Stopping Fraudulent Payments Act
AN ACT
To amend title 31, United States Code, to authorize pausing and segmenting payments, and for other purposes.
Sec. 2 Authority to pause payments for further review and corrective action
“3337. Authority to pause payments for further review and corrective action
“(a) Agency obligation to pause disbursement requests for corrective action—The head of an agency shall take a corrective action to temporarily delay, condition, or segment a disbursement request before the certification of a payment voucher under section 3325 if, as determined by an official designated by the head of the agency, the agency—
“(1) has sufficient reason to determine that the payment presents an elevated risk of fraud based on a fraud-risk indicator or an improper payment resulting in financial loss to the Government as estimated under the requirements of section 3352 in accordance with the statutorily-defined eligibility requirements or other legally-established condition of the program for a payee to be eligible to receive payment;
“(2) has sufficient reason to determine, based on a notification by the relevant State or local government official in the case of a payment from Federal funds disbursed by a State or local government under a State-administered and federally-funded program, that the payment presents an elevated risk of fraud based on a fraud-risk indicator or an improper payment resulting in financial loss to the Government as estimated under the requirements of section 3352 in accordance with the statutorily-defined eligibility requirements or other legally-established condition of the program for a payee to be eligible to receive payment; or
“(3) has been notified of an order from the Secretary of the Treasury described under subsection (b).
“(b) Treasury obligation to return payment voucher and issue corrective action order—Except where otherwise required by law, the Secretary shall promptly notify the relevant certifying official of an order to return a certified payment voucher submitted to a disbursing official under section 3325 and issue a corrective action order to the head of an agency not later than 2 days after the Secretary makes a determination that in accordance with the statutorily-defined eligibility requirements or other legally-established condition of the program for a payee to be eligible to receive payment that such payment presents an elevated risk of fraud based on a fraud-risk indicator or an improper payment resulting in financial loss to the Government based on an output of the Do Not Pay system under section 3354.
“(c) Agency documentation and time-limited corrective action—An action taken by the head of an agency under subsection (a) shall—
“(1) be based on an objective, documented fraud-risk indicator;
“(2) be narrowly applied to the portion of the payment presenting the elevated risk; and
“(3) be limited in duration to the minimum period necessary, as determined by the head of the agency, to verify eligibility of the payee or accuracy of the payment per any program requirement associated with the payment or as stipulated under law.
“(d) Payee notification and time limit of paused disbursement requests—With respect to a disbursement request that has been delayed, conditioned, or segmented pursuant to subsection (a) or a payment voucher that is returned pursuant subsection (b), the head of the agency shall take the following actions:
“(1) Promptly provide to the payee (not later than 2 days after a determination under subsection (a) or a notification to the agency under subsection (b)), as appropriate, and for a case in which the payment from Federal funds disbursed by a State or local government under a State-administered and federally-funded program also provides to such relevant State or local government official, a notification that—
“(A) a disbursement has been temporarily paused, conditioned, or segmented;
“(B) identifies the nature of the fraud-risk indicator or improper payment relied upon by the agency to make the corrective action determination under subsection (a) or notification to the agency under subsection (b); and
“(C) outlines the process for the corrective action review period.
“(2) Use a process tailored to the specific requirements and design of the agency program for a payee, or the State or local government described under paragraph (1), to contest any factual inaccuracy or provide clarifying information during the corrective action review period.
“(3) Issue such payment not later than 30 days after a determination to take a corrective action is made by the head of the agency under subsection (a) or the agency was notified by the Secretary under subsection (b) of a corrective action order, but not later than 7 days after the date on which the payee contests the corrective action under the process established pursuant to paragraph (2), if the head of the agency determines that the payment does not present an elevated risk of fraud or an improper payment resulting in financial loss to the Government.
“(e) Segmentation of low-risk payments—To the maximum extent practicable, the head of each agency shall allow a routine, historically consistent payment amount to proceed while temporarily holding an anomalous, unusually large, or high-risk portion of a payment, or class of payments, pending review and resolution of an agency corrective action determination under subsection (a) or a corrective action order under subsection (b).
“(f) Exemptions for law enforcement activities—The head of an agency, in consultation with the Secretary and the Attorney General, may waive any provision in this section on a case-by-case basis if notified of or instructed by a Federal law enforcement authority, including an agency Inspector General, that the action will jeopardize an active criminal investigation or legal proceeding related to an effort to defraud the Federal Government or violate sections 3729 through 3733 of title 31 (commonly known as the “False Claims Act”).
“(g) Limitation of liability—No officer or employee of the Federal Government shall be personally liable for an action taken in good faith under this section. An action taken under this section may not constitute a final determination of eligibility, liability, or wrongdoing on the part of a payee.
“(h) Rule of construction for program authorizing statute—Nothing in this section may be construed to supersede any other provision of law with respect to any statute that authorizes the payment or program the payment is made under.
“(i) Regulations—Not later than 180 days after the date of the enactment of this section, and annually thereafter, the Secretary, in consultation with the Director, shall issue regulations and establish procedures to administer the requirements of this section that shall be published in the Federal Register that, at a minimum, specify the following:
“(1) The minimum seniority of an agency official designated under subsection (a) authorized to make a determination to issue a corrective action.
“(2) The procedures by which the Secretary of the Treasury will use the Do Not Pay system under section 3354 to make a determination under subsection (b) in accordance with the statutorily-defined eligibility requirements or other legally-established condition of a program for a payee to be eligible to receive payment.
“(3) The procedure for an agency to dispute an order to return a certified payment voucher and appeal a related corrective action order under subsection (b) to the Fiscal Assistant Secretary, which shall at a minimum include a requirement for the agency to receive a response not later than five days after making such a dispute or appeal to the Department of the Treasury.
“(4) The minimum information requirements of a notification required under subsection (d)(1).
“(j) Definitions—In this section:
“(1) Director—The term Director means the Director of the Office of Management and Budget.
“(2) Fraud-risk indicator—The term fraud-risk indicator means an objective data point or analytic signal that indicates an anomalous payment pattern or increase in the volume of a payment amount, a verified data mismatch, network or behavioral anomaly, or match identified by the Do Not Pay system under section 3354 and any payment, account, or payee validation program or service administered by the Secretary that would result in financial loss to the Government.
“(3) Routine, historically consistent payment amount—The term routine, historically consistent payment amount means a payment amount that is consistent with previous payment history of the payee, established program use patterns, or other objective benchmarks determined by the certifying agency.
“(4) Secretary—The term Secretary means the Secretary of the Treasury.”
“(6) complying with an order to take a corrective action to temporarily delay, condition, or segment a disbursement request pursuant to section 3337.”
“(C) the certification was made as a result of a good faith effort to comply with the requirements of section 3337.”