] and the |
|
office of the attorney general shall jointly prepare and submit a |
|
semiannual report to the governor, lieutenant governor, speaker of |
|
the house of representatives, and comptroller concerning the |
|
activities of the office of the attorney general and the office of |
|
inspector general [those agencies] in detecting and preventing |
|
fraud, waste, and abuse under the state Medicaid program or other |
|
program administered by the commission or a health and human |
|
services agency. The report may be consolidated with any other |
|
report relating to the same subject matter the office of inspector |
|
general [commission] or office of the attorney general is required |
|
to submit under other law. |
|
(d) The office of inspector general [commission] and the |
|
office of the attorney general may not assess or collect |
|
investigation and attorney's fees on behalf of any state agency |
|
unless the office of inspector general, the office of the attorney |
|
general, or another [other] state agency collects a penalty, |
|
restitution, or other reimbursement payment to the state. |
|
SECTION 13. Section 531.1031(a)(2), Government Code, is |
|
amended to read as follows: |
|
(2) "Participating agency" means: |
|
(A) the Medicaid fraud enforcement divisions of |
|
the office of the attorney general; [and] |
|
(B) each board or agency with authority to |
|
license, register, regulate, or certify a health care professional |
|
or managed care organization that may participate in the state |
|
Medicaid program; and |
|
(C) the office of inspector general. |
|
SECTION 14. Section 531.104(a), Government Code, is amended |
|
to read as follows: |
|
(a) The office of inspector general [commission] and the |
|
attorney general shall execute a memorandum of understanding under |
|
which the office [commission] shall provide investigative support |
|
as required to the attorney general in connection with cases under |
|
Subchapter B, Chapter 36, Human Resources Code. Under the |
|
memorandum of understanding, the office [commission] shall assist |
|
in performing preliminary investigations and ongoing |
|
investigations for actions prosecuted by the attorney general under |
|
Subchapter C, Chapter 36, Human Resources Code. |
|
SECTION 15. Section 531.105, Government Code, is amended to |
|
read as follows: |
|
Sec. 531.105. FRAUD DETECTION TRAINING. [(a)] The office |
|
of inspector general [commission] shall develop and implement a |
|
program to provide annual training to contractors who process |
|
Medicaid claims and appropriate staff of the health and human |
|
services agencies [Texas Department of Health and the Texas
|
|
Department of Human Services] in identifying potential cases of |
|
fraud, waste, or abuse under the state Medicaid program. The |
|
training provided to the contractors and staff must include clear |
|
criteria that specify: |
|
(1) the circumstances under which a person should |
|
refer a potential case to the office [commission]; and |
|
(2) the time by which a referral should be made. |
|
[(b)
The Texas Department of Health and the Texas Department
|
|
of Human Services, in cooperation with the commission, shall
|
|
periodically set a goal of the number of potential cases of fraud,
|
|
waste, or abuse under the state Medicaid program that each agency
|
|
will attempt to identify and refer to the commission. The
|
|
commission shall include information on the agencies' goals and the
|
|
success of each agency in meeting the agency's goal in the report
|
|
required by Section 531.103(c).] |
|
SECTION 16. Sections 531.106(a), (b), (d), (e), (f), and |
|
(g), Government Code, are amended to read as follows: |
|
(a) The office of inspector general [commission] shall use |
|
learning or neural network technology to identify and deter fraud, |
|
waste, and abuse in the Medicaid program throughout this state. |
|
(b) The office of inspector general [commission] shall |
|
contract with a private or public entity to develop and implement |
|
the technology. The office [commission] may require the entity it |
|
contracts with to install and operate the technology at locations |
|
specified by the office [commission, including commission
|
|
offices]. |
|
(d) The office of inspector general [commission] shall |
|
require each health and human services agency that performs any |
|
aspect of the state Medicaid program to participate in the |
|
implementation and use of the technology. |
|
(e) The office of inspector general [commission] shall |
|
maintain all information necessary to apply the technology to |
|
claims data covering a period of at least two years. |
|
(f) Cases [The commission shall refer cases] identified by |
|
the technology shall be referred to the [commission's] office of |
|
inspector general [investigations and enforcement] or the office of |
|
the attorney general, as appropriate. |
|
(g) Each month, the learning or neural network technology |
|
implemented under this section must match bureau of vital |
|
statistics death records with Medicaid claims filed by a provider. |
|
If the commission or the office of inspector general determines |
|
that a provider has filed a claim for services provided to a person |
|
after the person's date of death, as determined by the bureau of |
|
vital statistics death records, [the commission shall refer] the |
|
case shall be referred for investigation to the office of inspector |
|
general or the office of the attorney general, as appropriate [to
|
|
the commission's office of investigations and enforcement]. |
|
SECTION 17. Section 531.1061, Government Code, is amended |
|
to read as follows: |
|
Sec. 531.1061. FRAUD INVESTIGATION TRACKING SYSTEM. (a) |
|
The office of inspector general [commission] shall use an automated |
|
fraud investigation tracking system [through the commission's
|
|
office of investigations and enforcement] to monitor the progress |
|
of an investigation of suspected fraud, waste, abuse, or |
|
insufficient quality of care under the state Medicaid program. |
|
(b) For each case of suspected fraud, waste, abuse, or |
|
insufficient quality of care identified by the learning or neural |
|
network technology required under Section 531.106, the automated |
|
fraud investigation tracking system must: |
|
(1) receive electronically transferred records |
|
relating to the identified case from the learning or neural network |
|
technology; |
|
(2) record the details and monitor the status of an |
|
investigation of the identified case, including maintaining a |
|
record of the beginning and completion dates for each phase of the |
|
case investigation; |
|
(3) generate documents and reports related to the |
|
status of the case investigation; and |
|
(4) generate standard letters to a provider regarding |
|
the status or outcome of an investigation. |
|
(c) The office of inspector general may [commission shall] |
|
require each health and human services agency that performs any |
|
aspect of the state Medicaid program to participate in the |
|
implementation and use of the automated fraud investigation |
|
tracking system. |
|
SECTION 18. Section 531.1062(a), Government Code, is |
|
amended to read as follows: |
|
(a) The office of inspector general [commission] shall use |
|
an automated recovery monitoring system to monitor the collections |
|
process for a settled case of fraud, waste, abuse, or insufficient |
|
quality of care under the state Medicaid program. |
|
SECTION 19. Sections 531.107(a), (b), and (f), Government |
|
Code, are amended to read as follows: |
|
(a) The Medicaid and Public Assistance Fraud Oversight Task |
|
Force advises and assists the [commission and the commission's] |
|
office of inspector general [investigations and enforcement] in |
|
improving the efficiency of fraud investigations and collections. |
|
(b) The task force is composed of a representative of the: |
|
(1) attorney general's office, appointed by the |
|
attorney general; |
|
(2) comptroller's office, appointed by the |
|
comptroller; |
|
(3) Department of Public Safety, appointed by the |
|
public safety director; |
|
(4) state auditor's office, appointed by the state |
|
auditor; |
|
(5) office of inspector general [commission], |
|
appointed by the inspector general [commissioner of health and
|
|
human services]; |
|
(6) [Texas] Department of Aging and Disability [Human] |
|
Services, appointed by the commissioner of aging and disability |
|
[human] services; |
|
(7) Texas Department of Insurance, appointed by the |
|
commissioner of insurance; and |
|
(8) [Texas] Department of State Health Services, |
|
appointed by the commissioner of state [public] health services. |
|
(f) At least once each fiscal quarter, the [commission's] |
|
office of inspector general [investigations and enforcement] shall |
|
provide to the task force: |
|
(1) information detailing: |
|
(A) the number of fraud referrals made to the |
|
office and the origin of each referral; |
|
(B) the time spent investigating each case; |
|
(C) the number of cases investigated each month, |
|
by program and region; |
|
(D) the dollar value of each fraud case that |
|
results in a criminal conviction; and |
|
(E) the number of cases the office rejects and |
|
the reason for rejection, by region; and |
|
(2) any additional information the task force |
|
requires. |
|
SECTION 20. Sections 531.108 and 531.109, Government Code, |
|
are amended to read as follows: |
|
Sec. 531.108. FRAUD PREVENTION. (a) The [commission's] |
|
office of inspector general [investigations and enforcement] shall |
|
compile and disseminate accurate information and statistics |
|
relating to: |
|
(1) fraud prevention; and |
|
(2) post-fraud referrals received and accepted or |
|
rejected from the office's [commission's] case management system or |
|
the case management system of a health and human services agency. |
|
(b) The office of inspector general [commission] shall: |
|
(1) aggressively publicize successful fraud |
|
prosecutions and fraud-prevention programs through all available |
|
means, including the use of statewide press releases [issued in
|
|
coordination with the Texas Department of Human Services]; and |
|
(2) ensure that a toll-free hotline for reporting |
|
suspected fraud in programs administered by the office, the |
|
commission, or a health and human services agency is maintained and |
|
promoted[, either] by the office, the commission, or [by] a health |
|
and human services agency. |
|
(c) The office of inspector general [commission] shall |
|
develop a cost-effective method of identifying applicants for |
|
public assistance in counties bordering other states and in |
|
metropolitan areas selected by the office [commission] who are |
|
already receiving benefits in other states. If economically |
|
feasible, the office [commission] may develop a computerized |
|
matching system. |
|
(d) The office of inspector general [commission] shall: |
|
(1) verify automobile information that is used as |
|
criteria for eligibility; and |
|
(2) establish a computerized matching system with the |
|
Texas Department of Criminal Justice to prevent an incarcerated |
|
individual from illegally receiving public assistance benefits |
|
administered by the commission. |
|
(e) The office of inspector general [commission] shall |
|
submit to the governor and Legislative Budget Board a semiannual |
|
report on the results of computerized matching of office and |
|
commission information with information from neighboring states, |
|
if any, and information from the Texas Department of Criminal |
|
Justice. The report may be consolidated with any other report |
|
relating to the same subject matter the office [commission] is |
|
required to submit under other law. |
|
Sec. 531.109. SELECTION AND REVIEW OF CLAIMS. (a) The |
|
office of inspector general [commission] shall annually select and |
|
review a random, statistically valid sample of all claims for |
|
reimbursement under the state Medicaid program, including the |
|
vendor drug program, for potential cases of fraud, waste, or abuse. |
|
(b) In conducting the annual review of claims under |
|
Subsection (a), the office of inspector general [commission] may |
|
directly contact a recipient by telephone or in person, or both, to |
|
verify that the services for which a claim for reimbursement was |
|
submitted by a provider were actually provided to the recipient. |
|
(c) Based on the results of the annual review of claims, the |
|
office of inspector general and the commission shall determine the |
|
types of claims at which office and commission resources for fraud, |
|
waste, and abuse detection should be primarily directed. |
|
SECTION 21. Sections 531.110(a), (c), (d), (e), and (f), |
|
Government Code, are amended to read as follows: |
|
(a) The office of inspector general [commission] shall |
|
conduct electronic data matches for a recipient of assistance under |
|
the state Medicaid program at least quarterly to verify the |
|
identity, income, employment status, and other factors that affect |
|
the eligibility of the recipient. |
|
(c) The commission and other health and human services |
|
agencies [Texas Department of Human Services] shall cooperate with |
|
the office of inspector general [commission] by providing data or |
|
any other assistance necessary to conduct the electronic data |
|
matches required by this section. |
|
(d) The office of inspector general [commission] may |
|
contract with a public or private entity to conduct the electronic |
|
data matches required by this section. |
|
(e) The office of inspector general [commission], or a |
|
health and human services agency designated by the office |
|
[commission], by rule shall establish procedures to verify the |
|
electronic data matches conducted by the office [commission] under |
|
this section. Not later than the 20th day after the date the |
|
electronic data match is verified, the commission and other health |
|
and human services agencies [Texas Department of Human Services] |
|
shall remove from eligibility a recipient who is determined to be |
|
ineligible for assistance under the state Medicaid program. |
|
(f) The office of inspector general [commission] shall |
|
report biennially to the legislature the results of the electronic |
|
data matching program. The report must include a summary of the |
|
number of applicants who were removed from eligibility for |
|
assistance under the state Medicaid program as a result of an |
|
electronic data match conducted under this section. |
|
SECTION 22. Section 531.111, Government Code, is amended to |
|
read as follows: |
|
Sec. 531.111. FRAUD DETECTION TECHNOLOGY. The office of |
|
inspector general [commission] may contract with a contractor who |
|
specializes in developing technology capable of identifying |
|
patterns of fraud exhibited by providers and Medicaid recipients |
|
to: |
|
(1) develop and implement the fraud detection |
|
technology; [and] |
|
(2) determine if a pattern of fraud by Medicaid |
|
recipients is present in the provider's files or recipients' |
|
eligibility files maintained by the commission or other health and |
|
human services agencies; and |
|
(3) identify a person who obtains or receives services |
|
fraudulently, the date on which the person obtained or received the |
|
services, and the location where the services were provided [Texas
|
|
Department of Human Services]. |
|
SECTION 23. Section 531.1112, Government Code, is amended |
|
to read as follows: |
|
Sec. 531.1112. STUDY CONCERNING INCREASED USE OF TECHNOLOGY |
|
TO STRENGTHEN FRAUD DETECTION AND DETERRENCE; IMPLEMENTATION. (a) |
|
The commission and the [commission's] office of inspector general |
|
shall jointly study the feasibility of increasing the use of |
|
technology to strengthen the detection and deterrence of fraud in |
|
the state Medicaid program. The study must include the |
|
determination of the feasibility of using technology to verify a |
|
person's citizenship and eligibility for coverage. |
|
(b) The commission shall implement any methods the |
|
commission and the [commission's] office of inspector general |
|
determine are effective at strengthening fraud detection and |
|
deterrence. |
|
SECTION 24. Section 531.113, Government Code, is amended to |
|
read as follows: |
|
Sec. 531.113. MANAGED CARE ORGANIZATIONS: SPECIAL |
|
INVESTIGATIVE UNITS OR CONTRACTS. (a) Each managed care |
|
organization that provides or arranges for the provision of health |
|
care services to an individual under a government-funded program, |
|
including the Medicaid program and the child health plan program, |
|
shall: |
|
(1) establish and maintain a special investigative |
|
unit within the managed care organization to investigate fraudulent |
|
claims and other types of program waste or abuse by recipients and |
|
service providers; or |
|
(2) contract with another entity for the investigation |
|
of fraudulent claims and other types of program waste or abuse by |
|
recipients and service providers. |
|
(b) Each managed care organization subject to this section |
|
shall adopt a plan to prevent and reduce fraud, waste, and abuse and |
|
annually file that plan with the [commission's] office of inspector |
|
general for approval. The plan must include: |
|
(1) a description of the managed care organization's |
|
procedures for detecting and investigating possible acts of fraud, |
|
waste, or abuse; |
|
(2) a description of the managed care organization's |
|
procedures for the mandatory reporting of possible acts of fraud, |
|
waste, or abuse to the [commission's] office of inspector general; |
|
(3) a description of the managed care organization's |
|
procedures for educating and training personnel to prevent fraud, |
|
waste, and abuse; |
|
(4) the name, address, telephone number, and fax |
|
number of the individual responsible for carrying out the plan; |
|
(5) a description or chart outlining the |
|
organizational arrangement of the managed care organization's |
|
personnel responsible for investigating and reporting possible |
|
acts of fraud, waste, or abuse; |
|
(6) a detailed description of the results of |
|
investigations of fraud, waste, and abuse conducted by the managed |
|
care organization's special investigative unit or the entity with |
|
which the managed care organization contracts under Subsection |
|
(a)(2); and |
|
(7) provisions for maintaining the confidentiality of |
|
any patient information relevant to an investigation of fraud, |
|
waste, or abuse. |
|
(c) If a managed care organization contracts for the |
|
investigation of fraudulent claims and other types of program waste |
|
or abuse by recipients and service providers under Subsection |
|
(a)(2), the managed care organization shall file with the |
|
[commission's] office of inspector general: |
|
(1) a copy of the written contract; |
|
(2) the names, addresses, telephone numbers, and fax |
|
numbers of the principals of the entity with which the managed care |
|
organization has contracted; and |
|
(3) a description of the qualifications of the |
|
principals of the entity with which the managed care organization |
|
has contracted. |
|
(d) The [commission's] office of inspector general may |
|
review the records of a managed care organization to determine |
|
compliance with this section. |
|
(e) The inspector general [commissioner] shall adopt rules |
|
as necessary to accomplish the purposes of this section. |
|
SECTION 25. Sections 531.114(b) and (g), Government Code, |
|
are amended to read as follows: |
|
(b) If after an investigation the office of inspector |
|
general [commission] determines that a person violated Subsection |
|
(a), the office [commission] shall: |
|
(1) notify the person of the alleged violation not |
|
later than the 30th day after the date the office [commission] |
|
completes the investigation and provide the person with an |
|
opportunity for a hearing on the matter; or |
|
(2) refer the matter to the appropriate prosecuting |
|
attorney for prosecution. |
|
(g) The inspector general [commission] shall adopt rules as |
|
necessary to implement this section. |
|
SECTION 26. Section 531.115, Government Code, is amended to |
|
read as follows: |
|
Sec. 531.115. FEDERAL FELONY MATCH. The office of |
|
inspector general [commission] shall develop and implement a system |
|
to cross-reference data collected for the programs listed under |
|
Section 531.008(c) with the list of fugitive felons maintained by |
|
the federal government. |
|
SECTION 27. Section 533.005(a), Government Code, is amended |
|
to read as follows: |
|
(a) A contract between a managed care organization and the |
|
commission for the organization to provide health care services to |
|
recipients must contain: |
|
(1) procedures to ensure accountability to the state |
|
for the provision of health care services, including procedures for |
|
financial reporting, quality assurance, utilization review, and |
|
assurance of contract and subcontract compliance; |
|
(2) capitation rates that ensure the cost-effective |
|
provision of quality health care; |
|
(3) a requirement that the managed care organization |
|
provide ready access to a person who assists recipients in |
|
resolving issues relating to enrollment, plan administration, |
|
education and training, access to services, and grievance |
|
procedures; |
|
(4) a requirement that the managed care organization |
|
provide ready access to a person who assists providers in resolving |
|
issues relating to payment, plan administration, education and |
|
training, and grievance procedures; |
|
(5) a requirement that the managed care organization |
|
provide information and referral about the availability of |
|
educational, social, and other community services that could |
|
benefit a recipient; |
|
(6) procedures for recipient outreach and education; |
|
(7) a requirement that the managed care organization |
|
make payment to a physician or provider for health care services |
|
rendered to a recipient under a managed care plan not later than the |
|
45th day after the date a claim for payment is received with |
|
documentation reasonably necessary for the managed care |
|
organization to process the claim, or within a period, not to exceed |
|
60 days, specified by a written agreement between the physician or |
|
provider and the managed care organization; |
|
(8) a requirement that the commission, on the date of a |
|
recipient's enrollment in a managed care plan issued by the managed |
|
care organization, inform the organization of the recipient's |
|
Medicaid certification date; |
|
(9) a requirement that the managed care organization |
|
comply with Section 533.006 as a condition of contract retention |
|
and renewal; |
|
(10) a requirement that the managed care organization |
|
provide the information required by Section 533.012 and otherwise |
|
comply and cooperate with the [commission's] office of inspector |
|
general; |
|
(11) a requirement that the managed care |
|
organization's usages of out-of-network providers or groups of |
|
out-of-network providers may not exceed limits for those usages |
|
relating to total inpatient admissions, total outpatient services, |
|
and emergency room admissions determined by the commission; |
|
(12) if the commission finds that a managed care |
|
organization has violated Subdivision (11), a requirement that the |
|
managed care organization reimburse an out-of-network provider for |
|
health care services at a rate that is equal to the allowable rate |
|
for those services, as determined under Sections 32.028 and |
|
32.0281, Human Resources Code; |
|
(13) a requirement that the organization use advanced |
|
practice nurses in addition to physicians as primary care providers |
|
to increase the availability of primary care providers in the |
|
organization's provider network; |
|
(14) a requirement that the managed care organization |
|
reimburse a federally qualified health center or rural health |
|
clinic for health care services provided to a recipient outside of |
|
regular business hours, including on a weekend day or holiday, at a |
|
rate that is equal to the allowable rate for those services as |
|
determined under Section 32.028, Human Resources Code, if the |
|
recipient does not have a referral from the recipient's primary |
|
care physician; [and] |
|
(15) a requirement that the managed care organization |
|
develop, implement, and maintain a system for tracking and |
|
resolving all provider appeals related to claims payment, including |
|
a process that will require: |
|
(A) a tracking mechanism to document the status |
|
and final disposition of each provider's claims payment appeal; |
|
(B) the contracting with physicians who are not |
|
network providers and who are of the same or related specialty as |
|
the appealing physician to resolve claims disputes related to |
|
denial on the basis of medical necessity that remain unresolved |
|
subsequent to a provider appeal; and |
|
(C) the determination of the physician resolving |
|
the dispute to be binding on the managed care organization and |
|
provider; and |
|
(16) a requirement that the managed care organization |
|
refund to the commission, through the office of inspector general, |
|
an overpayment made by the managed care organization to a provider |
|
that is identified as a result of a review conducted under Chapter |
|
422 or Subchapter C, Chapter 531, according to rules adopted by the |
|
inspector general. |
|
SECTION 28. Section 533.012(c), Government Code, is amended |
|
to read as follows: |
|
(c) The [commission's] office of inspector general |
|
[investigations and enforcement] shall review the information |
|
submitted under this section as appropriate in the investigation of |
|
fraud in the Medicaid managed care program. |
|
SECTION 29. Section 811.001(9), Government Code, is amended |
|
to read as follows: |
|
(9) "Law enforcement officer" means a member of the |
|
retirement system who: |
|
(A) has been commissioned as a law enforcement |
|
officer by the Department of Public Safety, the Texas Alcoholic |
|
Beverage Commission, the Parks and Wildlife Department, or the |
|
office of inspector general established under Chapter 422 at the |
|
Texas Youth Commission; and |
|
(B) is recognized as a commissioned law |
|
enforcement officer by the Commission on Law Enforcement Officer |
|
Standards and Education. |
|
SECTION 30. Section 814.104(b), Government Code, is amended |
|
to read as follows: |
|
(b) A member who is at least 55 years old and who has at |
|
least 10 years of service credit as a commissioned peace officer |
|
engaged in criminal law enforcement activities of the Department of |
|
Public Safety, the Texas Alcoholic Beverage Commission, the Parks |
|
and Wildlife Department, or the office of inspector general |
|
established under Chapter 422 at the Texas Youth Commission, or as a |
|
custodial officer, is eligible to retire and receive a service |
|
retirement annuity. |
|
SECTION 31. Section 815.505, Government Code, is amended to |
|
read as follows: |
|
Sec. 815.505. CERTIFICATION OF NAMES OF LAW ENFORCEMENT AND |
|
CUSTODIAL OFFICERS. Not later than the 12th day of the month |
|
following the month in which a person begins or ceases employment as |
|
a law enforcement officer or custodial officer, the Public Safety |
|
Commission, the Texas Alcoholic Beverage Commission, the Parks and |
|
Wildlife Commission, the office of inspector general established |
|
under Chapter 422 at the Texas Youth Commission, the Board of |
|
Pardons and Paroles, or the Texas Board of Criminal Justice, as |
|
applicable, shall certify to the retirement system, in the manner |
|
prescribed by the system, the name of the employee and such other |
|
information as the system determines is necessary for the crediting |
|
of service and financing of benefits under this subtitle. |
|
SECTION 32. Section 2054.376(b), Government Code, is |
|
amended to read as follows: |
|
(b) This subchapter does not apply to: |
|
(1) the Department of Public Safety's use for criminal |
|
justice or homeland security purposes of a federal database or |
|
network; |
|
(2) a Texas equivalent of a database or network |
|
described by Subdivision (1) that is managed by the Department of |
|
Public Safety; |
|
(3) the uniform statewide accounting system, as that |
|
term is used in Subchapter C, Chapter 2101; |
|
(4) the state treasury cash and treasury management |
|
system; [or] |
|
(5) a database or network managed by the comptroller |
|
to: |
|
(A) collect and process multiple types of taxes |
|
imposed by the state; or |
|
(B) manage or administer fiscal, financial, |
|
revenue, and expenditure activities of the state under Chapter 403 |
|
and Chapter 404; or |
|
(6) the use of a federal or state database or network |
|
by an office of inspector general established under Chapter 422. |
|
SECTION 33. Section 21.014(b), Human Resources Code, is |
|
amended to read as follows: |
|
(b) The [person employed by the department as] inspector |
|
general appointed under Chapter 422, Government Code, for the |
|
Health and Human Services Commission shall make reports to and |
|
consult with the agency director [chairman of the board] regarding: |
|
(1) the selection of internal audit topics; |
|
(2) the establishment of internal audit priorities; |
|
and |
|
(3) the findings of each regular or special internal |
|
audit initiative. |
|
SECTION 34. Section 32.003, Human Resources Code, is |
|
amended by adding Subdivision (5) to read as follows: |
|
(5) "Office of inspector general" means the office of |
|
inspector general established under Chapter 422, Government Code, |
|
for the Health and Human Services Commission. |
|
SECTION 35. Section 32.0291, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 32.0291. PREPAYMENT REVIEWS AND POSTPAYMENT HOLDS. |
|
(a) Notwithstanding any other law, the office of inspector general |
|
or department may: |
|
(1) perform a prepayment review of a claim for |
|
reimbursement under the medical assistance program to determine |
|
whether the claim involves fraud, waste, or abuse; and |
|
(2) as necessary to perform that review, withhold |
|
payment of the claim for not more than five working days without |
|
notice to the person submitting the claim. |
|
(b) Notwithstanding any other law, the office of inspector |
|
general [department] may impose a postpayment hold on payment of |
|
future claims submitted by a provider if the office [department] |
|
has reliable evidence that the provider has committed fraud, waste, |
|
abuse, or wilful misrepresentation regarding a claim for |
|
reimbursement under the medical assistance program. The office |
|
[department] must notify the provider of the postpayment hold not |
|
later than the fifth working day after the date the hold is imposed. |
|
(c) On timely written request by a provider subject to a |
|
postpayment hold under Subsection (b), the office of inspector |
|
general [department] shall file a request with the State Office of |
|
Administrative Hearings or the hearings division of the Health and |
|
Human Services Commission for an expedited administrative hearing |
|
regarding the hold. The provider must request an expedited hearing |
|
under this subsection not later than the 10th day after the date the |
|
provider receives notice from the office of inspector general |
|
[department] under Subsection (b). The office of inspector general |
|
[department] shall discontinue the hold unless the office |
|
[department] makes a prima facie showing at the hearing that the |
|
evidence relied on by the office of inspector general [department] |
|
in imposing the hold is relevant, credible, and material to the |
|
issue of fraud, waste, abuse, or wilful misrepresentation. |
|
(d) The inspector general [department] shall adopt rules |
|
that allow a provider subject to a postpayment hold under |
|
Subsection (b) to seek an informal resolution of the issues |
|
identified by the office of inspector general [department] in the |
|
notice provided under that subsection. A provider must seek an |
|
informal resolution under this subsection not later than the |
|
deadline prescribed by Subsection (c). A provider's decision to |
|
seek an informal resolution under this subsection does not extend |
|
the time by which the provider must request an expedited |
|
administrative hearing under Subsection (c). However, a hearing |
|
initiated under Subsection (c) shall be stayed at the office's |
|
[department's] request until the informal resolution process is |
|
completed. |
|
SECTION 36. Section 32.032, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 32.032. PREVENTION AND DETECTION OF FRAUD, WASTE, AND |
|
ABUSE. The inspector general [department] shall adopt reasonable |
|
rules for minimizing the opportunity for fraud, waste, and abuse, |
|
for establishing and maintaining methods for detecting and |
|
identifying situations in which a question of fraud, waste, or |
|
abuse in the program may exist, and for referring cases where fraud, |
|
waste, or abuse appears to exist to the appropriate law enforcement |
|
agencies for prosecution. |
|
SECTION 37. Sections 32.0321(a) through (d), Human |
|
Resources Code, are amended to read as follows: |
|
(a) The office of inspector general [department] by rule may |
|
recommend to the department and the department by rule may require |
|
that each provider of medical assistance in a provider type that has |
|
demonstrated significant potential for fraud, waste, or abuse to |
|
file with the department a surety bond in a reasonable amount. The |
|
office and the department by rule shall each require a provider of |
|
medical assistance to file with the department a surety bond in a |
|
reasonable amount if the office [department] identifies a pattern |
|
of suspected fraud, waste, or abuse involving criminal conduct |
|
relating to the provider's services under the medical assistance |
|
program that indicates the need for protection against potential |
|
future acts of fraud, waste, or abuse. |
|
(b) The bond under Subsection (a) must be payable to the |
|
department to compensate the department for damages resulting from |
|
or penalties or fines imposed in connection with an act of fraud, |
|
waste, or abuse committed by the provider under the medical |
|
assistance program. |
|
(c) Subject to Subsection (d) or (e), the office of |
|
inspector general and the department by rule may require each |
|
provider of medical assistance that establishes a resident's trust |
|
fund account to post a surety bond to secure the account. The bond |
|
must be payable to the department to compensate residents of the |
|
bonded provider for trust funds that are lost, stolen, or otherwise |
|
unaccounted for if the provider does not repay any deficiency in a |
|
resident's trust fund account to the person legally entitled to |
|
receive the funds. |
|
(d) The office of inspector general and the department may |
|
not require the amount of a surety bond posted for a single facility |
|
provider under Subsection (c) to exceed the average of the total |
|
average monthly balance of all the provider's resident trust fund |
|
accounts for the 12-month period preceding the bond issuance or |
|
renewal date. |
|
SECTION 38. Section 32.0322, Human Resources Code, is |
|
amended to read as follows: |
|
Sec. 32.0322. CRIMINAL HISTORY RECORD INFORMATION. (a) |
|
The office of inspector general and the department may obtain from |
|
any law enforcement or criminal justice agency the criminal history |
|
record information that relates to a provider under the medical |
|
assistance program or a person applying to enroll as a provider |
|
under the medical assistance program. |
|
(b) The office of inspector general [department] by rule |
|
shall establish criteria for revoking a provider's enrollment or |
|
denying a person's application to enroll as a provider under the |
|
medical assistance program based on the results of a criminal |
|
history check. |
|
SECTION 39. Sections 32.033(d) through (h), Human Resources |
|
Code, are amended to read as follows: |
|
(d) A separate and distinct cause of action in favor of the |
|
state is hereby created, and the office of inspector general |
|
[department] may, without written consent, take direct civil action |
|
in any court of competent jurisdiction. A suit brought under this |
|
section need not be ancillary to or dependent upon any other action. |
|
(e) The [department's] right of recovery of the office of |
|
inspector general is limited to the amount of the cost of medical |
|
care services paid by the department. Other subrogation rights |
|
granted under this section are limited to the cost of the services |
|
provided. |
|
(f) The inspector general [commissioner] may waive the |
|
[department's] right of recovery of the office of inspector general |
|
in whole or in part when the inspector general [commissioner] finds |
|
that enforcement would tend to defeat the purpose of public |
|
assistance. |
|
(g) The office of inspector general [department] may |
|
designate an agent to collect funds the office [department] has a |
|
right to recover from third parties under this section. The |
|
department shall use any funds collected under this section to pay |
|
costs of administering the medical assistance program. |
|
(h) The inspector general [department] may adopt rules for |
|
the enforcement of the office's [its] right of recovery. |
|
SECTION 40. Sections 32.039(c) through (r) and (u) through |
|
(x), Human Resources Code, are amended to read as follows: |
|
(c) A person who commits a violation under Subsection (b) is |
|
liable to the department for: |
|
(1) the amount paid, if any, as a result of the |
|
violation and interest on that amount determined at the rate |
|
provided by law for legal judgments and accruing from the date on |
|
which the payment was made; and |
|
(2) payment of an administrative penalty, assessed by |
|
the office of inspector general, in [of] an amount not to exceed |
|
twice the amount paid, if any, as a result of the violation, plus an |
|
amount: |
|
(A) not less than $5,000 or more than $15,000 for |
|
each violation that results in injury to an elderly person, as |
|
defined by Section 48.002(a)(1) [48.002(1)], a disabled person, as |
|
defined by Section 48.002(a)(8)(A) [48.002(8)(A)], or a person |
|
younger than 18 years of age; or |
|
(B) not more than $10,000 for each violation that |
|
does not result in injury to a person described by Paragraph (A). |
|
(d) Unless the provider submitted information to the |
|
department for use in preparing a voucher that the provider knew or |
|
should have known was false or failed to correct information that |
|
the provider knew or should have known was false when provided an |
|
opportunity to do so, this section does not apply to a claim based |
|
on the voucher if the department calculated and printed the amount |
|
of the claim on the voucher and then submitted the voucher to the |
|
provider for the provider's signature. In addition, the provider's |
|
signature on the voucher does not constitute fraud. The inspector |
|
general [department] shall adopt rules that establish a grace |
|
period during which errors contained in a voucher prepared by the |
|
department may be corrected without penalty to the provider. |
|
(e) In determining the amount of the penalty to be assessed |
|
under Subsection (c)(2), the office of inspector general |
|
[department] shall consider: |
|
(1) the seriousness of the violation; |
|
(2) whether the person had previously committed a |
|
violation; and |
|
(3) the amount necessary to deter the person from |
|
committing future violations. |
|
(f) If after an examination of the facts the office of |
|
inspector general [department] concludes that the person committed |
|
a violation, the office [department] may issue a preliminary report |
|
stating the facts on which it based its conclusion, recommending |
|
that an administrative penalty under this section be imposed and |
|
recommending the amount of the proposed penalty. |
|
(g) The office of inspector general [department] shall give |
|
written notice of the report to the person charged with committing |
|
the violation. The notice must include a brief summary of the |
|
facts, a statement of the amount of the recommended penalty, and a |
|
statement of the person's right to an informal review of the alleged |
|
violation, the amount of the penalty, or both the alleged violation |
|
and the amount of the penalty. |
|
(h) Not later than the 10th day after the date on which the |
|
person charged with committing the violation receives the notice, |
|
the person may either give the office of inspector general |
|
[department] written consent to the report, including the |
|
recommended penalty, or make a written request for an informal |
|
review by the office [department]. |
|
(i) If the person charged with committing the violation |
|
consents to the penalty recommended by the office of inspector |
|
general [department] or fails to timely request an informal review, |
|
the office [department] shall assess the penalty. The office |
|
[department] shall give the person written notice of its action. |
|
The person shall pay the penalty not later than the 30th day after |
|
the date on which the person receives the notice. |
|
(j) If the person charged with committing the violation |
|
requests an informal review as provided by Subsection (h), the |
|
office of inspector general [department] shall conduct the review. |
|
The office [department] shall give the person written notice of the |
|
results of the review. |
|
(k) Not later than the 10th day after the date on which the |
|
person charged with committing the violation receives the notice |
|
prescribed by Subsection (j), the person may make to the office of |
|
inspector general [department] a written request for a hearing. |
|
The hearing must be conducted in accordance with Chapter 2001, |
|
Government Code. |
|
(l) If, after informal review, a person who has been ordered |
|
to pay a penalty fails to request a formal hearing in a timely |
|
manner, the office of inspector general [department] shall assess |
|
the penalty. The office [department] shall give the person written |
|
notice of its action. The person shall pay the penalty not later |
|
than the 30th day after the date on which the person receives the |
|
notice. |
|
(m) Within 30 days after the date on which the inspector |
|
general's [board's] order issued after a hearing under Subsection |
|
(k) becomes final as provided by Section 2001.144, Government Code, |
|
the person shall: |
|
(1) pay the amount of the penalty; |
|
(2) pay the amount of the penalty and file a petition |
|
for judicial review contesting the occurrence of the violation, the |
|
amount of the penalty, or both the occurrence of the violation and |
|
the amount of the penalty; or |
|
(3) without paying the amount of the penalty, file a |
|
petition for judicial review contesting the occurrence of the |
|
violation, the amount of the penalty, or both the occurrence of the |
|
violation and the amount of the penalty. |
|
(n) A person who acts under Subsection (m)(3) within the |
|
30-day period may: |
|
(1) stay enforcement of the penalty by: |
|
(A) paying the amount of the penalty to the court |
|
for placement in an escrow account; or |
|
(B) giving to the court a supersedeas bond that |
|
is approved by the court for the amount of the penalty and that is |
|
effective until all judicial review of the [department's] order of |
|
the inspector general is final; or |
|
(2) request the court to stay enforcement of the |
|
penalty by: |
|
(A) filing with the court a sworn affidavit of |
|
the person stating that the person is financially unable to pay the |
|
amount of the penalty and is financially unable to give the |
|
supersedeas bond; and |
|
(B) giving a copy of the affidavit to the office |
|
of inspector general [commissioner] by certified mail. |
|
(o) If the office of inspector general [commissioner] |
|
receives a copy of an affidavit under Subsection (n)(2), the office |
|
[commissioner] may file with the court, within five days after the |
|
date the copy is received, a contest to the affidavit. The court |
|
shall hold a hearing on the facts alleged in the affidavit as soon |
|
as practicable and shall stay the enforcement of the penalty on |
|
finding that the alleged facts are true. The person who files an |
|
affidavit has the burden of proving that the person is financially |
|
unable to pay the amount of the penalty and to give a supersedeas |
|
bond. |
|
(p) If the person charged does not pay the amount of the |
|
penalty and the enforcement of the penalty is not stayed, the office |
|
of inspector general [department] may forward the matter to the |
|
attorney general for enforcement of the penalty and interest as |
|
provided by law for legal judgments. An action to enforce a penalty |
|
order under this section must be initiated in a court of competent |
|
jurisdiction in Travis County or in the county in which the |
|
violation was committed. |
|
(q) Judicial review of an [a department] order or review by |
|
the office of inspector general under this section assessing a |
|
penalty is under the substantial evidence rule. A suit may be |
|
initiated by filing a petition with a district court in Travis |
|
County, as provided by Subchapter G, Chapter 2001, Government Code. |
|
(r) If a penalty is reduced or not assessed, the department |
|
shall remit to the person the appropriate amount plus accrued |
|
interest if the penalty has been paid or the office of inspector |
|
general shall execute a release of the bond if a supersedeas bond |
|
has been posted. The accrued interest on amounts remitted by the |
|
department under this subsection shall be paid at a rate equal to |
|
the rate provided by law for legal judgments and shall be paid for |
|
the period beginning on the date the penalty is paid to the |
|
department under this section and ending on the date the penalty is |
|
remitted. |
|
(u) Except as provided by Subsection (w), a person found |
|
liable for a violation under Subsection (c) that resulted in injury |
|
to an elderly person, as defined by Section 48.002(a)(1), a |
|
disabled person, as defined by Section 48.002(a)(8)(A), or a person |
|
younger than 18 years of age may not provide or arrange to provide |
|
health care services under the medical assistance program for a |
|
period of 10 years. The inspector general [department] by rule may |
|
provide for a period of ineligibility longer than 10 years. The |
|
period of ineligibility begins on the date on which the |
|
determination that the person is liable becomes final. |
|
(v) Except as provided by Subsection (w), a person found |
|
liable for a violation under Subsection (c) that did not result in |
|
injury to an elderly person, as defined by Section 48.002(a)(1), a |
|
disabled person, as defined by Section 48.002(a)(8)(A), or a person |
|
younger than 18 years of age may not provide or arrange to provide |
|
health care services under the medical assistance program for a |
|
period of three years. The inspector general [department] by rule |
|
may provide for a period of ineligibility longer than three years. |
|
The period of ineligibility begins on the date on which the |
|
determination that the person is liable becomes final. |
|
(w) The inspector general [department] by rule may |
|
prescribe criteria under which a person described by Subsection (u) |
|
or (v) is not prohibited from providing or arranging to provide |
|
health care services under the medical assistance program. The |
|
criteria may include consideration of: |
|
(1) the person's knowledge of the violation; |
|
(2) the likelihood that education provided to the |
|
person would be sufficient to prevent future violations; |
|
(3) the potential impact on availability of services |
|
in the community served by the person; and |
|
(4) any other reasonable factor identified by the |
|
inspector general [department]. |
|
(x) Subsections (b)(1-b) through (1-f) do not prohibit a |
|
person from engaging in: |
|
(1) generally accepted business practices, as |
|
determined by inspector general [department] rule, including: |
|
(A) conducting a marketing campaign; |
|
(B) providing token items of minimal value that |
|
advertise the person's trade name; and |
|
(C) providing complimentary refreshments at an |
|
informational meeting promoting the person's goods or services; |
|
(2) the provision of a value-added service if the |
|
person is a managed care organization; or |
|
(3) other conduct specifically authorized by law, |
|
including conduct authorized by federal safe harbor regulations (42 |
|
C.F.R. Section 1001.952). |
|
SECTION 41. Section 32.070(d), Human Resources Code, is |
|
amended to read as follows: |
|
(d) This section does not apply to a computerized audit |
|
conducted using the Medicaid Fraud Detection Audit System or an |
|
audit or investigation of fraud, waste, and abuse conducted by the |
|
Medicaid fraud control unit of the office of the attorney general, |
|
the office of the state auditor, the office of [the] inspector |
|
general, or the Office of Inspector General in the United States |
|
Department of Health and Human Services. |
|
SECTION 42. Section 33.015(e), Human Resources Code, is |
|
amended to read as follows: |
|
(e) The department shall require a person exempted under |
|
this section from making a personal appearance at department |
|
offices to provide verification of the person's entitlement to the |
|
exemption on initial eligibility certification and on each |
|
subsequent periodic eligibility recertification. If the person |
|
does not provide verification and the department considers the |
|
verification necessary to protect the integrity of the food stamp |
|
program, the department shall initiate a fraud referral to the |
|
[department's] office of inspector general established for the |
|
Health and Human Services Commission under Chapter 422, Government |
|
Code. |
|
SECTION 43. Section 61.001(7), Human Resources Code, is |
|
amended to read as follows: |
|
(7) "Office of inspector general" means the office of |
|
inspector general established under Chapter 422, Government Code, |
|
for the commission [Section 61.0451]. |
|
SECTION 44. Sections 61.0451(a), (d), (f), and (g), Human |
|
Resources Code, are amended to read as follows: |
|
(a) The office of inspector general shall investigate [is
|
|
established at the commission for the purpose of investigating]: |
|
(1) crimes committed by commission employees, |
|
including parole officers employed by or under a contract with the |
|
commission; and |
|
(2) crimes and delinquent conduct committed at a |
|
facility operated by the commission, a residential facility |
|
operated by another entity under a contract with the commission, or |
|
any facility in which a child committed to the custody of the |
|
commission is housed or receives medical or mental health |
|
treatment. |
|
(d) The office of inspector general may employ and |
|
commission inspectors [general] as peace officers in accordance |
|
with Section 422.105, Government Code, for the purpose of carrying |
|
out the duties described by this section. An inspector [general] |
|
shall have all of the powers and duties given to peace officers |
|
under Article 2.13, Code of Criminal Procedure. |
|
(f) If the inspector general is not a commissioned peace |
|
officer, the inspector general [The executive commissioner] shall |
|
select a commissioned peace officer as chief inspector [general]. |
|
The chief inspector [general] is subject to the requirements of |
|
this section and may only be discharged for cause. |
|
(g) The [chief] inspector general shall on a quarterly basis |
|
prepare and deliver a report concerning the operations of the |
|
office of inspector general to: |
|
(1) the executive commissioner; |
|
(2) the advisory board; |
|
(3) the governor; |
|
(4) the lieutenant governor; |
|
(5) the speaker of the house of representatives; |
|
(6) the standing committees of the senate and house of |
|
representatives with primary jurisdiction over correctional |
|
facilities; |
|
(7) the state auditor; and |
|
(8) the comptroller. |
|
SECTION 45. Sections 61.098(d) and (e), Human Resources |
|
Code, are amended to read as follows: |
|
(d) Notwithstanding Subsection (c), the office of inspector |
|
general shall immediately provide the special prosecution unit with |
|
a report concerning an alleged criminal offense or delinquent |
|
conduct concerning the commission and described by Article |
|
104.003(a), Code of Criminal Procedure, if the [chief] inspector |
|
general reasonably believes the offense or conduct is particularly |
|
serious and egregious. |
|
(e) The [chief] inspector general of the office of inspector |
|
general, at the direction of the board of directors of the special |
|
prosecution unit, shall notify the foreman of the appropriate grand |
|
jury, in the manner provided by Article 20.09, Code of Criminal |
|
Procedure, if: |
|
(1) the [chief] inspector general receives credible |
|
evidence of illegal or improper conduct by commission officers, |
|
employees, or contractors that the inspector general reasonably |
|
believes jeopardizes the health, safety, and welfare of children in |
|
the custody of the commission; |
|
(2) the [chief] inspector general reasonably believes |
|
the conduct: |
|
(A) could constitute an offense under Article |
|
104.003(a), Code of Criminal Procedure; and |
|
(B) involves the alleged physical or sexual abuse |
|
of a child in the custody of a commission facility or an |
|
investigation related to the alleged abuse; and |
|
(3) the [chief] inspector general has reason to |
|
believe that information concerning the conduct has not previously |
|
been presented to the appropriate grand jury. |
|
SECTION 46. Section 64.055(b), Human Resources Code, is |
|
amended to read as follows: |
|
(b) The independent ombudsman shall immediately report to |
|
the governor, the lieutenant governor, the speaker of the house of |
|
representatives, the state auditor, and the office of the inspector |
|
general established under Chapter 422, Government Code, for [of] |
|
the commission any particularly serious or flagrant: |
|
(1) case of abuse or injury of a child committed to the |
|
commission; |
|
(2) problem concerning the administration of a |
|
commission program or operation; |
|
(3) problem concerning the delivery of services in a |
|
facility operated by or under contract with the commission; or |
|
(4) interference by the commission with an |
|
investigation conducted by the office. |
|
SECTION 47. Section 64.056(b), Human Resources Code, is |
|
amended to read as follows: |
|
(b) The records of the independent ombudsman are |
|
confidential, except that the independent ombudsman shall: |
|
(1) share with the office of inspector general |
|
established under Chapter 422, Government Code, for [of] the |
|
commission a communication with a child that may involve the abuse |
|
or neglect of the child; and |
|
(2) disclose its nonprivileged records if required by |
|
a court order on a showing of good cause. |
|
SECTION 48. Article 2.12, Code of Criminal Procedure, is |
|
amended to read as follows: |
|
Art. 2.12. WHO ARE PEACE OFFICERS. The following are peace |
|
officers: |
|
(1) sheriffs, their deputies, and those reserve |
|
deputies who hold a permanent peace officer license issued under |
|
Chapter 1701, Occupations Code; |
|
(2) constables, deputy constables, and those reserve |
|
deputy constables who hold a permanent peace officer license issued |
|
under Chapter 1701, Occupations Code; |
|
(3) marshals or police officers of an incorporated |
|
city, town, or village, and those reserve municipal police officers |
|
who hold a permanent peace officer license issued under Chapter |
|
1701, Occupations Code; |
|
(4) rangers and officers commissioned by the Public |
|
Safety Commission and the Director of the Department of Public |
|
Safety; |
|
(5) investigators of the district attorneys', criminal |
|
district attorneys', and county attorneys' offices; |
|
(6) law enforcement agents of the Texas Alcoholic |
|
Beverage Commission; |
|
(7) each member of an arson investigating unit |
|
commissioned by a city, a county, or the state; |
|
(8) officers commissioned under Section 37.081, |
|
Education Code, or Subchapter E, Chapter 51, Education Code; |
|
(9) officers commissioned by the General Services |
|
Commission; |
|
(10) law enforcement officers commissioned by the |
|
Parks and Wildlife Commission; |
|
(11) airport police officers commissioned by a city |
|
with a population of more than 1.18 million that operates an airport |
|
that serves commercial air carriers; |
|
(12) airport security personnel commissioned as peace |
|
officers by the governing body of any political subdivision of this |
|
state, other than a city described by Subdivision (11), that |
|
operates an airport that serves commercial air carriers; |
|
(13) municipal park and recreational patrolmen and |
|
security officers; |
|
(14) security officers and investigators commissioned |
|
as peace officers by the comptroller; |
|
(15) officers commissioned by a water control and |
|
improvement district under Section 49.216, Water Code; |
|
(16) officers commissioned by a board of trustees |
|
under Chapter 54, Transportation Code; |
|
(17) investigators commissioned by the Texas Medical |
|
Board; |
|
(18) officers commissioned by the board of managers of |
|
the Dallas County Hospital District, the Tarrant County Hospital |
|
District, or the Bexar County Hospital District under Section |
|
281.057, Health and Safety Code; |
|
(19) county park rangers commissioned under |
|
Subchapter E, Chapter 351, Local Government Code; |
|
(20) investigators employed by the Texas Racing |
|
Commission; |
|
(21) officers commissioned under Chapter 554, |
|
Occupations Code; |
|
(22) officers commissioned by the governing body of a |
|
metropolitan rapid transit authority under Section 451.108, |
|
Transportation Code, or by a regional transportation authority |
|
under Section 452.110, Transportation Code; |
|
(23) investigators commissioned by the attorney |
|
general under Section 402.009, Government Code; |
|
(24) security officers and investigators commissioned |
|
as peace officers under Chapter 466, Government Code; |
|
(25) an officer employed by the Department of State |
|
Health Services under Section 431.2471, Health and Safety Code; |
|
(26) officers appointed by an appellate court under |
|
Subchapter F, Chapter 53, Government Code; |
|
(27) officers commissioned by the state fire marshal |
|
under Chapter 417, Government Code; |
|
(28) an investigator commissioned by the commissioner |
|
of insurance under Section 701.104, Insurance Code; |
|
(29) apprehension specialists [and inspectors
|
|
general] commissioned by the Texas Youth Commission as officers |
|
under Section [Sections 61.0451 and] 61.0931, Human Resources Code; |
|
(30) [officers appointed by the inspector general of
|
|
the Texas Department of Criminal Justice under Section 493.019,
|
|
Government Code;
|
|
[(31)] investigators commissioned by the Commission |
|
on Law Enforcement Officer Standards and Education under Section |
|
1701.160, Occupations Code; |
|
(31) [(32)] commission investigators commissioned by |
|
the Texas Private Security Board under Section 1702.061(f), |
|
Occupations Code; |
|
(32) [(33)] the fire marshal and any officers, |
|
inspectors, or investigators commissioned by an emergency services |
|
district under Chapter 775, Health and Safety Code; |
|
(33) [(34)] officers commissioned by the State Board |
|
of Dental Examiners under Section 254.013, Occupations Code, |
|
subject to the limitations imposed by that section; |
|
(34) [(35)] investigators commissioned by the Texas |
|
Juvenile Probation Commission as officers under Section 141.055, |
|
Human Resources Code; [and] |
|
(35) [(36)] the fire marshal and any related officers, |
|
inspectors, or investigators commissioned by a county under |
|
Subchapter B, Chapter 352, Local Government Code; and |
|
(36) officers commissioned by an office of inspector |
|
general established under Chapter 422, Government Code. |
|
SECTION 49. Section 1(2), Article 18.21, Code of Criminal |
|
Procedure, is amended to read as follows: |
|
(2) "Authorized peace officer" means: |
|
(A) a sheriff or a sheriff's deputy; |
|
(B) a constable or deputy constable; |
|
(C) a marshal or police officer of an |
|
incorporated city; |
|
(D) a ranger or officer commissioned by the |
|
Public Safety Commission or the director of the Department of |
|
Public Safety; |
|
(E) an investigator of a prosecutor's office; |
|
(F) a law enforcement agent of the Alcoholic |
|
Beverage Commission; |
|
(G) a law enforcement officer commissioned by the |
|
Parks and Wildlife Commission; or |
|
(H) an enforcement officer appointed by the |
|
inspector general [executive director] of the Texas Department of |
|
Criminal Justice under Section 493.019, Government Code. |
|
SECTION 50. Section 531.1021, Government Code, is repealed. |
|
SECTION 51. (a) The amendment by this Act of Section |
|
531.102, Government Code, does not affect the validity of a |
|
complaint, investigation, or other proceeding initiated under that |
|
section before the effective date of this Act. A complaint, |
|
investigation, or other proceeding initiated under that section is |
|
continued in accordance with the changes in law made by this Act. |
|
(b) The repeal by this Act of Section 531.1021, Government |
|
Code, does not affect the validity of a subpoena issued under that |
|
section before the effective date of this Act. A subpoena issued |
|
under that section before the effective date of this Act is governed |
|
by the law that existed when the subpoena was issued, and the former |
|
law is continued in effect for that purpose. |
|
SECTION 52. (a) A person serving on the effective date of |
|
this Act as inspector general for a state agency subject to Chapter |
|
422, Government Code, as added by this Act, shall serve as the |
|
inspector general considered appointed for the agency under Chapter |
|
422, Government Code, as added by this Act, until February 1, 2013, |
|
and may be reappointed under Chapter 422 if the person has the |
|
qualifications required under that chapter. |
|
(b) Not later than February 1, 2013, the governor or the |
|
governing body of a state agency subject to Chapter 422, Government |
|
Code, as added by this Act, as applicable, shall appoint an |
|
inspector general for the office of inspector general of that |
|
agency to a term expiring February 1, 2015. |
|
SECTION 53. A contract or proceeding primarily related to a |
|
function transferred to an office of inspector general established |
|
under this Act is transferred to the office. The transfer does not |
|
affect the status of a proceeding or the validity of a contract. |
|
SECTION 54. (a) All personnel and assets currently |
|
assigned to the inspector general of a state agency subject to |
|
Chapter 422, Government Code, as added by this Act, shall be |
|
promptly transferred to the office of inspector general for that |
|
agency established under Chapter 422 along with any equipment, |
|
documents, and records currently assigned to or used by the |
|
inspector general of that agency. Inventory of personnel, |
|
equipment, documents, records, and assets to be transferred under |
|
this section shall be accomplished jointly by the transferring |
|
agency and the inspector general considered appointed under Chapter |
|
422 for that agency. All funds previously appropriated or used, |
|
from any source, by the transferring agency in support of the |
|
transferred functions, personnel, equipment, documents, records, |
|
or assets shall also be contemporaneously transferred to the |
|
office. |
|
(b) For purposes of this section, "currently assigned" |
|
means: |
|
(1) all personnel and vacant full-time equivalent |
|
positions assigned to or supporting a transferred function at any |
|
time during the state fiscal biennium beginning September 1, 2009; |
|
and |
|
(2) all inventory and equipment assigned to a |
|
transferred function or transferring personnel or that was in the |
|
possession of transferring personnel on or at any time after |
|
October 31, 2010. |
|
(c) All state and federal funding, including funding for |
|
overhead costs, support costs, and lease or colocation lease costs, |
|
for the functions to be transferred to an office of inspector |
|
general established under Chapter 422, Government Code, as added by |
|
this Act, shall be reallocated to that office. |
|
(d) For purposes of federal single state agency funding |
|
requirements, any federal funds that may not be appropriated |
|
directly to the office of inspector general for an agency subject to |
|
Chapter 422, Government Code, as added by this Act, shall be |
|
transferred from the single state agency receiving the funds to the |
|
office of inspector general if the funds are intended for a function |
|
performed by the office. |
|
SECTION 55. On the effective date of this Act: |
|
(1) all functions, activities, employees, rules, |
|
forms, money, property, contracts, memorandums of understanding, |
|
records, and obligations of a previously established office of |
|
inspector general of an agency subject to Chapter 422, Government |
|
Code, as added by this Act, become functions, activities, |
|
employees, rules, forms, money, property, contracts, memorandums |
|
of understanding, records, and obligations of the office of |
|
inspector general established under Chapter 422, without a change |
|
in status; and |
|
(2) all money appropriated for the operations of a |
|
previously established office of inspector general at an agency |
|
subject to Chapter 422, Government Code, as added by this Act, |
|
including money for providing administrative support, is |
|
considered appropriated to the office of inspector general |
|
established under Chapter 422. |
|
SECTION 56. (a) Each agency subject to Chapter 422, |
|
Government Code, as added by this Act, shall take all action |
|
necessary to provide for the orderly transfer of the assets and |
|
responsibilities of any previously established office of inspector |
|
general for that agency to the office of inspector general |
|
established under Chapter 422. |
|
(b) A rule or form adopted by a previously established |
|
office of inspector general of an agency subject to Chapter 422, |
|
Government Code, as added by this Act, is a rule or form of the |
|
office of inspector general established under Chapter 422 and |
|
remains in effect until changed by the office of inspector general. |
|
(c) A reference in law or administrative rule to a |
|
previously established office of inspector general of an agency |
|
subject to Chapter 422, Government Code, as added by this Act, means |
|
the office of inspector general established under Chapter 422. |
|
SECTION 57. If before implementing any provision of this |
|
Act a state agency determines that a waiver or authorization from a |
|
federal agency is necessary for implementation of that provision, |
|
the agency affected by the provision shall request the waiver or |
|
authorization and may delay implementing that provision until the |
|
waiver or authorization is granted. |
|
SECTION 58. This Act takes effect immediately if it |
|
receives a vote of two-thirds of all the members elected to each |
|
house, as provided by Section 39, Article III, Texas Constitution. |
|
If this Act does not receive the vote necessary for immediate |
|
effect, this Act takes effect September 1, 2011. |