STATEWIDE ENTERPRISE FRAUD/WASTE DETECTION.

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View NCGA Bill Details2011-2012 Session
Senate Bill 567 (Public) Filed Tuesday, April 12, 2011
PROVIDING FOR AN ENTERPRISE APPROACH FOR DETECTION OF FRAUD, WASTE, ABUSE, AND IMPROPER PAYMENTS IN STATE GOVERNMENT PROGRAMS AND APPROPRIATING FUNDS FOR THAT PURPOSE.
Intro. by Brunstetter.

Status: Ref to Health Care. If fav, re-ref to Appropriations/Base Budget (Senate Action) (Apr 14 2011)
S 567

Bill Summaries:

  • Summary date: Apr 12 2011 - View Summary

    Identical to H 741, filed 4/6/11.

    Creates an Expenditure Control Compliance Committee (Committee) to provide for the deployment of an enterprise-wide system to detect fraud, waste, and improper payments across State agencies, departments, institutions, and programs to leverage a common infrastructure and a common set of data integration points across multiple program areas. Specifies that the Committee must initially focus on Medicaid claims and other health related claims; unemployment insurance; workers' compensation; revenue and tax collection; discretionary grants and other community-based programs. Specifies the composition of the five voting-member Committee. Prohibits Committee member from substituting a designee to attend or participate on the member's behalf. Provides for termination of the Committee on December 31, 2016.
    Directs the Committee to: (1) solicit and review proposals from State agencies for allocation of funds from the Enterprise Fund (a) to establish programs and opportunities to identify improper claims prior to disbursement of State funds and (b) to eliminate fraud, waste, abuse, and improper payments, subsequent to disbursement of State funds; (2) ensure that staff supporting the Committee works directly with State agencies where programs have been identified to assist them with the specific tasks involved to achieve the outcomes desired under the enterprise fraud and waste program; (3) approve projects identified by State agencies to meet goals of the program and to assure that procurement activity is consistent with State law; (4) utilize advanced analytical technology and modeling techniques, such as link analyses and social network analyses, to allow staff to be more efficient and effective at cost containment; and (5) establish metrics, measures, and outcomes focused on return on investment as an evaluation component for projects to be approved from the Enterprise Fund.
    Directs the Office of State Budget and Management (OSBM) to provide dedicated staff to the Committee.
    Requires the Committee to meet certain specified reporting requirements.
    Requires that General Fund savings realized from the projects be placed in a nonreverting reserve in the OSBM and not be utilized except by appropriation of the General Assembly.
    Appropriates from the General Fund to the OSBM $4 million for the 2011-12 fiscal year, and $4 million for the 2012-13 fiscal year to be used to fund the Committee and to fund the development and deployment of an enterprise-wide information technology system to detect fraud, waste, abuse, and improper payments in state government programs.
    Effective July 1, 2011.