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Alert Memorandum: Potentially Fraudulent Unemployment Insurance Payments in High-Risk Areas Increased to $45.6 Billion (DOL OIG, September…
Record facts
| Court | U.S. Department of Labor, Office of Inspector General |
|---|---|
| Filed | 2022-09-21 |
Summary
An alert memorandum issued September 21, 2022 by the U.S. Department of Labor Office of Inspector General to the Acting Assistant Secretary for Employment and Training, Report Number: 19-22-005-03-315. It reports that potentially fraudulent unemployment insurance pandemic benefits identified in high-risk areas rose to $45.6 billion for March 2020 to April 2022, an increase of $29.6 billion over the more than $16 billion reported earlier. A table gives $28,967,047,154 for multistate claimants, $139,483,136 for deceased persons, $16,265,578,304 for suspicious email accounts and $267,382,013 for federal prisoners. The memorandum states the Employment and Training Administration has not taken sufficient action on prior recommendations and describes delays in obtaining state data under 20 C.F.R. Part 603.
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U.S. Department of Labor
Office of Inspector General
Washington, D.C. 20210
Working for America’s Workforce
September 21, 2022
MEMORANDUM FOR:
BRENT PARTON
Acting Assistant Secretary
for Employment and Training
FROM:
CAROLYN R. HANTZ
Assistant Inspector General
for Audit
SUBJECT:
Alert Memorandum: Potentially Fraudulent
Unemployment Insurance Payments in
High-Risk Areas Increased to $45.6 Billion
Report Number: 19-22-005-03-315
The purpose of this memorandum is to alert you to concerns the Office of
Inspector General (OIG) has determined needs immediate action. In
February1 and June2 2021, the OIG issued alert memoranda to the Employment
and Training Administration (ETA) that cumulatively identified more than
$16 billion3 in potentially fraudulent unemployment insurance (UI) pandemic
benefits paid in four specific high-risk areas, to individuals with Social Security
numbers: (1) filed in multiple states, (2) of deceased persons, (3) used to file UI
claims with suspicious email accounts, and (4) of federal prisoners. Since then,
the OIG has identified an increase of $29.6 billion in potentially fraudulent
1 Alert Memorandum: The Employment and Training Administration (ETA) Needs to Ensure State
Workforce Agencies (SWA) Implement Effective Unemployment Insurance Program Fraud
Controls for High Risk Areas, Report No. 19-21-002-03-315 (February 22, 2021), available at:
https://www.oig.dol.gov/public/reports/oa/2021/19-21-002-03-315.pdf
2 Alert Memorandum: The Employment and Training Administration Needs to Issue Guidance to
Ensure State Workforce Agencies Provide Requested Unemployment Insurance Data to the
Office of Inspector General, Report No. 19-21-005-03-315 (June 16, 2021), available at:
https://www.oig.dol.gov/public/reports/oa/2021/19-21-005-03-315.pdf
3 The two alert memoranda to ETA identified a cumulative total of nearly $17 billion, including
about $915 million in potential fraud that was identified under more than one area, resulting in
more than $16 billion paid in potentially fraudulent UI benefits.
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payments within three of the areas4 previously analyzed, raising the cumulative
total for these high-risk areas to $45.6 billion.5
The total potential fraud covers the period of March 2020 to April 2022.
In 2021, the OIG shared with ETA the data and methodology used to identify
potential fraud as well as recommended ETA take corrective actions and
implement controls that would help mitigate and prevent fraud from occurring
within the high-risk areas of the UI program. Specifically, in February 2021, the
OIG recommended ETA: (1) establish effective controls, in collaboration with
State Workforce Agencies (SWA or state), to mitigate fraud and other improper
payments to ineligible claimants; and (2) work with Congress to establish
legislation requiring SWAs to cross-match high-risk areas. As of the date of this
alert memorandum, ETA has not taken sufficient action to implement these
recommendations.
ETA’s lack of sufficient action significantly increases the risk of even more
UI payments to ineligible claimants. Our identification of the additional potentially
fraudulent payments emphasizes the need for increased ETA engagement and
assistance to mitigate fraud and protect the UI program’s integrity.
Despite the OIG’s continued efforts to identify potentially fraudulent payments to
ineligible claimants, we continue to experience delays in obtaining the needed UI
data. These delays impede our ability to perform our statutory duty to effectively
and timely conduct audits and investigations of the UI program. The Department
of Labor’s (DOL or the Department) reading of applicable federal regulations,
which ETA has adopted, contributes to the delays. Specifically, the Department
interprets regulations at 20 Code of Federal Regulations (C.F.R.) Part 603 as
prohibiting ETA from informing SWAs they are required to provide UI data to the
OIG for both audit and investigative purposes. Under the Coronavirus Aid, Relief,
and Economic Security (CARES) Act and the American Rescue Plan Act of 2021
(ARPA), ETA issued guidance providing for both audit and investigative access,
but only on a temporary basis.6 This interpretation and subsequent guidance to
4 For this current alert memorandum and analysis, the OIG did not have access to the
Department of Justice’s Bureau of Prisons (BOP) data to determine the increase in potentially
fraudulent payments. Therefore, the $45.6 billion only includes the BOP amount reported in the
June 2021 alert memorandum.
5 This $45.6 billion is comprised of benefits paid to claimants from March 2020 through
April 2022, in accordance with the Coronavirus Aid, Relief, and Economic Security Act, American
Rescue Plan Act of 2021, and Consolidated Appropriations Act, 2021.
6 UIPL No. 04-17, Change 1, Requirement for States to Refer Allegations of Unemployment
Compensation (UC) Fraud, Waste, Abuse, Mismanagement, or Misconduct to the Department of
Labor’s (Department) Office of Inspector General’s (DOL-OIG) and to Disclose Information
Related to the Coronavirus Aid, Relief, and Economic Security (CARES) Act to DOL-OIG for
Purposes of UC Fraud Investigation and Audits, issued August 3, 2021; UIPL No. 22-21, Grant
Opportunity to Support States with Fraud Detection and Prevention, Including Identity Verification
and Overpayment Recovery Activities, in All Unemployment Compensation (UC) Programs,
issued August 11, 2021.
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SWAs contradict the Inspector General Act of 1978, as amended (IG Act), §
6(a)(1) and § 6(a)(3), which authorizes mandatory OIG access to DOL grantee
information, including state UI data.
In our June 2021 alert memorandum, we recommended ETA amend
20 C.F.R. § 603.5 and § 603.6(a) through the rulemaking process to reinforce
that state UI information must be provided to the OIG for all Inspector General
engagements authorized under the IG Act, including audits, evaluations, and
investigations. ETA implemented a temporary solution.
In August 2021, ETA issued Unemployment Insurance Program Letter (UIPL)
No. 04-17, Change 1, requiring states to disclose UI data to the OIG for audits
and investigations during the pandemic period.7 ETA also awarded fraud
prevention grants to states conditioned on requiring OIG access to their UI data
for audit and investigative purposes through December 31, 2023.8 However,
ETA’s actions were not sufficient to resolve the OIG’s concerns regarding
unimpeded access to SWA UI data.
In response to our recommendation, ETA informed us it is considering
comprehensive updates to 20 C.F.R. Part 603. Although we met with ETA
numerous times and requested a written plan with projected timelines, none was
provided until July 2022, more than one year after we made the
recommendation. The Department estimates the projected effective date of the
updated regulations will be in February 2025, creating a 14-month gap from the
December 31, 2023, expiration of the grants that temporarily expanded OIG
access.9 During this 14-month period, the OIG’s access to state UI data will
again be impeded, in violation of the IG Act.
Although ETA stated it is exploring options for interim solutions to close the gap,
the lack of timely, affirmative plans prevents us from ensuring the continued
availability of data critical to identifying additional fraudulent UI benefit payments.
ETA needs to amend its regulations and immediately issue guidance to notify
states of the OIG’s authority to access information for both audits and
investigations without interruption or impediment.10 While ETA issued guidance
to states on September 15, 2022, asserting the OIG’s authority to access state UI
7 UIPL No. 04-17, Change 1, defined the pandemic period as approximately from
January 27, 2020, to September 6, 2021.
8 See footnote 6.
9 UIPL No. 22-21, Grant Opportunity to Support States with Fraud Detection and Prevention,
Including Identity Verification and Overpayment Recovery Activities, in All Unemployment
Compensation (UC) Programs, issued August 11, 2021
10 The Supreme Court of the United States has upheld the Department’s authority to revise
interpretations of its own regulations in this manner—see Perez v. Mortg. Bankers Ass’n,
575 U.S. 92, 100 (2015)—as well as the principle that changes in interpretations are valid,
provided they are consistent with the underlying regulations. See Shalala v. Guernsey Mem’l
Hosp., 514 U.S. 87, 100–02 (1995).
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data, the guidance does not require states to provide the OIG with such access.
ETA has authority to reinterpret 20 C.F.R. Part 603 in order to facilitate the OIG’s
access during the 14-month period that 20 C.F.R. Part 603 is being amended.11
Potentially Fraudulent UI Benefits Continue to Increase in High-Risk Areas
The OIG estimates a total of $872.5 billion in pandemic-related UI funding since
the COVID-19 pandemic began in March 2020.12 In our June 2021 alert
memorandum, the OIG utilized UI data from March 2020 to October 2020 to alert
ETA to more than $16 billion13 in potentially fraudulent UI pandemic benefits paid
in four specific high-risk areas, to individuals with Social Security numbers:
(1) filed in multiple states, (2) of deceased persons, (3) used to file UI claims with
suspicious email accounts, and (4) of federal prisoners.
In August 2021, the OIG issued another request for updated data to ETA and
SWAs via an OIG Form 202 request,14 and once received, analyzed data
covering pandemic benefits paid during the period of March 2020 through
April 2022. Our analysis identified a total of $45.6 billion15 paid in potentially
fraudulent UI benefits, with increases in three of the aforementioned four
high-risk areas (see Table 1). Those areas include payments to individuals with
Social Security numbers: (1) filed in multiple states, (2) of deceased persons, and
(3) used to file for UI claims with suspicious email accounts.
As previously stated, the OIG does not have current federal prisoner data. The
OIG requested updated prisoner information from the U.S. Department of
Justice, Federal Bureau of Prisons (BOP) for the pandemic period, but BOP
declined “due to the burden created on BOP’s resources and technological
platform, which BOP prioritized for BOP operational requirements.” However, we
and other federal OIGs are currently working with BOP to determine if their
policies and procedures can be expanded to sharing data with other OIGs. As a
11 This would be consistent with the Administrative Procedure Act and the plain language of the
regulations. Specifically, 20 C.F.R. § 603.5(i) and § 603.6(a) and 29 C.F.R. § 96.41, when read
consistently with one another and with the IG Act, require SWAs to disclose UI information for
audits, evaluations, and investigations.
12 Reported on the DOL OIG’s public-facing website at
https://www.oig.dol.gov/doloiguioversightwork.htm (last updated on June 13, 2022, at the time of
this memorandum’s issuance), and in the OIG’s Pandemic Response Oversight Plan (updated
March 21, 2022), which is available at:
https://www.oig.dol.gov/public/oaprojects/Updated%20Pandemic%20Response%20Oversight%2
0Plan%202022%20for%20Publication.pdf.
13 The $16 billion does not include about $915 million in potential fraud that was identified under
more than one area.
14 Form 202 is the Notification of OIG Requirement for DOL Electronic Information form used to
request recurring information from each SWA.
15 The OIG will share with ETA the data and methodology used to identify this potential fraud so
that ETA can share the methodology with the SWAs to assist with fraud mitigation and
identification.
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result of the lack of updated data, the total dollar amount for federal prisoners
remained the same from our previous analysis of prisoner data.
Table 1: High-Risk Data Comparison between June 2021 and
April 2022
High-Risk Area
Total Potential Fraud
Reported in June 202116
Total Potential Fraud
Reported through
April 2022
Multistate Claimants
$12,100,212,752
$28,967,047,154
Deceased Persons
$94,562,937
$139,483,136
Suspicious Emails
$3,595,842,652
$16,265,578,304
Federal Prisoners17
$267,382,013
$267,382,013
Total
$16,058,000,354
$45,639,490,607
Source: SWA data acquired, aggregated, and interpreted by the OIG Data Analytics team. Total
amounts do not include duplicates that were identified in one or more areas. The total duplicate
amount is $7,399,611,229, including duplicates identified from previous Federal Prisoner amount
reported in the June 2021 alert memorandum.
Multistate Claimants
According to the CARES Act, a claimant who worked in more than one state and
became unemployed due to COVID-19-related reasons can only collect
UI benefits in one state. The OIG reviewed UI pandemic benefits paid from
March 2020 to April 2022 to individuals with Social Security numbers filed in two
or more states, resulting in benefits collected from more than one state. This
analysis revealed individuals used a total of 991,793 Social Security numbers to
receive potentially fraudulent UI benefits totaling more than $28.9 billion.
Deceased Persons
We determined 205,766 Social Security numbers of deceased persons were
used to file claims for UI pandemic benefits. To identify potentially fraudulent
benefit payments, the OIG identified cases where benefit claims were submitted
after the date of death associated with certain Social Security numbers. Scrutiny
16 The total benefits amounts reported in this memorandum includes the total cumulative amount
reported in Alert Memorandum: The Employment and Training Administration Needs to Issue
Guidance to Ensure State Workforce Agencies Provide Requested Unemployment Insurance
Data to the Office of Inspector General, Report No. 19-21-005-03-315 (June 16, 2021), available
at: https://www.oig.dol.gov/public/reports/oa/2021/19-21-005-03-315.pdf.
17 The OIG did not have access to BOP data to conduct additional analysis for this memorandum.
The amount remains the same as what we reported in the June 2021 alert memorandum.
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of the data identified $139.4 million in potentially fraudulent benefits paid to
claimants using these Social Security numbers.
Suspicious Email Accounts
We found potentially fraudulent UI benefits were paid to individuals using Social
Security numbers to file claims with suspicious email accounts. The OIG
identified several methods for using certain types of email accounts to aid in
suspected fraudulent UI claims. These particular account types enable users to
establish email addresses that can hide personal information, including the user’s
identity. The suspicious email addresses can also be used to apply for multiple
UI claims.
Email service providers that supplied accounts offering anonymity were used
extensively to file UI claims. In total, we determined 1,714,188 Social Security
numbers associated with suspicious email addresses were used to file for
$16.2 billion in UI benefits.
Federal Prisoners
As previously reported in the June 2021 alert memorandum, we found Social
Security numbers of potentially ineligible federal prisoners were used to file for
UI claims that paid out more than $267.3 million in UI benefits. ETA needs to
ensure SWAs implement controls that can cross-match federal prisoner UI data
to mitigate fraud. As previously mentioned, due to the OIG not having current
federal prisoner data, there is no updated data as of the issuance of this
memorandum.
The OIG Continues to Experience Delays in Obtaining UI Data from SWAs
Since the CARES Act was implemented in March 2020, we have worked to gain
timely access to SWA UI data in an effort to prevent and detect fraud, waste, and
abuse in the UI program. Through its endeavors, the OIG encountered numerous
issues, including: (1) SWAs not providing access for each request, until
subpoenas were issued to each SWA, (2) the OIG receiving data months after
the request, and (3) the OIG receiving unusable and incomplete data.
In addition, we encountered difficulties obtaining data after ETA issued guidance
directing SWAs to disclose UI data to the OIG. For example, some SWAs had
difficulty creating a data connection or encrypting data, and some SWA
management assumed the request was handled and did not follow up with their
technical staff. Figure 1 illustrates the timeline of OIG data requests via
subpoenas and via Form 202 to SWAs, as well as the responses from SWAs.
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Figure 1: Timeline of OIG Data Requests and Inspector General Subpoenas
Source: Based on OIG – Office of Investigations communication with ETA and SWA officials
As previously stated, upon eventual receipt of SWA data, we encountered
instances where data files were not in the requested format, were incomplete, or
were not the data required by the OIG. Each SWA also manages recurring data
submissions to the OIG differently, which poses a risk to the OIG when analyzing
UI data timely and accurately. Unfettered access to SWA UI data would help
mitigate the delays experienced by the OIG when requesting data and enable the
OIG to more efficiently conduct fieldwork and issue reports timely. Unfettered
access to UI data would also significantly reduce the time and resources that
SWAs expend on recurring data transfers to the OIG.
The Department’s Guidance Interpreting 20 C.F.R. § 603.5 and § 603.6 Is
Inconsistent with the Inspector General Act of 1978, as amended,18 and
with 29 C.F.R. 96.41
The Department’s guidance19 interpreting its unemployment compensation
program regulations20 is inconsistent with the IG Act to the extent it only affords
the OIG restricted access to UI data. The IG Act requires the OIG to have timely
access to all records related to programs it oversees. DOL’s UI disclosure
18 Inspector General Act of 1978, as amended, Pub. L. 95-452, 5 U.S.C. App. 3, § 2(2)-(3).
19 UIPL No. 04-17 is the primary source of this impermissible interpretation; however,
UIPL No. 04-17, Change 1, and UIPL No. 22-21 also interpret 20 C.F.R. Part 603 inconsistently
with the IG Act.
20 Federal-State Unemployment Compensation (UC) Program; Confidentiality and Disclosure of
State UC Information, 20 C.F.R. §603.5 and § 603.6 (2021)
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regulations require SWAs to disclose “all information necessary for the proper
administration of the UC program.”21 The OIG maintains disclosures for OIG
purposes (i.e., for audits, evaluations, and investigations) are mandatory.
Consequently, the Department must construe and apply its regulations22
consistently with the IG Act’s oversight mandate.23
The Department’s interpretation24 of this regulation prior to August 2021 only
required SWAs to disclose UI data to the OIG upon request when the OIG was
conducting an investigation into a particular instance of suspected UI fraud. In
subsequent guidance25 the Department interpreted the regulation consistently
with the IG Act, by requiring SWAs to provide the OIG ongoing, recurring access
to UI information for both investigations and audits. However, this new
interpretation was temporary, lasting initially only through the end of the
pandemic period (September 2021)26 and currently only until
December 31, 2023,27 when the period of performance for SWA fraud prevention
grants expires.
The Department’s interpretation of other 20 C.F.R. Part 603 provisions28 also
contradicts the subsequent guidance to SWAs29 as well as the IG Act and other
applicable regulations30 authorizing OIG unimpeded access to state UI data.
20 C.F.R. § 603.5(i) permits SWAs to disclose confidential UI information “to a
federal official for purposes of UC program oversight and audits.31 As applied by
the Department, this regulation does not require SWAs to comply with the IG Act
or other applicable regulations requiring the OIG’s timely and complete access to
state UI program information for audits.32 Without changes to remove ambiguities
from 20 C.F.R. § 603.5(i), or adjustments to the Department’s interpretation of it,
21 20 C.F.R. § 603.6(a)
22 20 C.F.R. § 603.6(a)
23 Inspector General Act of 1978, as amended, Pub. L. 95-452, 5 U.S.C. App. 3, § 2(2)-(3) (the
OIG is required “to promote the economy, efficiency, and effectiveness in the administration of”
DOL programs and to keep the Secretary and Congress “fully and currently informed about
problems and deficiencies relating to the administration of such programs”)
24 UIPL No. 04-17 (December 16, 2016) interpreting 20 C.F.R. § 603.6(a)
25 UIPL No. 04-17, Change 1 (August 3, 2021); UIPL No. 22-21 (August 11, 2021)
26 UIPL No. 04-17, Change 1 (August 3, 2021)
27 UIPL No. 22-21 (August 11, 2021)
28 UIPL No. 04-17 (December 16, 2016) interpreting 20 C.F.R. § 603.5(i)
29 UIPL No. 04-17, Change 1 (August 3, 2021); UIPL No. 22-21 (August 11, 2021)
30 Audit Requirements for Grants, Contracts, and Other Agreements, 29 C.F.R. § 96.41 (2021)
31 This expressly includes disclosures under 29 C.F.R. § 96.41.
32 29 C.F.R. § 96.41 provides that the Secretary and the OIG “shall have access to any books,
documents, papers, and records (manual and automated) of the entity receiving funds from DOL
and its sub-recipients/subcontractors for the purpose of making surveys, audits, examinations,
excerpts, and transcripts.”
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the regulation will continue to impede OIG access authorities by preventing the
OIG from requiring SWAs to disclose UI information for audits.33
In response to a draft of this alert memorandum, ETA stated: “The regulations
permit, but do not require, states to provide such data to the OIG for audit
purposes.” ETA also stated that this “does not prevent the OIG from enforcing its
authority under the Inspector General (IG) Act.” However, ETA’s guidance gives
SWAs the option to decline OIG requests for information for audits, contrary to
the IG Act. The Department cannot issue guidance that enhances ambiguities
with other applicable Federal regulations, and permits SWAs to ignore the plain
language of the IG Act.34 Regardless of whether the regulations are ambiguous,
agencies may not interpret regulations in plain contradiction of superseding
statutes.
Cooperating with OIG audits and investigations is a necessary measure to help
DOL and ETA ensure proper program administration, including UI program
integrity. In issuing guidance35 in August 2021, the Department read the
regulation36 as written to require disclosures to the OIG for audits and
investigations as necessary for the proper administration of the UI program, but
only during the pandemic period.37
With the expiration of the period covered in that guidance,38 ETA reverted to its
original interpretation39 where SWAs were only required to disclose UI
information to the OIG’s Office of Investigations on a case-by-case basis, unless
they accepted grant funds to combat fraud.40 If SWAs accepted grant funds, they
were then only required to provide UI information to the OIG for audits and
investigations through December 31, 2023. As long as SWAs continue to receive
33 In UIPL No. 23-12 (issued June 25, 2012), ETA applied 20 C.F.R. § 603.5(i) to require SWAs to
disclose UI information, including confidential wage and claim information DOL collected and
used for Office of Management and Budget evaluations of UC programs. The guidance requires
SWAs to disclose the portions of UI data necessary for specific DOL evaluations, similar to the
OIG’s need for certain UI data for its audits.
34 The Department’s interpretations of ambiguous regulations is permissible only if it is
reasonable. See Kisor v. Wilkie, 139 U.S. 2400, 2415-16 (2019). Although 20 C.F.R. 603.5(i) is
ambiguous due to the contradictions with 29 C.F.R. 96.41 identified above, agency interpretations
of regulations that are unambiguous are entitled to even less deference and only to the extent
they are persuasive. See United States v. Mead Corp., 533 U.S. 218 (2001); Christensen v.
Harris County, 529 U.S. 576 (2000).
35 UIPL No. 04-17, Change 1 (August 3, 2021)
36 20 C.F.R. § 603.6(a)
37 ETA necessarily interpreted 20 C.F.R. § 603.5(i) as requiring disclosures to the OIG for audits
in UIPL No. 04-17, Change 1, because prior to this it maintained that disclosures to the OIG for
audits under this provision were optional. As we stated in the June 2021 alert memorandum and
do so again here, disclosures to the OIG under 20 C.F.R. § 603.5(i) were always mandatory
because such disclosures include disclosures under 29 C.F.R. § 96.41.
38 UIPL No. 04-17, Change 1 (August 3, 2021)
39 UIPL No. 04-17 (December 16, 2016)
40 UIPL No. 22-21 (August 11, 2021)
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any federal grants to administer their unemployment programs, ETA must
facilitate the OIG’s access to pertinent SWA information. Therefore, conditioning
the OIG’s access on whether SWAs accepted an additional grant award and
ending SWAs’ disclosure obligations when those funds expire contravenes the
IG Act.
The OIG notes that ETA’s issuance of the August 2021 guidance41 demonstrates
the Department can circumvent the restrictions it had previously read into its
regulations42 to require ongoing disclosures to the OIG for audits and
investigations without amending those regulations. ETA issued the new
guidance, citing § 2116 of the CARES Act, which provides authority for ETA to
issue operating instructions or other guidance necessary to carry out the
UI-related provisions of the CARES Act. ETA has relied on the CARES Act and
SWAs’ conditional acceptance of fraud prevention grant funds43 to bypass what it
interprets as limitations to OIG access for audits in its regulation.44
Furthermore, neither the CARES Act nor other relevant statutes limit the OIG’s
authority to access information to the dates that ETA set forth in its current
guidance to the SWAs. Any limitation on the OIG’s access to UI information
contravenes the IG Act. Reinterpreting the regulations as they are currently
written while ETA works on a permanent solution of amending
20 C.F.R. Part 603 will facilitate the OIG’s necessary ongoing access in the
interim period during which the regulation is amended.45
Although ETA has taken temporary steps to facilitate the OIG’s access to state
UI data through December 31, 2023, the OIG needs a permanent solution for the
timely and effective access to SWA UI data.
ETA’s Action in Response to Prior Recommendations Isn’t Sufficient to
Provide the OIG Ongoing Access to SWA UI Data
ETA must ensure consistency between its regulations, or it risks continued
violation of federal law, undermining DOL’s goals, creating uncertainty, and
increasing costs and burdens. Consequently, ETA must amend
41 UIPL No. 04-17, Change 1 (August 3, 2021); UIPL No. 22-21 (August 11, 2021)
42 20 C.F.R. §§ 603.5(i), 603.6(a)
43 UIPL No. 22-21 (August 11, 2021)
44 20 C.F.R. § 603.5(i)
45 In response to a draft of this alert memorandum, ETA stated that any change to its
interpretation of the regulations would require notice and comment rulemaking because it “would
affect the rights and obligations of the regulated community and as such would be a legislative
rule, not an interpretive rule.” ETA’s UIPLs referenced in this alert memorandum are interpretive
rules that merely clarify existing duties for affected parties by interpreting the Department’s
legislative rules (i.e., 20 C.F.R. Part 603; 29 C.F.R. § 96.41) that alter the rights and obligations of
SWAs and UI claimants. Altering interpretive rules does not require notice and comment
rulemaking, regardless of the impact of the change, so long as the underlying law is unchanged.
See Stupp Corp. v. United States, 5 F.4th 1341, 1352 (Fed. Cir. 2021)
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20 C.F.R. Part 603 provisions on federal oversight and audit authorities’ access
to eliminate any ambiguity regarding OIG access to SWA information in the
future. Since the beginning of the pandemic, the OIG and ETA have held
recurring meetings to discuss access issues and other open recommendations.
In July of 2022, ETA provided the OIG a specific timeline in which it is
considering comprehensive updates to the unemployment compensation
confidentiality regulation found at 20 C.F.R. Part 603, including requiring SWAs
to provide ongoing access to state unemployment compensation data. According
to the estimated timeline, the ruling effective date could be February 2025.
ETA is exploring other options for interim solutions to address the gap between
December 31, 2023, and the publication of amended regulations.
While we recognize ETA’s efforts to take action addressing our
recommendations and concerns, ETA’s plans are not sufficient to address our
concerns and immediate action is still needed. ETA’s current proposed action
results in a 14-month gap from when the period of performance for SWA fraud
prevention grants expires to when the proposed rule will go into effect. ETA has
not reached a final resolution on the OIG’s recommendations to amend both
federal regulation and UIPL guidance that would give the OIG unfettered and
on-going access to UI information.
Conclusion
As stated at the beginning of this alert memorandum, 18 months have elapsed
since February 2021, when the OIG first alerted ETA to potentially fraudulent
payments in the UI program within the four high-risk areas and recommended
ETA take corrective actions. In June 2021, we further alerted ETA that the total
had increased to $16 billion in these high-risk areas. Despite ETA’s concurrence
to implement the OIG’s recommendations, sufficient action has not been taken or
implemented that would help mitigate and prevent even more potential fraudulent
payments from occurring. We have now identified an additional $29.6 billion in
potentially fraudulent UI benefits paid, totaling a cumulative amount of $45.6
billion.46 Additionally, the delays in providing the OIG accurate, timely, and
ongoing access to UI data led to interruptions in identifying potentially fraudulent
payments much earlier in the pandemic.
Furthermore, 14 months has elapsed since the June 21 alert memorandum,
when the OIG first recommended ETA amend its regulation and UIPL guidance.
Adherence to our recommendations would give the OIG accurate and ongoing
access to UI information and effectively help mitigate fraud, waste, and abuse
46 Of the $45.6 billion total identified, the OIG had previously reported in prior OIG reports
$16 billion in potential fraudulent payments had been identified within the same four high-risk
areas discussed in this alert memo. This report identifies $29.6 billion in additional funds put to
better use that were not claimed in our prior reports. See attachment for detailed information,
including our calculation.
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within the UI program. ETA has not taken sufficient action to reach a final
resolution on the OIG’s recommendations. ETA needs to take immediate action
and provide the OIG unfettered access to complete and accurate UI data and not
only for the UI activities related to COVID-19 programs. We reported in our
June 2021 alert memorandum that we expected the actual amount of potential
fraud to continue to increase. The continual increases in potential fraud are a
significant concern that requires ETA’s immediate attention and action.
The OIG emphasizes the importance of ETA implementing prior and current
recommendations from the OIG, aimed at reducing, mitigating, and preventing
the payment of potentially fraudulent payments to ineligible claimants. Without
effective controls and amended federal regulations and guidance, the UI program
is exposed to substantial risks, including the cost of improper payments to
ineligible claimants. Establishing effective controls over identified high-risk areas
will help to prevent similar or even greater amounts of fraud when the next crisis
(i.e., a pandemic or recession) occurs.
Recommendations
We recommend the Assistant Secretary of Employment and Training:
1. Implement immediate measures to ensure SWAs are required to provide
ongoing access to the OIG by amending its current guidance to require
disclosures to the OIG for audits and investigations as necessary,
mandatory, and without time limitation for the proper oversight of the UI
program.
2. Expedite OIG-related amendments to 20 C.F.R. § 603.6(a) to make
ongoing disclosures of UI information to DOL OIG mandatory by expressly
adding the U.S. Department of Labor, Office of Inspector General
(including its agents and contractors) to the list of required disclosures that
are necessary for the proper oversight of the UI program without
distinction as to purpose (e.g., audits versus investigations).
3. Expedite OIG-related amendments to 20 C.F.R. § 603.5(i) to expressly
make disclosures of UI information to federal officials for oversight, audits,
and investigations of federal programs mandatory.
On September 13, 2022, ETA provided us their formal response to the draft alert
memorandum and recommendations (see Attachment II). The OIG appreciates
all the effort ETA has made since our February 22, 2021 alert memorandum.
Nonetheless, despite ETA’s agreement to implement the OIG’s
recommendations, sufficient action has not been taken or implemented that
would help mitigate and prevent even more potentially fraudulent payments from
occurring. Our concerns remain regarding $45.6 billion in potential fraud in the
four high-risk areas and regarding a more permanent solution to unfettered
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access to UI data, especially given the 14-month gap between
December 31, 2023, and the potential rulemaking date of February 2025.
ATTACHMENT I
Potential Funds for Better Use47
Table 1: Total Net Funds for Better Use
Description
Amount
Total Funds for Better Use
$45.7 Billion
Funds for Better Use Claimed
in Prior OIG Alert Memoranda48
($16.1 Billion)
Net Funds for Better Use
$29.6 Billion
The table shows the total net funds for better use for the four high-risk areas
previously identified. For the period March 2020 to April 2022, the total potential
fraud we identified in this alert memorandum was $45.7 billion. To prevent double
counting, we subtracted the $16.1 billion in potential fraudulent payments
identified in the previous June 16, 2021, alert memorandum. The scope of that
analysis was March 2020 to October 2020. As a result, we are claiming $29.6
billion as total net funds for better use in this alert memorandum.
47 As defined by the Inspector General Act of 1978, “funds for better use” means funds that could
be used more efficiently or achieve greater program effectiveness if management took certain
actions. These actions include reduction in future outlays and deobligation of funds from
programs or operations.
48 Alert Memorandum: The Employment and Training Administration Needs to Issue Guidance to
Ensure State Workforce Agencies Provide Requested Unemployment Insurance Data to the
Office of Inspector General, Report No. 19-21-005-03-315 (June 16, 2021), available at:
https://www.oig.dol.gov/public/reports/oa/2021/19-21-005-03-315.pdf
ATTACHMENT IIFile and source
- File
- REPORT_DOL-OIG_alert-memorandum-potentially-fraudulent-unemployment-insurance-payment_2022-09-21.pdf
- Size
- 1,511,074 bytes
- SHA-256
- 30520a615021aceaa6cba9a5cf04d12e63ffbfe9f7fd77a5c11cf2da30797654
- Our copy
- REPORT_DOL-OIG_alert-memorandum-potentially-fraudulent-unemployment-insurance-payment_2022-09-21.pdf
- Original
- www.oversight.gov