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H.B. 31 Enrolled
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
[
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 [
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 [
(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:
[
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:
[
As used in this part:
(1) "Adjudicative proceeding" means an action or proceeding of the [
described in Section 63-46b-1 .
(2) "Administrative order" means an order issued by the [
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) "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-3-603 and applicable federal statutes and regulations, or an individual against whom an
administrative or judicial order determining overpayment has been obtained.
[
[
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:
[
(1) As used in this section[
mean the same as those terms are defined in Section 76-2-103 .
[
[
[
[
[
(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
(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 [
(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 [
overpayment may be recovered through deductions from cash assistance, general assistance, food
stamps, [
(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 [
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 [
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,
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:
[
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 [
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 [
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 [
department may recover from the obligor:
(i) reasonable attorneys' fees;
(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 [
the assessment has been included in a notice of agency action issued in conformity with Title 63,
Chapter 46b, Administrative Procedures Act.
(4) [
Rulemaking Act, the department may [
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 [
by the [
Section 7. Section 35A-3-605 , which is renumbered from Section 62A-11-204.1 is
renumbered and amended to read:
[
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 [
(2) (a) Through an adjudicative proceeding, the [
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 [
judgment by serving notice of agency action on the obligor before the judgment is barred by the
applicable statute of limitations.
(3) The [
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 [
Section 8. Section 35A-3-606 , which is renumbered from Section 62A-11-207 is
renumbered and amended to read:
[
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 [
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 [
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:
[
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 [
[
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 [
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:
[
Establishment -- Cancellation.
(1) At any time, the [
(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[
(b) at any time, cancel the schedule of payments and demand immediate payment in full.
(2) The [
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:
[
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:
[
(1) A party may be represented by legal counsel at any hearing held under this part.
(2) At the request of 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;
[
[
the state;
[
and social service funds;
[
restitution, and reimbursable expenses owed to the state or any of its political subdivisions, if the
office has contracted to provide collection services;
[
with Part 4 of this chapter;
[
develop and operate, in coordination with such financial institutions, a data match system in the
manner provided for in Section 62A-11-304.5 ;
[
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 [
(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;
[
maintain the new hire registry created under Section 35A-7-103 ;
[
assistance or Medicaid is cooperating in good faith with the office as required by Section
62A-11-307.2 ;
[
appropriation, contracts, and federal financial participation; and
[
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:
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-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
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-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;
(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 [
(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.
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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