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H.B. 31 Enrolled

                 

WORKFORCE SERVICES OVERPAYMENT

                 
AMENDMENTS

                 
2003 GENERAL SESSION

                 
STATE OF UTAH

                 
Sponsor: Jeff Alexander

                  This act modifies provisions related to public assistance overpayments by transferring
                  the recovery of overpayments responsibility from the Office of Recovery Services to the
                  Department of Workforce Services. The act provides for an appeal from an initial
                  department determination of overpayment. The act makes certain technical changes and
                  provides a repealer. The act has a July 1, 2003 effective date.
                  This act affects sections of Utah Code Annotated 1953 as follows:
                  AMENDS:
                      26-18-8, as last amended by Chapter 174, Laws of Utah 1997
                      35A-3-111, as last amended by Chapter 58, Laws of Utah 2002
                      62A-11-104, as last amended by Chapter 147, Laws of Utah 2002
                      76-8-1201, as last amended by Chapter 174, Laws of Utah 1997
                      76-8-1205, as last amended by Chapters 174 and 375, Laws of Utah 1997
                      78-27-50, as last amended by Chapter 297, Laws of Utah 2000
                  RENUMBERS AND AMENDS:
                      35A-3-601, (Renumbered from 62A-11-201, as enacted by Chapter 1, Laws of Utah
                  1988)
                      35A-3-602, (Renumbered from 62A-11-202, as last amended by Chapter 174, Laws of
                  Utah 1997)
                      35A-3-603, (Renumbered from 35A-1-502, as last amended by Chapter 132, Laws of
                  Utah 1999)
                      35A-3-604, (Renumbered from 62A-11-203, as last amended by Chapter 174, Laws of
                  Utah 1997)
                      35A-3-605, (Renumbered from 62A-11-204.1, as last amended by Chapter 174, Laws
                  of Utah 1997)


                      35A-3-606, (Renumbered from 62A-11-207, as last amended by Chapter 198, Laws of
                  Utah 1996)
                      35A-3-607, (Renumbered from 62A-11-208, as enacted by Chapter 1, Laws of Utah
                  1988)
                      35A-3-608, (Renumbered from 62A-11-209, as last amended by Chapter 174, Laws of
                  Utah 1997)
                      35A-3-609, (Renumbered from 62A-11-210, as enacted by Chapter 1, Laws of Utah
                  1988)
                      35A-3-610, (Renumbered from 62A-11-211, as enacted by Chapter 1, Laws of Utah
                  1988)
                  REPEALS:
                      35A-1-107, as last amended by Chapter 161, Laws of Utah 2000
                      62A-11-110, as last amended by Chapter 174, Laws of Utah 1997
                  Be it enacted by the Legislature of the state of Utah:
                      Section 1. Section 26-18-8 is amended to read:
                       26-18-8. Enforcement of public assistance statutes.
                      (1) The department shall enforce or contract for the enforcement of Sections
                  [ 35A-1-502 ,] 35A-1-503 , 35A-3-108 , 35A-3-110 , 35A-3-111 , [and] 35A-3-112 , and 35A-3-603
                  insofar as these sections pertain to benefits conferred or administered by the division under this
                  chapter.
                      (2) The department may contract for services covered in [Title 62A, Chapter 11, Part 1,
                  Office of Recovery Services,] Section 35A-3-111 insofar as that [chapter] section pertains to
                  benefits conferred or administered by the division under this chapter.
                      Section 2. Section 35A-3-111 is amended to read:
                       35A-3-111. Collection of overpayments.
                      (1) The [division, through the Office of Recovery Services as provided in Section
                  35A-1-107 ,] department is responsible for [collecting all funds due or that become due to the
                  state under Section 62A-11-110 ] the recovery of overpayments required in Section 35A-3-603 .

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                      (2) Excess property liens required in the various programs not transferred to the federal
                  government shall remain a condition of eligibility in public assistance programs.
                      (3) A client can appeal an initial department determination that there has been an
                  overpayment under rules made by the department in accordance with Title 63, Chapter 46a, Utah
                  Administrative Rulemaking Act.
                      Section 3. Section 35A-3-601 , which is renumbered from Section 62A-11-201 is
                  renumbered and amended to read:
                 
Part 6. Administrative Determination of Overpayment Act

                       [62A-11-201].     35A-3-601. Title.
                      This part shall be known as the "Administrative Determination of Overpayments Act."
                      Section 4. Section 35A-3-602 , which is renumbered from Section 62A-11-202 is
                  renumbered and amended to read:
                       [62A-11-202].     35A-3-602. Definitions.
                      As used in this part:
                      (1) "Adjudicative proceeding" means an action or proceeding of the [office] department
                  described in Section 63-46b-1 .
                      (2) "Administrative order" means an order issued by the [office or the] department
                  involving an overpayment of public assistance.
                      (3) "Court order" means a judgment or order of any court of this state, another state, or
                  the federal government that involves an overpayment of public assistance.
                      [(4) "Director" means the director of the Office of Recovery Services.]
                      (4) "Department" means the Department of Workforce Services.
                      (5) "Notice of agency action" means the notice required to commence an adjudicative
                  proceeding as described in Section 63-46b-3 .
                      (6) "Obligor" means an individual who is liable to the state under Section [ 35A-1-502 ]
                  35A-3-603 and applicable federal statutes and regulations, or an individual against whom an
                  administrative or judicial order determining overpayment has been obtained.
                      [(7) "Office" means the Office of Recovery Services.]

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                      [(8)] (7) (a) "Overpayment" means [the same as that term is defined in Section
                  35A-1-502 .] money, public assistance, or any other thing of value provided under a state or
                  federally funded benefit program to the extent that the person receiving the thing of value is not
                  entitled to receive it or is not entitled to receive it at the level provided.
                      (b) It includes money paid to a provider under this title in connection with public
                  assistance or any other publicly funded assistance program to the extent that the provider receives
                  payment:
                      (i) for goods or services not provided; or
                      (ii) in excess of the amount to which the provider is entitled.
                      Section 5. Section 35A-3-603 , which is renumbered from Section 35A-1-502 is
                  renumbered and amended to read:
                       [35A-1-502].     35A-3-603. Civil liability for overpayment.
                      (1) As used in this section[:(a) "Intentionally], "intentionally, knowingly, and recklessly"
                  mean the same as those terms are defined in Section 76-2-103 .
                      [(b) (i) "Overpayment" means money, public assistance, or any other thing of value
                  provided under a state or federally funded benefit program to the extent that the person receiving
                  the thing of value is not entitled to receive it or is not entitled to receive it at the level provided.]
                      [(ii) "Overpayment" includes money paid to a provider under this title in connection with
                  public assistance; Title 62A, Chapter 11, Part 3, Public Support of Children Act; Title 78,
                  Chapter 45, Uniform Civil Liability for Support Act; Title 78, Chapter 45a, Uniform Act on
                  Paternity; or any other publicly funded assistance benefit program to the extent that the provider
                  receives payment:]
                      [(A) for goods or services not provided; or]
                      [(B) in excess of the amount to which the provider is entitled.]
                      [(c) "Provider" means the same as that term is defined in Section 62A-11-103 .]
                      (2) Each provider, client, or other person who receives an overpayment shall, regardless
                  of fault, return the overpayment or repay its value to the department immediately:
                      (a) upon receiving written notice of the overpayment from the department; or

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                      (b) upon discovering the overpayment, if that occurs prior to receiving notice.
                      (3) (a) Except as provided under Subsection (3)(b), interest on the unreturned balance of
                  the overpayment shall accrue at the rate of [10% a year until an administrative or judicial
                  judgment is entered] 1% a month.
                      (b) If the overpayment was not the fault of the person receiving it, that person is not
                  liable for interest on the unreturned balance.
                      (c) In accordance with federal law and rules [adopted] made by the department, an
                  overpayment may be recovered through deductions from cash assistance, general assistance, food
                  stamps, [or] other cash-related assistance provided to a client under [Chapter 3, Employment
                  Support Act] this chapter, or any other means provided by federal law.
                      (4) Each person who knowingly assists a client, provider, or other person in obtaining an
                  overpayment is jointly and severally liable for the overpayment.
                      (5) (a) In proving civil liability for overpayment under this section or [Subsection
                  62A-11-204.1 (2)(a)(i)] Section 35A-3-605 when fault is alleged, the department shall prove by
                  clear and convincing evidence that the overpayment was obtained intentionally, knowingly,
                  recklessly, by false statement, misrepresentation, impersonation, or other fraudulent means, such
                  as by committing any of the acts or omissions described in Sections 76-8-1203 through
                  76-8-1205 .
                      (b) If fault is established under Subsection (5)(a), Section [ 62A-11-204.1 ] 35A-3-605 , or
                  Title 76, Chapter 8, Part 12, Public Assistance Fraud, any person who obtained or helped another
                  obtain an overpayment shall be subject to:
                      (i) a civil penalty of 10% of the amount of the overpayment; and
                      (ii) disqualification from receiving cash assistance from the Family Employment
                  Program and the general assistance program, if the overpayment was obtained from either of
                  those programs, for 12 months for the first offense, 24 months for the second offense, and
                  permanently for the third offense, or as otherwise provided by federal law; or
                      (iii) disqualification from the food stamp program, if that is the program from which the
                  overpayment was received, for 12 months for the first offense, 24 months for the second offense,

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                  and permanently for the third offense, or as otherwise provided by federal law.
                      (6) If an action is filed, the department may recover, in addition to the principal sum plus
                  interest, reasonable attorneys' fees and costs unless the repayment obligation arose from an
                  administrative error by the department.
                      (7) If a court finds that funds or benefits were secured, in whole or part, by fraud by the
                  person from whom repayment is sought, the court shall assess an additional sum as considered
                  appropriate as punitive damages up to the amount of repayment being sought.
                      (8) Criminal actions for public assistance fraud are governed by Title 76, Chapter 8, Part
                  12, Public Assistance Fraud.
                      (9) Jurisdiction over benefits is continuous.
                      (10) This chapter does not preclude the Department of Health from carrying out its
                  responsibilities under Title 26, Chapter 19, Medical Benefits Recovery Act, and Chapter 20,
                  False Claims Act.
                      Section 6. Section 35A-3-604 , which is renumbered from Section 62A-11-203 is
                  renumbered and amended to read:
                       [62A-11-203].     35A-3-604. Obligor presumed to have notice of department's
                  rights -- Authority to administer oaths, issue subpoenas, and compel witnesses and
                  production of documents -- Recovery of attorneys' fees, costs, and interest -- Rulemaking
                  authority -- Administrative procedures.
                      (1) An obligor is presumed to have received notice of the rights of the [office]
                  department under this part upon engaging in this state in any of the acts described in Subsections
                  35A-1-502 (4) and (5) or Section 76-8-1203 , 76-8-1204 , or 76-8-1205 .
                      (2) For the purposes of this part, the [director or his authorized representative]
                  department may administer oaths and certify official acts, issue subpoenas, and compel witnesses
                  and the production of business records, documents, and evidence.
                      (3) (a) Except when an overpayment results from administrative error, the [office]
                  department may recover from the obligor:
                      (i) reasonable attorneys' fees;

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                      (ii) costs incurred in pursuing administrative remedies under this part; and
                      (iii) interest at the rate of 1% a month accruing from the date an administrative or
                  judicial order is issued determining the amount due under this part.
                      (b) The [office] department may recover interest, attorneys' fees, and costs, if notice of
                  the assessment has been included in a notice of agency action issued in conformity with Title 63,
                  Chapter 46b, Administrative Procedures Act.
                      (4) [The office] In accordance with Title 63, Chapter 46a, Utah Administrative
                  Rulemaking Act, the department may [adopt] make, amend, and enforce rules to carry out the
                  provisions of this part.
                      (5) Service of all notices and orders under this part shall comply with Title 63, Chapter
                  46b, Administrative Procedures Act, the Utah Rules of Civil Procedure, or rules [adopted] made
                  by the [office] department that meet standards required by due process [and that do not conflict
                  with the requirements of the Administrative Procedures Act].
                      Section 7. Section 35A-3-605 , which is renumbered from Section 62A-11-204.1 is
                  renumbered and amended to read:
                       [62A-11-204.1].     35A-3-605. Issuance or modification of administrative order --
                  Voluntary acknowledgment of overpayment -- Court orders supersede administrative
                  orders -- Notification requirement.
                      (1) As used in Subsection (2)(a)(i), "intentional program violation" means obtaining an
                  "overpayment" as defined in Section [ 35A-1-502 ] 35A-3-602 .
                      (2) (a) Through an adjudicative proceeding, the [office] department may issue or modify
                  an administrative order that:
                      (i) determines whether an overpayment was made, the amount of the overpayment, and
                  whether benefits were obtained by an intentional program violation;
                      (ii) reduces the overpayment to an administrative judgment; or
                      (iii) renews an administrative judgment.
                      (b) The [office] department shall commence an adjudicative proceeding to renew a
                  judgment by serving notice of agency action on the obligor before the judgment is barred by the

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                  applicable statute of limitations.
                      (3) The [office] department may accept voluntary acknowledgment of an overpayment
                  obligation and enter into stipulated agreements to issue orders and judgments.
                      (4) (a) A provision of an administrative order is enforceable against an obligor, unless it
                  is in direct conflict with or is superseded by a provision of a court order.
                      (b) To the extent of any conflict, the court order governs.
                      (5) After being properly served with a notice of agency action under this part, an obligor
                  shall notify the [office] department of any subsequent change of address or employment.
                      Section 8. Section 35A-3-606 , which is renumbered from Section 62A-11-207 is
                  renumbered and amended to read:
                       [62A-11-207].     35A-3-606. Docketing abstract of final administrative order --
                  Real property and personal property liens -- Effect of order -- Execution.
                      (1) (a) An abstract of a final administrative order may be docketed in the district court of
                  any county in the state.
                      (b) The time of receipt of the abstract shall be noted by the clerk on the abstract and
                  entered in the docket.
                      (2) From the time the abstract is docketed in the judgment docket of a district court, any
                  administrative judgment included in the order abstracted constitutes a lien upon the real property
                  of the obligor situated in that county for a period of eight years from the date the order is entered
                  unless previously satisfied.
                      (3) The final administrative order fixing the liability of the obligor shall have the same
                  effect as any other money judgment entered in a district court.
                      (4) Attachment, garnishment, or execution on a judgment included in or accruing under
                  an administrative order filed and docketed [in accordance with] under this section shall be in the
                  same manner and with the same effect as an attachment, garnishment, or execution on a
                  judgment of a district court, except that a writ of garnishment on earnings shall continue to
                  operate and require the garnishee to withhold the nonexempt portion of the earnings at each
                  succeeding earnings disbursement interval until released in writing by the [office] department or

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                  by court order.
                      (5) The lien and enforcement remedies provided by this section are in addition to any
                  other lien or remedy provided by law.
                      Section 9. Section 35A-3-607 , which is renumbered from Section 62A-11-208 is
                  renumbered and amended to read:
                       [62A-11-208].     35A-3-607. Property subject to execution or lien -- Restriction
                  on transfer or conveyance -- Release of excess amount above liability to obligor.
                      (1) After receiving notice that an abstract has been docketed and a lien established under
                  this part, a person in possession of any property which may be subject to execution or lien may
                  not pay over, release, sell, transfer, encumber, or convey that property to any person other than
                  the [office] department, unless the person in possession first receives a release or waiver from the
                  [office] department, or a court order releasing the lien or stating that the liability does not exist or
                  has been satisfied.
                      (2) If a person has in his possession earnings, deposits, accounts, or balances owed to the
                  obligor in excess of $100 over the amount of the liability claimed by the [office] department, that
                  person may, without liability under this part, release the excess to the obligor.
                      Section 10. Section 35A-3-608 , which is renumbered from Section 62A-11-209 is
                  renumbered and amended to read:
                       [62A-11-209].     35A-3-608. Schedule of payments to be paid upon liability --
                  Establishment -- Cancellation.
                      (1) At any time, the [office] department may[,]:
                      (a) consistent with the income, earning capacity, and resources of the obligor, set or reset
                  the level and schedule of payments to be paid upon the liability[,]; and [may,]
                      (b) at any time, cancel the schedule of payments and demand immediate payment in full.
                      (2) The [office] department may recover an overpayment through deductions from cash
                  assistance or food stamps pursuant to Section 35A-1-502 .
                      Section 11. Section 35A-3-609 , which is renumbered from Section 62A-11-210 is
                  renumbered and amended to read:

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                       [62A-11-210].     35A-3-609. Statute of limitations -- Enforcement of lien or
                  order.
                      No action for the enforcement of an order or lien issued under this part may be
                  maintained unless it is commenced within eight years after the date of the order.
                      Section 12. Section 35A-3-610 , which is renumbered from Section 62A-11-211 is
                  renumbered and amended to read:
                       [62A-11-211].     35A-3-610. Legal representation at hearings.
                      (1) A party may be represented by legal counsel at any hearing held under this part.
                      (2) At the request of the [office] department it is the duty of the attorney general or the
                  county attorney to represent the department in any proceeding commenced under this part.
                      Section 13. Section 62A-11-104 is amended to read:
                       62A-11-104. Duties of office.
                      The office has the following duties:
                      (1) to provide child support services if:
                      (a) the office has received an application for child support services;
                      (b) the state has provided public assistance; or
                      (c) a child lives out of the home in the protective custody, temporary custody, or custody
                  or care of the state or another party for at least 30 days;
                      (2) to carry out the obligations of the department contained in this chapter and in Title
                  78, Chapters 45, Uniform Civil Liability for Support Act, Chapter 45a, Uniform Act on Paternity,
                  and Chapter 45f, Uniform Interstate Family Support Act, for the purpose of collecting child
                  support;
                      [(3) to recover public assistance provided to persons for which they were ineligible;]
                      [(4)] (3) to collect money due the department which could act to offset expenditures by
                  the state;
                      [(5)] (4) to cooperate with the federal government in programs designed to recover health
                  and social service funds;
                      [(6)] (5) to collect civil or criminal assessments, fines, fees, amounts awarded as

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                  restitution, and reimbursable expenses owed to the state or any of its political subdivisions, if the
                  office has contracted to provide collection services;
                      [(7)] (6) to implement income withholding for collection of child support in accordance
                  with Part 4 of this chapter;
                      [(8)] (7) to enter into agreements with financial institutions doing business in the state to
                  develop and operate, in coordination with such financial institutions, a data match system in the
                  manner provided for in Section 62A-11-304.5 ;
                      [(9)] (8) to establish and maintain the state case registry in the manner required by the
                  Social Security Act, 42 U.S.C. Sec. 654a, which shall include a record in each case of:
                      (a) the amount of monthly or other periodic support owed under the order, and other
                  amounts, including arrearages, interest, late payment penalties, or fees, due or overdue under the
                  order;
                      (b) any amount described in Subsection [(9)] (8)(a) that has been collected;
                      (c) the distribution of collected amounts;
                      (d) the birth date of any child for whom the order requires the provision of support; and
                      (e) the amount of any lien imposed with respect to the order pursuant to this part;
                      [(10)] (9) to contract with the Department of Workforce Services to establish and
                  maintain the new hire registry created under Section 35A-7-103 ;
                      [(11)] (10) to determine whether an individual who has applied for or is receiving cash
                  assistance or Medicaid is cooperating in good faith with the office as required by Section
                  62A-11-307.2 ;
                      [(12)] (11) to finance any costs incurred from collections, fees, General Fund
                  appropriation, contracts, and federal financial participation; and
                      [(13)] (12) to provide notice to a noncustodial parent in accordance with Section
                  62A-11-304.4 of the opportunity to contest the accuracy of allegations by a custodial parent of
                  nonpayment of past-due child support, prior to taking action against a noncustodial parent to
                  collect the alleged past-due support.
                      Section 14. Section 76-8-1201 is amended to read:

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                       76-8-1201. Definitions.
                      As used in this part:
                      (1) "Client" means a person who receives or has received public assistance.
                      (2) "Overpayment" means the same as that term is defined in Section [ 35A-1-502 ]
                  35A-3-602 .
                      (3) "Provider" means the same as that term is defined in Section 62A-11-103 .
                      (4) "Public assistance" means the same as that term is defined in Section 35A-1-102 .
                      Section 15. Section 76-8-1205 is amended to read:
                       76-8-1205. Public assistance fraud defined.
                      Each of the following persons, who intentionally, knowingly, or recklessly commits any
                  of the following acts, is guilty of public assistance fraud:
                      (1) any person who uses, transfers, acquires, traffics in, falsifies, or possesses any food
                  stamp, food stamp identification card, certificate of eligibility for medical services, Medicaid
                  identification card, fund transfer instrument, payment instrument, or public assistance warrant in
                  a manner not allowed by law;
                      (2) any person who fraudulently misappropriates any funds exchanged for food stamps,
                  any food stamp, food stamp identification card, certificate of eligibility for medical services,
                  Medicaid identification card, or other public assistance with which he has been entrusted or that
                  has come into his possession in connection with his duties in administering any state or federally
                  funded public assistance program;
                      (3) any person who receives an unauthorized payment as a result of acts described in this
                  section;
                      (4) any provider who receives payment or any client who receives benefits after failing to
                  comply with any applicable requirement in Sections 76-8-1203 and 76-8-1204 ;
                      (5) any provider who files a claim for payment under any state or federally funded public
                  assistance program for goods or services not provided to or for a client of that program;
                      (6) any provider who files or falsifies a claim, report, or document required by state or
                  federal law, rule, or provider agreement for goods or services not authorized under the state or

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                  federally funded public assistance program for which the goods or services were provided;
                      (7) any provider who fails to credit the state for payments received from other sources;
                      (8) any provider who bills a client or a client's family for goods or services not provided,
                  or bills in an amount greater than allowed by law or rule;
                      (9) any client who, while receiving public assistance, acquires income or resources in
                  excess of the amount he previously reported to the state agency administering the public
                  assistance, and fails to notify the state agency to which the client previously reported within ten
                  days after acquiring the excess income or resources;
                      (10) any person who fails to act as required under Section 76-8-1203 or 76-8-1204 with
                  intent to obtain or help another obtain an "overpayment" as defined in Section [ 35A-1-502 ]
                  35A-3-602 ; and
                      (11) any person who obtains an overpayment by violation of Section 76-8-1203 or
                  76-8-1204 .
                      Section 16. Section 78-27-50 is amended to read:
                       78-27-50. Financial information privacy -- Inapplicable to certain official
                  investigations.
                      (1) Sections 78-27-45 through 78-27-47 do not apply when an examination of records is a
                  part of an official investigation by:
                      (a) local police;
                      (b) a sheriff;
                      (c) a peace officer;
                      (d) a city attorney;
                      (e) a county attorney;
                      (f) a district attorney;
                      (g) the attorney general;
                      (h) the Department of Public Safety;
                      (i) the Office of Recovery Services of the Department of Human Services;
                      (j) the Insurance Department;

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                      (k) the Department of Commerce;
                      (l) the state auditor; or
                      (m) the State Tax Commission.
                      (2) Except for the Office of Recovery Services, if a governmental entity listed in
                  Subsection (1) seeks a record, the entity shall obtain the record as follows:
                      (a) if the record is a nonprotected record, by request in writing that:
                      (i) certifies that an official investigation is being conducted; and
                      (ii) is signed by a representative of the governmental entity that is conducting the official
                  investigation; or
                      (b) if the record is a protected record, by obtaining:
                      (i) a subpoena authorized by statute; or
                      (ii) other legal process:
                      (A) ordered by a court of competent jurisdiction; and
                      (B) served upon the financial institution.
                      (3) If the Office of Recovery Services seeks a record, it shall obtain the record pursuant
                  to:
                      (a) Subsection 62A-11-104 [(8)] (7);
                      (b) Section 62A-11-304.1 ;
                      (c) Section 62A-11-304.5 ; or
                      (d) Title IV, Part D of the Social Security Act as codified in 42 U.S.C. 651 et seq.
                      (4) A financial institution may not give notice to any person named or referenced within
                  the record disclosed pursuant to Subsection (2)(a).
                      (5) In accordance with Section 78-27-48 , the agency conducting the official investigation
                  that obtains a record from a financial institution under this section shall reimburse the financial
                  institution for costs reasonably and directly incurred by the financial institution.
                      Section 17. Repealer.
                      This act repeals:
                      Section 35A-1-107, Contract with Office of Recovery Services.

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                      Section 62A-11-110, Collection of cash assistance repayments.
                      Section 18. Effective date.
                      This act takes effect on July 1, 2003.

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