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S.B. 103
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7 LONG TITLE
8 General Description:
9 This bill recodifies and amends the Utah False Claims Act.
10 Highlighted Provisions:
11 This bill:
12 . defines terms;
13 . recodifies the Utah False Claims Act;
14 . amends criminal and civil provisions regarding conduct prohibited by the Utah
15 False Claims Act;
16 . amends provisions relating to civil and criminal penalties for violation of the Utah
17 False Claims Act;
18 . amends procedural matters relating to the Utah False Claims Act;
19 . modifies the statute of limitations for violations of the Utah False Claims Act,
20 including removing the 10-year maximum for bringing an action;
21 . amends provisions relating to investigation of alleged violations of the Utah False
22 Claims Act;
23 . permits a person, subject to certain exceptions, to file a civil action against a
24 defendant, in the name of the state, for a violation of the Utah False Claims Act;
25 . grants a person who files an action described in the preceding paragraph a
26 percentage of the proceeds of the action, unless the person is convicted of a crime
27 arising out of the facts upon which the action is based;
28 . grants the attorney general the right to intervene in, and take control of, an action
29 filed by a person in the name of the state as provided for in this bill;
30 . provides whistleblower protection to an individual who, under this bill:
31 . files or advances, or seeks to file or advance, a civil action in the name of the
32 state; or
33 . reports, stops, or seeks to report or stop a violation of the Utah False Claims
34 Act; and
35 . makes technical changes.
36 Money Appropriated in this Bill:
37 None
38 Other Special Clauses:
39 This bill provides an effective date.
40 Utah Code Sections Affected:
41 AMENDS:
42 26-18-3, as last amended by Laws of Utah 2010, Chapters 149, 323, 340, and 391
43 67-5-1, as last amended by Laws of Utah 2007, Chapter 48
44 76-8-1202, as last amended by Laws of Utah 1997, Chapter 174
45 76-10-1602 (Superseded 07/01/11), as last amended by Laws of Utah 2010, Chapter
46 334
47 76-10-1602 (Effective 07/01/11), as last amended by Laws of Utah 2010, Chapters 276
48 and 334
49 ENACTS:
50 26-20a-503, Utah Code Annotated 1953
51 26-20a-504, Utah Code Annotated 1953
52 26-20a-505, Utah Code Annotated 1953
53 26-20a-506, Utah Code Annotated 1953
54 26-20a-507, Utah Code Annotated 1953
55 26-20a-508, Utah Code Annotated 1953
56 26-20a-509, Utah Code Annotated 1953
57 26-20a-601, Utah Code Annotated 1953
58 26-20a-602, Utah Code Annotated 1953
59 26-20a-603, Utah Code Annotated 1953
60 26-20A-604, Utah Code Annotated 1953
61 26-20A-605, Utah Code Annotated 1953
62 26-20a-606, Utah Code Annotated 1953
63 26-20a-607, Utah Code Annotated 1953
64 26-20a-608, Utah Code Annotated 1953
65 26-20a-609, Utah Code Annotated 1953
66 26-20a-702, Utah Code Annotated 1953
67 RENUMBERS AND AMENDS:
68 26-20a-101, (Renumbered from 26-20-1, as last amended by Laws of Utah 2007,
69 Chapter 48)
70 26-20a-102, (Renumbered from 26-20-2, as last amended by Laws of Utah 2007,
71 Chapter 48)
72 26-20a-201, (Renumbered from 26-20-3, as last amended by Laws of Utah 1986,
73 Chapter 46)
74 26-20a-202, (Renumbered from 26-20-4, as repealed and reenacted by Laws of Utah
75 2007, Chapter 48)
76 26-20a-203, (Renumbered from 26-20-5, as last amended by Laws of Utah 2007,
77 Chapter 48)
78 26-20a-204, (Renumbered from 26-20-7, as last amended by Laws of Utah 2007,
79 Chapter 48)
80 26-20a-301, (Renumbered from 26-20-9, as last amended by Laws of Utah 2007,
81 Chapter 48)
82 26-20a-302, (Renumbered from 26-20-9.5, as last amended by Laws of Utah 2007,
83 Chapter 48)
84 26-20a-303, (Renumbered from 26-20-12, as repealed and reenacted by Laws of Utah
85 2007, Chapter 48)
86 26-20a-401, (Renumbered from 26-20-8, as enacted by Laws of Utah 1981, Chapter
87 126)
88 26-20a-402, (Renumbered from 26-20-11, as enacted by Laws of Utah 1986, Chapter
89 46)
90 26-20a-403, (Renumbered from 26-20-15, as enacted by Laws of Utah 2007, Chapter
91 48)
92 26-20a-501, (Renumbered from 26-20-13, as last amended by Laws of Utah 2007,
93 Chapter 48)
94 26-20a-502, (Renumbered from 26-20-14, as enacted by Laws of Utah 2007, Chapter
95 48)
96 26-20a-701, (Renumbered from 26-20-10, as last amended by Laws of Utah 1998,
97 Chapter 192)
98 REPEALS:
99 26-20-6, as last amended by Laws of Utah 1986, Chapter 46
100
101 Be it enacted by the Legislature of the state of Utah:
102 Section 1. Section 26-18-3 is amended to read:
103 26-18-3. Administration of Medicaid program by department -- Reporting to the
104 Legislature -- Disciplinary measures and sanctions -- Funds collected -- Eligibility
105 standards -- Internal audits -- Studies -- Health opportunity accounts.
106 (1) The department shall be the single state agency responsible for the administration
107 of the Medicaid program in connection with the United States Department of Health and
108 Human Services pursuant to Title XIX of the Social Security Act.
109 (2) (a) The department shall implement the Medicaid program through administrative
110 rules in conformity with this chapter, Title 63G, Chapter 3, Utah Administrative Rulemaking
111 Act, the requirements of Title XIX, and applicable federal regulations.
112 (b) The rules adopted under Subsection (2)(a) shall include, in addition to other rules
113 necessary to implement the program:
114 (i) the standards used by the department for determining eligibility for Medicaid
115 services;
116 (ii) the services and benefits to be covered by the Medicaid program; and
117 (iii) reimbursement methodologies for providers under the Medicaid program.
118 (3) (a) The department shall, in accordance with Subsection (3)(b), report to the Health
119 and Human Services Appropriations Subcommittee when the department:
120 (i) implements a change in the Medicaid State Plan;
121 (ii) initiates a new Medicaid waiver;
122 (iii) initiates an amendment to an existing Medicaid waiver;
123 (iv) applies for an extension of an application for a waiver or an existing Medicaid
124 waiver; or
125 (v) initiates a rate change that requires public notice under state or federal law.
126 (b) The report required by Subsection (3)(a) shall:
127 (i) be submitted to the Health and Human Services Appropriations Subcommittee prior
128 to the department implementing the proposed change; and
129 (ii) include:
130 (A) a description of the department's current practice or policy that the department is
131 proposing to change;
132 (B) an explanation of why the department is proposing the change;
133 (C) the proposed change in services or reimbursement, including a description of the
134 effect of the change;
135 (D) the effect of an increase or decrease in services or benefits on individuals and
136 families;
137 (E) the degree to which any proposed cut may result in cost-shifting to more expensive
138 services in health or human service programs; and
139 (F) the fiscal impact of the proposed change, including:
140 (I) the effect of the proposed change on current or future appropriations from the
141 Legislature to the department;
142 (II) the effect the proposed change may have on federal matching dollars received by
143 the state Medicaid program;
144 (III) any cost shifting or cost savings within the department's budget that may result
145 from the proposed change; and
146 (IV) identification of the funds that will be used for the proposed change, including any
147 transfer of funds within the department's budget.
148 (4) (a) The Department of Human Services shall report to the Legislative Health and
149 Human Services Appropriations Subcommittee no later than December 31, 2010 in accordance
150 with Subsection (4)(b).
151 (b) The report required by Subsection (4)(a) shall include:
152 (i) changes made by the division or the department beginning July 1, 2010 that effect
153 the Medicaid program, a waiver under the Medicaid program, or an interpretation of Medicaid
154 services or funding, that relate to care for children and youth in the custody of the Division of
155 Child and Family Services or the Division of Juvenile Justice Services;
156 (ii) the history and impact of the changes under Subsection (4)(b)(i);
157 (iii) the Department of Human Service's plans for addressing the impact of the changes
158 under Subsection (4)(b)(i); and
159 (iv) ways to consolidate administrative functions within the Department of Human
160 Services, the Department of Health, the Division of Child and Family Services, and the
161 Division of Juvenile Justice Services to more efficiently meet the needs of children and youth
162 with mental health and substance disorder treatment needs.
163 (5) Any rules adopted by the department under Subsection (2) are subject to review and
164 reauthorization by the Legislature in accordance with Section 63G-3-502 .
165 (6) The department may, in its discretion, contract with the Department of Human
166 Services or other qualified agencies for services in connection with the administration of the
167 Medicaid program, including:
168 (a) the determination of the eligibility of individuals for the program;
169 (b) recovery of overpayments; and
170 (c) consistent with Section [
171 and quality control services, enforcement of fraud and abuse laws.
172 (7) The department shall provide, by rule, disciplinary measures and sanctions for
173 Medicaid providers who fail to comply with the rules and procedures of the program, provided
174 that sanctions imposed administratively may not extend beyond:
175 (a) termination from the program;
176 (b) recovery of claim reimbursements incorrectly paid; and
177 (c) those specified in Section 1919 of Title XIX of the federal Social Security Act.
178 (8) Funds collected as a result of a sanction imposed under Section 1919 of Title XIX
179 of the federal Social Security Act shall be deposited in the General Fund as dedicated credits to
180 be used by the division in accordance with the requirements of Section 1919 of Title XIX of
181 the federal Social Security Act.
182 (9) (a) In determining whether an applicant or recipient is eligible for a service or
183 benefit under this part or Chapter 40, Utah Children's Health Insurance Act, the department
184 shall, if Subsection (9)(b) is satisfied, exclude from consideration one passenger vehicle
185 designated by the applicant or recipient.
186 (b) Before Subsection (9)(a) may be applied:
187 (i) the federal government must:
188 (A) determine that Subsection (9)(a) may be implemented within the state's existing
189 public assistance-related waivers as of January 1, 1999;
190 (B) extend a waiver to the state permitting the implementation of Subsection (9)(a); or
191 (C) determine that the state's waivers that permit dual eligibility determinations for
192 cash assistance and Medicaid are no longer valid; and
193 (ii) the department must determine that Subsection (9)(a) can be implemented within
194 existing funding.
195 (10) (a) For purposes of this Subsection (10):
196 (i) "aged, blind, or disabled" shall be defined by administrative rule; and
197 (ii) "spend down" means an amount of income in excess of the allowable income
198 standard that must be paid in cash to the department or incurred through the medical services
199 not paid by Medicaid.
200 (b) In determining whether an applicant or recipient who is aged, blind, or disabled is
201 eligible for a service or benefit under this chapter, the department shall use 100% of the federal
202 poverty level as:
203 (i) the allowable income standard for eligibility for services or benefits; and
204 (ii) the allowable income standard for eligibility as a result of spend down.
205 (11) The department shall conduct internal audits of the Medicaid program, in
206 proportion to at least the level of funding it receives from Medicaid to conduct internal audits.
207 (12) In order to determine the feasibility of contracting for direct Medicaid providers
208 for primary care services, the department shall:
209 (a) issue a request for information for direct contracting for primary services that shall
210 provide that a provider shall exclusively serve all Medicaid clients:
211 (i) in a geographic area;
212 (ii) for a defined range of primary care services; and
213 (iii) for a predetermined total contracted amount; and
214 (b) by February 1, 2011, report to the Health and Human Services Appropriations
215 Subcommittee on the response to the request for information under Subsection (12)(a).
216 (13) (a) By December 31, 2010, the department shall:
217 (i) determine the feasibility of implementing a three year patient-centered medical
218 home demonstration project in an area of the state using existing budget funds; and
219 (ii) report the department's findings and recommendations under Subsection (13)(a)(i)
220 to the Health and Human Services Appropriations Subcommittee.
221 (b) If the department determines that the medical home demonstration project
222 described in Subsection (13)(a) is feasible, and the Health and Human Services Appropriations
223 Subcommittee recommends that the demonstration project be implemented, the department
224 shall:
225 (i) implement the demonstration project; and
226 (ii) by December 1, 2012, make recommendations to the Health and Human Services
227 Appropriations Subcommittee regarding the:
228 (A) continuation of the demonstration project;
229 (B) expansion of the demonstration project to other areas of the state; and
230 (C) cost savings incurred by the implementation of the demonstration project.
231 (14) (a) The department may apply for and, if approved, implement a demonstration
232 program for health opportunity accounts, as provided for in 42 U.S.C. Sec. 1396u-8.
233 (b) A health opportunity account established under Subsection (14)(a) shall be an
234 alternative to the existing benefits received by an individual eligible to receive Medicaid under
235 this chapter.
236 (c) Subsection (14)(a) is not intended to expand the coverage of the Medicaid program.
237 Section 2. Section 26-20a-101 , which is renumbered from Section 26-20-1 is
238 renumbered and amended to read:
239
240
241 [
242 This chapter is known as the "Utah False Claims Act."
243 Section 3. Section 26-20a-102 , which is renumbered from Section 26-20-2 is
244 renumbered and amended to read:
245 [
246 As used in this chapter:
247 (1) "Adverse action" includes actual or threatened:
248 (a) discharge;
249 (b) demotion;
250 (c) suspension;
251 (d) disciplinary action;
252 (e) reduction in compensation, benefits, seniority, or authority;
253 (f) discrimination;
254 (g) harassment; or
255 (h) violence.
256 [
257 value.
258 [
259
260
261 or a state recipient, if:
262 [
263 or provided by the state; or
264 [
265 any portion of the money or property.
266 [
267 statement or representation [
268 (a) is knowingly made; and
269 (b) relates to a material fact with respect to the claim.
270 [
271 [
272
273 [
274
275 (5) "Intentionally," as it relates to a criminal violation of this chapter, is as defined in
276 Section 76-2-103 .
277 (6) (a) "Knowingly," as it relates to a criminal violation of this chapter, is as
278 defined in Section 76-2-103 .
279 (b) "Knowingly," as it relates to a civil violation of this chapter:
280 (i) means that a person, with respect to information:
281 (A) has actual knowledge of the information;
282 (B) acts in deliberate ignorance of the truth or falsity of the information; or
283 (C) acts in reckless disregard of the truth or falsity of the information; and
284 (ii) does not require a specific intent to defraud.
285 (7) "Material" means having a tendency to influence, or be capable of influencing, the
286 payment or receipt of money or property.
287 [
288 under a program administered by the state under:
289 (a) Titles V and XIX of the federal Social Security Act;
290 (b) Title X of the federal Public Health Services Act;
291 (c) the federal Child Nutrition Act of 1966 as amended by P.L. 94-105; and
292 (d) any programs for medical assistance of the state.
293 [
294
295 (9) "Original source" means an individual who:
296 (a) before a public disclosure described in Subsection 26-20a-602 (4), voluntarily
297 discloses to the government the information upon which the allegations or transactions in a
298 claim are based; or
299 (b) (i) has knowledge that is independent of, and materially adds to, the allegations or
300 transactions that were publicly disclosed as described in Subsection 26-20a-602 (4); and
301 (ii) has voluntarily provided the information to the government before filing an action
302 under this section.
303 (10) "Recklessly," as it relates to a criminal violation of this chapter, is as defined in
304 Section 76-2-103 .
305 (11) "Relator" means a private person who files a lawsuit in state court, in the name of
306 the state, against a person for violating a provision of Part 2, Prohibited Conduct.
307 (12) "State agent" means an employee, officer, or agent of the state.
308 (13) "State recipient" means a person who is:
309 (a) a contractor with the state; or
310 (b) a grantee or other recipient of state funds or state-administered federal funds,
311 whether or not under contract with the state.
312 Section 4. Section 26-20a-201 , which is renumbered from Section 26-20-3 is
313 renumbered and amended to read:
314
315 [
316 medical benefit.
317 (1) A person [
318 (a) present, or cause to be presented, a false or fraudulent claim for payment, or
319 approval for payment, for a medical benefit;
320 (b) make, use, or cause to be made or used a false statement [
321 of a material fact, or a false record:
322 (i) in an application for medical benefits[
323 (ii) to otherwise obtain payment, or approval for payment, for a medical benefit; or
324 (iii) to avoid making a full payment or reimbursement, relating to a medical benefit,
325 owed to the federal government or to the state;
326 [
327 or false representation of a material fact [
328 or
329 (d) conspire to cause a false or fraudulent claim for a medical benefit to be allowed or
330 paid.
331 [
332 [
333 continued right of any other person on whose behalf [
334 receiving a medical benefit, [
335 obtain a medical benefit:
336 (a) to which the person or any other person is not entitled; or
337 (b) in an amount greater than that to which the person or any other person is entitled.
338 Section 5. Section 26-20a-202 , which is renumbered from Section 26-20-4 is
339 renumbered and amended to read:
340 [
341 (1) For purposes of this section, a kickback or bribe:
342 (a) includes rebates, compensation, or any other form of remuneration [
343 (i) direct or indirect;
344 (ii) overt or covert; or
345 (iii) in cash or in kind; and
346 (b) does not include a rebate paid to the state under 42 U.S.C. Sec. 1396r-8 or any state
347 supplemental rebates.
348 (2) A person may not solicit, offer, pay, or receive a kickback or bribe in return for or
349 to induce:
350 (a) the purchasing, leasing, or ordering of any goods or services for which payment is
351 or may be made in whole or in part pursuant to a medical benefit program; or
352 (b) the referral of an individual to another person for the furnishing of any goods or
353 services for which payment is or may be made in whole or in part pursuant to a medical benefit
354 program.
355 Section 6. Section 26-20a-203 , which is renumbered from Section 26-20-5 is
356 renumbered and amended to read:
357 [
358 qualification of health institution or facility prohibited -- Felony.
359 (1) A person may not knowingly, intentionally, or recklessly make, or induce[
360 to induce[
361 respect to the conditions or operation of an institution or facility in order that the institution or
362 facility may qualify, upon initial certification or upon recertification, as a hospital, skilled
363 nursing facility, intermediate care facility, or home health agency.
364 (2) A person who violates this section is guilty of a second degree felony.
365 Section 7. Section 26-20a-204 , which is renumbered from Section 26-20-7 is
366 renumbered and amended to read:
367 [
368 (1) A person may not make or present, or cause to be made or presented, to an
369 employee or officer of the state a claim for a medical benefit:
370 (a) [
371 (b) for services which were not rendered or for items or materials which were not
372 delivered;
373 (c) [
374 rendered;
375 (d) representing charges at a higher rate than those charged by the provider to the
376 general public;
377 (e) for items or services [
378 medically necessary in accordance with professionally recognized standards;
379 (f) [
380 (g) for services also covered by one or more private sources when the person or
381 provider [
382 (h) where a provider:
383 (i) unbundles a product, procedure, or group of procedures usually and customarily
384 provided or performed as a single billable product or procedure into artificial components or
385 separate procedures; and
386 (ii) bills for each component of the product, procedure, or group of procedures:
387 (A) as if they had been provided or performed independently and at separate times; and
388 (B) if the aggregate billing for the components exceeds the amount otherwise billable
389 for the usual and customary single product or procedure.
390 (2) In addition to the prohibitions described in Subsection (1), a person may not:
391 (a) fail to credit the state for payments received from other sources;
392 (b) recover or attempt to recover payment in violation of the provider agreement from:
393 (i) a recipient under a medical benefit program; or
394 (ii) the recipient's family;
395 (c) falsify or alter with intent to deceive, any report or document required by state or
396 federal law, rule, or Medicaid provider agreement;
397 (d) retain any unauthorized payment as a result of acts described by this section; or
398 (e) aid or abet the commission of any act prohibited [
399 Section 8. Section 26-20a-301 , which is renumbered from Section 26-20-9 is
400 renumbered and amended to read:
401
402 [
403 (1) (a) Except as provided in Subsection (1)(b) [
404
405 intentionally, or recklessly [
406 Prohibited Conduct.
407 [
408
409
410 (b) A person is guilty of a criminal violation of Section 26-20a-202 if the person
411 knowingly or intentionally violates a provision of Section 26-20a-202 .
412 (2) The punishment for a criminal violation of any provision of this chapter, except as
413 provided under Section [
414 (a) determined by the cumulative value of the funds or other benefits received or
415 claimed in the commission of all violations of a similar nature, and not by each separate
416 violation[
417 [
418
419 misdemeanor, or class B misdemeanor based on the dollar amounts as prescribed by
420 Subsection 76-6-412 (1) for theft of property and services.
421 Section 9. Section 26-20a-302 , which is renumbered from Section 26-20-9.5 is
422 renumbered and amended to read:
423 [
424 [
425
426 [
427 [
428 [
429 [
430 [
431 (1) A person is subject to a civil penalty if the person knowingly violates a provision of
432 Part 2, Prohibited Conduct.
433 (2) Any person who violates this chapter shall, in all cases, in addition to other
434 penalties provided by law, be required to:
435 (a) make full and complete restitution to the state of all damages that the state sustains
436 because of the person's violation of this chapter;
437 (b) pay to the state its costs of enforcement of this chapter in that case, including [
438
439 by the state; and
440 (c) pay to the state a civil penalty equal to:
441 (i) three times the amount of damages that the state sustains because of the person's
442 violation of this chapter; and
443 (ii) not less than $5,000 or more than $10,000, as adjusted by the Federal Civil
444 Penalties Inflation Adjustment Act of 1990, for each claim filed or act done in violation of this
445 chapter.
446 (3) Any civil penalties assessed under Subsection (2) shall be awarded by the court as
447 part of its judgment in both criminal and civil actions.
448 (4) A criminal action need not be brought against a person in order for that person to be
449 civilly liable under this section.
450 (5) For purposes of Subsection (2)(c)(i), the amount of damages sustained by the state
451 includes both the state and federal portion of money related to a medical benefit.
452 (6) A civil penalty imposed under this chapter is in addition to, and not in place of, a
453 criminal penalty imposed under this chapter.
454 Section 10. Section 26-20a-303 , which is renumbered from Section 26-20-12 is
455 renumbered and amended to read:
456 [
457 [
458 [
459 any other remedies provided for under:
460 [
461 [
462 [
463 [
464 [
465 [
466
467 [
468 [
469
470 Section 11. Section 26-20a-401 , which is renumbered from Section 26-20-8 is
471 renumbered and amended to read:
472
473 [
474 that false statement or representation knowingly made.
475 In prosecution under this chapter, it shall not be necessary to show that the person had
476 knowledge of similar acts having been performed in the past on the part of persons acting on
477 [
478 persons acting on [
479 representation was knowingly made.
480 Section 12. Section 26-20a-402 , which is renumbered from Section 26-20-11 is
481 renumbered and amended to read:
482 [
483 medical benefits -- Repayment of benefits.
484 (1) In any civil or criminal action brought under this chapter, a paid state warrant, made
485 payable to the order of a party, creates a presumption that the party received funds from the
486 state.
487 (2) In any civil or criminal action brought under this chapter, the value of the benefits
488 received shall be the ordinary or usual charge for similar benefits in the private sector.
489 (3) In any criminal action under this chapter, the repayment of funds or other benefits
490 obtained in violation of the provisions of this chapter does not constitute a defense to, or
491 grounds for, dismissal of that action.
492 Section 13. Section 26-20a-403 , which is renumbered from Section 26-20-15 is
493 renumbered and amended to read:
494 [
495 section -- Civil burden of proof -- Estoppel -- Joint civil liability -- Venue.
496 (1) An action under this chapter may not be brought after the later of:
497 (a) six years after the [
498 (b) three years after the [
499 responsibility to act in the circumstances [
500
501 known, of the facts that are material to the violation.
502 (2) A civil action brought under this chapter may be brought for acts occurring prior to
503 the effective date of this section if the limitations period set forth in Subsection (1) has not
504 lapsed.
505 (3) In any civil action brought under this chapter the state or relator shall be required to
506 prove by a preponderance of evidence, all essential elements of the cause of action including
507 damages.
508 (4) Notwithstanding any other provision of law, a final judgment rendered in favor of
509 the state in any criminal proceeding under this chapter, whether upon a verdict after trial or
510 upon a plea of guilty or nolo contendere, shall estop the defendant from denying the essential
511 elements of the offense in any civil action under this chapter [
512 transaction.
513 (5) Civil liability under this chapter shall be joint and several for a violation committed
514 by two or more persons.
515 (6) Any action brought by the state under this chapter shall be brought in district court
516 in Salt Lake County or in any county where the defendant resides or does business.
517 Section 14. Section 26-20a-501 , which is renumbered from Section 26-20-13 is
518 renumbered and amended to read:
519
520 [
521 (1) This chapter shall be enforced in accordance with this section.
522 (2) The department is responsible for:
523 (a) (i) investigating and prosecuting suspected civil violations of this chapter; or
524 (ii) referring suspected civil violations of this chapter to the attorney general for
525 investigation and prosecution; and
526 (b) promptly referring suspected criminal violations of this chapter to the attorney
527 general for criminal investigation and prosecution.
528 (3) The attorney general has:
529 (a) concurrent jurisdiction with the department for investigating and prosecuting
530 suspected civil violations of this chapter; and
531 (b) exclusive jurisdiction to investigate and prosecute all suspected criminal violations
532 of this chapter.
533 (4) The department and the attorney general share concurrent civil enforcement
534 authority under this chapter and may enter into an interagency agreement regarding the
535 investigation and prosecution of violations of this chapter in accordance with this section, the
536 requirements of Title XIX of the federal Social Security Act, and applicable federal regulations.
537 (5) [
538 chapter [
539
540 government officers and agencies shall cooperate with and assist in any prosecution for
541 violation of this chapter.
542 Section 15. Section 26-20a-502 , which is renumbered from Section 26-20-14 is
543 renumbered and amended to read:
544 [
545 (1) The attorney general may take investigative action under Subsection (2) if the
546 attorney general has reason to believe that:
547 (a) a person has information or custody or control of documentary material relevant to
548 the subject matter of an investigation of an alleged violation of this chapter;
549 (b) a person is committing, has committed, or is about to commit a violation of this
550 chapter; or
551 (c) it is in the public interest to conduct an investigation to ascertain whether or not a
552 person is committing, has committed, or is about to commit a violation of this chapter.
553 (2) In taking investigative action, the attorney general may:
554 (a) require the person to file on a prescribed form a statement in writing, under oath or
555 affirmation describing:
556 (i) the facts and circumstances concerning the alleged violation of this chapter; and
557 (ii) other information considered necessary by the attorney general;
558 (b) examine under oath a person in connection with the alleged violation of this
559 chapter; and
560 (c) in accordance with [
561 writing[
562 produce the documentary material and permit inspection and copying of the material.
563 [
564
565
566 [
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570 [
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576 [
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653 Section 16. Section 26-20a-503 is enacted to read:
654 26-20a-503. Investigatory records.
655 (1) The attorney general may not release or disclose information that is obtained under
656 Subsection 26-20a-502 (2)(a) or (b), or any documentary material or other record derived from
657 the information obtained under Subsection 26-20a-502 (2)(a) or (b), except:
658 (a) by court order for good cause shown;
659 (b) with the consent of the person who provided the information;
660 (c) to an employee of the attorney general or the department;
661 (d) to an agency of this state, the United States, or another state;
662 (e) to a special assistant attorney general representing the state in a civil action;
663 (f) to a political subdivision of this state; or
664 (g) to a person authorized by the attorney general to receive the information.
665 (2) The attorney general may use documentary material derived from information
666 obtained under Subsection 26-20a-502 (2)(a) or (b), or copies of that material, as the attorney
667 general determines necessary in the enforcement of this chapter, including presentation before a
668 court.
669 Section 17. Section 26-20a-504 is enacted to read:
670 26-20a-504. Order to compel filing of statement or submission to examination.
671 (1) If a person fails to file a statement as required under Subsection 26-20a-502 (2)(a),
672 or fails to submit to an examination as required under Subsection 26-20a-502 (2)(b), the
673 attorney general may file in district court a complaint for an order to compel the person to,
674 within a period stated by court order:
675 (a) file the statement required under Subsection 26-20a-502 (2)(a); or
676 (b) submit to the examination required by Subsection 26-20a-502 (2)(b).
677 (2) Failure to comply with an order entered under Subsection (1) is punishable as
678 contempt.
679 Section 18. Section 26-20a-505 is enacted to read:
680 26-20a-505. Civil investigative demand -- Service.
681 (1) A civil investigative demand shall:
682 (a) state the rule or statute under which the alleged violation of this chapter is being
683 investigated;
684 (b) describe the general subject matter of the investigation;
685 (c) describe the class or classes of documentary material to be produced with
686 reasonable specificity to fairly indicate the documentary material demanded;
687 (d) designate a date within which the documentary material is required to be produced;
688 and
689 (e) identify an authorized employee of the attorney general to whom the documentary
690 material is to be made available for inspection and copying.
691 (2) A civil investigative demand may require disclosure of any documentary material
692 that is discoverable under the Utah Rules of Civil Procedure.
693 (3) Service of a civil investigative demand may be made by:
694 (a) delivering an executed copy of the demand to the person to be served or to a
695 partner, an officer, or an agent authorized by appointment or by law to receive service of
696 process on behalf of that person;
697 (b) delivering an executed copy of the demand to the principal place of business in this
698 state of the person to be served; or
699 (c) mailing by registered or certified mail an executed copy of the demand addressed to
700 the person to be served:
701 (i) at the person's principal place of business in this state; or
702 (ii) if the person has no place of business in this state, to the person's principal office or
703 place of business.
704 (4) (a) A person who has committed a violation of this chapter in relation to the
705 Medicaid program in this state or to any other medical benefit program administered by the
706 state has submitted to the jurisdiction of this state.
707 (b) Personal service of a civil investigative demand under this section may be made on
708 the person described in Subsection (4)(a) outside of this state.
709 Section 19. Section 26-20a-506 is enacted to read:
710 26-20a-506. Extension or modification of civil investigative demand -- Compliance
711 with demand.
712 (1) A person may file a complaint, stating good cause, to extend the return date for a
713 civil investigative demand or to modify or set aside the demand.
714 (2) A person described in Subsection (1) shall file the complaint in district court before
715 the earlier of:
716 (a) the return date specified in the civil investigative demand; or
717 (b) 20 days after the day on which the civil investigative demand is served.
718 (3) Except as provided by court order, a person who has been served with a civil
719 investigative demand shall comply with the terms of the demand.
720 Section 20. Section 26-20a-507 is enacted to read:
721 26-20a-507. Documentary material -- Production -- Inspection and copying.
722 (1) Documentary material demanded in a civil investigative demand shall be produced
723 for inspection and copying during normal business hours at the office of the attorney general or
724 as agreed by the person served and the attorney general.
725 (2) The attorney general may not produce for inspection or copying or otherwise
726 disclose the contents of documentary material obtained pursuant to a civil investigative demand
727 except:
728 (a) by court order for good cause shown;
729 (b) with the consent of the person who produced the information;
730 (c) to an employee of the attorney general or the department;
731 (d) to an agency of this state, the United States, or another state;
732 (e) to a special assistant attorney general representing the state in a civil action;
733 (f) to a political subdivision of this state; or
734 (g) to a person authorized by the attorney general to receive the information.
735 (3) (a) The attorney general shall prescribe reasonable terms and conditions allowing
736 documentary material obtained pursuant to a civil investigative demand to be made available
737 for inspection and copying by the person who produced the material or by an authorized
738 representative of that person.
739 (b) The attorney general may use the documentary material described in Subsection
740 (3)(a), or copies of the documentary material, as the attorney general determines necessary in
741 the enforcement of this chapter, including presentation of the documentary material before a
742 court.
743 Section 21. Section 26-20a-508 is enacted to read:
744 26-20a-508. Enforcement of civil investigatory demand.
745 (1) The attorney general may file a complaint in district court for an order to enforce a
746 civil investigative demand if:
747 (a) a person fails to comply with the civil investigative demand; or
748 (b) (i) copying and reproduction of the documentary material demanded cannot be
749 satisfactorily accomplished; and
750 (ii) the person upon whom the demand is served refuses to surrender the documentary
751 material.
752 (2) If the attorney general files a complaint under Subsection (1), the court may
753 determine the matter presented and may enter an order to enforce the civil investigative
754 demand.
755 (3) Failure to comply with a final order entered under Subsection (2) is punishable by
756 contempt.
757 Section 22. Section 26-20a-509 is enacted to read:
758 26-20a-509. Investigation by other means.
759 Nothing in this part limits the authority of the attorney general to conduct investigations
760 or to access a person's documentary materials or other information under another state or
761 federal law, the Utah Rules of Civil Procedure, or the Federal Rules of Civil Procedure.
762 Section 23. Section 26-20a-601 is enacted to read:
763
764 26-20a-601. Filing of qui tam action -- Notice to attorney general -- Intervention
765 or related action by person other than the state prohibited.
766 (1) A relator may file a complaint in district court, in the name of the state, against a
767 person for a violation of Part 2, Prohibited Conduct.
768 (2) A complaint filed under this section:
769 (a) may be filed in any judicial district in this state where the defendant:
770 (i) is found, resides, or transacts business; or
771 (ii) allegedly engaged in conduct that is a basis for the complaint;
772 (b) shall be filed in camera and remain under seal for at least 60 days after the day on
773 which the attorney general's office receives the documents described in Subsection (4), or
774 longer if extended by the court for good cause upon a motion by the attorney general; and
775 (c) may not be served on the defendant until ordered by the court.
776 (3) A motion made by the attorney general under Subsection (2)(b) may be supported
777 by an affidavit or other in camera submission.
778 (4) A relator shall, within 10 days after the day on which the relator files a complaint
779 described in Subsection (1), serve on the attorney general's office, pursuant to the Utah Rules
780 of Civil Procedure:
781 (a) a copy of the complaint; and
782 (b) a written disclosure of material evidence and information relating to the complaint.
783 (5) A defendant named in a complaint filed under this section shall respond to the
784 complaint within the time required by the Utah Rules of Civil Procedure.
785 (6) No person, other than the state, may:
786 (a) intervene in a qui tam action filed under this section; or
787 (b) bring a related action in state court that is based on the same facts as a qui tam
788 action filed under this section.
789 (7) This section is not intended to preclude the filing of an action by a relator in federal
790 court.
791 Section 24. Section 26-20a-602 is enacted to read:
792 26-20a-602. Limitations on action by relator.
793 (1) A relator may not bring an action under this chapter:
794 (a) that is based on an allegation or transaction that is the subject of a civil or
795 administrative proceeding in this state to which the state, or a political subdivision of the state,
796 is already a party;
797 (b) against a member of the Utah State Legislature, in the member's capacity as a
798 legislator;
799 (c) against a person who is a member of the judiciary, in the person's capacity as a
800 member of the judiciary; or
801 (d) against a person who is a public official, as defined in Section 20A-11-1202 , in the
802 person's capacity as a public official.
803 (2) If a relator is convicted of criminal conduct that arises from the person's role in the
804 violation upon which the action filed by the relator is based:
805 (a) the court shall dismiss the relator from the civil action; and
806 (b) the relator may not receive any of the proceeds from the action or settlement.
807 (3) A dismissal under Subsection (2)(a) does not prejudice the right of the attorney
808 general to proceed with the action.
809 (4) Unless the attorney general objects to dismissing the claim or action, or the relator
810 is an original source of the information upon which the claim or action is based, the court shall
811 dismiss a claim or action brought by a relator if substantially the same allegations or
812 transactions as alleged in the action or claim were publicly disclosed before the claim or action
813 was filed:
814 (a) in a criminal, civil, or administrative hearing where the state, a political subdivision
815 of the state, or an agent of the state or a political subdivision of the state, is a party;
816 (b) in a criminal, civil, or administrative hearing where the federal government, or an
817 agent of the federal government, is a party;
818 (c) in a legislative, or other government report, hearing, audit, or investigation;
819 (d) in a congressional, federal Government Accountability Office, or other federal
820 report, hearing, audit, or investigation; or
821 (e) in the news media.
822 Section 25. Section 26-20a-603 is enacted to read:
823 26-20a-603. Option of state to intervene in qui tam action -- Control of action --
824 Rights of state and relator.
825 (1) The attorney general shall, within 60 days after the day on which the relator serves
826 the documents required under Subsection 26-20a-601 (4), or an extended period as ordered by
827 the court under Subsection 26-20a-601 (2)(b):
828 (a) elect to proceed with an action filed under Subsection 26-20a-601 (1) by filing with
829 the court a notice of the state's intent to proceed with the action; or
830 (b) elect to not proceed with an action filed under Subsection 26-20a-601 (1) by filing
831 with the court a notice of the state's intent to not proceed with the action.
832 (2) The attorney general may intervene and proceed with an action filed under
833 Subsection 26-20a-601 (1) after the 60-day period described in Subsection 26-20a-601 (2)(b), or
834 after an extended period as ordered by the court under Subsection 26-20a-601 (2)(b), if the
835 attorney general:
836 (a) files with the court a notice of the state's intent to proceed with the action;
837 (b) serves a copy of the notice on the relator, pursuant to the Utah Rules of Civil
838 Procedure; and
839 (c) establishes good cause to intervene.
840 (3) If the attorney general intervenes in an action under Subsection (1)(a) or (2):
841 (a) the attorney general:
842 (i) shall serve a copy of the notice on the relator, pursuant to the Utah Rules of Civil
843 Procedure;
844 (ii) shall have primary control of, and responsibility for, the action;
845 (iii) may amend the relator's complaint, to clarify, add detail, or add claims against the
846 defendant; and
847 (iv) may not be bound by an act of the relator; and
848 (b) the relator shall, subject to Section 26-20a-604 , have the right to continue as a party
849 to the action.
850 (4) If the attorney general files the notice described in Subsection (1)(b), the relator:
851 (a) may, subject to Subsection (2), proceed with and conduct the action; and
852 (b) shall, upon request by the attorney general, and at the attorney general's expense:
853 (i) serve the attorney general with copies of all pleadings filed in the action; and
854 (ii) provide the attorney general with copies of all deposition transcripts relating to the
855 action.
856 (5) For purposes of the statute of limitations, a claim added by the attorney general
857 under Subsection (3)(a)(iii) shall relate back to the original filing date of the relator's
858 complaint, to the extent that the claim arises from the same conduct, transaction, or occurrence
859 described in the complaint filed by the relator.
860 Section 26. Section 26-20A-604 is enacted to read:
861 26-20A-604. Limitations on relator's participation in an action -- Stay of
862 discovery.
863 (1) The court may limit a relator's participation in an action in a manner described in
864 Subsection (2):
865 (a) upon a showing by the attorney general that unrestricted participation by the relator
866 during the course of the litigation:
867 (i) would interfere with or unduly delay the attorney general's prosecution of the case;
868 or
869 (ii) would be repetitious, irrelevant, or for the purpose of harassment; or
870 (b) upon a showing by the defendant that unrestricted participation by the relator
871 during the course of the litigation:
872 (i) would be for the purpose of harassment; or
873 (ii) would cause the defendant undue burden or unnecessary expense.
874 (2) The limitations that a court may place on a relator's participation in an action under
875 Subsection (1) include:
876 (a) limiting the number of witnesses that the relator may call;
877 (b) limiting the length of testimony of each witness that a relator may call;
878 (c) limiting the relator's cross-examination of a witness; and
879 (d) any other limitation that the court determines is appropriate.
880 (3) Regardless of whether the attorney general intervenes in an action filed under
881 Subsection 26-20a-601 (1), the court may stay an action of discovery upon a showing by the
882 attorney general, in an in camera hearing, that the action of discovery would interfere with the
883 state's investigation or prosecution of a civil or criminal matter that arises out of the same facts
884 as the action filed under Subsection 26-20a-601 (1).
885 (4) (a) Except as provided in Subsection (4)(b), the stay of a discovery action described
886 in Subsection (3) may not be for longer than 60 days.
887 (b) The court may extend the 60-day period described in Subsection (4)(a) if the
888 attorney general makes a showing, in an in camera hearing, that:
889 (i) the state has pursued the investigation or prosecution of the civil or criminal matter;
890 and
891 (ii) the discovery action will interfere with the investigation or prosecution of the civil
892 or criminal matter.
893 Section 27. Section 26-20A-605 is enacted to read:
894 26-20A-605. Dismissal or settlement of action.
895 (1) A court may dismiss a complaint filed under Subsection 26A-20-601 (1),
896 notwithstanding objection by the relator, if:
897 (a) the court and the attorney general give written consent for the dismissal that
898 includes the reasons for the dismissal; and
899 (b) the court provides the relator with notice and an opportunity to be heard regarding
900 the dismissal before dismissing the case.
901 (2) (a) The attorney general may settle an action filed under Subsection 26A-20-601 (1),
902 notwithstanding objection by the relator, if, after providing the relator with notice and an
903 opportunity to be heard, the court determines that the settlement is fair, accurate, and
904 reasonable under all circumstances.
905 (b) The hearing described in Subsection (2)(a) may be held in camera upon a showing
906 of good cause.
907 Section 28. Section 26-20a-606 is enacted to read:
908 26-20a-606. Distribution of proceeds from action or settlement.
909 (1) If the state proceeds with an action brought by a relator, the relator is, except as
910 provided in Subsection (3) and Subsection 26-20a-602 (2)(a), entitled to:
911 (a) except as provided in Subsection (1)(b) or (c), 15% of the proceeds of the action or
912 settlement;
913 (b) except as provided in Subsection (1)(c), an amount, as determined by the court, that
914 does not to exceed 25% of the proceeds of the action or settlement, if the court determines that
915 the relator's contribution to the prosecution of the action warrants award of a higher percentage
916 than the percentage described in Subsection (1)(a); or
917 (c) an amount, that the court determines is appropriate, not to exceed 10% of the
918 proceeds of the action or settlement, taking into account the significance of the information and
919 the role of the relator in advancing the case to litigation, if the court finds that the action is
920 primarily based on disclosure of specific information, other than information provided by the
921 relator:
922 (i) that relates to allegations or transactions in:
923 (A) a criminal, civil, or administrative hearing; or
924 (B) a congressional, legislative, administrative, or other federal, state, or local
925 government report, hearing, audit, or investigation; or
926 (ii) the news media.
927 (2) If the state does not proceed with an action brought by a relator, the relator is,
928 except as provided in Subsection (3) and Section 26-20a-602 (2)(a), entitled to:
929 (a) 25% of the proceeds of the action or settlement; or
930 (b) a higher percentage of the proceeds of the action or settlement, not to exceed 30%,
931 if the court determines that the relator's contribution to the prosecution of the action warrants
932 award of a higher percentage.
933 (3) If the court finds that a relator planned or initiated the violation of Part 2,
934 Prohibited Conduct, upon which the action filed by the relator is based, the court may, to the
935 extent the court determines to be appropriate, reduce the share of the proceeds of the action that
936 the person would otherwise receive under Subsection (1) or (2), taking into account:
937 (a) the role of the relator in advancing the case to litigation; and
938 (b) any other circumstances relating to the violation.
939 (4) The court shall also award the relator, in addition to the amounts described in
940 Subsection (1) or (2), reasonable expenses that the court finds were necessarily incurred,
941 including reasonable costs and attorney fees, to be paid by the defendant.
942 (5) If a relator proceeds with an action that the state does not intervene in, the court
943 may award reasonable attorney fees and expenses to a prevailing defendant if the court finds
944 that the action is based on a claim that was:
945 (a) clearly frivolous;
946 (b) clearly vexatious; or
947 (c) brought primarily for the purpose of harassment.
948 Section 29. Section 26-20a-607 is enacted to read:
949 26-20a-607. State not liable for expenses of relator.
950 The state is not liable for expenses, including costs and attorney fees, of a relator.
951 Section 30. Section 26-20a-608 is enacted to read:
952 26-20a-608. Pursuit of claim through alternate means.
953 (1) Notwithstanding any other provision of this part, the attorney general may elect to
954 pursue a claim that is part of an action filed under this part through an alternate remedy,
955 including an administrative proceeding.
956 (2) If the state makes the election described in Subsection (1):
957 (a) the relator shall have the same rights in the proceeding for the alternate remedy as
958 the relator has in an action under this part; and
959 (b) any finding of fact or conclusion of law made in the proceeding described in
960 Subsection (2)(a) shall, upon the finding or conclusion of law becoming final, be conclusive on
961 all parties to an action under this part.
962 Section 31. Section 26-20a-609 is enacted to read:
963 26-20a-609. Whistleblower action.
964 (1) A relator or another individual may file an action against a person for taking any
965 adverse action against the relator or the individual:
966 (a) in retaliation for the relator bringing an action under this chapter or section;
967 (b) to prevent the relator or the individual from lawfully:
968 (i) engaging in conduct in furtherance of the action filed by the relator; or
969 (ii) taking action to stop or report a violation of this chapter; or
970 (c) in retaliation for the relator or the individual lawfully:
971 (i) engaging in conduct in furtherance of the action filed by the relator; or
972 (ii) taking action to stop or report a violation of this chapter.
973 (2) A relator or individual who files an action described in Subsection (1) may seek any
974 relief necessary to:
975 (a) protect the relator or the individual from conduct described in Subsections (1)(a)
976 through (c); or
977 (b) make the relator, or the individual subjected to the conduct described in
978 Subsections (1)(a) through (c), whole.
979 (3) The relief described in Subsection (2) includes:
980 (a) an injunction;
981 (b) damages, including:
982 (i) twice the amount of backpay;
983 (ii) interest on backpay; and
984 (iii) compensation for any special damages;
985 (c) reinstatement to employment, position, seniority, authority, benefits, or
986 compensation;
987 (d) litigation costs; and
988 (e) reasonable attorney fees.
989 (4) An action filed under this section may be filed in any judicial district in this state
990 where the defendant:
991 (a) is found, resides, or transacts business; or
992 (b) allegedly engaged in any of the alleged violations described in:
993 (i) this section; or
994 (ii) Part 2, Prohibited Conduct.
995 (5) A civil action under this section may not be brought later than three years after the
996 day on which the violation of this section occurred.
997 Section 32. Section 26-20a-701 , which is renumbered from Section 26-20-10 is
998 renumbered and amended to read:
999
1000 [
1001 Appointment of receiver.
1002 (1) If the license of an assisted living facility is revoked for violation of this chapter, the
1003 county attorney may file a petition with the district court for the county in which the facility is
1004 located for the appointment of a receiver.
1005 (2) [
1006 issue an order to show cause why a receiver should not be appointed, returnable within five
1007 days after the filing of the petition.
1008 (3) If the court finds that the facts warrant the granting of the petition, the court shall
1009 appoint a receiver to take charge of the facility. The court may determine fair compensation for
1010 the receiver.
1011 (4) A receiver appointed pursuant to this section shall have the powers and duties
1012 prescribed by the court.
1013 Section 33. Section 26-20a-702 is enacted to read:
1014 26-20a-702. Severability.
1015 If any provision of this chapter, or the application of this chapter to any person or
1016 circumstance, is held unconstitutional:
1017 (1) the remaining provisions of this chapter shall not be affected; and
1018 (2) the application of this chapter to other persons or circumstances shall not be
1019 affected.
1020 Section 34. Section 67-5-1 is amended to read:
1021 67-5-1. General duties.
1022 The attorney general shall:
1023 (1) perform all duties in a manner consistent with the attorney-client relationship under
1024 Section 67-5-17 ;
1025 (2) except as provided in Sections 10-3-928 and 17-18-1 , attend the Supreme Court
1026 and the Court of Appeals of this state, and all courts of the United States, and prosecute or
1027 defend all causes to which the state, or any officer, board, or commission of the state in an
1028 official capacity is a party; and take charge, as attorney, of all civil legal matters in which the
1029 state is interested;
1030 (3) after judgment on any cause referred to in Subsection (2), direct the issuance of
1031 process as necessary to execute the judgment;
1032 (4) account for, and pay over to the proper officer, all moneys that come into the
1033 attorney general's possession that belong to the state;
1034 (5) keep a file of all cases in which the attorney general is required to appear, including
1035 any documents and papers showing the court in which the cases have been instituted and tried,
1036 and whether they are civil or criminal, and:
1037 (a) if civil, the nature of the demand, the stage of proceedings, and when prosecuted to
1038 judgment, a memorandum of the judgment and of any process issued whether satisfied, and if
1039 not satisfied, the return of the sheriff;
1040 (b) if criminal, the nature of the crime, the mode of prosecution, the stage of
1041 proceedings, and when prosecuted to sentence, a memorandum of the sentence and of the
1042 execution, if the sentence has been executed, if not executed, of the reason of the delay or
1043 prevention; and
1044 (c) deliver this information to the attorney general's successor in office;
1045 (6) exercise supervisory powers over the district and county attorneys of the state in all
1046 matters pertaining to the duties of their offices, and from time to time require of them reports of
1047 the condition of public business entrusted to their charge;
1048 (7) give the attorney general's opinion in writing and without fee to the Legislature or
1049 either house, and to any state officer, board, or commission, and to any county attorney or
1050 district attorney, when required, upon any question of law relating to their respective offices;
1051 (8) when required by the public service or directed by the governor, assist any county,
1052 district, or city attorney in the discharge of [
1053 (9) purchase in the name of the state, under the direction of the state Board of
1054 Examiners, any property offered for sale under execution issued upon judgments in favor of or
1055 for the use of the state, and enter satisfaction in whole or in part of the judgments as the
1056 consideration of the purchases;
1057 (10) when the property of a judgment debtor in any judgment mentioned in Subsection
1058 (9) has been sold under a prior judgment, or is subject to any judgment, lien, or encumbrance
1059 taking precedence of the judgment in favor of the state, redeem the property, under the
1060 direction of the state Board of Examiners, from the prior judgment, lien, or encumbrance, and
1061 pay all money necessary for the redemption, upon the order of the state Board of Examiners,
1062 out of any money appropriated for these purposes;
1063 (11) when in his opinion it is necessary for the collection or enforcement of any
1064 judgment, institute and prosecute on behalf of the state any action or proceeding necessary to
1065 set aside and annul all conveyances fraudulently made by the judgment debtors, and pay the
1066 cost necessary to the prosecution, when allowed by the state Board of Examiners, out of any
1067 money not otherwise appropriated;
1068 (12) discharge the duties of a member of all official boards of which the attorney
1069 general is or may be made a member by the Utah Constitution or by the laws of the state, and
1070 other duties prescribed by law;
1071 (13) institute and prosecute proper proceedings in any court of the state or of the
1072 United States, to restrain and enjoin corporations organized under the laws of this or any other
1073 state or territory from acting illegally or in excess of their corporate powers or contrary to
1074 public policy, and in proper cases forfeit their corporate franchises, dissolve the corporations,
1075 and wind up their affairs;
1076 (14) institute investigations for the recovery of all real or personal property that may
1077 have escheated or should escheat to the state, and for that purpose, subpoena any persons
1078 before any of the district courts to answer inquiries and render accounts concerning any
1079 property, examine all books and papers of any corporations, and when any real or personal
1080 property is discovered that should escheat to the state, institute suit in the district court of the
1081 county where the property is situated for its recovery, and escheat that property to the state;
1082 (15) administer the Children's Justice Center as a program to be implemented in
1083 various counties pursuant to Sections 67-5b-101 through 67-5b-107 ;
1084 (16) assist the Constitutional Defense Council as provided in Title 63C, Chapter 4,
1085 Constitutional Defense Council;
1086 (17) pursue any appropriate legal action to implement the state's public lands policy
1087 established in Subsection 63C-4-105 (1);
1088 (18) investigate and prosecute violations of all applicable state laws relating to fraud in
1089 connection with the state Medicaid program and any other medical assistance program
1090 administered by the state, including violations of Title 26, Chapter [
1091 Claims Act;
1092 (19) investigate and prosecute complaints of abuse, neglect, or exploitation of patients
1093 at:
1094 (a) health care facilities that receive payments under the state Medicaid program; and
1095 (b) board and care facilities, as defined in the federal Social Security Act, 42 U.S.C.
1096 Sec. 1396b(q)(4)(B), regardless of the source of payment to the board and care facility; and
1097 (20) (a) report at least twice per year to the Legislative Management Committee on any
1098 pending or anticipated lawsuits, other than eminent domain lawsuits, that might:
1099 (i) cost the state more than $500,000; or
1100 (ii) require the state to take legally binding action that would cost more than $500,000
1101 to implement; and
1102 (b) if the meeting is closed, include an estimate of the state's potential financial or other
1103 legal exposure in that report.
1104 Section 35. Section 76-8-1202 is amended to read:
1105 76-8-1202. Application of part.
1106 (1) This part does not apply to offenses by providers under the state's Medicaid
1107 program that are actionable under Title 26, Chapter [
1108 (2) (a) Section 35A-1-503 applies to criminal actions taken under this part.
1109 (b) The repayment of funds or other benefits obtained in violation of the provisions of
1110 this chapter shall not constitute a defense or grounds for dismissal of a criminal action.
1111 Section 36. Section 76-10-1602 (Superseded 07/01/11) is amended to read:
1112 76-10-1602 (Superseded 07/01/11). Definitions.
1113 As used in this part:
1114 (1) "Enterprise" means any individual, sole proprietorship, partnership, corporation,
1115 business trust, association, or other legal entity, and any union or group of individuals
1116 associated in fact although not a legal entity, and includes illicit as well as licit entities.
1117 (2) "Pattern of unlawful activity" means engaging in conduct which constitutes the
1118 commission of at least three episodes of unlawful activity, which episodes are not isolated, but
1119 have the same or similar purposes, results, participants, victims, or methods of commission, or
1120 otherwise are interrelated by distinguishing characteristics. Taken together, the episodes shall
1121 demonstrate continuing unlawful conduct and be related either to each other or to the
1122 enterprise. At least one of the episodes comprising a pattern of unlawful activity shall have
1123 occurred after July 31, 1981. The most recent act constituting part of a pattern of unlawful
1124 activity as defined by this part shall have occurred within five years of the commission of the
1125 next preceding act alleged as part of the pattern.
1126 (3) "Person" includes any individual or entity capable of holding a legal or beneficial
1127 interest in property, including state, county, and local governmental entities.
1128 (4) "Unlawful activity" means to directly engage in conduct or to solicit, request,
1129 command, encourage, or intentionally aid another person to engage in conduct which would
1130 constitute any offense described by the following crimes or categories of crimes, or to attempt
1131 or conspire to engage in an act which would constitute any of those offenses, regardless of
1132 whether the act is in fact charged or indicted by any authority or is classified as a misdemeanor
1133 or a felony:
1134 (a) any act prohibited by the criminal provisions of Title 13, Chapter 10, Unauthorized
1135 Recording Practices Act;
1136 (b) any act prohibited by the criminal provisions of Title 19, Environmental Quality
1137 Code, Sections 19-1-101 through 19-7-109 ;
1138 (c) taking, destroying, or possessing wildlife or parts of wildlife for the primary
1139 purpose of sale, trade, or other pecuniary gain, in violation of Title 23, Wildlife Resources
1140 Code of Utah, or Section 23-20-4 ;
1141 (d) false claims for medical benefits, kickbacks, and any other act prohibited by Title
1142 26, Chapter [
1143 Prohibited Acts;
1144 (e) any act prohibited by the criminal provisions of Title 32A, Chapter 12, Criminal
1145 Offenses;
1146 (f) any act prohibited by the criminal provisions of Title 57, Chapter 11, Utah Uniform
1147 Land Sales Practices Act;
1148 (g) any act prohibited by the criminal provisions of Title 58, Chapter 37, Utah
1149 Controlled Substances Act, or Title 58, Chapter 37b, Imitation Controlled Substances Act,
1150 Title 58, Chapter 37c, Utah Controlled Substance Precursor Act, or Title 58, Chapter 37d,
1151 Clandestine Drug Lab Act;
1152 (h) any act prohibited by the criminal provisions of Title 61, Chapter 1, Utah Uniform
1153 Securities Act;
1154 (i) any act prohibited by the criminal provisions of Title 63G, Chapter 6 Utah
1155 Procurement Code;
1156 (j) assault or aggravated assault, Sections 76-5-102 and 76-5-103 ;
1157 (k) a threat of terrorism, Section 76-5-107.3 ;
1158 (l) criminal homicide, Sections 76-5-201 , 76-5-202 , and 76-5-203 ;
1159 (m) kidnapping or aggravated kidnapping, Sections 76-5-301 and 76-5-302 ;
1160 (n) sexual exploitation of a minor, Section 76-5a-3 ;
1161 (o) arson or aggravated arson, Sections 76-6-102 and 76-6-103 ;
1162 (p) causing a catastrophe, Section 76-6-105 ;
1163 (q) burglary or aggravated burglary, Sections 76-6-202 and 76-6-203 ;
1164 (r) burglary of a vehicle, Section 76-6-204 ;
1165 (s) manufacture or possession of an instrument for burglary or theft, Section 76-6-205 ;
1166 (t) robbery or aggravated robbery, Sections 76-6-301 and 76-6-302 ;
1167 (u) theft, Section 76-6-404 ;
1168 (v) theft by deception, Section 76-6-405 ;
1169 (w) theft by extortion, Section 76-6-406 ;
1170 (x) receiving stolen property, Section 76-6-408 ;
1171 (y) theft of services, Section 76-6-409 ;
1172 (z) forgery, Section 76-6-501 ;
1173 (aa) fraudulent use of a credit card, Sections 76-6-506.1 , 76-6-506.2 , and 76-6-506.4 ;
1174 (bb) deceptive business practices, Section 76-6-507 ;
1175 (cc) bribery or receiving bribe by person in the business of selection, appraisal, or
1176 criticism of goods, Section 76-6-508 ;
1177 (dd) bribery of a labor official, Section 76-6-509 ;
1178 (ee) defrauding creditors, Section 76-6-511 ;
1179 (ff) acceptance of deposit by insolvent financial institution, Section 76-6-512 ;
1180 (gg) unlawful dealing with property by fiduciary, Section 76-6-513 ;
1181 (hh) bribery or threat to influence contest, Section 76-6-514 ;
1182 (ii) making a false credit report, Section 76-6-517 ;
1183 (jj) criminal simulation, Section 76-6-518 ;
1184 (kk) criminal usury, Section 76-6-520 ;
1185 (ll) fraudulent insurance act, Section 76-6-521 ;
1186 (mm) retail theft, Section 76-6-602 ;
1187 (nn) computer crimes, Section 76-6-703 ;
1188 (oo) identity fraud, Section 76-6-1102 ;
1189 (pp) mortgage fraud, Section 76-6-1203 ;
1190 (qq) sale of a child, Section 76-7-203 ;
1191 (rr) bribery to influence official or political actions, Section 76-8-103 ;
1192 (ss) threats to influence official or political action, Section 76-8-104 ;
1193 (tt) receiving bribe or bribery by public servant, Section 76-8-105 ;
1194 (uu) receiving bribe or bribery for endorsement of person as public servant, Section
1195 76-8-106 ;
1196 (vv) official misconduct, Sections 76-8-201 and 76-8-202 ;
1197 (ww) obstruction of justice, Section 76-8-306 ;
1198 (xx) acceptance of bribe or bribery to prevent criminal prosecution, Section 76-8-308 ;
1199 (yy) false or inconsistent material statements, Section 76-8-502 ;
1200 (zz) false or inconsistent statements, Section 76-8-503 ;
1201 (aaa) written false statements, Section 76-8-504 ;
1202 (bbb) tampering with a witness or soliciting or receiving a bribe, Section 76-8-508 ;
1203 (ccc) retaliation against a witness, victim, or informant, Section 76-8-508.3 ;
1204 (ddd) extortion or bribery to dismiss criminal proceeding, Section 76-8-509 ;
1205 (eee) public assistance fraud in violation of Section 76-8-1203 , 76-8-1204 , or
1206 76-8-1205 ;
1207 (fff) unemployment insurance fraud, Section 76-8-1301 ;
1208 (ggg) intentionally or knowingly causing one animal to fight with another, Subsection
1209 76-9-301 (2)(d) or (e), or Section 76-9-301.1 ;
1210 (hhh) possession, use, or removal of explosives, chemical, or incendiary devices or
1211 parts, Section 76-10-306 ;
1212 (iii) delivery to common carrier, mailing, or placement on premises of an incendiary
1213 device, Section 76-10-307 ;
1214 (jjj) possession of a deadly weapon with intent to assault, Section 76-10-507 ;
1215 (kkk) unlawful marking of pistol or revolver, Section 76-10-521 ;
1216 (lll) alteration of number or mark on pistol or revolver, Section 76-10-522 ;
1217 (mmm) forging or counterfeiting trademarks, trade name, or trade device, Section
1218 76-10-1002 ;
1219 (nnn) selling goods under counterfeited trademark, trade name, or trade devices,
1220 Section 76-10-1003 ;
1221 (ooo) sales in containers bearing registered trademark of substituted articles, Section
1222 76-10-1004 ;
1223 (ppp) selling or dealing with article bearing registered trademark or service mark with
1224 intent to defraud, Section 76-10-1006 ;
1225 (qqq) gambling, Section 76-10-1102 ;
1226 (rrr) gambling fraud, Section 76-10-1103 ;
1227 (sss) gambling promotion, Section 76-10-1104 ;
1228 (ttt) possessing a gambling device or record, Section 76-10-1105 ;
1229 (uuu) confidence game, Section 76-10-1109 ;
1230 (vvv) distributing pornographic material, Section 76-10-1204 ;
1231 (www) inducing acceptance of pornographic material, Section 76-10-1205 ;
1232 (xxx) dealing in harmful material to a minor, Section 76-10-1206 ;
1233 (yyy) distribution of pornographic films, Section 76-10-1222 ;
1234 (zzz) indecent public displays, Section 76-10-1228 ;
1235 (aaaa) prostitution, Section 76-10-1302 ;
1236 (bbbb) aiding prostitution, Section 76-10-1304 ;
1237 (cccc) exploiting prostitution, Section 76-10-1305 ;
1238 (dddd) aggravated exploitation of prostitution, Section 76-10-1306 ;
1239 (eeee) communications fraud, Section 76-10-1801 ;
1240 (ffff) any act prohibited by the criminal provisions of Chapter 10, Part 19, Money
1241 Laundering and Currency Transaction Reporting Act;
1242 (gggg) vehicle compartment for contraband, Section 76-10-2801 ;
1243 (hhhh) any act prohibited by the criminal provisions of the laws governing taxation in
1244 this state; and
1245 (iiii) any act illegal under the laws of the United States and enumerated in Title 18,
1246 Section 1961 (1)(B), (C), and (D) of the United States Code.
1247 Section 37. Section 76-10-1602 (Effective 07/01/11) is amended to read:
1248 76-10-1602 (Effective 07/01/11). Definitions.
1249 As used in this part:
1250 (1) "Enterprise" means any individual, sole proprietorship, partnership, corporation,
1251 business trust, association, or other legal entity, and any union or group of individuals
1252 associated in fact although not a legal entity, and includes illicit as well as licit entities.
1253 (2) "Pattern of unlawful activity" means engaging in conduct which constitutes the
1254 commission of at least three episodes of unlawful activity, which episodes are not isolated, but
1255 have the same or similar purposes, results, participants, victims, or methods of commission, or
1256 otherwise are interrelated by distinguishing characteristics. Taken together, the episodes shall
1257 demonstrate continuing unlawful conduct and be related either to each other or to the
1258 enterprise. At least one of the episodes comprising a pattern of unlawful activity shall have
1259 occurred after July 31, 1981. The most recent act constituting part of a pattern of unlawful
1260 activity as defined by this part shall have occurred within five years of the commission of the
1261 next preceding act alleged as part of the pattern.
1262 (3) "Person" includes any individual or entity capable of holding a legal or beneficial
1263 interest in property, including state, county, and local governmental entities.
1264 (4) "Unlawful activity" means to directly engage in conduct or to solicit, request,
1265 command, encourage, or intentionally aid another person to engage in conduct which would
1266 constitute any offense described by the following crimes or categories of crimes, or to attempt
1267 or conspire to engage in an act which would constitute any of those offenses, regardless of
1268 whether the act is in fact charged or indicted by any authority or is classified as a misdemeanor
1269 or a felony:
1270 (a) any act prohibited by the criminal provisions of Title 13, Chapter 10, Unauthorized
1271 Recording Practices Act;
1272 (b) any act prohibited by the criminal provisions of Title 19, Environmental Quality
1273 Code, Sections 19-1-101 through 19-7-109 ;
1274 (c) taking, destroying, or possessing wildlife or parts of wildlife for the primary
1275 purpose of sale, trade, or other pecuniary gain, in violation of Title 23, Wildlife Resources
1276 Code of Utah, or Section 23-20-4 ;
1277 (d) false claims for medical benefits, kickbacks, and any other act prohibited by Title
1278 26, Chapter [
1279 Prohibited Acts;
1280 (e) any act prohibited by the criminal provisions of Title 32B, Chapter 4, Criminal
1281 Offenses and Procedure Act;
1282 (f) any act prohibited by the criminal provisions of Title 57, Chapter 11, Utah Uniform
1283 Land Sales Practices Act;
1284 (g) any act prohibited by the criminal provisions of Title 58, Chapter 37, Utah
1285 Controlled Substances Act, or Title 58, Chapter 37b, Imitation Controlled Substances Act,
1286 Title 58, Chapter 37c, Utah Controlled Substance Precursor Act, or Title 58, Chapter 37d,
1287 Clandestine Drug Lab Act;
1288 (h) any act prohibited by the criminal provisions of Title 61, Chapter 1, Utah Uniform
1289 Securities Act;
1290 (i) any act prohibited by the criminal provisions of Title 63G, Chapter 6 Utah
1291 Procurement Code;
1292 (j) assault or aggravated assault, Sections 76-5-102 and 76-5-103 ;
1293 (k) a threat of terrorism, Section 76-5-107.3 ;
1294 (l) criminal homicide, Sections 76-5-201 , 76-5-202 , and 76-5-203 ;
1295 (m) kidnapping or aggravated kidnapping, Sections 76-5-301 and 76-5-302 ;
1296 (n) sexual exploitation of a minor, Section 76-5a-3 ;
1297 (o) arson or aggravated arson, Sections 76-6-102 and 76-6-103 ;
1298 (p) causing a catastrophe, Section 76-6-105 ;
1299 (q) burglary or aggravated burglary, Sections 76-6-202 and 76-6-203 ;
1300 (r) burglary of a vehicle, Section 76-6-204 ;
1301 (s) manufacture or possession of an instrument for burglary or theft, Section 76-6-205 ;
1302 (t) robbery or aggravated robbery, Sections 76-6-301 and 76-6-302 ;
1303 (u) theft, Section 76-6-404 ;
1304 (v) theft by deception, Section 76-6-405 ;
1305 (w) theft by extortion, Section 76-6-406 ;
1306 (x) receiving stolen property, Section 76-6-408 ;
1307 (y) theft of services, Section 76-6-409 ;
1308 (z) forgery, Section 76-6-501 ;
1309 (aa) fraudulent use of a credit card, Sections 76-6-506.1 , 76-6-506.2 , and 76-6-506.4 ;
1310 (bb) deceptive business practices, Section 76-6-507 ;
1311 (cc) bribery or receiving bribe by person in the business of selection, appraisal, or
1312 criticism of goods, Section 76-6-508 ;
1313 (dd) bribery of a labor official, Section 76-6-509 ;
1314 (ee) defrauding creditors, Section 76-6-511 ;
1315 (ff) acceptance of deposit by insolvent financial institution, Section 76-6-512 ;
1316 (gg) unlawful dealing with property by fiduciary, Section 76-6-513 ;
1317 (hh) bribery or threat to influence contest, Section 76-6-514 ;
1318 (ii) making a false credit report, Section 76-6-517 ;
1319 (jj) criminal simulation, Section 76-6-518 ;
1320 (kk) criminal usury, Section 76-6-520 ;
1321 (ll) fraudulent insurance act, Section 76-6-521 ;
1322 (mm) retail theft, Section 76-6-602 ;
1323 (nn) computer crimes, Section 76-6-703 ;
1324 (oo) identity fraud, Section 76-6-1102 ;
1325 (pp) mortgage fraud, Section 76-6-1203 ;
1326 (qq) sale of a child, Section 76-7-203 ;
1327 (rr) bribery to influence official or political actions, Section 76-8-103 ;
1328 (ss) threats to influence official or political action, Section 76-8-104 ;
1329 (tt) receiving bribe or bribery by public servant, Section 76-8-105 ;
1330 (uu) receiving bribe or bribery for endorsement of person as public servant, Section
1331 76-8-106 ;
1332 (vv) official misconduct, Sections 76-8-201 and 76-8-202 ;
1333 (ww) obstruction of justice, Section 76-8-306 ;
1334 (xx) acceptance of bribe or bribery to prevent criminal prosecution, Section 76-8-308 ;
1335 (yy) false or inconsistent material statements, Section 76-8-502 ;
1336 (zz) false or inconsistent statements, Section 76-8-503 ;
1337 (aaa) written false statements, Section 76-8-504 ;
1338 (bbb) tampering with a witness or soliciting or receiving a bribe, Section 76-8-508 ;
1339 (ccc) retaliation against a witness, victim, or informant, Section 76-8-508.3 ;
1340 (ddd) extortion or bribery to dismiss criminal proceeding, Section 76-8-509 ;
1341 (eee) public assistance fraud in violation of Section 76-8-1203 , 76-8-1204 , or
1342 76-8-1205 ;
1343 (fff) unemployment insurance fraud, Section 76-8-1301 ;
1344 (ggg) intentionally or knowingly causing one animal to fight with another, Subsection
1345 76-9-301 (2)(d) or (e), or Section 76-9-301.1 ;
1346 (hhh) possession, use, or removal of explosives, chemical, or incendiary devices or
1347 parts, Section 76-10-306 ;
1348 (iii) delivery to common carrier, mailing, or placement on premises of an incendiary
1349 device, Section 76-10-307 ;
1350 (jjj) possession of a deadly weapon with intent to assault, Section 76-10-507 ;
1351 (kkk) unlawful marking of pistol or revolver, Section 76-10-521 ;
1352 (lll) alteration of number or mark on pistol or revolver, Section 76-10-522 ;
1353 (mmm) forging or counterfeiting trademarks, trade name, or trade device, Section
1354 76-10-1002 ;
1355 (nnn) selling goods under counterfeited trademark, trade name, or trade devices,
1356 Section 76-10-1003 ;
1357 (ooo) sales in containers bearing registered trademark of substituted articles, Section
1358 76-10-1004 ;
1359 (ppp) selling or dealing with article bearing registered trademark or service mark with
1360 intent to defraud, Section 76-10-1006 ;
1361 (qqq) gambling, Section 76-10-1102 ;
1362 (rrr) gambling fraud, Section 76-10-1103 ;
1363 (sss) gambling promotion, Section 76-10-1104 ;
1364 (ttt) possessing a gambling device or record, Section 76-10-1105 ;
1365 (uuu) confidence game, Section 76-10-1109 ;
1366 (vvv) distributing pornographic material, Section 76-10-1204 ;
1367 (www) inducing acceptance of pornographic material, Section 76-10-1205 ;
1368 (xxx) dealing in harmful material to a minor, Section 76-10-1206 ;
1369 (yyy) distribution of pornographic films, Section 76-10-1222 ;
1370 (zzz) indecent public displays, Section 76-10-1228 ;
1371 (aaaa) prostitution, Section 76-10-1302 ;
1372 (bbbb) aiding prostitution, Section 76-10-1304 ;
1373 (cccc) exploiting prostitution, Section 76-10-1305 ;
1374 (dddd) aggravated exploitation of prostitution, Section 76-10-1306 ;
1375 (eeee) communications fraud, Section 76-10-1801 ;
1376 (ffff) any act prohibited by the criminal provisions of Chapter 10, Part 19, Money
1377 Laundering and Currency Transaction Reporting Act;
1378 (gggg) vehicle compartment for contraband, Section 76-10-2801 ;
1379 (hhhh) any act prohibited by the criminal provisions of the laws governing taxation in
1380 this state; and
1381 (iiii) any act illegal under the laws of the United States and enumerated in 18 U.S.C.
1382 Sec. 1961 (1)(B), (C), and (D).
1383 Section 38. Repealer.
1384 This bill repeals:
1385 Section 26-20-6, Conspiracy to defraud prohibited.
1386 Section 39. Effective date.
1387 This bill takes effect on May 10, 2011, except that the amendments to Section
1388 76-10-1602 (Effective 07/01/11) take effect on July 1, 2011.
Legislative Review Note
as of 9-22-10 6:49 AM