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First Substitute H.B. 242

This document includes House Committee Amendments incorporated into the bill on Tue, Feb 6, 2007 at 3:45 PM by jeyring. --> This document includes Senate Committee Amendments incorporated into the bill on Wed, Feb 21, 2007 at 1:18 PM by rday. -->

Representative Bradley G. Last proposes the following substitute bill:


             1     
MEDICAID FALSE CLAIMS ACT

             2     
AMENDMENTS

             3     
2007 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Bradley G. Last

             6     
Senate Sponsor: Sheldon L. Killpack

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill amends the Medicaid False Claims Act in the Health Code.
             11      Highlighted Provisions:
             12          This bill:
             13          .    amends definitions;
             14          .    clarifies the required mental state for a civil and a criminal prosecution;
             15          .    amends penalties for a violation of the act;
             16          .    grants concurrent civil enforcement authority to the attorney general and the
             17      Department of Health;
             18          .    provides a statute of limitations period;
             19          .    establishes burden of proof for civil actions;
             20          .    gives authority to issue civil investigative demands; and
             21          .    amends the duties of the attorney general.
             22      Monies Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None


             26      Utah Code Sections Affected:
             27      AMENDS:
             28          26-20-1, as enacted by Chapter 126, Laws of Utah 1981
             29          26-20-2, as last amended by Chapter 46, Laws of Utah 1986
             30          26-20-5, as enacted by Chapter 126, Laws of Utah 1981
             31          26-20-7, as last amended by Chapter 92, Laws of Utah 1987
             32          26-20-9, as enacted by Chapter 46, Laws of Utah 1986
             33          26-20-9.5, as last amended by Chapter 92, Laws of Utah 1987
             34          26-20-13, as enacted by Chapter 316, Laws of Utah 2000
             35          67-5-1, as last amended by Chapters 130, 235 and 242, Laws of Utah 2002
             36      ENACTS:
             37          26-20-14, Utah Code Annotated 1953
             38          26-20-15, Utah Code Annotated 1953
             39      REPEALS AND REENACTS:
             40          26-20-4, as last amended by Chapter 46, Laws of Utah 1986
             41          26-20-12, as enacted by Chapter 46, Laws of Utah 1986
             42     
             43      Be it enacted by the Legislature of the state of Utah:
             44          Section 1. Section 26-20-1 is amended to read:
             45     
CHAPTER 20. UTAH FALSE CLAIMS ACT

             46           26-20-1. Title.
             47          This chapter [shall be known and may be cited] is known as the "Utah False Claims
             48      Act."
             49          Section 2. Section 26-20-2 is amended to read:
             50           26-20-2. Definitions.
             51          As used in this chapter:
             52          (1) "Benefit" means the receipt of money, goods, or any other thing of pecuniary value.
             53          (2) "Claim" means any request or demand for money or property:
             54          (a) made to any:
             55          (i) employee, officer, or agent of the state;
             56          (ii) contractor with the state; or


             57          (iii) grantee or other recipient, whether or not under contract with the state; and
             58          (b) if:
             59          (i) any portion of the money or property requested or demanded was issued from or
             60      provided by the state; or
             61          (ii) the state will reimburse the contractor, grantee, or other recipient for any portion of
             62      the money or property.
             63          [(2)] (3) "False statement" or "false representation" means a wholly or partially untrue
             64      statement or representation which is S. :
             64a          (a) .S knowingly [and willfully] made [if the person making the
             65      statement or representation has knowledge of the falsity thereof] S. ; and
             65a          (b) a material fact with respect to the claim .S .
             66          [(3)] (4) "Knowing" and "knowingly" [mean that a person is aware of the nature of his
             67      conduct and that his conduct is substantially certain to cause the intended result.]:
             68          (a) for purposes of criminal prosecutions for violations of this chapter, is one of the
             69      culpable mental states described in Subsection 26-20-9 (1); and
             70          (b) for purposes of civil prosecutions for violations of this chapter, is the required
             71      culpable mental state as defined in Subsection 26-20-9.5 (1).
             72          [(4)] (5) "Medical benefit" means a benefit paid or payable to a recipient or a provider
             73      under a program administered by the state under:
             74          (a) Titles V and XIX of the federal Social Security Act[,];
             75          (b) Title X of the federal Public Health Services Act[,];
             76          (c) the federal Child Nutrition Act of 1966 as amended by P.L. 94-105; and
             77          (d) any programs for medical assistance of the state.
             78          [(5)] (6) "Person" means an individual, corporation, unincorporated association,
             79      professional corporation, partnership, or other form of business association.
             80          Section 3. Section 26-20-4 is repealed and reenacted to read:
             81           26-20-4. Kickbacks or bribes prohibited.
             82          (1) For purposes of this section, kickback or bribe:
             83          (a) includes rebates, compensation, or any other form of remuneration which is:
             84          (i) direct or indirect;
             85          (ii) overt or covert; or
             86          (iii) in cash or in kind; and
             87          (b) does not include a rebate paid to the state under 42 U.S.C. Sec. 1396r-8 or any state


             88      supplemental rebates.
             89          (2) A person may not solicit, offer, pay, or receive a kickback or bribe in return for or
             90      to induce:
             91          (a) the purchasing, leasing, or ordering of any goods or services for which payment is
             92      or may be made in whole or in part pursuant to a medical benefit program; or
             93          (b) the referral of an individual to another person for the furnishing of any goods or
             94      services for which payment is or may be made in whole or in part pursuant to a medical benefit
             95      program.
             96          Section 4. Section 26-20-5 is amended to read:
             97           26-20-5. False statements or false representations relating to qualification of
             98      health institution or facility prohibited -- Felony.
             99          (1) A person [shall] may not knowingly [and willfully], intentionally, or recklessly
             100      make, [or] induce, or seek to induce, the making of a false statement or false representation of a
             101      material fact with respect to the conditions or operation of an institution or facility in order that
             102      the institution or facility may qualify, upon initial certification or upon recertification, as a
             103      hospital, skilled nursing facility, intermediate care facility, or home health agency.
             104          (2) A person who violates this section is guilty of a second degree felony.
             105          Section 5. Section 26-20-7 is amended to read:
             106           26-20-7. False claims for medical benefits prohibited.
             107          (1) [No] A person may not make or present or cause to be made or presented to an
             108      employee or officer of the state a claim for a medical benefit[, knowing the claim to be]:
             109          (a) which is wholly or partially false, fictitious, or fraudulent[.];
             110          [(2) In addition, no person shall knowingly:]
             111          [(a) file a claim for a medical benefit]
             112          (b) for services which were not rendered or for items or materials which were not
             113      delivered;
             114          [(b) file a claim for a medical benefit]
             115          (c) which misrepresents the type, quality, or quantity of items or services rendered;
             116          [(c) file a claim for a medical benefit]
             117          (d) representing charges at a higher rate than those charged by the provider to the
             118      general public;


             119          [(d) file a claim for a medical benefit]
             120          (e) for items or services which the person or the provider knew were not medically
             121      necessary in accordance with professionally recognized standards;
             122          [(e) file a claim for a medical benefit]
             123          (f) which has previously been paid;
             124          [(f) fail to credit the state for payments received from other sources;]
             125          (g) [file a claim for a medical benefit] for services also covered by one or more private
             126      sources when the person or provider knew of the private sources without disclosing those
             127      sources on the claim; or
             128          (h) where a provider:
             129          (i) unbundles a product, procedure, or group of procedures usually and customarily
             130      provided or performed as a single billable product or procedure into artificial components or
             131      separate procedures; and
             132          (ii) bills for each component of the product, procedure, or group of procedures:
             133          (A) as if they had been provided or performed independently and at separate times; and
             134          (B) the aggregate billing for the components exceeds the amount otherwise billable for
             135      the usual and customary single product or procedure.
             136          (2) In addition to the prohibitions in Subsection (1), a person may not:
             137          (a) fail to credit the state for payments received from other sources;
             138          [(h)] (b) recover or attempt to recover payment in violation of the provider agreement
             139      from:
             140          (i) a recipient under a medical benefit program[,]; or
             141          (ii) the recipient's family [in violation of the provider agreement];
             142          [(i) file a claim for a medical benefit where a provider divides an accepted multiple
             143      medical procedure into artificial components or single procedures requesting full medical
             144      benefits for performing those component procedures as if they had each been performed
             145      independently and at separate times;]
             146          [(j)] (c) falsify or alter with intent to deceive, any report or document required by state
             147      or federal law, rule, or Medicaid provider agreement;
             148          [(k)] (d) retain any unauthorized payment as a result of acts described by this section;
             149      or


             150          [(l)] (e) aid or abet the commission of any act prohibited by this section.
             151          Section 6. Section 26-20-9 is amended to read:
             152           26-20-9. Criminal penalties.
             153          (1) S. [ The ] (a) Except as provided in Subsection (1)(b) the .S culpable mental state
             153a      required for a criminal violation of this chapter is
             154      knowingly, intentionally, or recklessly as defined in Section 76-2-103 .
             154a      S.     (b) The culpable mental state required for a criminal violation of this chapter for
             154b      kickbacks and bribes under Section 26-20-4 is knowingly and intentionally as defined in
             154c      Section 76-2-103. .S
             155          [(1)] (2) The punishment for a criminal violation of any provision of this chapter,
             156      except as provided under Section 26-20-5 , is determined by the cumulative value of the funds
             157      or other benefits received or claimed in the commission of all violations of a similar nature,
             158      and not by each separate violation.
             159          [(2)] (3) Punishment for criminal violation of this chapter, except as provided under
             160      Section 26-20-5 , is [as follows:] a felony of the second degree, felony of the third degree, class
             161      A misdemeanor, or class B misdemeanor based on the dollar amounts as prescribed by
             162      Subsection 76-6-412 (1) for theft of property and services.
             163          [(a) as a felony of the second degree if the cumulative value of the funds or other
             164      benefits received or claimed in violation of this chapter exceeds $1,000;]
             165          [(b) as a felony of the third degree if the cumulative value of the funds or other benefits
             166      received or claimed in violation of this chapter exceeds $250 but does not exceed $1,000;]
             167          [(c) as a class A misdemeanor if the cumulative value of the funds or other benefits
             168      received or claimed in violation of this chapter exceeds $100 but does not exceed $250; or]
             169          [(d) as a class B misdemeanor if the cumulative value of the funds or other benefits
             170      received or claimed in violation of this chapter does not exceed $100.]
             171          Section 7. Section 26-20-9.5 is amended to read:
             172           26-20-9.5. Civil penalties.
             173          (1) The culpable mental state required for a civil violation of this chapter is "knowing"
             174      or "knowingly" which:
             175          (a) means that person, with respect to information:
             176          (i) has actual knowledge of the information;
             177          (ii) acts in deliberate ignorance of the truth or falsity of the information; or
             178          (iii) acts in reckless disregard of the truth or falsity of the information; and
             179          (b) does not require a specific intent to defraud.
             180          [(1)] (2) Any person who violates this chapter shall, in all cases, in addition to other


             181      penalties provided by law, be [subject to the following civil penalties] required to:
             182          (a) [in all cases, shall be required to] make full and complete restitution to the state of
             183      all H. [ medical benefits improperly obtained ] damages that the state sustains because of
             183a      the person's violation of this chapter .H ;
             184          (b) [in all cases, shall be required to] pay to the state its costs of enforcement of this
             185      chapter in that case, including but not limited to the cost of investigators, attorneys, and other
             186      public employees, as determined by the [Bureau of Medicaid Fraud;] state; and
             187          (c) [may be required, in the discretion of the court, to] pay to the state a civil penalty
             188      [not to exceed] equal to:
             189          (i) three times the amount of [value improperly claimed or received as a medical
             190      benefit; or] damages that the state sustains because of the person's violation of this chapter; and
             191          [(d) may be required, in the discretion of the court, to pay to the state a civil penalty of
             192      up to $2,000]
             193          (ii) not less than $5,000 or more than $10,000 for each claim filed or act done in
             194      violation of this chapter.
             195          [(2)] (3) Any civil penalties assessed under Subsection [(1)] (2) shall be awarded by the
             196      court as part of its judgment in both criminal and civil actions.
             197          [(3)] (4) A criminal action need not be brought against a person in order for that person
             198      to be civilly liable under this section.
             199          Section 8. Section 26-20-12 is repealed and reenacted to read:
             200           26-20-12. Violation of other laws.
             201          (1) The provisions of this chapter are:
             202          (a) not exclusive, and the remedies provided for in this chapter are in addition to any
             203      other remedies provided for under:
             204          (i) any other applicable law; or
             205          (ii) common law; and
             206          (b) to be liberally construed and applied to:
             207          (i) effectuate the chapter's remedial and deterrent purposes; and
             208          (ii) serve the public interest.
             209          (2) If any provision of this chapter or the application of this chapter to any person or
             210      circumstance is held unconstitutional:
             211          (a) the remaining provisions of this chapter shall not be affected; and


             212          (b) the application of this chapter to other persons or circumstances shall not be
             213      affected.
             214          Section 9. Section 26-20-13 is amended to read:
             215           26-20-13. Medicaid fraud enforcement.
             216          (1) This chapter shall be enforced in accordance with this section.
             217          (2) The department [shall be] is responsible for:
             218          (a) (i) investigating and prosecuting [all] suspected civil violations of this chapter;
             219      [and] or
             220          (ii) referring suspected civil violations of this chapter to the attorney general for
             221      investigation and prosecution; and
             222          (b) promptly referring suspected criminal violations of this chapter to the attorney
             223      general for criminal investigation and prosecution.
             224          (3) The attorney general [shall be responsible for:] has:
             225          (a) concurrent jurisdiction with the department for investigating and prosecuting
             226      suspected civil violations of this chapter; and
             227          [(a) investigating] (b) exclusive jurisdiction to investigate and prosecute all suspected
             228      criminal violations of this chapter [that are reported to the attorney general by the department
             229      or others;].
             230          [(b) promptly referring probable civil violations of this chapter that are not related to a
             231      criminal investigation or prosecution to the department for civil investigation and prosecution;
             232      and]
             233          [(c) prosecuting criminal violations of this chapter.]
             234          (4) The department and the attorney general share concurrent civil enforcement
             235      authority under this chapter and may enter into an interagency agreement regarding the
             236      investigation and prosecution of violations of this chapter in accordance with this section, the
             237      requirements of Title XIX of the federal Social Security Act, and applicable federal regulations.
             238          (5) Any violation of this chapter which comes to the attention of any state government
             239      officer or agency shall be reported to the attorney general or the department. All state
             240      government officers and agencies shall cooperate with and assist in any prosecution for
             241      violation of this chapter.
             242          Section 10. Section 26-20-14 is enacted to read:


             243          26-20-14. Investigations -- Civil investigative demands.
             244          (1) The attorney general may take investigative action under Subsection (2) if the
             245      attorney general has reason to believe that:
             246          (a) a person has information or custody or control of documentary material relevant to
             247      the subject matter of an investigation of an alleged violation of this chapter;
             248          (b) a person is committing, has committed, or is about to commit a violation of this
             249      chapter; or
             250          (c) it is in the public interest to conduct an investigation to ascertain whether or not a
             251      person is committing, has committed, or is about to commit a violation of this chapter.
             252          (2) In taking investigative action, the attorney general may:
             253          (a) require the person to file on a prescribed form a statement in writing, under oath or
             254      affirmation describing:
             255          (i) the facts and circumstances concerning the alleged violation of this chapter; and
             256          (ii) other information considered necessary by the attorney general;
             257          (b) examine under oath a person in connection with the alleged violation of this
             258      chapter; and
             259          (c) in accordance with Subsections (7) through (18), execute in writing, and serve on
             260      the person, a civil investigative demand requiring the person to produce the documentary
             261      material and permit inspection and copying of the material.
             262          (3) The attorney general may not release or disclose information that is obtained under
             263      Subsection (2)(a) or (b), or any documentary material or other record derived from the
             264      information obtained under Subsection (2)(a) or (b), except:
             265          (a) by court order for good cause shown;
             266          (b) with the consent of the person who provided the information;
             267          (c) to an employee of the attorney general or the department;
             268          (d) to an agency of this state, the United States, or another state;
             269          (e) to a special assistant attorney general representing the state in a civil action;
             270          (f) to a political subdivision of this state; or
             271          (g) to a person authorized by the attorney general to receive the information.
             272          (4) The attorney general may use documentary material derived from information
             273      obtained under Subsection (2)(a) or (b), or copies of that material, as the attorney general


             274      determines necessary in the enforcement of this chapter, including presentation before a court.
             275          (5) (a) If a person fails to file a statement as required by Subsection (2)(a) or fails to
             276      submit to an examination as required by Subsection (2)(b), the attorney general may file in
             277      district court a complaint for an order to compel the person to within a period stated by court
             278      order:
             279          (i) file the statement required by Subsection (2)(a); or
             280          (ii) submit to the examination required by Subsection (2)(b).
             281          (b) Failure to comply with an order entered under Subsection (5)(a) is punishable as
             282      contempt.
             283          (6) A civil investigative demand must:
             284          (a) state the rule or statute under which the alleged violation of this chapter is being
             285      investigated;
             286          (b) describe the:
             287          (i) general subject matter of the investigation; and
             288          (ii) class or classes of documentary material to be produced with reasonable specificity
             289      to fairly indicate the documentary material demanded;
             290          (c) designate a date within which the documentary material is to be produced; and
             291          (d) identify an authorized employee of the attorney general to whom the documentary
             292      material is to be made available for inspection and copying.
             293          (7) A civil investigative demand may require disclosure of any documentary material
             294      that is discoverable under the Utah Rules of Civil Procedure.
             295          (8) Service of a civil investigative demand may be made by:
             296          (a) delivering an executed copy of the demand to the person to be served or to a
             297      partner, an officer, or an agent authorized by appointment or by law to receive service of
             298      process on behalf of that person;
             299          (b) delivering an executed copy of the demand to the principal place of business in this
             300      state of the person to be served; or
             301          (c) mailing by registered or certified mail an executed copy of the demand addressed to
             302      the person to be served:
             303          (i) at the person's principal place of business in this state; or
             304          (ii) if the person has no place of business in this state, to the person's principal office or


             305      place of business.
             306          (9) Documentary material demanded in a civil investigative demand shall be produced
             307      for inspection and copying during normal business hours at the office of the attorney general or
             308      as agreed by the person served and the attorney general.
             309          (10) The attorney general may not produce for inspection or copying or otherwise
             310      disclose the contents of documentary material obtained pursuant to a civil investigative demand
             311      except:
             312          (a) by court order for good cause shown;
             313          (b) with the consent of the person who produced the information;
             314          (c) to an employee of the attorney general or the department;
             315          (d) to an agency of this state, the United States, or another state;
             316          (e) to a special assistant attorney general representing the state in a civil action;
             317          (f) to a political subdivision of this state; or
             318          (g) to a person authorized by the attorney general to receive the information.
             319          (11) (a) With respect to documentary material obtained pursuant to a civil investigative
             320      demand, the attorney general shall prescribe reasonable terms and conditions allowing such
             321      documentary material to be available for inspection and copying by the person who produced
             322      the material or by an authorized representative of that person.
             323          (b) The attorney general may use such documentary material or copies of it as the
             324      attorney general determines necessary in the enforcement of this chapter, including presentation
             325      before a court.
             326          (12) A person may file a complaint, stating good cause, to extend the return date for the
             327      demand or to modify or set aside the demand. A complaint under this Subsection (12) shall be
             328      filed in district court and must be filed before the earlier of:
             329          (a) the return date specified in the demand; or
             330          (b) the 20th day after the date the demand is served.
             331          (13) Except as provided by court order, a person who has been served with a civil
             332      investigative demand shall comply with the terms of the demand.
             333          (14) (a) A person who has committed a violation of this chapter in relation to the
             334      Medicaid program in this state, or to any other medical benefit program administered by the
             335      state has submitted to the jurisdiction of this state.


             336          (b) Personal service of a civil investigative demand under this section may be made on
             337      the person described in Subsection (14)(a) outside of this state.
             338          (15) This section does not limit the authority of the attorney general to conduct
             339      investigations or to access a person's documentary materials or other information under another
             340      state or federal law, the Utah Rules of Civil Procedure, or the Federal Rules of Civil Procedure.
             341          (16) The attorney general may file a complaint in district court for an order to enforce
             342      the civil investigative demand if:
             343          (a) a person fails to comply with a civil investigative demand; or
             344          (b) copying and reproduction of the documentary material demanded:
             345          (i) cannot be satisfactorily accomplished; and
             346          (ii) the person refuses to surrender the documentary material.
             347          (17) If a complaint is filed under Subsection (16), the court may determine the matter
             348      presented and may enter an order to enforce the civil investigative demand.
             349          (18) Failure to comply with a final order entered under Subsection (17) is punishable
             350      by contempt.
             351          Section 11. Section 26-20-15 is enacted to read:
             352          26-20-15. Limitation of actions -- Civil acts antedating this section -- Civil burden
             353      of proof -- Estoppel -- Joint civil liability -- Venue.
             354          (1) An action under this chapter may not be brought after the later of:
             355          (a) six years after the date on which the violation was committed; or
             356          (b) three years after the date an official of the state charged with responsibility to act in
             357      the circumstances discovers the violation, but in no event more than ten years after the date on
             358      which the violation was committed.
             359          (2) A civil action brought under this chapter may be brought for acts occurring prior to
             360      the effective date of this section if the limitations period set forth in Subsection (1) has not
             361      lapsed.
             362          (3) In any civil action brought under this chapter the state shall be required to prove by
             363      a preponderance of evidence, all essential elements of the cause of action including damages.
             364          (4) Notwithstanding any other provision of law, a final judgment rendered in favor of
             365      the state in any criminal proceeding under this chapter, whether upon a verdict after trial or
             366      upon a plea of guilty or nolo contendere, shall estop the defendant from denying the essential


             367      elements of the offense in any civil action under this chapter which involves the same
             368      transaction.
             369          (5) Civil liability under this chapter shall be joint and several for a violation committed
             370      by two or more persons.
             371          (6) Any action brought by the state under this chapter shall be brought in district court
             372      in Salt Lake County or in any county where the defendant resides or does business.
             373          Section 12. Section 67-5-1 is amended to read:
             374           67-5-1. General duties.
             375          The attorney general shall:
             376          (1) perform all duties in a manner consistent with the attorney-client relationship under
             377      Section 67-5-17 ;
             378          (2) except as provided in Sections 10-3-928 and 17-18-1 , attend the Supreme Court
             379      and the Court of Appeals of this state, and all courts of the United States, and prosecute or
             380      defend all causes to which the state, or any officer, board, or commission of the state in an
             381      official capacity is a party; and take charge, as attorney, of all civil legal matters in which the
             382      state is interested;
             383          (3) after judgment on any cause referred to in Subsection (2), direct the issuance of
             384      process as necessary to execute the judgment;
             385          (4) account for, and pay over to the proper officer, all moneys that come into the
             386      attorney general's possession that belong to the state;
             387          (5) keep a file of all cases in which the attorney general is required to appear, including
             388      any documents and papers showing the court in which the cases have been instituted and tried,
             389      and whether they are civil or criminal, and:
             390          (a) if civil, the nature of the demand, the stage of proceedings, and when prosecuted to
             391      judgment, a memorandum of the judgment and of any process issued whether satisfied, and if
             392      not satisfied, the return of the sheriff;
             393          (b) if criminal, the nature of the crime, the mode of prosecution, the stage of
             394      proceedings, and when prosecuted to sentence, a memorandum of the sentence and of the
             395      execution, if the sentence has been executed, if not executed, of the reason of the delay or
             396      prevention; and
             397          (c) deliver this information to the attorney general's successor in office;


             398          (6) exercise supervisory powers over the district and county attorneys of the state in all
             399      matters pertaining to the duties of their offices, and from time to time require of them reports of
             400      the condition of public business entrusted to their charge;
             401          (7) give the attorney general's opinion in writing and without fee to the Legislature or
             402      either house, and to any state officer, board, or commission, and to any county attorney or
             403      district attorney, when required, upon any question of law relating to their respective offices;
             404          (8) when required by the public service or directed by the governor, assist any county,
             405      district, or city attorney in the discharge of his duties;
             406          (9) purchase in the name of the state, under the direction of the state Board of
             407      Examiners, any property offered for sale under execution issued upon judgments in favor of or
             408      for the use of the state, and enter satisfaction in whole or in part of the judgments as the
             409      consideration of the purchases;
             410          (10) when the property of a judgment debtor in any judgment mentioned in Subsection
             411      (9) has been sold under a prior judgment, or is subject to any judgment, lien, or encumbrance
             412      taking precedence of the judgment in favor of the state, redeem the property, under the
             413      direction of the state Board of Examiners, from the prior judgment, lien, or encumbrance, and
             414      pay all money necessary for the redemption, upon the order of the state Board of Examiners,
             415      out of any money appropriated for these purposes;
             416          (11) when in his opinion it is necessary for the collection or enforcement of any
             417      judgment, institute and prosecute on behalf of the state any action or proceeding necessary to
             418      set aside and annul all conveyances fraudulently made by the judgment debtors, and pay the
             419      cost necessary to the prosecution, when allowed by the state Board of Examiners, out of any
             420      money not otherwise appropriated;
             421          (12) discharge the duties of a member of all official boards of which the attorney
             422      general is or may be made a member by the Utah Constitution or by the laws of the state, and
             423      other duties prescribed by law;
             424          (13) institute and prosecute proper proceedings in any court of the state or of the
             425      United States, to restrain and enjoin corporations organized under the laws of this or any other
             426      state or territory from acting illegally or in excess of their corporate powers or contrary to
             427      public policy, and in proper cases forfeit their corporate franchises, dissolve the corporations,
             428      and wind up their affairs;


             429          (14) institute investigations for the recovery of all real or personal property that may
             430      have escheated or should escheat to the state, and for that purpose, subpoena any persons
             431      before any of the district courts to answer inquiries and render accounts concerning any
             432      property, examine all books and papers of any corporations, and when any real or personal
             433      property is discovered that should escheat to the state, institute suit in the district court of the
             434      county where the property is situated for its recovery, and escheat that property to the state;
             435          (15) administer the Children's Justice Center as a program to be implemented in
             436      various counties pursuant to Sections 67-5b-101 through 67-5b-107 ;
             437          (16) assist the Constitutional Defense Council as provided in Title 63C, Chapter 4,
             438      Constitutional Defense Council;
             439          (17) pursue any appropriate legal action to implement the state's public lands policy
             440      established in Subsection 63C-4-105 (1);
             441          (18) investigate and prosecute [criminal] violations of all applicable state laws relating
             442      to fraud in connection with the state Medicaid program and any other medical assistance
             443      program administered by the state, including violations of Title 26, Chapter 20, False Claims
             444      Act[, in accordance with Section 26-20-13 ];
             445          (19) investigate and prosecute complaints of abuse, neglect, or exploitation of patients
             446      at:
             447          (a) health care facilities that receive payments under the state Medicaid program; and
             448          (b) board and care facilities, as defined in the federal Social Security Act, 42 U.S.C.
             449      Sec. 1396b(q)(4)(B), regardless of the source of payment to the board and care facility; and
             450          (20) (a) report at least twice per year to the Legislative Management Committee on any
             451      pending or anticipated lawsuits, other than eminent domain lawsuits, that might:
             452          (i) cost the state more than $500,000; or
             453          (ii) require the state to take legally binding action that would cost more than $500,000
             454      to implement; and
             455          (b) if the meeting is closed, include an estimate of the state's potential financial or other
             456      legal exposure in that report.


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