Bill Summaries: H22 (2015-2016 Session)

  • Summary date: Jan 28 2015 - View summary

    Enacts new GS 96-35, unemployment insurance program integrity; reporting, to ensure that program integrity measures enacted by the Division of Employment Services (DES) include the rigorous and consistent use of business intelligence and data analytics.

    Sets out the following five required activities that DES must do to enhance integrity: (1) prioritize DES program integrity efforts that maximize the use of information sharing with or  between specified projects and initiatives in order to prevent, detect, and reduce unemployment insurance fraud and irregularities, (2) coordinate efforts with the Office of Information Technology Services to ensure that DES integrates into its operation and procedures  the most effective and accurate processes and tools to prevent fraudulent, suspicious, or irregular claims, (3) coordinate efforts with the Department of Revenue to enhance alerts which indicate circumvention of payment of unemployment insurance taxes, (4) coordinate efforts with the Department of Health and Human Services to facilitate claims cross-matching and other appropriate steps, and (5) coordinate efforts with the Office of State Controller to facilitate cross-matching and other appropriate steps using BEACON.

    Requires DES to submit quarterly written reports, beginning April 1, 2015, that detail its progress and efforts in achieving  the above required activities, to the Chairs of the Joint Legislative Oversight Committee on Unemployment Insurance, the Chairs of the Joint Legislative Oversight Committee on Information Technology, the Chairs of the House Appropriations Subcommittee on Natural and Economic Resources, the Chairs of the Senate Appropriations Committee on Natural and Economic Resources, and the Fiscal Research Division. Sets out specific items the written report must contain, including metrics regarding unemployment benefits overpayments, improper payments, and fraudulent payments.

    Requires DES, beginning January 1, 2016, to submit an annual report to the General Assembly detailing efforts to carry out the above required activities. Sets out five specific items the annual report must contain, including, the methodology used to determine analytic priorities for unemployment insurance program integrity investigation.