National Flood Insurance Program Administrative Reform Act of 2017
A BILL
To make administrative reforms to the National Flood Insurance Program to increase fairness and accuracy and protect the taxpayer from program fraud and abuse, and for other purposes.
Sec. 2 Increased cost of compliance coverage
“(b) Additional coverage for compliance with land use and control measures
“(1) Authority; eligible properties—The national”
“(E) properties that have been identified by the Administrator, or by a community in accordance with such requirements as the Administrator shall establish, as at a high risk of future flood damage; and
“(F) properties that are located within an area identified pursuant to section 1361(e)(1)(A) (42 U.S.C. 4102(e)(1)(A)) by a covered community (as such term is defined in paragraph (3) of such section 1361(e)).”
“(2) Coverage amount
“(A) Primary coverage—Each policy for flood insurance coverage made available under this title shall provide coverage under this subsection having an aggregate liability for any single property of $30,000.
“(B) Enhanced coverage—The Administrator shall make additional coverage available under this subsection, in excess of the limit specified in subparagraph (A), having an aggregate liability for any single property of up to $60,000.”
“(3) Surcharge for coverage
“(A) Primary coverage—The Administrator shall impose a surcharge on each insured of such amount per policy as the Administrator determines is appropriate to provide cost of compliance coverage in accordance with paragraph (2)(A).
“(B) Enhanced coverage—For each flood policy for flood insurance coverage under this title under which additional cost of compliance coverage is provided pursuant to paragraph (2)(B), the Administrator shall impose a surcharge, in addition to the surcharge under subparagraph (A) of this paragraph, in such amount as the Administrator determines is appropriate for the amount of such coverage provided.”
“(4) Use of certain materials—The Administrator shall require that any measures implemented using amounts made available from coverage provided pursuant to this subsection be carried out using materials, identified by the Administrator, that minimize the impact of flooding on the usability of the covered property and reduce the duration that flooding renders the property unusable or uninhabitable.”
“(5) Continued flood insurance requirement—The Administrator may require, as a condition of providing cost of compliance coverage under this subsection for a property, that the owner of the property enter into such binding agreements as the Administrator considers necessary to ensure that the owner of the property (and any subsequent owners) will maintain flood insurance coverage under this title for the property in such amount, and at all times during a period having such duration, as the Administrator considers appropriate to carry out the purposes of this subsection.”
Sec. 3 Pilot program for properties with preexisting conditions
“(c) Pilot program for investigation of preexisting structural conditions
“(1) Voluntary program—The Administrator shall carry out a pilot program under this subsection to provide for companies participating in the Write Your Own program (as such term is defined in section 1370(a) (42 U.S.C. 4121(a))) to investigate preexisting structural conditions of insured properties and potentially insured properties that could result in the denial of a claim under a policy for flood insurance coverage under this title in the event of a flood loss to such property. Participation in the pilot program shall be voluntary on the part of Write Your Own companies.
“(2) Investigation of properties—Under the pilot program under this subsection, a Write Your Own company participating in the program shall—
“(A) provide in policies for flood insurance coverage under this title covered by the program that, upon the request of the policyholder, the company shall provide for—
“(i) an investigation of the property covered by such policy, using common methods, to determine whether preexisting structural conditions are present that could result in the denial of a claim under such policy for flood losses; and
“(ii) if such investigation is not determinative, an on-site inspection of the property to determine whether such preexisting structural conditions are present;
“(B) upon completion of an investigation or inspection pursuant to subparagraph (A) that determines that such a preexisting structural condition is present or absent, submit a report to the policyholder and Administrator describing the condition; and
“(C) impose a surcharge on each policy described in subparagraph (A) in such amount that the Administrator determines is appropriate to cover the costs of investigations and inspections performed pursuant to such policies and reimburse Write Your Own companies participating in the program under this subsection for such costs.
“(3) Interim report—Not later than December 31, 2021, the Administrator shall submit a report to the Committee on Financial Services of the House of Representatives and the Committee on Banking, Housing, and Urban Affairs of the Senate describing the operation of the pilot program to that date.
“(4) Sunset—The Administrator may not provide any policy for flood insurance described in paragraph (2)(A) after December 31, 2022.
“(5) Final report—Not later than March 31, 2023, the Administrator shall submit a final report regarding the pilot program under this section to the Committee on Financial Services of the House of Representatives and the Committee on Banking, Housing, and Urban Affairs of the Senate. The report shall include any findings and recommendations of the Administrator regarding the pilot program.”
Sec. 4 Penalties for fraud and false statements in the National Flood Insurance Program
“1349. Penalties for fraud and false statements in the National Flood Insurance Program
“(a) Prohibited acts—A person shall not knowingly make a false or misleading statement, production, or submission in connection with the proving or adjusting of a claim for flood insurance coverage made available under this Act. Such prohibited acts include—
“(1) knowingly forging an engineering report, claims adjustment report or technical assistance report used to support a claim determination;
“(2) knowingly making any materially false, fictitious, or fraudulent statement or representation in an engineering report, claims adjustment report, or technical assistance report to support a claim determination;
“(3) knowingly submitting a materially false, fictitious, or fraudulent claim.
“(b) Civil enforcement—The Attorney General may bring a civil action for such relief as may be appropriate whenever it appears that any person has violated or is about to violate any provision of this section. Such action may be brought in an appropriate United States district court.
“(c) Referral to Attorney General—The Administrator shall expeditiously refer to the Attorney General for appropriate action any evidence developed in the performance of functions under this Act that may warrant consideration for criminal or civil prosecution.
“(d) Penalties
“(1) Civil monetary penalty—Any person who violates subsection (a) shall be subject to a civil penalty of not more than $10,000 for each violation, which shall be deposited into the National Flood Insurance Fund established under section 1310 (42 U.S.C. 4017).
“(2) Suspension and debarment—Any person who violates subsection (a) shall not be eligible, for a period of not less than 2 years and not to exceed 5 years, to—
“(A) receive flood insurance coverage pursuant to this title; or
“(B) provide services in connection with the selling, servicing, or handling of claims for flood insurance policies provided pursuant to this title.
“(3) Other penalties—The penalties provided for in this subsection shall be in addition to any other civil or criminal penalty available under law.”
Sec. 5 Enhanced policyholder appeals process rights
“1350. Approval of decisions relating to flood insurance coverage
“(a) In general—The Administrator shall establish an appeals process to enable holders of a flood insurance policy provided under this title to appeal the decisions of their insurer, with respect to the disallowance, in whole or in part, of any claims for proved and approved losses covered by flood insurance. Such appeals shall be limited to the claim or portion of the claim disallowed by the insurer.
“(b) Appeal decision—Upon a decision in an appeal under subsection (a), the Administrator shall provide the policyholder with a written appeal decision. The appeal decision shall explain the Administrator’s determination to uphold or overturn the decision of the flood insurer. The Administrator may direct the flood insurer to take action necessary to resolve the appeal, to include re-inspection, re-adjustment, or payment, as appropriate.
“(c) Rules of construction—This section shall not be construed as—
“(1) making the Federal Emergency Management Agency or the Administrator a party to the flood insurance contract; or
“(2) creating any action or remedy not otherwise provided by this title.”
Sec. 6 Deadline for approval of claims
“(d) Deadline for approval of claims
“(1) In general—The Administrator shall provide that, in the case of any claim for damage to or loss of property under flood insurance coverage made available under this title, a final determination regarding approval of a claim for payment or disapproval of the claim be made, and notification of such determination be provided to the insured making such claim, not later than the expiration of the 90-day period (as such period may be extended pursuant to paragraph (2)) beginning upon the day on which such claim was made. Payment of approved claims shall be made as soon as possible after such approval.
“(2) Extension of deadline—The Administrator shall provide that the period referred to in paragraph (1) may be extended by a single additional period of 15 days in cases where extraordinary circumstances are demonstrated. The Administrator shall, by regulation, establish criteria for demonstrating such extraordinary circumstances and for determining to which claims such extraordinary circumstances apply.”
Sec. 7 Litigation process oversight and reform
“1351. Oversight of litigation
“(a) Oversight—The Administrator shall monitor and oversee litigation conducted by Write Your Own companies arising under contracts for flood insurance sold pursuant to this title, to ensure that—
“(1) litigation expenses are reasonable, appropriate, and cost-effective; and
“(2) Write Your Own companies comply with guidance and procedures established by the Administrator regarding the conduct of litigation.
“(b) Denial of reimbursement for expenses—The Administrator may deny reimbursement for litigation expenses that are determined to be unreasonable, excessive, contrary to guidance issued by the Administrator, or outside the scope of any arrangement entered into with a Write Your Own company.
“(c) Litigation strategy—The Administrator may direct litigation strategy for claims arising under a contract for flood insurance sold by a Write Your Own company.
“(d) Substitution—If at any time, the Administrator determines there is a conflict of interest between the Write Your Own company and the National Flood Insurance Program, or it is in the best interest of the United States, the Administrator may promptly take any necessary action to be substituted for the WYO company in any action arising out of any claim arising under a contract for flood insurance sold by a Write Your Own company.”
Sec. 8 Prohibition on hiring disbarred attorneys
“1352. Prohibition on hiring disbarred attorneys
“The Administrator may not at any time newly employ in connection with the flood insurance program under this title any attorney who has been suspended or disbarred by any court, bar, or Federal or State agency to which the individual was previously admitted to practice.”
Sec. 9 Underpayment of claims by Write Your Own companies
“(f) Underpayment of claims by WYO companies—The Administrator shall establish penalties for companies participating in the Write Your Own program knowingly underpaying claims for losses covered by flood insurance made available under this title, which penalties shall be commensurate, with respect to the amount of the penalty, to the penalties applicable to overpayment of such claims by a similar amount by such companies.”
Sec. 10 Technical assistance reports
“(e) Use of technical assistance reports—When adjusting claims for any damage to or loss of property which is covered by flood insurance made available under this title, the Administrator may rely upon technical assistance reports, as such term is defined in section 1312A, only if such reports are final and are prepared in compliance with applicable State and Federal laws regarding professional licensure and conduct.”
“1312A. Disclosure of technical assistance reports
“(a) In general—Notwithstanding section 552a of title 5, United States Code, upon request by a policyholder, the Administrator shall provide a true, complete, and unredacted copy of any technical assistance report that the Administrator relied upon in adjusting and paying for any damage to or loss of property insured by the policyholder and covered by flood insurance made available under this title. Such disclosures shall be in addition to any other right of disclosure otherwise made available pursuant such section 552a or any other provision of law.
“(b) Direct disclosure by Write Your Own companies and direct servicing agents—A Write Your Own company or direct servicing agent in possession of a technical assistance report subject to disclosure under subsection (a) may disclose such technical assistance report without further review or approval by the Administrator.
“(c) Definitions—For purposes of this section, the following definitions shall apply:
“(1) Policyholder—The term “policyholder” means a person or persons shown as an insured on the declarations page of a policy for flood insurance coverage sold pursuant to this title.
“(2) Technical assistance report—The term “technical assistance report” means a report created for the purpose of furnishing technical assistance to an insurance claims adjuster assigned by the National Flood Insurance Program, including by engineers, surveyors, salvors, architects, and certified public accounts.”
Sec. 11 Improved disclosure requirement for standard flood insurance policies
“(c) Disclosure of coverage
“(1) Disclosure sheet—Each policy under the National Flood Insurance Program shall include a disclosure sheet that sets forth, in plain language—
“(A) the definition of the term “flood” for purposes of coverage under the policy;
“(B) a description of what type of flood forces are necessary so that losses from an event are covered under the policy, including overflow of inland or tidal waves, unusual and rapid accumulation or runoff of a surface any source, and mudflow;
“(C) a statement of the types and characteristics of losses that are not covered under the policy;
“(D) a summary of total cost and amount of insurance coverage, and any other information relating to such coverage required to be disclosed under section 1308(l) of the National Flood Insurance Act of 1968 (42 U.S.C. 4015(l));
“(E) a statement that the disclosure sheet provides general information about the policyholder’s standard flood insurance policy;
“(F) a statement that the standard flood insurance policy, together with the application, endorsements, and declarations page, make up the official contract and are controlling in the event that there is any difference between the information on the disclosure sheet and the information in the policy; and
“(G) a statement that if the policyholder has any questions regarding information in the disclosure sheet or policy he or she should contact the entity selling the policy on behalf of the Program, together with contact information sufficient to allow the policyholder to contact such entity.
“(2) Acknowledgment sheet—Each policy under the National Flood Insurance Program shall include an acknowledgment sheet that sets forth, in plain language—
“(A) a statement of whether or not there is a basement in the property to be covered by the policy;
“(B) a statement of whether or not the policy provides coverage for the contents of the property covered by the policy;
“(C) a statement that the standard flood insurance policy, together with the application, endorsements, and declarations page, make up the official contract and are controlling in the event that there is any difference between the information on the acknowledgment sheet and the information in the policy; and
“(D) a statement that if the policyholder has any questions regarding information in the acknowledgment sheet or policy he or she should contact the entity selling the policy on behalf of the Program, together with contact information sufficient to allow the policyholder to contact such entity.
“(3) Required signatures—Notwithstanding section 1306(c) of the National Flood Insurance Act of 1968 (42 U.S.C. 4013(c)), a policy for flood insurance coverage under the National Flood Insurance Program may not take effect unless the disclosure sheet required under paragraph (1) and the acknowledgment sheet required under paragraph (2), with respect to the policy, are signed and dated by the policyholder and the seller of the policy who is acting on behalf of the Program.”
Sec. 12 Reserve Fund amounts
“(g) Crediting of Reserve Fund amounts—Funds collected pursuant to section 1310A may be credited to the Fund under this section to be available for the purpose described in subsection (d)(1).”
Sec. 13 Sufficient staffing for Office of Flood Insurance Advocate
“(c) Staff—The Administrator shall ensure that the Flood Insurance Advocate has sufficient staff to carry out all of the duties and responsibilities of the Advocate under this section.”
Sec. 14 Federal Flood Insurance Advisory Committee
Sec. 15 Interagency guidance on compliance
Sec. 16 GAO study of claims adjustment practices
Sec. 17 GAO study of flood insurance coverage treatment of earth movement
Sec. 18 Definitions
“(16) the term “Write Your Own Program” means the program under which the Federal Emergency Management Agency enters into a standard arrangement with private property insurance companies to sell contracts for flood insurance coverage under this title under their own business lines of insurance, and to adjust and pay claims arising under such contracts; and
“(17) the term “Write Your Own company” means a private property insurance company that participates in the Write Your Own Program.”
“(5) Write Your Own—The terms “Write Your Own Program” and “Write Your Own company” have the meanings given such terms in section 1370(a) of the National Flood Insurance Act of 1968 (42 U.S.C. 4121(a)).”