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GAO-23-106696, Unemployment Insurance: Estimated Amount of Fraud during Pandemic Likely Between $100 Billion and $135 Billion

Full text

                 United States Government Accountability Office
                 Congressional Requesters




                 UNEMPLOYMENT
September 2023




                 INSURANCE

                 Estimated Amount of
                 Fraud during
                 Pandemic Likely
                 Between $100 Billion
                 and $135 Billion




GAO-23-106696
                                             September 2023

                                             UNEMPLOYMENT INSURANCE
                                             Estimated Amount of Fraud during Pandemic Likely
                                             Between $100 Billion and $135 Billion
Highlights of GAO-23-106696, a report to
congressional requesters




Why GAO Did This Study                       What GAO Found
The UI system has faced long-standing        Based on statistical sampling and imputation techniques, GAO estimates that the
challenges with program integrity,           amount of fraud in unemployment insurance (UI) programs during the COVID-19
which worsened during the COVID-19           pandemic was likely between $100 billion and $135 billion. This is about 11
pandemic. In response to historic            percent and 15 percent, respectively, of the total amount of UI benefits paid
pandemic job losses, Congress                during the pandemic. GAO’s estimate is for the period from April 2020 (first full
created new temporary UI programs to         month of payments from all UI programs) to May 2023 (end of the public health
provide relief for the unemployed. The       emergency). This estimate covers all 53 states that participated in the regular
unprecedented demand for benefits            and temporary UI programs. The full extent of UI fraud during the pandemic will
and need to quickly implement the new
                                             likely never be known with certainty. In commenting on a draft of this report, the
programs increased the risk of fraud.
                                             Department of Labor (DOL) expressed concerns about GAO’s fraud estimation
Due to this and other challenges, GAO
added the UI system to its High Risk
                                             methodology and stated that the resulting estimate was likely overstated. GAO
List in June 2022.                           disagrees and explains in the report the steps taken to estimate the range of
                                             fraud. These steps include using (1) a 95-percent confidence interval to account
This report (1) provides an estimate of      for sample design and size, and (2) multiple data sources and validity checks to
fraud within UI programs during the          account for uncertainty associated with identifying potential fraud in its sample.
pandemic; (2) identifies the assistance      During the pandemic, DOL provided states with assistance to improve UI
DOL provided to states; and (3)              systems and processes. As of July 2023, DOL reported allocating grants totaling
presents amounts that states reported
                                             about $1.4 billion to states for initiatives including fraud prevention, detection,
in UI overpayment recoveries and
                                             investigation, and recovery. Officials from selected states confirmed that they
waivers, among other amounts. GAO
used data from multiple sources to           used this assistance for fraud detection and prevention, including verification
produce an estimated range of the            software and improvements in payment timeliness.
extent of fraud during the pandemic. In      Coronavirus Aid, Relief, and Economic Security (CARES) Act and American Rescue Plan Act
determining the estimate, GAO                (ARPA) Unemployment Insurance (UI) Financial Assistance
reviewed DOL data, selected and
reviewed a sample of payments,
matched samples to other federal data
bases, developed an econometric
model on claims and economic
conditions, and performed numerous
other analyses. GAO also reviewed
data on state-reported overpayments,
recoveries, and waivers. GAO
interviewed officials from 14 states,
selected based on fraud risk and other
factors.

What GAO Recommends
Since 2018, GAO has made 26
recommendations to DOL to improve            As of May 1, 2023, states reported identifying about $55.8 billion in fraudulent
the UI system. However, DOL has not          and nonfraudulent UI overpayments and recoveries of about $6.8 billion from
yet fully implemented 16 of these;           March 2020 through March 2023. During this period, states reported identifying
doing so can reduce UI’s fraud               fraudulent UI overpayments totaling $5.3 billion and recoveries of $1.2 billion.
vulnerabilities.                             States use several tools to recover overpayments, including direct repayment
View GAO-23-106696. For more information,    and offsets. States can also write off overpayments as uncollectible. Further,
contact Seto Bagdoyan at (202) 512-6722 or   states may waive their legal right to collect nonfraudulent overpayments. DOL
BagdoyanS@gao.gov, or Jared Smith at (202)
512-2700 or SmithJB@gao.gov.
                                             rules do not allow states to waive fraudulent overpayments.
                                                                                        United States Government Accountability Office
Contents


Letter                                                                                   1
               Background                                                                7
               Estimated UI Program Fraud during the Pandemic Ranges from
                 $100 Billion to $135 Billion                                          17
               DOL Has Allocated $1.4 Billion in Assistance to States and Is to
                 Track Funds through Quarterly Reporting                               19
               States Have Reported Billions in UI Overpayments, Recoveries,
                 Write-Offs, and Waivers to DOL                                        27
               Agency Comments and Our Evaluation                                      34

Appendix I     Detailed Information on the Methodology GAO Used to Estimate Fraud in
               Unemployment Insurance (UI) Programs during the Pandemic          37



Appendix II    GAO Unemployment Insurance-Related Recommendations to the
               Department of Labor                                                     49



Appendix III   Financial Assistance Allocated and Awarded to States                    52



Appendix IV    Fraudulent Overpayments Recovered and Written Off in Unemployment
               Insurance (UI) Programs                                         55



Appendix V     Nonfraudulent Overpayments Recovered, Written Off, and Waived in
               Unemployment Insurance (UI) Programs                                    59



Appendix VI    Comments from the Department of Labor                                   63



Appendix VII   GAO Contact and Staff Acknowledgments                                   66




               Page i                                  GAO-23-106696 Unemployment Insurance
Tables
          Table 1: Coronavirus Aid, Relief, and Economic Security (CARES)
                  Act and American Rescue Plan Act (ARPA)
                  Unemployment Insurance (UI) Financial Assistance for
                  Fraud Prevention Efforts, July 2023                           20
          Table 2: Six Selected State Law Provisions for Recovering
                  Fraudulent Unemployment Insurance (UI) Overpayments           29
          Table 3: Selected State Fraudulent Overpayment Write-Off
                  Criteria                                                      31
          Table 4: Six Selected State Law Provisions for Recovering
                  Nonfraudulent Unemployment Insurance (UI)
                  Overpayments                                                  32
          Table 5: Six Selected State Law Provisions for Waiving Recovery
                  of Nonfraudulent Unemployment Insurance
                  Overpayments                                                  33
          Table 6: GAO’s 26 Recommendations to the Department of Labor
                  (DOL) to improve the Unemployment Insurance (UI)
                  System, Status as of August 2023                              49
          Table 7: Coronavirus Aid, Relief, and Economic Security Act and
                  American Rescue Plan Act Financial Assistance Dollar
                  Amounts Allocated (as of July 2023) and Awarded (as of
                  May 2023) by the Department of Labor to States and U.S.
                  Territories                                                   52
          Table 8: Fraudulent Overpayments Recovered and Written Off in
                  the Regular Unemployment Insurance Program, March
                  2020 – March 2023 (as of May 1, 2023)                         55
          Table 9: Fraudulent Overpayments Recovered and Written Off in
                  the Pandemic Unemployment Insurance Programs, March
                  2020 – March 2023 (as of May 1, 2023)                         57
          Table 10: Nonfraudulent Overpayments Recovered, Written Off,
                  and Waived in the Regular Unemployment Insurance
                  Program, March 2020 – March 2023 (as of May 1, 2023)          59
          Table 11: Nonfraudulent Overpayments Recovered, Written Off,
                  and Waived in the Pandemic Unemployment Insurance
                  (UI) Programs, March 2020 – March 2023 (as of May 1,
                  2023)                                                         61

Figures
          Figure 1: Examples of Tools That States Use to Recover
                   Overpayments, and Penalties for Fraudulent
                   Overpayments                                                 15


          Page ii                               GAO-23-106696 Unemployment Insurance
Figure 2: Department of Labor (DOL) Financial Assistance
         Awarded to States, May 2023                                  22
Figure 3: Tiger Team Recommendations That Selected States
         Have Reported Implementing That Align with the Three
         Pillars                                                      25
Figure 4: Total State-Reported Established Overpayment and
         Recovery Amounts for all Unemployment Insurance (UI)
         Programs, March 2020 – March 2023 (as of May 1, 2023)        27
Figure 5: Total State-Reported Established Fraudulent
         Overpayment Amounts for Unemployment Insurance (UI)
         Programs, March 2020 – March 2023 (as of May 1, 2023)        28
Figure 6: Total State-Reported Established Nonfraudulent
         Overpayment Amounts for Unemployment Insurance (UI)
         Programs, March 2020 – March 2023 (as of May 1, 2023)        32
Figure 7: Selected Steps Taken to Derive the Estimated Fraud in
         Unemployment Insurance (UI) Programs during the
         Pandemic                                                     40




Page iii                              GAO-23-106696 Unemployment Insurance
Abbreviations

ARPA              American Rescue Plan Act
BAM               Benefit Accuracy Measurement
BPA               Blanket Purchase Agreement
CARES Act         Coronavirus Aid, Relief, and Economic Security Act
DMF               Death Master File
DOL               Department of Labor
ETA               Employment and Training Administration
EVS               Enumeration Verification System
FPUC              Federal Pandemic Unemployment Compensation
FRA               Fiscal Responsibility Act of 2023
IT                Information Technology
MEUC              Mixed Earner Unemployment Compensation
NDNH              National Directory of New Hires
OIG               Office of Inspector General
OMB               Office of Management and Budget
PEUC              Pandemic Emergency Unemployment Compensation
PUA               Pandemic Unemployment Assistance
SSA               Social Security Administration
SSN               Social Security number
SWA               state workforce agency
UI                unemployment insurance
UIPL              Unemployment Insurance Program Letter




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Page iv                                           GAO-23-106696 Unemployment Insurance
                       Letter




441 G St. N.W.
Washington, DC 20548




                       September 12, 2023

                       The Honorable Mike Crapo
                       Ranking Member
                       Committee on Finance
                       United States Senate

                       The Honorable Jason Smith
                       Chairman
                       Committee on Ways and Means
                       House of Representatives

                       The unemployment insurance (UI) system has faced long-standing
                       challenges with effective program integrity. 1 In response to historic
                       pandemic job losses, on March 27, 2020, Congress enacted the
                       Coronavirus Aid, Relief, and Economic Security (CARES) Act. The act
                       created three new federally funded temporary UI programs that expanded
                       UI benefit eligibility, enhanced benefits, and extended benefit duration. 2
                       The temporary programs supplemented existing UI programs, known as
                       “regular” UI, which is a federal-state partnership that provides temporary
                       financial assistance to eligible workers who become unemployed through
                       no fault of their own. 3 The federal government directly funded the
                       administration of, and benefits for, the new pandemic UI programs and,

                       1The UI system includes UI programs that were established prior to the COVID-19
                       pandemic and programs established in response to the COVID-19 pandemic: Pandemic
                       Unemployment Assistance (PUA), Federal Pandemic Unemployment Compensation
                       (FPUC), Pandemic Emergency Unemployment Compensation (PEUC), and Mixed Earner
                       Unemployment Compensation (MEUC).
                       2Pub. L. No. 116-136, §§ 2102, 2104, 2107, 134 Stat. 281, 313-28. The Consolidated
                       Appropriations Act, 2021, created the MEUC program, which is an additional temporary
                       supplemental UI program. Pub. L. No. 116-260, div. N, tit. II, subtit. A, chap. 1, §
                       261(a)(1), 134 Stat. 1182, 1961.
                       3We refer to the UI program—excluding both the temporary UI programs created by the
                       CARES Act and other legislation, as well as the Extended Benefits program—as the
                       regular UI program and the benefits paid under the program as regular UI benefits. For
                       purposes of this report, regular UI benefits are benefits paid by the state under state UI
                       law, Unemployment Compensation for Federal Employees, and Unemployment
                       Compensation for Ex-Service Members programs. The Extended Benefits program, which
                       existed prior to the pandemic, provides up to 13 or 20 additional weeks of benefits when a
                       state is experiencing specific levels of high unemployment. We refer to the four temporary
                       UI programs created by the CARES Act and the Consolidated Appropriations Act, 2021,
                       as pandemic UI programs.



                       Page 1                                           GAO-23-106696 Unemployment Insurance
as directed by statute, relied on state workforce agencies (SWA) to
process claims and issue benefits to individuals. 4 From April 1, 2020,
through May 31, 2023, expenditures across the UI system totaled
approximately $900 billion, according to Department of Labor (DOL)
data. 5
The unprecedented demand for UI benefits and the need to quickly
implement the new programs during the pandemic increased the risk of
fraud. 6 Findings from the DOL Office of Inspector General (OIG) and prior
GAO reports, and the urgent need to address persistent issues in the UI
system—including service delivery inefficiencies and outdated IT
systems—led us to designate the UI system as high risk in June 2022. 7
This designation is intended to help spur progress in resolving persistent
issues by shining a spotlight on such issues and ways the federal
government can lead efforts to find solutions.
The increased significance of the UI system during the pandemic drew
attention to its vulnerabilities and susceptibility to fraud, waste, abuse,
and mismanagement. In our prior work, we reviewed existing measures
and estimates of fraud and found evidence of substantial levels of fraud
and potential fraud in UI programs during the pandemic. However, we
concluded that available measures and estimates were incomplete and

4Fifty-three SWAs administer UI programs across the 50 states, the District of Columbia,
Puerto Rico, and the U.S. Virgin Islands. In addition to the 53 SWAs, DOL made CARES
Act funding available to other territories and freely associated states that do not operate
regular UI programs—American Samoa, the Commonwealth of the Northern Mariana
Islands, the Federated States of Micronesia, Guam, Republic of the Marshall Islands, and
Republic of Palau—to operate PUA and FPUC programs. For purposes of this report,
when we refer to states’ administration of the UI program, we include states, territories,
and freely associated states. SWAs are responsible for administering unemployment
insurance programs, among other things. State unemployment tax revenues are held in
trust by the Secretary of the Treasury and are used by the states to pay for weekly regular
UI benefits.
5This amount includes about $230 billion in expenditures under the regular UI and
Expanded Benefits programs and about $670 billion in expenditures under the pandemic
UI programs that expired on September 6, 2021. However, 24 states ended their
participation in at least one of the pandemic UI programs before the programs expired.
6Fraud involves obtaining something of value through willful misrepresentation.

7The High Risk List highlights federal programs and operations that we have determined
are in need of transformation. It also names federal programs and operations that are
vulnerable to waste, fraud, abuse, and mismanagement. GAO, Unemployment Insurance:
Transformation Needed to Address Program Design, Infrastructure, and Integrity Risks,
GAO-22-105162 (Washington, D.C.: June 7, 2022); and High-Risk Series: Efforts Made to
Achieve Progress Need to Be Maintained and Expanded to Fully Address All Areas,
GAO-23-106203 (Washington, D.C.: Apr. 20, 2023).




Page 2                                            GAO-23-106696 Unemployment Insurance
did not fully reflect the extent of fraud and potential fraud in UI programs
during the pandemic. 8
SWAs endeavored to implement new temporary UI programs and
process unprecedented claims volumes during the pandemic. A key
challenge facing those SWAs was simultaneously ensuring that UI
benefits were paid to only those individuals eligible under program
requirements and were paid in the correct amounts. Accurate initial
determinations of eligibility were critical to ensuring that benefits were
granted only to those intended by the programs. This also included
ensuring that program monitoring over the use of funds was sufficiently
designed and accurately reported at the state and federal level. To help
assist SWAs, the CARES Act and the American Rescue Plan Act (ARPA)
contained provisions and, starting in March 2021, also provided additional
funding, for DOL to provide financial and technical assistance to states to
improve UI systems and processes. 9
UI overpayments—payments to ineligible recipients or payments in the
incorrect amounts—can be the result of error on the part of the employer,
claimant, the SWA, or a combination of these parties, or the result of
fraud. SWAs report identified overpayments—including fraudulent
overpayments—and recoveries to DOL.
You asked us to continue our work to develop a more comprehensive
estimate of UI fraud; review DOL financial and technical assistance
provided to states during the pandemic; and identify the extent to which
states have recovered, written off, or waived UI overpayments. This
report addresses (1) the estimate of fraud (lower and upper range) within
UI programs during the COVID-19 pandemic; (2) how much financial and
technical assistance DOL has allocated and awarded to states under the
CARES Act and ARPA, and how DOL tracks use of this assistance; and
(3) how much states have reported in UI overpayments and related
recoveries, write-offs, and waivers.
To address our first objective to develop an estimate of fraud within UI
programs during the pandemic, we combined information from multiple
sources to produce an upper and lower range on the extent of UI fraud



8GAO, Unemployment Insurance: Data Indicate Substantial Levels of Fraud during the
Pandemic; DOL Should Implement an Antifraud Strategy, GAO-23-105523 (Washington,
D.C.: Dec. 22, 2022).
9Pub. L. No. 116-136, §2102(f)(2)(B), 134 Stat. at 316; Pub. L. No. 117-2, §9032, 135
Stat. at 121.




Page 3                                           GAO-23-106696 Unemployment Insurance
during the pandemic. 10 Specifically, we combined separate estimates of
fraudulent payments associated with (1) the regular UI program,
Pandemic Emergency Unemployment Compensation (PEUC), Mixed
Earner Unemployment Compensation (MEUC) payments, Extended
Benefits, and the portion of Federal Pandemic Unemployment
Compensation (FPUC) payments not associated with PUA; and (2) the
PUA program, including FPUC payments associated with PUA claims.
The DOL OIG reported in October 2020 that the PUA program in
particular was at high risk for fraud due to its unique program rules and
eligibility requirements. 11 We developed separate procedures for the PUA
program because of the program’s unique fraud risk profile.
The scope of our review was from April 2020—the first full month of
pandemic UI program payments—through May 2023—the end of the
COVID-19 public health emergency. We estimated the extent of fraud
across all 53 SWAs for the regular UI and pandemic UI programs.
Throughout this report, we use the phrase “fraud estimate” or “estimate of
fraud” to refer to estimates that attempt to quantify the extent of fraud,
regardless of whether such fraud has already been detected and
adjudicated.
To derive the estimated fraud in the UI programs, excluding PUA, we
used data from DOL’s Benefit Accuracy Measurement (BAM) program—
which DOL uses to estimate the amount and rate of improper payments,
including those caused by fraud—from April 2020 through December
2022. Using the BAM program estimates, we developed a statistical




10We define the pandemic period as from April 2020 through May 2023. We selected April
1, 2020, as the beginning date for this range to reflect the period when all pandemic UI
program payments were being paid and to align with DOL’s quarterly reporting on
estimated fraud rates. While the pandemic UI programs expired in September 2021, the
COVID-19 public health emergency ended in May 2023. Therefore, we selected May 31,
2023, as the end date for this range.
11Department of Labor, Office of Inspector General, COVID-19: States Cite Vulnerabilities
in Detecting Fraud While Complying with the CARES Act UI Program Self-Certification
Requirement, Report No. 19-21-001-03-315 (Washington, D.C.: Oct. 21, 2020.)




Page 4                                           GAO-23-106696 Unemployment Insurance
model to impute the regular UI program fraud rate for the first 3 months of
the pandemic when BAM was suspended. 12
For the PUA program, we obtained the generalizable sample of 2,540
PUA payments that DOL selected as part of its improper payment
estimation effort. We then selected a subsample of 260 PUA payments
for further review. The DOL OIG used data analytic procedures to identify
the presence of fraud indicators in the sample of 2,540 PUA payments
and provided them to us. 13 To identify the presence of additional fraud
indicators, we cross-matched our sample with the Death Master File to
identify potentially deceased individuals and with the National Directory of
New Hires (NDNH) to identify claimants’ unreported wages. 14 For the
sample of 260 PUA payments, we then followed up on matches by
reviewing the state case files; discussing cases with the DOL OIG; and
reviewing publicly available information, when applicable, to determine
the risk of fraud on those matches. 15 We also matched information from


12DOL uses its BAM program to estimate the amount and rate of improper payments,
including those caused by fraud. The BAM program only includes testing of regular UI
claims. For fiscal years 2021 and 2022 improper payment reporting, DOL applied the
estimated improper payment rate from the BAM program testing of regular UI claims to
calculate the estimated improper payment amounts for FPUC and PEUC. Thus, the
estimated improper payment amounts for these two programs were incorporated into the
overall UI estimated improper payment amount reported for fiscal years 2021 and 2022.
However, this overall estimated improper payment amount for UI did not include an
estimate for PUA. According to DOL, it did not include PUA in the extrapolation of the
BAM estimated improper payment rate because the PUA program served a different
population of workers and had different eligibility requirements. To impute is to assign a
value to something by inference. Extrapolation is a technique that can offer a rough or
notional estimate of fraud or potential fraud, even if data on a specific measure or rate are
unavailable, but may have limitations related to validity, accuracy, and completeness.
13Fraud indicators are characteristics and flags that serve as warning signs suggesting a
potential for fraudulent activity. Indicators can be used to identify potential fraud and
assess fraud risk but are not proof of fraud, which is determined through the judicial or
other adjudicative system. The DOL OIG provided 18 indicators including, for example,
multistate claims and shared or suspicious email addresses.
14NDNH is a national repository of new hire, quarterly wage, and unemployment insurance
information reported by employers, states, and federal agencies. NDNH is maintained and
used by the U.S. Department of Health and Human Services for the federal child support
enforcement program, which assists states in locating parents and enforcing child support
orders. DOL does not have access to NDNH wage data; however, states have access to
NDNH wage data.
15In many cases, a fraud indicator may be explained by events other than fraud. The goal
of the manual review was to account for alternative explanations of the observed fraud
indicators. For example, an address may have a large number of claims because it is a
multiunit dwelling and so, when assessing fraud risk associated with individual addresses,
we examined the size of the dwelling and whether it was multiunit.




Page 5                                             GAO-23-106696 Unemployment Insurance
the case files against the Social Security Administration’s Enumeration
Verification System to identify claimants with invalid personal information.
The above steps produced manually adjusted fraud risk scores for the
sample of 260 PUA payments and programmatically generated fraud
indicators for the DOL sample of 2,540. We used a statistical procedure,
known as multiple imputation, to estimate manually adjusted fraud risk
scores for the sample of 2,540 payments, given our more detailed review
of the 260 payments. 16 We used the DOL sample design and sampling
weights to extend the sample results to the full population of PUA
payments.
To help assess the validity of our estimate of the extent of fraud in the
PUA program, we conducted an analysis of PUA benefit payments
volume over time from March 2020 to December 2021. Specifically, we
developed an econometric model to predict the level of PUA benefit
payments if all states were comprehensively implementing fraud
prevention tools or processes, using explanatory variables that captured a
broad range of state-level conditions, such as states’ COVID-19 disease
burden.
We combined our fraud estimate from the BAM program with our PUA
fraud estimate from our sample of PUA payments to estimate the upper
and the lower range of the amount of fraud in the UI programs during the
pandemic. See appendix I for additional details on our methodology for
calculating this estimate, and a full description of the limitations and
assumptions.
To address our second objective, we reviewed DOL data on the financial
and technical assistance provided to states from March 2020 through July
2023. This period covers the beginning of the pandemic through the most
recent month of data available at the time of our review. We reviewed
these data to determine the amount of financial and technical assistance
allocated and awarded to each state. We reviewed DOL guidance to
understand the grant reporting requirements to determine how the agency
oversees financial and technical assistance provided to states. We
conducted interviews with state officials from six selected states—
California, Florida, Kansas, Nevada, New York, and Washington—to
obtain information related to the assistance provided. These states were
selected based on a range of (1) the fraud risk level identified in our first
objective, (2) the amount of grant funding received, and (3) acceptance of

16In this report, we do not detail all the steps of our fraud scoring process so that potential
perpetrators of fraud do not become aware of fraud risks or exploit potential weaknesses
in the program.




Page 6                                              GAO-23-106696 Unemployment Insurance
             DOL’s offer of financial and technical assistance. 17 Information from the
             six selected states is not generalizable to all states.
             To address our third objective, we reviewed the most recent data
             available as reported by states as of May 1, 2023, to DOL through Forms
             902P (PUA) and 227 (non-PUA) on the extent that states have recovered,
             written off, and waived overpayments from March 2020 through March
             2023. 18 These were the three most recent years available at the time of
             our review. We conducted interviews with DOL officials and the six
             selected states to obtain information related to (1) the identification of
             fraudulent UI overpayments, (2) efforts to recover fraudulent UI
             overpayments, (3) the criteria used to write off fraudulent overpayments,
             and (4) waivers processed for nonfraudulent UI overpayments. Analysis
             conducted for the six selected states is not generalizable. We conducted
             various electronic tests to assess the reliability of the data. These tests
             included identifying missing data, duplicate records, and values outside
             our designated range. Based on the results of our electronic tests and our
             review of reporting guidance, we determined these data to be sufficiently
             reliable for the purpose of reporting amounts overpaid, recovered, written
             off, and waived, as provided to DOL by the states.
             We conducted this performance audit from January 2023 to September
             2023 in accordance with generally accepted government auditing
             standards. Those standards require that we plan and perform the audit to
             obtain sufficient, appropriate evidence to provide a reasonable basis for
             our findings based on our audit objectives. We believe that the evidence
             obtained provides a reasonable basis for our findings based on our audit
             objectives.



Background


             17These six states were selected based on different criteria compared with the 14 SWAs
             that were selected for interviews to obtain information about the operation of the pandemic
             UI programs and help inform the estimation process. For the list of the 14 SWAs selected
             for interviews to obtain information about the operation of the pandemic UI programs and
             help inform the estimation process, see app. I.
             18DOL’s Employment and Training Administration (ETA) 227 reports are used for the
             regular UI, PEUC, FPUC, and MEUC programs. ETA 227 UI data are reported quarterly.
             Additionally, reporting for the regular UI program includes totals for the Unemployment
             Compensation for Ex-Service Members/Unemployment Compensation for Federal
             Employees, and Extended Benefits programs.




             Page 7                                            GAO-23-106696 Unemployment Insurance
Federally Funded UI       The CARES Act created three new federally funded temporary UI
Programs in Response to   programs that expanded UI benefit eligibility and enhanced benefits. 19
COVID-19                  •   PUA, which was generally available through September 6, 2021, and
                              authorized UI benefits to individuals not otherwise eligible for UI
                              benefits, such as the self-employed and certain gig economy workers,
                              who were unable to work because of specified COVID-19 reasons. 20
                              The total federal expenditure for PUA program benefits was $138
                              billion through May 31, 2023.
                          •   FPUC, which generally authorized an additional $600 weekly benefit
                              through July 2020 and generally authorized a $300 weekly benefit for
                              weeks beginning after December 26, 2020, and ending on, or before,
                              September 6, 2021, for individuals eligible for weekly UI benefits
                              available under the regular UI program and CARES Act UI
                              programs. 21 According to DOL officials, the agency does not have a
                              breakout of how much FPUC money was distributed related to regular
                              UI or PUA. The total federal expenditure for FPUC program benefits
                              was $442 billion through May 31, 2023.
                          •   PEUC, which was generally available through September 6, 2021,
                              and generally authorized additional weeks of UI benefits for those who
                              had exhausted their regular UI benefits. 22 The total federal
                              expenditure for PEUC program benefits was $90 billion through May
                              31, 2023.
                          In addition, the Consolidated Appropriations Act, 2021, created the MEUC
                          program, which was extended by ARPA and expired in September




                          19These programs were subsequently extended and amended by the Consolidated
                          Appropriations Act, 2021, as well as ARPA, and expired in September 2021. However, 24
                          states ended their participation in at least one of these programs before the programs
                          expired in September 2021.
                          20At the time of the program’s expiration in September 2021, PUA generally authorized up
                          to 79 weeks of benefits. Pub. L. No. 117-2, § 9011(a), (b), 135 Stat. 4, 118; Pub. L. No.
                          116-260, div. N, tit. II, § 201(a), (b), 134 Stat. 1182, 1950-1951 (2020); Pub. L. No. 116-
                          136, § 2102, 134 Stat. 281, 313 (2020).
                          21Pub. L. No. 117-2, § 9013, 135 Stat. 4, 119; Pub. L. No. 116-260, div. N, tit. II, § 203,
                          134 Stat. 1182, 1953; Pub. L. No. 116-136, § 2104 Stat. 281, 318.
                          22At the time of the program’s expiration, PEUC generally authorized an additional 53
                          weeks of benefits for claimants who were fully unemployed. Pub. L. No. 117-2, § 9016(a),
                          (b), 135 Stat. 4, 119-120; Pub. L. No. 116-260, div. N, tit. II, § 206(a), (b), 134 Stat. 1182,
                          1954; Pub. L. No. 116-136, § 2107, 134 Stat. 281, 323.




                          Page 8                                               GAO-23-106696 Unemployment Insurance
                       2021. 23 According to DOL, the MEUC program was intended to
                       supplement regular UI claimants whose benefits do not account for a
                       significant self-employment income. Consequently, these claimants may
                       have received a lower UI benefit than they would have received had they
                       been eligible for PUA. The total federal expenditure for MEUC program
                       benefits was $78 million through May 31, 2023.
UI Program Integrity   The unprecedented demand for UI benefits and the urgency with which
                       states implemented the new programs during the pandemic increased the
                       risk of improper payments, including, but not limited to, those due to
                       fraud. 24 DOL uses its BAM program to estimate the amount and rate of
                       improper payments, including those caused by fraud. The BAM program
                       includes testing of regular UI claims.
                       For fiscal years 2021 and 2022 improper payment reporting, DOL applied
                       the estimated improper payment rate from the BAM program testing of
                       regular UI claims to calculate the estimated improper payment amounts
                       for FPUC and PEUC. 25 Thus, the estimated improper payment amounts
                       for these two programs were incorporated into the overall UI estimated
                       improper payment amount reported for fiscal years 2021 and 2022.
                       However, this overall estimated improper payment amount for UI did not
                       include an estimate for PUA. According to DOL, it did not include PUA in

                       23The MEUC program, which was voluntary for states, authorized an additional $100
                       weekly benefit for certain UI claimants who received at least $5,000 of self-employment
                       income in the most recent tax year prior to their application for UI benefits between
                       December 27, 2020, and September 6, 2021. Pub. L. No. 117-2, § 9013(a), 135 Stat. 4,
                       119; Pub. L. No. 116-260, div. N, tit. II, § 261(a)(1), 134 Stat. 1182, 1961.
                       24An improper payment is defined by law as any payment that should not have been made
                       or that was made in an incorrect amount (including overpayments and underpayments)
                       under statutory, contractual, administrative, or other legally applicable requirements,
                       including unknown payments. It includes any payment to an ineligible recipient, any
                       payment for an ineligible good or service, any duplicate payment, any payment for a good
                       or service not received (except for such payments where authorized by law), and any
                       payment that does not account for credit for applicable discounts. 31 U.S.C. § 3351(4).
                       When performing improper payment risk assessments and estimates, executive agencies
                       are required to treat as improper any payments whose propriety cannot be determined
                       due to lacking or insufficient documentation. 31 U.S.C. § 3352(c)(2).
                       25DOL did not calculate an estimated improper payment amount for the MEUC program,
                       according to officials, because the program only operated between January and
                       September 2021. Office of Management and Budget (OMB) guidance instructs agencies
                       to complete improper payment risk assessments for newly established programs after the
                       first 12 months of the program. If the agency determines that the program is susceptible to
                       significant improper payments as a result of the assessment, then, in the following year,
                       the agency should produce a statistically valid estimate of the program’s improper
                       payments. DOL officials explained that, because MEUC existed for less than one year,
                       DOL did not estimate or report improper payments for this program.




                       Page 9                                            GAO-23-106696 Unemployment Insurance
the extrapolation of the BAM estimated improper payment rate because
the PUA program served a different population of workers and had
different eligibility requirements. 26 In addition, the BAM program did not
cover the start of the pandemic due to a temporary 3-month suspension
of testing for claims filed from April 1, 2020, to June 30, 2020, in order to
allow BAM investigators to help process initial claims and adjudication in
operations. 27
DOL’s annual estimated improper payments in UI increased from $8.0
billion (9.2 percent estimated improper payment rate) for fiscal year 2020
to $78.1 billion (18.9 percent estimated improper payment rate) for fiscal
year 2021. For fiscal year 2022, DOL reported estimated improper
payments of $18.9 billion (22.2 percent estimated improper payment
rate). 28 Improper payments could suggest that a program may be
vulnerable to fraud. However, improper payments represent all
overpayments—including fraud—and underpayments resulting from any
type of intentional or unintentional error. This amount is not a valid
indicator of fraud in a particular program.
In the UI system, program integrity is a shared responsibility between the
federal and state governments. DOL provides general support and
technical assistance, and states assume responsibility for determining
eligibility, ensuring accurate benefit payments, and preventing fraud and
other improper payments. Under the BAM program, each state is to
review a number of randomly selected cases on a weekly basis and
reconstructs the UI claims process to assess the accuracy of the
payments that were made. A BAM investigator in the SWA is to review
each sampled claim and identifies errors and the causes of the error,
including those caused by fraudulent activity.



26While DOL planned to report a statistically valid national improper payment rate for PUA
by fall 2022, according to DOL, OMB requested that it conduct further analysis of the
outcomes recorded through the PUA case review process. Also, according to DOL, OMB
allowed additional time to conduct this analysis and report on PUA outcomes in fiscal year
2023. In August 2023, DOL released its estimate of improper payments made from March
2020 to September 2021 under the PUA program, concluding that the PUA program had a
total estimated improper payment rate of 35.9 percent. DOL noted that its analysis
focused on the broader universe of improper payments, does not isolate fraud, and should
not be considered a fraud estimate for the PUA program.
27According to DOL officials, BAM investigators helped process initial claims and
adjudication in operations because they had the experience in this area.
28DOL’s fiscal years 2020, 2021, and 2022 improper payment estimates do not include
PUA claims.




Page 10                                           GAO-23-106696 Unemployment Insurance
Fraud and Fraud-Related   Fraud involves obtaining something of value through willful
Estimates                 misrepresentation, and it is a subset of overpayments. Whether any given
                          claim is fraudulent is determined through the judicial or other adjudicative
                          systems. The DOL OIG reported in November 2021 that fraud—
                          specifically claimants who received UI benefits through fraudulent
                          schemes, such as those perpetrated during the COVID-19 pandemic—
                          was one of the leading causes of improper payments. However, it did not
                          report a specific amount of fraud. 29
                          In October 2021, we reported that the amount of fraudulent and
                          potentially fraudulent activity in UI programs increased substantially after
                          implementation of the pandemic UI programs, relative to the amount of
                          such activity in the regular UI program before the pandemic. 30 For
                          example, the increased amount of benefits awarded and the PUA
                          program’s initial reliance on self-certification gave criminals incentive and
                          opportunities to commit fraud. DOL officials also identified other factors—
                          including significant increases in claims workload, new and inexperienced
                          staff and contractors, and quick implementation of new programs—that
                          provided additional opportunities for exploitation of program and system
                          vulnerabilities. In addition, DOL officials stated that the UI programs
                          during the pandemic were a key target for fraud because fraudsters could
                          receive a large amount of money in one payment because certain UI
                          claims could be backdated to the beginning of the eligibility period.
                          In December 2022, we found that federal and state fraud measures and
                          estimates indicated substantial fraud and potential fraud in UI programs
                          during the pandemic but did not fully reflect the extent of fraud. 31 While
                          federal and state entities have produced several fraud and fraud-related
                          measures and estimates of UI fraud during the pandemic, no estimate or
                          combination of estimates fully covers the extent of fraud in UI programs

                          29Department of Labor Office of Inspector General, Top Management and Performance
                          Challenges Facing the U.S. Department of Labor (Washington, D.C.: November 2021).
                          30GAO, COVID-19: Additional Actions Needed to Improve Accountability and Program
                          Effectiveness of Federal Response, GAO-22-105051 (Washington, D.C.: Oct. 27, 2021).
                          We define fraudulent activity as activity that has been confirmed to be fraudulent via an
                          adjudicative or other formal determination process. We define potentially fraudulent
                          activity as activity that has indicators that may suggest fraud.
                          31GAO-23-105523. We use the phrase “fraud measure” to discuss counts related to
                          proven fraud, such as adjudicated cases of fraud. We use the phrase “fraud estimate” to
                          discuss estimates that attempt to quantify what could be determined to be fraud—or the
                          extent of fraud—although such cases have not yet been, and may never be, proven.
                          Finally, we use the phrases “fraud-related” and “potential fraud” to describe measures and
                          estimates that attempt to quantify the extent of fraud indicators but do not suggest a
                          potential or actual determination of fraud.




                          Page 11                                           GAO-23-106696 Unemployment Insurance
                           during the pandemic. As discussed later in this report, we have developed
                           our own estimate, including a lower and upper range, of the total extent of
                           UI fraud during the pandemic.
DOL Assistance to States   DOL provides administrative funding and support to SWAs as a function
                           of the regular UI program. Additionally, the CARES Act authorized DOL to
                           provide funding to states to administer the pandemic UI programs. 32 DOL
                           has used its authority under the CARES Act to provide states with
                           additional administrative funding to include the following for the pandemic
                           UI programs:
                           •   prevent, detect, and investigate fraudulent overpayments;
                           •   recover overpayments; and
                           •   support identity verification and prevent identity fraud.
                           In March 2021, the President signed ARPA into law. The law created a
                           new section of the CARES Act and provided $2 billion in funding to DOL
                           to detect and prevent fraud, promote equitable access, and ensure the
                           timely payment of benefits to eligible workers with respect to the
                           unemployment compensation programs. In August 2021, DOL announced
                           initial funding to states to carry out work on four tracks to address
                           systemic shortcomings in access:
                           •   sending expert “Tiger Teams” directly to states to help identify
                               process improvements that can speed benefit delivery, address
                               equity, and fight fraud;
                           •   providing tools to help address immediate fraud concerns by
                               facilitating more effective identification verification processes;
                           •   developing IT solutions that can be adopted by states to modernize
                               antiquated state technology; 33 and
                           •   announcing funding opportunities to help states ensure timely
                               payment of benefits, promote equitable access, and combat fraud.


                           32The CARES Act did not specify the amount for DOL funding to states to administer the
                           pandemic UI programs.
                           33Many states rely on outdated legacy IT systems to operate their UI programs. The DOL
                           OIG and GAO have reported on the risks and challenges that legacy systems pose for
                           state UI programs, which have led to, among other things, reduced efficiency and
                           effectiveness. Legacy IT systems have led to slower payment processing, an inability to
                           detect and recover fraudulent overpayments, reporting difficulties, security vulnerabilities,
                           staffing challenges, and increased administrative costs. See GAO, Unemployment
                           Insurance: DOL Needs to Further Help States Overcome IT Modernization Challenges,
                           GAO-23-105478 (Washington, D.C.: July 10, 2023).




                           Page 12                                             GAO-23-106696 Unemployment Insurance
                          In June 2023, the Fiscal Responsibility Act of 2023 (FRA) was signed into
                          law. 34 This law rescinds total ARPA funding for UI programs that had not
                          been awarded and reduced the total ARPA funding for UI programs from
                          $2 billion to $1 billion. In July 2023, DOL announced updated financial
                          assistance amounts for states, which reflected the FRA rescission.
UI Overpayment            States report to DOL on UI overpayments; recoveries; write-offs; and
Recoveries, Write-offs,   waivers, among other information. An overpayment occurs when
                          individuals receive benefits to which they are not entitled. Once a state
and Waivers
                          determines that an overpayment has been made, the state must take
                          actions to recover the amount overpaid. If states have exhausted efforts
                          to collect an overpayment, the state may remove (write off) the amount
                          for accounting purposes within the authority of state law. A write-off does
                          not limit the legal authority of the state to collect the overpayment, should
                          the opportunity arise. Under the pandemic UI programs, a state can waive
                          the legal right to recover the overpayment, in limited circumstances,
                          where the individual is not at fault and repayment would be contrary to
                          equity and good conscience.
                          State laws provide methods for the recovery of benefit overpayments,
                          including fraudulent overpayments. 35 States use several tools to recover
                          overpayments, such as direct repayment, offsetting future UI benefits,
                          and assessing penalties. Under federal law, states must recover certain
                          types of overpayments by offsetting an individual’s federal income tax
                          refund payment through the Treasury Offset Program, including
                          overpayments due to fraud and overpayments due to misreported work
                          and earnings. 36 Similarly, states may also offset overpayments with
                          monies owed to the individual from state tax refunds or lottery winnings,
                          or the state can compel repayment by pursuing civil action in state court.
                          Some state laws may also include provisions for denying or suspending
                          professional licenses of persons owing an overpayment of UI benefits.
                          For overpayments due to fraud, states may bring criminal charges, which
                          can lead to fines and prison sentences. Federal law requires a mandatory
                          penalty assessment for fraudulent claims of not less than 15 percent of
                          the amount of the erroneous payment against claimants committing fraud


                          34The Fiscal Responsibility Act of 2023, Pub. L. No. 118-5, 137 Stat. 10 (2023), rescinded
                          $1 billion of the unobligated balance.
                          35Because states may use different definitions for categorizing an overpayment as
                          fraudulent, an overpayment that is classified as fraudulent in one state might not be
                          classified as fraudulent in another state.
                          3642 U.S.C.§ 503(a)(5).




                          Page 13                                            GAO-23-106696 Unemployment Insurance
in connection with states’ or federal UI programs. 37 Figure 1 illustrates
examples of how states recover overpayments and penalties for
fraudulent overpayments.




37Although UI benefit fraud typically involves an individual’s attempt to obtain or increase
benefits, it also includes employers who attempt to prevent or reduce benefits to eligible
individuals, and employers who help an individual attempting to fraudulently claim
benefits. 42 U.S.C. § 503(a)(11).




Page 14                                            GAO-23-106696 Unemployment Insurance
Figure 1: Examples of Tools That States Use to Recover Overpayments, and Penalties for Fraudulent Overpayments




                                       States can write off fraudulent overpayments after exhausting all options
                                       to recover them and deem them unrecoverable. After exhausting options
                                       to recover overpayments, most states will permit the SWA to write off



                                       Page 15                                      GAO-23-106696 Unemployment Insurance
                             certain types of overpayments—meaning that the SWA will remove the
                             debt from its books as being uncollectible. Writing off an overpayment is
                             not the same as a state waiving recovery of an overpayment. Writing off
                             an overpayment is an accounting procedure and does not impact the
                             state’s legal right to collect an overpayment, should the opportunity arise.
                             States may choose to write off overpayments based on how long the
                             overpayment has been outstanding (i.e., age of the overpayment), or in
                             cases of bankruptcy or death of the individual.
                             Under certain circumstances, the state may waive the recovery of the
                             overpayment. To waive the recovery of pandemic UI benefit
                             overpayments, states must determine that the individual is not at fault and
                             that overpayment repayment would be contrary to equity and good
                             conscience. For example, states may waive the recovery of
                             overpayments when the overpayment is due to an agency or employer
                             error. 38 The CARES Act provides authority for all states to opt to waive
                             recovery of certain nonfault overpayments of pandemic UI benefits in
                             cases where the recoupment would be against equity and good
                             conscience. 39 Additionally, there are limited circumstances under the
                             CARES Act in which states may use blanket waivers of certain nonfault
                             overpayments. 40 Waiving recovery of an overpayment involves the state
                             waiving its legal rights to collect an overpayment.
Prior GAO                    Since 2018, GAO has made 26 recommendations to DOL to improve the
Recommendations              UI system. As of August 2023, DOL has implemented ten of those
                             recommendations. However, 16 recommendations—including four
Intended to Improve the UI
                             involving fraud risk management—have either not been implemented or
System                       only partially addressed.
                             •   Three recommendations—including one priority recommendation and
                                 two other recommendations related to fraud risk management—have
                                 been partially addressed, meaning that the agency has completed




                             38According to DOL documentation, the following 11 states do not have waivers from
                             overpayment recovery: Delaware, Kentucky, Mississippi, Missouri, Nebraska, New
                             Mexico, New York, Oklahoma, Puerto Rico, Texas, and West Virginia.
                             39Pub. L. No. 116-136, §§ 2104(f)(2), 2105(f), 2107(e)(2), 134 Stat at 319-327; Pub. L. No.
                             116-260, div. N, tit. II, § 201(d), 134 Stat. 1182, 1952.
                             40DOL’s Unemployment Insurance Program Letter (UIPL) No. 20-21, Change 1, provided
                             guidance to states on the permissible use of blanket waivers.




                             Page 16                                           GAO-23-106696 Unemployment Insurance
                              action(s) that contribute to implementation but has not yet completed
                              all actions to fully implement the recommendation. 41
                          •   Thirteen recommendations—including two related to fraud risk
                              management—have not yet been implemented. Three of these are
                              priority recommendations.
                          GAO continues to monitor the implementation status of these
                          recommendations. See appendix II for a list of the 26 GAO
                          recommendations.
                          We estimate that the fraud in UI programs during the pandemic—from
Estimated UI              April 2020 through May 2023—was likely between $100 billion and $135
Program Fraud during      billion. This represents about 11 percent and about 15 percent,
                          respectively, of the total amount of UI benefits paid during the pandemic.
the Pandemic
                          This estimate covers the period from April 2020 (first full month of
Ranges from $100          payments from all UI programs) to May 2023 (end of the public health
Billion to $135 Billion   emergency) and all 53 states that participated in the regular UI and
                          pandemic UI programs.
                          As part of our work to calculate this estimate, we separated UI
                          expenditures by whether the expenditures were associated with the PUA
                          program, which had a unique fraud risk profile. Given the time frame of
                          this review, we were not able to obtain sufficient evidence about the PUA
                          program to report a separate statistical estimate for that program. Instead,
                          we designed our procedures such that when the total evidence of PUA
                          and non-PUA payments was considered together, the combined evidence
                          was sufficient to support an overall estimate of the extent of fraud in the
                          UI programs during our review. 42
                          Judicial or other adjudicative systems make final determinations of
                          whether any given UI claim is fraudulent. Fraudulent activities frequently
                          go undetected due to their deceptive nature and the limited resources

                          41Priority recommendations are those that GAO believes warrant priority attention from
                          heads of key departments or agencies. They are highlighted because, upon
                          implementation, they may significantly improve government operations, for example, by
                          realizing large dollar savings; eliminating mismanagement, fraud, and abuse; or making
                          progress toward addressing a high risk or fragmentation, overlap, or duplication issue.
                          42In this context, sufficiency depends on the precision of the estimate. The precision of our
                          overall estimate is captured by the width of our reported range, which accounts for the
                          statistical uncertainty associated with both the PUA and non-PUA payments at the 95
                          percent confidence level. We do not report our range at the 95 percent confidence level
                          because statistical intervals do not capture the uncertainty associated with identifying
                          which cases in the sample were fraudulent. To reduce this latter source of uncertainty, we
                          leveraged multiple data sources and review procedures. (See app. I for more details).




                          Page 17                                            GAO-23-106696 Unemployment Insurance
available to investigate and adjudicate fraud. We designed this range to
capture the extent of fraudulent activity, regardless of whether that activity
was previously detected or adjudicated. Because not all potential fraud
will be investigated and adjudicated through judicial or other systems, the
full extent of UI fraud during the pandemic will likely never be known with
certainty. Due to our use of statistical methods and the uncertainty
associated with estimating fraud without final adjudications, the actual
amount of fraud could be greater than or less than our estimated range.
See appendix I for more detailed information on the methodology we
used to estimate fraud in the UI programs during the pandemic, including
the limitations and assumptions associated with the analysis.
We have previously estimated the extent of fraud in the UI programs. In
December 2022, we estimated that at least $60 billion in fraudulent UI
payments were made to claimants by extrapolating the lower bound of
DOL’s 2021 estimated national fraud rate for the regular UI program to
total UI spending. 43 However, we concluded that the actual amount of
fraud in UI programs during the pandemic could be substantially higher
than the estimated $60 billion lower limit.
We now estimate that the amount of fraud was higher, with our new range
of $100 billion to $135 billion falling above the lower limit that we reported
in December 2022. To calculate our previous lower limit, we relied on
existing evidence about the extent of fraud in the UI programs. Our
current range extended this work through a substantial methodology
employing independent sampling and modeling work. 44 In addition, our
analysis supports the presence of higher fraud rates for PUA payments,
which matches our previous reporting about the increased fraud risk
associated with the PUA program. 45
In February 2023, the DOL OIG estimated that at least $191 billion in UI
payments during the pandemic could have been improper, with a


43GAO-23-105523.

44As described earlier, we relied on DOL’s BAM program to estimate the total fraud in the
regular UI program, PEUC, MEUC, Extended Benefits, and the portion of FPUC payments
that were not associated with PUA claims. To estimate fraud in the PUA program,
including FPUC payments associated with PUA claims, we selected a generalizable
sample of PUA payments and then reviewed the payments for fraud risk using multiple
public and nonpublic data sources. We also developed an econometric model to predict
the level of PUA benefit payments if all states were comprehensively implementing fraud
prevention tools or processes, using explanatory variables that captured a broad range of
state-level conditions, such as states’ COVID-19 disease burden.
45GAO-23-105523.




Page 18                                          GAO-23-106696 Unemployment Insurance
                           significant portion attributable to fraud. 46 We did not estimate improper
                           payments, but our findings are generally consistent with the DOL OIG’s
                           statement regarding the significance of fraud in the UI programs.

DOL Has Allocated
$1.4 Billion in
Assistance to States
and Is to Track Funds
through Quarterly
Reporting
DOL Allocated about $1.4   DOL initially allocated over $2 billion in CARES Act and ARPA funding to
Billion and Awarded $872   states for initiatives including fraud prevention; detection; investigation;
                           and overpayment recovery, among others. 47 As part of the FRA
Million in CARES Act and
                           rescission, in July 2023, DOL officials revised APRA spending plans and
ARPA Funds for Fraud       issued updated funding allocations. ARPA funding was reduced by $639
Prevention Efforts         million from the original allocation in the following three categories: (1)
                           Tiger Team funding was reduced by $86 million, (2) fraud prevention was
                           reduced by $100 million, and (3) IT modernization was reduced by $453
                           million.
                           After accounting for the rescission, DOL’s revised allocation of ARPA
                           funding resulted in about $1.4 billion in funding allocated to states. This
                           figure includes a total of $525 million in CARES Act funding to address
                           fraud in the pandemic UI programs and over $879 million in ARPA
                           funding to address fraud, increase equity, reduce backlogs, and
                           undertake other initiatives. 48 According to DOL guidance, any remaining
                           ARPA funds that have not been allocated for financial assistance could
                           eventually be used to procure identity verification tools for states. Table 1
                           provides a summary of financial assistance as of July 2023.




                           46Larry D. Turner, Inspector General, Department of Labor, Office of Inspector General,
                           testimony before the House of Representatives Committee on Ways and Means, 118th
                           Cong., 1st sess., February 8, 2023.
                           47Allocated amounts represent the maximum amount of funds available for states to apply
                           for in each of these grants.
                           48This amount reflects the partial impact of the FRA’s rescission of $1 billion from the
                           original ARPA grant funding amount.




                           Page 19                                            GAO-23-106696 Unemployment Insurance
Table 1: Coronavirus Aid, Relief, and Economic Security (CARES) Act and American Rescue Plan Act (ARPA) Unemployment
Insurance (UI) Financial Assistance for Fraud Prevention Efforts, July 2023

Funding     Announcement           Funding allocated (dollars)       Examples of allowable      UI programs
source      date                                                     uses
CARES Act August 2020                                  100,000,000      •   Prevent and         Pandemic Unemployment
                                                                            detect fraud and    Assistance (PUA), Pandemic
                                                                            identity theft      Emergency Unemployment
                                                                        •   Recover             Compensation (PEUC)
                                                                            fraudulent
                                                                            overpayments
                                                                        •   Investigate fraud
            January 2021                               100,000,000      •   Identity            PUA, PEUC
                                                                            verification
                                                                        •   Prevent and
                                                                            detect fraud
                                                                        •   Investigate fraud
                                                                        •   Recover
                                                                            fraudulent
                                                                            overpayments
            August 2021                                100,000,000      •   Identity            PUA, PEUC
                                                                            verification
                                                                        •   Prevent and
                                                                            detect fraud and
                                                                            identity theft
                                                                        •   Recover
                                                                            fraudulent
                                                                            overpayments
            July 2022                                  225,000,000      •   Detect fraud        PUA, PEUC, Federal
                                                                        •   Recover             Pandemic Unemployment
                                                                            overpayments        Compensation (FPUC)
    Total CARES Act                                    525,000,000
ARPA        August 2021                                260,000,000      •   Remove access All programs
                                                                            barriers
                                                                        •   Reduce backlogs
                                                                        •   Improve
                                                                            timeliness
                                                                        •   Increase equity in
                                                                            fraud detection




                                       Page 20                                       GAO-23-106696 Unemployment Insurance
                    August 2021                                             140,000,000    •   Identity         All programs
                                                                                               verification
                                                                                           •   Prevent and
                                                                                               detect fraud
                                                                                           •   Improve data
                                                                                               management
                                                                                           •   Improve
                                                                                               cybersecurity
                                                                                           •   Recover
                                                                                               overpayments
                    November 2021                                          160,121,650a    •   Fund expert      All programs
                                                                                               “Tiger Teams”
                                                                                               consultations
                                                                                           •   Prevent and
                                                                                               detect fraud
                                                                                           •   Recover
                                                                                               fraudulent
                                                                                               overpayments
                                                                                           •   Promote
                                                                                               equitable access
                                                                                           •   Reduce backlogs
                                                                                           •   Improve
                                                                                               timeliness
                    December 2021                                             1,200,000b   •   Modernize UI     All programs
                                                                                               information
                                                                                               technology
                                                                                               system pilot
                                                                                               program
                    January 2022                                             18,025,506    •   Improve          All programs
                                                                                               timeliness
                                                                                           •   Help workers
                                                                                               navigate UI
                                                                                               application
                                                                                               process
                    July 2023                                               100,000,000    •   Identity         All programs
                                                                                               verification
                                                                                           •   Prevent and
                                                                                               detect fraud
                                                                                           •   Overpayment
                                                                                               recovery
                    July 2023                                               200,000,000c   •   Modernize UI     All programs
                                                                                               information
                                                                                               technology
                                                                                               systems
 Total ARPA                                                                 879,347,156
 Total funding                                                             1,404,347,156
Source: GAO analysis of Department of Labor information. | GAO-23-106696




                                                               Page 21                                 GAO-23-106696 Unemployment Insurance
aThe November 2021 funding includes $114 million in grants to states for implementing
improvements to their UI systems. The remaining $46 million has been used to fund the expert Tiger
Team consultations. Tiger Teams are UI experts that work with states to identify process challenges
and areas of improvement.
bDOL Announcement TEN [Training and Employment Notice]16-21, issued in December 2021,
initially announced up to $600,000 to selected states but awarded $1.2 million as an additional state
was selected for participation, as of May 2023.
cStates could apply for funding up to $11.25 million, regardless of size.


DOL allowed states to apply for and be awarded financial assistance up
to a fixed amount. For much of the financial assistance, DOL determined
the amount of financial assistance allocated to states based on either the
12-month average of UI-covered employment in the state or a
combination of covered employment and the number of first payments
made. 49 According to DOL Office of UI Modernization officials, not all
states applied for the financial assistance available. As of May 2023, DOL
awarded $872 million to states in financial assistance. Of the $872 million,
about $398 million was awarded from ARPA funding and about $475
million from the CARES Act. Figure 2 shows how much financial
assistance each state has been awarded.

Figure 2: Department of Labor (DOL) Financial Assistance Awarded to States, May
2023




49Covered employment refers to the number of employees covered by UI reported to the
states by employers.




Page 22                                                   GAO-23-106696 Unemployment Insurance
According to officials from six selected states, they used CARES Act and
ARPA financial assistance to perform such things as
•   administer fraud detection and prevention initiatives, including identity
    verification and multifactor authentication software,
•   improve and expand overpayment recovery efforts,
•   improve the availability of translation services,
•   reduce backlogs through process improvements and additional
    staffing,
•   improve the claimant experience with chatbots and enhanced self-
    service portals, 50 and
•   fund staff working on pandemic UI program reporting.
Appendix III provides a list of CARES Act and ARPA financial assistance
that DOL allocated and awarded to each state. 51
Tiger Team initiative. DOL provided technical assistance to states
separate from grants. Specifically, DOL provided expert assistance to
states through its Tiger Team initiative and established mechanisms to
facilitate state identity proofing. With funding provided by ARPA, DOL
allocated grant funds of up to approximately $114 million to support states
in improving UI systems and processes, which included addressing fraud
prevention and detection. As of April 2023, DOL had allocated $46 million
in additional ARPA funds via contracts for state Tiger Team consultations.
Through these contracts, multidisciplinary Tiger Teams are to analyze
state UI systems and work with states to identify process challenges and
areas of improvement. The Tiger Teams have been composed of staff
with expertise on UI systems from DOL, the National Association of State
Workforce Agencies, and a consulting firm. 52 Tiger Teams are to work
with states to identify ways to enhance their systems and processes by
making actionable recommendations. States utilize grant funding

50A chatbot is an interactive and automated system that can answer questions for
claimants and that frees up staff to assist claimants more efficiently.
51Awards represent the amount of funds that DOL approved states to receive after the
application process.
52Each Tiger Team should be comprised of experts, including a fraud specialist,
equity/customer experience specialist, UI program specialist, business intelligence
analysts, computer systems engineer/architect, and project manager. See Department of
Labor, Grant Opportunity to Support States Following a Consultative Assessment for
Fraud Detection and Prevention, Promoting Equitable Access, and Ensuring the Timely
Payment of Benefits, including Backlog Reduction, for all Unemployment Compensation
(UC) Programs, UIPL No. 02-22 (Washington, D.C.: Nov. 2, 2021).




Page 23                                             GAO-23-106696 Unemployment Insurance
provided by DOL to make near-term improvements recommended by the
Tiger Teams. The recommendations that states receive, and the
corresponding improvements that states make with the funding, must
align with three pillars of ARPA:
•   Equitable access
•   Fraud prevention, detection, and recovery
•   Payment timeliness and backlog reduction
The Tiger Team initiative has two phases: (1) a consultative assessment
and recommendations phase and (2) a subsequent funding and
implementation of potential solutions phase. During the Tiger Team
consultative assessment and recommendations phase, SWAs are to work
directly with the Tiger Team to identify areas of improvement within the
state UI system. Once the recommendations are finalized, the Tiger
Teams are to negotiate with the SWA to determine which
recommendations to fund and implement. SWAs then apply for grant
funding from DOL to implement the agreed-upon recommendations.
According to DOL, both phases of the Tiger Team initiative are underway.
For consultative assessments and recommendations, DOL officials stated
that as of May 2023, 45 states had applied for Tiger Team consultations;
of these 53
•   five states had Tiger Team consultations in process;
•   11 states have not started the Tiger Team consultations; 54 and
•   29 states have completed their Tiger Team consultations, which
    resulted in 301 recommendations to states.
The Tiger Teams are to develop recommendations aligned with the three
pillars of ARPA, with a focus on recommendations that states can more
readily implement. Of the six selected states, three are reported to be in
the process of funding and implementing Tiger Team recommendations
and have aligned their funding based on the three pillars. Tiger Team
recommendations to these selected states included developing plain
language materials and collecting additional data from applicants to


53From UIPL No. 02-22, Change 2, the deadline for states to express their interest in
participating in this initiative was March 31, 2023.
54DOL stipulates a period of performance for Tiger Team funding, but DOL officials said
that states could request additional time to use the funds. As a result of the FRA, states
that did not begin the consultative assessment as of June 30, 2023, are not eligible for
implementation grant funding.




Page 24                                            GAO-23-106696 Unemployment Insurance
                                        analyze barriers to access. 55 In addition, to improve fraud prevention,
                                        detection, and recovery efforts, recommendations have been made to
                                        improve identity authentication software and UI system security, including
                                        creating a fraud data warehouse. Finally, recommendations have been
                                        made to improve payment timeliness and reduce backlogs, which
                                        included automating internal UI system processes and implementing
                                        dynamic fact-finding for employment separations. 56 Of the three
                                        remaining selected states without recommendations:
                                        •    one is currently engaged in the consultative assessment and
                                             recommendations phase,
                                        •    one has expressed interest but is not yet participating, and
                                        •    one chose not to participate in the initiative.
                                        See figure 3 for the recommendations that selected states have reported
                                        implementing that align with the three pillars.

Figure 3: Tiger Team Recommendations That Selected States Have Reported Implementing That Align with the Three Pillars




                                        Note: Tiger Team recommendations may fit under multiple program pillars, and the figure is not a
                                        comprehensive representation of what applies under each pillar.

                                        Identity-proofing mechanisms. Identity fraud was a major contributor to
                                        UI fraud during the pandemic. DOL provided states with two channels to
                                        acquire identity-proofing software to help reduce fraud. First, the agency
                                        established a Blanket Purchase Agreement (BPA) for states to procure

                                        55Tiger Team documents suggest that plain-language materials may also help reduce
                                        improper payments through (1) increased compliance with UI policies and (2) reduced
                                        claimant errors.
                                        56Dynamic fact-finding is an automated process that asks claimants a series of questions
                                        to determine the reason for their employment separation (i.e., fired, laid off, quit).




                                        Page 25                                                GAO-23-106696 Unemployment Insurance
                             identity-proofing services. 57 It competitively awarded BPAs to three
                             identity-proofing vendors: LexisNexis, V3Gate, and TransUnion. DOL
                             officials told us that they spent roughly $285,000 to test the identity-
                             proofing services integration with state UI systems. As of May 2023, no
                             states have utilized the BPA to procure identity-procurement services.
                             Officials from our six selected states said that they did not use the BPA
                             for a variety of reasons. For example, officials from one state said that
                             they had to comply with their own state’s procurement process. Officials
                             from another state said that their state had significant buying power and
                             did not need to use the BPA. Officials from the other selected states said
                             that they had already acquired identity-proofing services or had existing
                             relationships with vendors.
                             Second, DOL also collaborated with states to provide identity verification
                             services through the General Service Administration’s Login.gov and the
                             U.S. Postal Service to provide states with both online and in-person
                             identity proofing. Arkansas was the first state to implement Login.gov
                             integration through a pilot initiative from November 2021 through June
                             2022. In July 2023, DOL offered to provide online and in-person identity
                             proofing to states through Login.gov and the U.S. Postal Service. DOL is
                             planning to use ARPA funds to cover two years of transaction costs for
                             these services, depending on the availability of funding.
DOL Is to Track the Use of   According to DOL officials, the agency’s Employment and Training
Financial and Technical      Administration (ETA) is to track states’ use of financial and technical
                             assistance through quarterly reporting. States are required to provide
Assistance through
                             ETA with quarterly narrative progress and financial reports. DOL officials
Quarterly Reports            said that regional offices are to review these reports and monitor the use
                             of these funds. According to DOL’s guidance, ETA is to use the quarterly
                             progress reports to track each state’s progress in implementing the
                             agreed-upon Tiger Team recommendations with the funds that DOL
                             provided, along with other funded projects. The quarterly reports should
                             identify the specific agreed-upon recommendations being implemented
                             and specific outcome metrics as they relate to those activities, as well as
                             ensuring that the state’s use of funds is consistent with the allowable use
                             of funds. The reports should also contain updates on all grant obligations
                             and disbursements made by the states. The data collected from the
                             reports are to be used by ETA to assess the effectiveness of programs,
                             monitor compliance with statutory limitations, and analyze financial
                             activity. In addition to quarterly reporting, officials from a selected state


                             57A BPA is an agreement established with a supplier to fill a repetitive need for services.
                             BPAs streamline the ordering process. Federal Acquisition Regulation § 13.303.




                             Page 26                                            GAO-23-106696 Unemployment Insurance
                                       also said that ETA regional office staff have frequent discussions with
                                       states regarding the use of funds.
                                       Based on the most recent data available, as of May 1, 2023, states have
States Have                            reported identifying about $55.8 billion in established fraudulent and
Reported Billions in                   nonfraudulent overpayments across all UI programs from March 2020—
                                       the beginning of the pandemic—through March 2023. States also
UI Overpayments,                       reported recoveries of about $6.8 billion, which is approximately 12
Recoveries, Write-                     percent of overpayments identified during the same period. All identified
                                       overpayments are reported during the period in which they are
Offs, and Waivers to                   established, and recovered funds are reported as they are collected.
DOL                                    However, recoveries can take many years to collect, and states can
                                       modify recovery figures daily, which makes comparisons between
                                       overpayments and recoveries difficult. 58 Figure 4 illustrates the total
                                       amount of UI overpayments and recoveries that states reported for this
                                       period.

Figure 4: Total State-Reported Established Overpayment and Recovery Amounts for all Unemployment Insurance (UI)
Programs, March 2020 – March 2023 (as of May 1, 2023)




                                       Note: All overpayments are reported during the period in which they are established, and recovered
                                       funds are reported as they are collected. However, recoveries can take many years, which makes
                                       comparisons between overpayments and recoveries difficult. Additionally, some states did not report
                                       totals for the pandemic UI programs during our review time frame. Specifically, three states did not
                                       report information for Pandemic Unemployment Assistance (PUA), three states did not report
                                       information for Pandemic Emergency Unemployment Compensation (PEUC), two states did not
                                       report information for Federal Pandemic Unemployment Compensation (FPUC), and 19 states did not
                                       report information for Mixed Earner Unemployment Compensation (MEUC).




                                       58In ongoing work, we are reviewing agency COVID-19 overpayment recovery efforts,
                                       including those for UI systems.




                                       Page 27                                                GAO-23-106696 Unemployment Insurance
States Have Reported                   As of May 1, 2023, states reported identifying about $5.3 billion in
Fraudulent UI                          established fraudulent UI overpayments for regular and pandemic UI
                                       programs from March 2020 through March 2023. States also reported
Overpayments,
                                       recoveries of about $1.2 billion, which is approximately 23 percent of
Recoveries, and Write-                 fraudulent UI overpayments identified during this period. Specifically, as
Offs                                   related to fraudulent overpayments and recoveries, states reported
                                       identifying about

                                       •   $1.4 billion in fraudulent overpayments and about $1 billion in
                                           recoveries for the regular UI program, and
                                       •   $3.9 billion in fraudulent overpayments and $214 million in recoveries
                                           for the pandemic UI programs.
                                       Figure 5 provides the fraudulent UI overpayment amounts and recoveries
                                       for the regular and pandemic UI programs reported by states during this
                                       period. Appendix IV provides amounts of fraudulent overpayments and
                                       recoveries reported by each state for both the regular and pandemic UI
                                       programs.

Figure 5: Total State-Reported Established Fraudulent Overpayment Amounts for Unemployment Insurance (UI) Programs,
March 2020 – March 2023 (as of May 1, 2023)




                                       Note: All overpayments are reported during the period in which they are established, and recovered
                                       funds are reported as they are collected. However, recoveries can take many years, and some of the
                                       overpayment recoveries for the regular UI program are from overpayments established prior to the
                                       pandemic, which makes comparisons between overpayments and recoveries difficult. Additionally,
                                       some states did not report totals for the pandemic UI programs during our review time frame.
                                       Specifically, three states did not report information for Pandemic Unemployment Assistance (PUA),
                                       three states did not report information for Pandemic Emergency Unemployment Compensation
                                       (PEUC), two states did not report information for Federal Pandemic Unemployment Compensation
                                       (FPUC), and 19 states did not report information for Mixed Earner Unemployment Compensation
                                       (MEUC).
                                       Potential overpayments may be identified through a variety of methods,
                                       such as cross-matches or fraud hotline tips. For example, states may
                                       review interstate benefit matches to identify duplicate claims filed in other



                                       Page 28                                               GAO-23-106696 Unemployment Insurance
                                                             states and under other UI programs. States must conduct an investigation
                                                             before issuing an official determination that an overpayment has been
                                                             made. Also, in the course of the investigation, states may determine that
                                                             the overpayment was due to fraud.
                                                             According to DOL officials, states do not report fraudulent UI
                                                             overpayments until investigations are complete and fraud has been
                                                             confirmed, which may take a long time to establish. States must ensure
                                                             that individuals that have the overpayment receive an opportunity to
                                                             respond and to present evidence before making an overpayment
                                                             determination.
                                                             Officials from the six selected states said that they have taken a variety of
                                                             actions to identify and recover fraudulent overpayments. For example,
                                                             officials from four states reported using a combination of data analytics,
                                                             such as cross-matching with a variety of databases and a manual review
                                                             process to determine whether an overpayment was due to willful
                                                             misrepresentation. Officials from another state reported using a manual
                                                             review process to establish identity theft cases that had not been flagged
                                                             by their system. Further, officials from one state reported that they review
                                                             evidence provided by third parties as part of their fraud determination
                                                             process. Lastly, officials from one state reported that they focused their
                                                             recovery efforts on the 75 banks that managed the majority of fraudulent
                                                             claims.
                                                             Table 2 provides information about how the six selected states recover
                                                             fraudulent overpayments through benefit offset or withholding state
                                                             income tax refunds.

Table 2: Six Selected State Law Provisions for Recovering Fraudulent Unemployment Insurance (UI) Overpayments

State               Recovery of fraudulent overpayments through benefit offset                     State tax refunds
                    Percentage that can be withheld                      Number of years limited
                    from UI weekly benefit
California                                                    100% 6 years from mailing the        Yes
                                                                   overpayment notice
Florida                                                       100% Commenced within 7 years        Not applicable – due to lack of state income tax
                                                                   from date overpayment
                                                                   established
Kansas                                                        100% No years limited                Yes
Nevada                                                        100% 10 years from date              Not applicable – due to lack of state income tax
                                                                   overpayment established
New York                                                      100% No years limited                Yes
Washington                                                    100% No years limited                No
Source: GAO analysis of Department of Labor documents. | GAO-23-106696




                                                             Page 29                                          GAO-23-106696 Unemployment Insurance
DOL officials said that recovering fraudulent overpayments in the
pandemic UI programs has been more challenging than the regular UI
program because of the differences in the type of fraud primarily being
committed. Specifically, in the regular UI program, individuals most
commonly commit eligibility fraud by falsifying information on their
application in an effort to obtain benefits to which they are not entitled. In
contrast, the pandemic UI programs—such as PUA—experienced large
amounts of identity fraud in which unknown suspects used stolen
identities to receive unemployment insurance benefits. The identification
and recovery of overpayments lost to identity fraud requires a coordinated
effort with law enforcement partners, which also takes longer to recover
than traditional recoveries.
Additionally, a comparison between regular UI overpayment and recovery
amounts is difficult. Overpayments and recoveries are reported during the
period in which they are established. 59 States are required to report
overpayment and recovery data to DOL on a continuous, rolling basis for
regular UI and most pandemic UI programs throughout the reporting
quarter. 60 States can also amend prior period data reported—going back
many periods–at any time during the quarter, so overpayment and
recovery amounts reported can change from day to day. Additionally,
since the regular UI program can have established overpayments that
occurred prior to the pandemic, SWAs are able to include any recovered
UI amounts in their current reporting. As a result, states might report
instances where the amount recovered for the regular UI program
appears to exceed the amount reported in established overpayments for
a given period. The DOL OIG has also previously reported that not all
states have provided these reports or have reported accurate data. 61
According to DOL officials, data are not yet available to show if states
using ARPA grant funds to assist with overpayment recovery efforts have
improved recovery rates.
DOL allows SWAs to write off certain types of overpayments consistent
with DOL guidance and statute—meaning that the SWA will remove the

59An established case is defined as any single issue involving either a fraudulent or
nonfraudulent overpayment that has been determined for a claimant within a single
calendar month or quarter and for which a formal notice of decision is issued.
60States report activity for the PUA program to DOL each month, which includes activities
performed during the preceding calendar month.
61Department of Labor, Office of Inspector General, Employment and Training
Administration, Advisory Report, CARES Act: Initial Areas of Concern Regarding
Implementation of Unemployment Insurance Provisions, Report no. 19-20-001-03-315
(Washington, D.C.: Apr. 21, 2020).




Page 30                                            GAO-23-106696 Unemployment Insurance
                                                             debt from their books as being uncollectible. Based on our analysis of
                                                             state-reported data, states have written off approximately $110 million in
                                                             fraudulent UI overpayments from March 2020 through March 2023. Five
                                                             of our six selected states have write-off provisions for fraudulent
                                                             overpayments after a specified period has passed from the date of
                                                             establishing the overpayment. Two states write off overpayments once
                                                             claimants are deceased, and two states write off overpayments in certain
                                                             cases that have been determined to be noncollectible based on state law.
                                                             One state does not have a specified period after which amounts are
                                                             written off. Table 3 provides information on selected states’ write-off
                                                             criteria.

Table 3: Selected State Fraudulent Overpayment Write-Off Criteria

State               Age of the overpayment                                                                   Other criteria, if applicable
Californiaa,b       6 to 10 years from establishment and no repayment funds received through                 Immediately if overpayment is
                    collection activity in the previous 36 months                                            less than $10
Floridaa            5 years from establishment                                                               Bankruptcy or death
Kansasa             10 years from last recorded transaction                                                  Death
Nevadab             3 years from establishment                                                               Not applicable
New Yorka           10 years from last action on overpayment and 20 years from date judgment is filed,       Not applicable
                    extended by payment activity
Washingtonb No period specified                                                                              No cost-effective means of
                                                                                                             collecting
Source: GAO analysis of Department of Labor documents. | GAO-23-106696
                                                             aWrite-off provisions found in policy.

                                                             bWrite-off provisions found in law.


                                                             While states are permitted to write off fraudulent UI overpayments, DOL
                                                             rules do not allow states to waive recovery of fraudulent overpayments.
                                                             Officials from selected states confirmed that their states did not waive
                                                             recovery of fraudulent UI overpayments.
States Have Reported                                         As of May 1, 2023, states reported identifying about $50.5 billion in
Nonfraudulent                                                established nonfraudulent UI overpayments for regular and pandemic UI
                                                             programs, from March 2020 through March 2023. States also reported
Overpayments,
                                                             recoveries of about $5.6 billion, which is approximately 11 percent of
Recoveries, Write-Offs,                                      overpayments identified during this period. Specifically, states reported
and Waivers                                                  identifying about

                                                             •     $11.3 billion in nonfraudulent overpayments and $2.6 billion in
                                                                   recoveries for the regular UI program, and




                                                             Page 31                                    GAO-23-106696 Unemployment Insurance
                                                             •     $39.3 billion in nonfraudulent overpayments and $3.0 billion in
                                                                   recoveries for the pandemic UI programs.
                                                             Figure 6 provides the total nonfraudulent overpayment amounts and
                                                             recoveries for the regular and pandemic UI programs reported by states
                                                             during this period. Appendix V provides information on the amount of
                                                             nonfraudulent overpayments and recoveries reported by each state for
                                                             the regular and pandemic UI programs.

Figure 6: Total State-Reported Established Nonfraudulent Overpayment Amounts for Unemployment Insurance (UI) Programs,
March 2020 – March 2023 (as of May 1, 2023)




                                                             Note: Some states did not report totals for the pandemic UI programs during our review time frame.
                                                             Specifically, three states did not report information for Pandemic Unemployment Assistance (PUA),
                                                             three states did not report information for Pandemic Emergency Unemployment Compensation
                                                             (PEUC), two states did not report information for Federal Pandemic Unemployment Compensation
                                                             (FPUC), and 19 states did not report information for Mixed Earner Unemployment Compensation
                                                             (MEUC).
                                                             Table 4 provides information about how six selected states recover
                                                             nonfraudulent overpayments through benefit offset.

Table 4: Six Selected State Law Provisions for Recovering Nonfraudulent Unemployment Insurance (UI) Overpayments

State                 Recovery of overpayments through benefit offset
                      Percentage that can be withheld from UI weekly benefit                         Number of years limiteda
California                                                                                     25% 6 years from mailing the overpayment notice
Florida                                                                                      100% Commenced within 7 years from date overpayment
                                                                                                  established
Kansas                                                                                       100% No years limited
Nevada                                                                                         50% 5 years from date overpayment established
New York                                                                                       50% No years limited
Washington                               50% (up to 100%, depending on claimant request) No years limited
Source: GAO analysis of Department of Labor documents. | GAO-23-106696




                                                             Page 32                                                GAO-23-106696 Unemployment Insurance
                                       aThese are the state law provisions applicable to the regular UI program. The CARES Act, as
                                       amended, statutorily limits benefit offsets for recovering Pandemic Emergency Unemployment
                                       Compensation, Mixed Earner Unemployment Compensation, and Federal Pandemic Unemployment
                                       Compensation overpayments to three years. This same limitation does not apply to Pandemic
                                       Unemployment Assistance.
                                       States also reported writing off about $849 million in nonfraudulent
                                       overpayments during this period. As with fraudulent overpayments, most
                                       states, after exhausting all options to recover overpayments, allow their
                                       respective SWAs to remove certain types of overpayment debts from their
                                       books as uncollectible.
                                       For the same period, states reported waiving recovery of about $5.5
                                       billion in nonfraudulent overpayments. DOL defines a waiver within the
                                       regular UI program as a nonfraud overpayment for which the state
                                       agency, in accordance with state law, relinquishes the obligation of the
                                       claimant to repay. For the purposes of pandemic UI programs, waivers
                                       are authorized when the overpayment was not the fault of the claimant
                                       and requiring repayment would be against equity and good conscience or
                                       would otherwise defeat the purpose of the UI law. 62 DOL officials told us
                                       that states may waive recovery of nonfraudulent overpayment recoveries
                                       for UI programs in accordance with their state law. For example, officials
                                       from two states told us that the waiver determination process involves
                                       supervisory review of documents, and a long-term hardship must be
                                       established in order for an overpayment to be waived. Further, officials
                                       from two states told us that they do not waive nonfraudulent
                                       overpayments, although one of those states is planning to develop a
                                       blanket waiver for overpayments made due to technical errors. 63 Table 5
                                       identifies the types of provisions that the six selected states have in laws
                                       regarding waiving recovery of nonfraudulent overpayments.

Table 5: Six Selected State Law Provisions for Waiving Recovery of Nonfraudulent Unemployment Insurance Overpayments

State                Agency error         Employer error          Equity or good conscience        Financial hardship

California           —                    —                       —                                

Florida              —                                           —                                —

Kansas                                   —                                                       



                                       62Pub. L. No. 116-136, §§ 2104(f)(2), 2105(f),2107(e)(2) 134 Stat at 319-327; Pub. L. No.
                                       116-260, div. N, tit. II, § 201(d), 134 Stat. 1182, 1952.
                                       63SWAs may use blanket waivers for overpayments within the UI pandemic programs in
                                       accordance with the specific scenarios set forth by DOL in UIPL No .20-21, Change 1
                                       (Feb. 7, 2022).




                                       Page 33                                              GAO-23-106696 Unemployment Insurance
 Nevada                             —                                   —                                                                                —

 New York^                          —                                   —                                —                                                —

 Washington                         —                                   —                                                                                —

Legend: (—) = legal provision not applicable;  = state applies the legal provision; ^ = New York does not have an overpayment waiver of recovery provision.
Source: GAO analysis of Department of Labor and state workforce agency documents. | GAO-23-106696




                                                                   We provided a draft of this report to DOL for review and comment. DOL
Agency Comments                                                    provided written comments, which are reproduced in appendix VI. It also
and Our Evaluation                                                 provided technical comments, which we incorporated as appropriate.
                                                                   In its comments, DOL expressed concerns about the methodology we
                                                                   used to estimate the range of UI fraud presented in the report.
                                                                   Specifically, it noted that our estimate relied heavily on an analysis of
                                                                   cross-matches and case records of a small sub-sample of PUA
                                                                   payments. DOL stated that further analysis would be needed to determine
                                                                   if a case is actually fraudulent. For this reason, DOL believes that our
                                                                   range likely overestimates the level of fraud and that our estimate more
                                                                   reflects an estimate of UI fraud risk, rather than UI fraud.
                                                                   We disagree with DOL’s characterization of our methodology and our
                                                                   estimate, which overlooks the totality of our estimation methodology. As
                                                                   explained in the report and in greater detail in appendix I, our
                                                                   methodology involved estimating a range by combining estimated
                                                                   subpopulation fraud rates and expenditure information associated with
                                                                   non-PUA and PUA programs. For the non-PUA subpopulation of UI
                                                                   payments, we relied on existing estimates from the BAM program. Those
                                                                   estimates are derived from thousands of payment reviews performed by
                                                                   state investigators. For the PUA subpopulation, we relied on data analytic
                                                                   testing along with a manual review of a statistically valid sub-sample of
                                                                   PUA case files. We further validated this sampling work through the use
                                                                   of econometric modeling. When calculating estimates from our PUA
                                                                   sample, we used a two-sided 95-percent confidence interval, which
                                                                   accounted for the uncertainty arising from our sample design and sample
                                                                   size.
                                                                   We agree with DOL’s comment that additional work would be required to
                                                                   determine whether any given case in the sample is actually fraudulent.
                                                                   Judicial and other systems would be needed to make such
                                                                   determinations. Given that not all potential fraud will be investigated and
                                                                   adjudicated through judicial or other systems, the full extent of UI fraud
                                                                   during the pandemic will likely never be known with certainty. Therefore, it
                                                                   is appropriate to rely on estimates, such as ours, to make more


                                                                   Page 34                                                                   GAO-23-106696 Unemployment Insurance
comprehensive conclusions about the extent of fraud in the UI programs
during the pandemic. In presenting our estimate, we acknowledge the
inherent uncertainty associated with any estimate of fraud.
However, we disagree with DOL’s conclusion that this uncertainty means
our estimated range overstates the amount of fraud that occurred in the
UI programs during the pandemic. Given the high threshold we used for
identifying potential fraud, the risk of misidentifying nonfraudulent cases
as fraud is balanced by the counter risk of failing to identify all of the
fraudulent cases in the sample. Moreover, we took multiple steps to
reduce the risk of misidentifying nonfraudulent cases as potential fraud.
For example, except for deceased beneficiaries, we only treated
payments as fraudulent for the purpose of our estimate if multiple fraud
indicators were present. In addition, we subjected sampled payments to
multiple levels of manual review, which examined the fraud indicators in
conjunction with other available case and public information.
Finally, we do not agree that the term “fraud risk” provides a better
description of our estimated range of UI fraud. We designed our
estimated range to capture, as accurately as possible, the extent of
fraudulent activity that occurred in the UI programs, regardless of whether
that activity was previously detected or adjudicated. Our range would
have been higher if we were attempting to estimate the total dollar value
of payments that were at risk of fraud. For example, a large portion of
PUA payments have been previously identified by us and the DOL OIG
as higher risk of fraud due to the use of self-certification to determine
beneficiary eligibility.
As described, our methodology and presentation of the estimate
substantively accounts for the concerns raised by DOL. However, as
appropriate, we have incorporated clarifying language in this report.
We also provided a draft of this report to officials from the DOL OIG for
review. DOL OIG provided technical comments, which we incorporated as
appropriate.
In addition, selected excerpts of the draft report were provided to officials
from the Alaska, Arizona, California, Colorado, Florida, Georgia, Iowa,
Illinois, Kansas, Massachusetts, Michigan, Montana, Nevada, New
Jersey, New York, Oregon, Pennsylvania, Rhode Island, South Carolina,
Texas, Vermont, and Washington SWAs for review. We made technical
corrections or clarifications as needed based on the comments we
received from four SWAs. Nine SWAs indicated that they did not have
comments and nine SWAs did not respond.




Page 35                                    GAO-23-106696 Unemployment Insurance
We are sending copies of this report to the appropriate congressional
committees, the Acting Secretary of the Department of Labor, and other
interested parties. In addition, the report is available at no charge on the
GAO website at https://www.gao.gov.
If you or your staff have any questions about this report, please contact
Seto Bagdoyan, (202) 512-6722, BagdoyanS@gao.gov or Jared Smith,
(202) 512-2700, SmithJB@gao.gov. Contact points for our Offices of
Congressional Relations and Public Affairs may be found on the last page
of this report. GAO staff who made key contributions to this report are
listed in appendix VII.




Seto J. Bagdoyan
Director, Forensic Audits and Investigative Service




Jared B. Smith
Director, Applied Research and Methods




Page 36                                    GAO-23-106696 Unemployment Insurance
Appendix I: Detailed Information on the
             Appendix I: Detailed Information on the
             Methodology GAO Used to Estimate Fraud in


Methodology GAO Used to Estimate Fraud
             Unemployment Insurance (UI) Programs
             during the Pandemic



in Unemployment Insurance (UI) Programs
during the Pandemic
             To develop an estimate of fraud (lower and upper range) within UI
             programs during the COVID-19 pandemic, we combined separate
             estimates of fraudulent payments associated with

             •   the regular UI program, Pandemic Emergency Unemployment
                 Compensation (PEUC), Mixed Earner Unemployment Compensation
                 (MEUC), Extended Benefits, and the portion of Federal Pandemic
                 Unemployment Compensation (FPUC) payments that were not
                 associated with Pandemic Unemployment Assistance (PUA) claims; 1
                 and
             •   the PUA program, including FPUC payments associated with PUA
                 claims. 2


             1We refer to the UI program—excluding both the temporary UI programs created by the
             Coronavirus Aid, Relief, and Economic (CARES) Act and other legislation, as well as the
             Extended Benefits program—as the regular UI program and the benefits paid under the
             program as regular UI benefits. Regular UI benefits are benefits paid by the state under
             state UI law, Unemployment Compensation for Federal Employees, and Unemployment
             Compensation for Ex-Service Members programs. The Extended Benefits program, which
             existed prior to the pandemic, provides up to 13 or 20 additional weeks of benefits when a
             state is experiencing specific levels of high unemployment. We estimate that 37 percent of
             FPUC payments were made on top of PUA claims. FPUC benefits are additional
             payments made on top of existing regular UI or pandemic UI program claims. The amount
             of the FPUC payment changed throughout the pandemic. We estimated the percent of
             FPUC attributable to PUA claims by multiplying the number of weekly PUA payments
             made in a given month by an approximation of the FPUC amount that was relevant for the
             period. The FPUC amount is an approximation because a claim paid in a given month
             may be for the benefit from a previous period. For example, a weekly claim paid in April,
             when the FPUC weekly benefit was $600, might be for a week in March, when the FPUC
             weekly benefit amount was $0. To test the accuracy of our approach, we compared our
             results with breakdowns provided by seven state workforce agencies (SWA). Our estimate
             was close to the percentages reported by the states in all seven cases.
             2For fiscal years 2021 and 2022 improper payment reporting, the Department of Labor
             (DOL) applied the estimated improper payment rate from the Benefit Accuracy
             Measurement (BAM) program testing of regular UI claims to calculate the estimated
             improper payment amounts for FPUC and PEUC. Thus, the estimated improper payment
             amounts for these two programs were incorporated into the overall UI estimated improper
             payment amount reported for fiscal years 2021 and 2022. However, this overall estimated
             improper payment amount for UI did not include an estimate for PUA. According to DOL, it
             did not include PUA in the extrapolation of the BAM estimated improper payment rate
             because the PUA program served a different population of workers and had different
             eligibility requirements. DOL did not estimate improper payments for the MEUC program,
             according to officials, because the program only operated between January and
             September 2021. Officials explained that in accordance with Office of Management and
             Budget (OMB) guidance, DOL is not required to estimate or report improper payments for
             this program because it existed for less than one year. The total federal expenditure for
             the MEUC program was $78 million through May 31, 2023. We included MEUC in our
             estimate.




             Page 37                                          GAO-23-106696 Unemployment Insurance
Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




The scope of our effort to develop an estimate of fraud within UI programs
was from April 2020—the first full month of pandemic UI program
payments—through May 2023—the end of the COVID-19 public health
emergency. 3 We estimated the extent of fraud across all 53 state
workforce agencies (SWA) across the regular UI and pandemic UI
programs. 4 Throughout this report, we use the phrase “fraud estimate” or
“estimate of fraud” to refer to estimates that attempt to quantify the extent
of fraud, regardless of whether such fraud has already been detected and
adjudicated. For the purpose of estimation, additional uncertainty arises in
situations like the current one where the sampled cases have not yet
been adjudicated. We used multiple data sources, review steps, and
estimation procedures to reduce this uncertainty, but we cannot eliminate
it entirely.
As part of our work to calculate this estimate, we separated UI
expenditures by whether the expenditures were associated with the PUA
program, which had a unique fraud risk profile. 5 Given the time frame of
this review, we were not able to obtain sufficient evidence about the PUA
program to report a separate statistical estimate for that program.
Instead, we designed our procedures such that when the total evidence of
PUA and non-PUA payments was considered together, the combined
evidence was sufficient to support an overall estimate of the extent of
fraud in the UI programs during our period of review. 6


3The date range we used to develop the estimate of fraud within UI programs during the
pandemic is different compared with the date range we used to determine the financial
and technical assistance and the extent that states have recovered, written off, and
waived overpayments because, for the estimation of fraud, we used the first full month of
pandemic UI program payments rather than the date when the pandemic began.
4Fifty-three SWAs administer UI programs across the 50 states, the District of Columbia,
Puerto Rico, and the U.S. Virgin Islands.
5The DOL Office of Inspector General (OIG) reported in October 2020 that the PUA
program in particular was at high risk for fraud due to its unique program rules and
eligibility requirements. We developed separate procedures to calculate the estimate for
the PUA program because of the program’s unique fraud risk profile. Department of Labor,
Office of Inspector General, COVID-19: States Cite Vulnerabilities in Detecting Fraud
While Complying with the CARES Act UI Program Self-Certification Requirement, Report
No. 19-21-001-03-315 (Washington, DC: Oct. 21, 2020.)
6In this context, sufficiency depends on the precision of the estimate. The precision of our
overall estimate is captured by the width of our reported range, which accounts for the
statistical uncertainty associated with both the PUA and non-PUA payments at the 95
percent confidence level. We do not report our range at the 95 percent confidence level
because statistical intervals do not capture the uncertainty associated with identifying
which cases in the sample were fraudulent. To reduce this latter source of uncertainty, we
leveraged multiple data sources and review procedures.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




Figure 7 describes key steps we took to derive the estimated fraud in UI
programs during the pandemic.




Page 39                                     GAO-23-106696 Unemployment Insurance
                                        Appendix I: Detailed Information on the
                                        Methodology GAO Used to Estimate Fraud in
                                        Unemployment Insurance (UI) Programs
                                        during the Pandemic




Figure 7: Selected Steps Taken to Derive the Estimated Fraud in Unemployment Insurance (UI) Programs during the
Pandemic




                                        Page 40                                     GAO-23-106696 Unemployment Insurance
Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




For the regular UI program, we used data from DOL’s Benefit Accuracy
Measurement (BAM) program—which DOL uses to estimate the amount
and rate of improper payments, including those caused by fraud—from
April 2020 through December 2022. Specifically, we compiled the
quarterly and yearly BAM estimated fraud rates and fraud total estimates
in the regular UI program by state.
We interviewed officials from 14 SWAs to obtain information about the
operation of the pandemic UI programs, potential limitations of the BAM
program, state definitions of fraud, and efforts to measure fraud in the
pandemic UI programs. We selected the 14 SWAs—Arizona, California,
Florida, Georgia, Illinois, Kansas, Michigan, Nevada, New Jersey, New
York, Pennsylvania, Rhode Island, Texas, and Washington—to reflect a
variety of BAM program fraud rates and state population sizes. 7
Information obtained through interviews was used to help assess the
reliability of the estimated fraud rate generated from the BAM program
and to better understand factors that SWAs identified as being associated
with fraud in both the pandemic and regular UI programs. The fraud rates
calculated as part of the BAM program depend on the state definitions of
fraud, which differ from state to state.
To determine the applicability of the BAM program fraud estimate, we
reviewed the scope of the BAM program. The BAM program includes 52
SWAs and the three major permanent state UI programs. 8 Our
engagement scope also includes the U.S. Virgin Islands, even though it is
exempt from operating a BAM program. Given the small size of the U.S.
Virgin Islands, the impact of any deviation between the BAM program
fraud rate and the U.S. Virgin Islands fraud rate would not be material to
our total fraud estimate. Our scope also includes PEUC, FPUC, Extended
Benefits, and MEUC payments, which are not reviewed by the BAM
program. PEUC and Extended Benefits programs provide additional

7These 14 states were selected based on different criteria compared with the six SWAs
that were selected for interviews to obtain information related to the assistance provided.
As previously mentioned, we selected the six SWAs—California, Florida, Kansas, Nevada,
New York, and Washington—based on a range of (1) the fraud risk level identified in our
first objective, (2) the amount of grant funding received, and (3) the acceptance of DOL’s
offer of financial and technical assistance.
8The three major UI programs covered by BAM are state UI, Unemployment
Compensation for Federal Employees, and Unemployment Compensation for Ex-Service
Members. We downloaded quarterly BAM data, including the estimated fraud rate, from
DOL’s website on September 13, 2022; November 1, 2022; and July 10, 2023.
https://www.dol.gov/agencies/eta/unemployment-insurance-payment-accuracy/data. The
BAM program estimated fraud rates are generated for all 50 states, the District of
Columbia, and Puerto Rico. According to DOL’s guidance, the U.S. Virgin Islands is
exempt from operating a BAM program.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




weeks of benefits to claimants who were receiving regular UI benefits.
Given the close relationship between these programs and the regular UI
program, we assume that the BAM program fraud rate is a reasonable
approximation for the fraud rate in the PEUC and Extended Benefits
programs. We make the same assumption for the portion of the FPUC
payments that were not attributable to the PUA program. Payments for
the MEUC program make up less than 0.1 percent of UI program
expenditures and so, any differences between the fraud rate estimated
using the BAM program and the actual MEUC fraud rate would not have a
material impact on our overall results.
Another difference between our scope and available data is that the BAM
program was suspended from April 2020 through June 2020. Further, at
the time we performed our analysis, BAM data were not available beyond
December 2022. Therefore, we used a statistical model to impute the
fraud rate for the months where BAM was suspended. 9 We then
approximated the BAM program fraud rate from January 2023 to May
2023 using the overlapping annual fraud rates reported yearly by DOL
through December 2022.
We also reviewed how BAM program fraud rates were estimated and the
limitations in BAM program reporting. Since BAM estimates are derived
from statistical samples, the actual rate is expected to lie within 95
percent of the intervals constructed from repeated samples of the same
size and selected in the same manner as the BAM sample. In addition to
sampling uncertainty, the estimate may be impacted by nonsampling
error. One of the limitations is that the BAM program may not cover all
potential types of fraud. For example, one state reported that the BAM
program may be less effective at detecting employer and employee
collusion. Further, states did not always update their BAM program fraud
determinations, given subsequent conflicting final adjudications. 10 From
our discussions with SWAs about these sources of uncertainty, we
determined that the risk of the BAM program fraud rate being understated
due to being unable to detect certain fraud types was higher than the risk
of the BAM program fraud rate being overstated due to the differences
between BAM investigators’ findings and subsequent adjudications.

9We imputed the fraud rate for the quarter where the BAM program was suspended using
DOL’s improper payment reporting quarterly data from the first quarter of 2017 through the
second quarter of 2021. We developed a linear regression model using explanatory
variables including 52 state dummy variables, state population adjusted claim count at
each quarter, and whether a quarter was pre-pandemic or not.
10For example, one state reported that the appeals and resulting adjudications may not be
completed in time for BAM program reporting.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




For the PUA program, we selected a generalizable sample of 260 PUA
payments to identify the presence of fraud indicators associated with
identity theft and eligibility fraud. 11 The PUA payments we selected were
a subsample of DOL’s sample of 2,540 PUA payments. 12 We selected the
sample of 260 PUA payments from a stratified sample of 14 states—
Alaska, California, Colorado, Georgia, Iowa, Illinois, Massachusetts,
Montana, New York, Oregon, Pennsylvania, South Carolina, Texas, and
Vermont. 13 More details on the sample specification are provided below:
    •     We stratified the top 10 states which consumed approximately 75
          percent of PUA program outlays into two strata—three states with
          the top outlays (approximately 50 percent of entire spending) from
          which we selected all three (stratum 1) and a random sample of
          three states from the rest of seven states (stratum 2). We also
          randomly selected eight states from 16 remaining states (stratum
          3).
    •     For states in stratum 1, we randomly selected eight out of 19
          weeks and sampled five PUA payments per week. For states in
          stratum 2, we randomly selected four out of 19 weeks and


11Fraud indicators are characteristics and flags that serve as warning signs suggesting
potential for fraudulent activity. Fraud indicators can be used to identify potential fraud and
assess fraud risk. They are not proof of fraud. Additional review, investigation, and
adjudication is needed to determine if fraud exists. To that end, we will refer claimants with
presence of fraud indicators we identified to the DOL OIG for further review and
investigation.
12DOL selected this sample of payments to review to estimate the PUA improper payment
rate. In August 2023, DOL released its estimate of improper payments made from March
2020 to September 2021 under the PUA program, concluding that the PUA program had a
total estimated improper payment rate of 35.9 percent. DOL noted that its analysis
focused on the broader universe of improper payments, does not isolate fraud, and should
not be considered a fraud estimate for the PUA program.
13We selected a stratified random sample of states based on PUA expenditure using
DOL’s original sampling scheme and allocated a random sample of 260 PUA payments
across the selected states. These 14 states were selected based on different criteria
compared with the 14 SWAs that were selected for interviews to obtain information about
the operation of the pandemic UI programs, among other things. As previously mentioned,
we selected the 14 SWAs—Arizona, California, Florida, Georgia, Illinois, Kansas,
Michigan, Nevada, New Jersey, New York, Pennsylvania, Rhode Island, Texas, and
Washington—based on population sizes and BAM-estimated regular UI program fraud
rates. Further, these 14 states were selected based on different criteria compared with the
six SWAs that were selected for interview to obtain information related to the assistance
provided. As previously mentioned, we selected the six SWAs—California, Florida,
Kansas, Nevada, New York, and Washington—based on a range of (1) the fraud risk level
identified in our first objective, (2) the amount of grant funding received, and (3) the
acceptance of DOL’s offer of financial and technical assistance.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




          sampled five PUA payments per week. Finally, we randomly
          selected 10 payments from each state in stratum 3.
Methods for identifying the presence of fraud indicators for PUA
payments included the following steps. 14
•   The DOL Office of Inspector General (OIG) used data analytic
    procedures to identify the presence of fraud indicators for the DOL
    sample of 2,540 payments and provided them to us. The 18 indicators
    included multistate claims and shared or suspicious emails, among
    other indicators.
•   To identify additional fraud indicators from the DOL sample of 2,540
    PUA payments, we conducted data matching to the Death Master File
    (DMF) to identify potentially deceased individuals. 15 We also
    conducted data matching to the National Directory of New Hires
    (NDNH) for quarter 1 of calendar year 2019 through quarter 3 of
    calendar year 2020 and quarter 1 of calendar year 2021 through
    quarter 3 of calendar year 2021 to identify claimants’ unreported
    wages. 16
•   For our sample of 260 payments, we then manually reviewed the
    programmatically generated flags and updated these flags when
    necessary. The manual review included a review of state case files




14In this report, we do not detail all fraud indicators we identified so that potential
perpetrators of fraud do not become aware of fraud risks or exploit potential weaknesses
in the program.
15The Social Security Administration (SSA) DMF identifies Social Security number (SSN)
holders who are deceased. SSA maintains death data, including names, Social Security
numbers, date of birth, and date of death. SSA shares a comprehensive file of this death
information, which includes state death data, with certain eligible entities, including SWAs.
We used this comprehensive file, which we will call the “full death master file,” for our
analysis. A subset of the full death master file that does not include state death data is
available to the public.
16We did not obtain unemployment data for quarter 4 of 2020 because at the time we
requested the information, the data for that period were no longer available. NDNH is a
national repository of new hire, quarterly wage, and unemployment insurance information
reported by employers, states, and federal agencies. NDNH is maintained and used by
the U.S. Department of Health and Human Services for the federal child support
enforcement program, which assists states in locating parents and enforcing child support
orders. DOL does not have access to NDNH wage data; however, SWAs have access to
NDNH wage data.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




    and relevant publicly available information. 17 We also performed a
    cross-match of information in the case files against the Social Security
    Administration’s Enumeration Verification System (EVS). 18 For a
    subset of claims showing indicators of potential identity theft, we met
    with the DOL OIG to understand the related investigative data
    pertinent to those claims.
•   We aggregated the manually adjusted fraud flags to generate
    consolidated fraud risk scores for each of the 260 PUA payments in
    our sample. 19 The consolidated risk score was an overall assessment
    of fraud risk for the sampled payment.
The above steps resulted in manually adjusted fraud risk scores for the
sample of 260 PUA payments and programmatically generated flags
indicating the presence of fraud indicators for the DOL sample of 2,540.
We performed multiple imputation using a fully conditional specification
method that uses observed data for fraud indicators and manually scored
fraud risk to impute fraud risk for the remaining DOL sample. The model
was developed as part of a multiple imputation procedure to populate
predicted manual fraud risk scores for the remaining portion of the 2,540
PUA payments. The multiple imputation step produced multiple versions
of the data, where each version contains a different set of imputed values.
The multiple imputation step helped account for the uncertainty arising
from the modeling procedure. We then used the DOL sample design and
sampling weights to calculate a national PUA fraud rate estimate, given
each imputed dataset. The PUA range was calculated using Rubin’s Rule
for multiple imputation, which accounts for the variability of each
individual estimate and the variability across the imputed estimates. 20

17Fraud indicators may sometimes be explained by events other than fraud. An important
goal of the manual review was to help account for alternative explanations of the observed
fraud indicators. For example, an address may have a large number of claims because it
is a multiunit dwelling and so, when assessing fraud risk associated with individual
addresses, we examined the size of the dwelling and whether it was multiunit.
18EVS provides information on invalid (never issued) SSNs and instances where there are
mismatches between SSN, name, and date of birth. EVS flags SSNs in which the name or
date of birth (or both) do not match its records for the SSN, as well as SSNs that have
never been issued by the SSA.
19In this report, we do not detail all the steps of our fraud scoring process so that potential
perpetrators of fraud do not become aware of fraud risks or exploit potential weaknesses
in the program.
20Rubin’s Rule is an approach to create pooled estimates from the results of multiple
imputation procedures. Multiple imputation is a tool for replacing missing data with multiple
plausible values, with the goal of accounting for the uncertainty arising from the procedure
used to perform the replacement.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




We obtained additional evidence regarding the extent of fraud in the PUA
program by conducting an econometric analysis of PUA benefit payments
over time from March 2020 to December 2021. 21 Additional details about
the econometric analysis follow:
•   The model relied on the expectation that the PUA benefit payment
    should be associated with certain states’ conditions and the fraud
    prevention tools or processes that states implemented.
•   To obtain basic information about the operation of the PUA program,
    including the fraud prevention processes or tools implemented by the
    states, we surveyed the SWAs in 50 states and the District of
    Columbia. 22 We also interviewed 14 SWAs to obtain information about
    states’ PUA application process, job search requirement, and
    implementation of identity verification services. We also obtained data
    for a broad range of state-level conditions, such as disease burden
    during the pandemic, unemployment rates, demographic composition,
    and industrial composition. 23
•   We developed an econometric model to predict the level of PUA
    benefit payment if all states were comprehensively implementing
    fraud prevention tools or processes. We used this approach to
    estimate potential fraud that would have been prevented or deterred if
    all states at all times had implemented all fraud prevention tools and
    processes that were ultimately in use across states. We used the
    survey data we collected from 48 states as a proxy for the extent of

21This period provides sufficient coverage of the PUA program, given that the program
started in March 2020 and expired by September 2021. Some states opted out of the PUA
program prior to its expiration date. States were required to accept new PUA applications
30 days after the state termination or program expiration (whichever comes first). We
selected December 2021 to provide two additional months of coverage.
22Three SWAs did not respond to our survey by the time deadline. The econometric
modeling is limited by the 48 states we received survey responses from because the
model utilizes the fraud prevention tools and processes from the survey.
23Other state-level conditions included in the econometric model include a COVID-19
stringency index (i.e., a measure of the strictness of states’ closure and containment
policies that primarily restrict people’s behavior), regular state UI features (e.g., insured
unemployment rate, percentage with insufficient wage credit, and percentage of single-
claimant denials), labor market conditions (e.g., part-time worker for economic reasons,
percentage of self-employed workers, and reason for unemployment), occupational
composition (i.e., 26 occupation groups), and lagged variables (e.g., lagged disease
burden during the pandemic, and a lagged stringency index). We estimated the
econometric model by pooled ordinary least squares with standard errors clustered by
state.




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Appendix I: Detailed Information on the
Methodology GAO Used to Estimate Fraud in
Unemployment Insurance (UI) Programs
during the Pandemic




    states’ fraud prevention efforts. We used other state-level conditions
    as control variables in our econometric model.
•   We took two approaches to estimate the potential fraud amount in the
    PUA benefit payment. Specifically, we estimated the potential fraud
    amount in benefit payment (1) by the total differences between actual
    benefit payments and predicted benefit payments from the
    econometric model and (2) from the average effect of comprehensive
    fraud prevention tools or processes (i.e., the estimated coefficient
    from the econometric model). The potential fraud rate is calculated as
    the ratio of potential fraud amount to actual benefit payment.
•   The resulting model did not directly estimate the amount of fraud in
    the PUA program. Instead, it approximated the fraud total as it was
    reduced by state controls. As a result, this model does not cover fraud
    that would be undetected and undeterred by environments with a
    higher level of fraud controls. Conversely, the model may identify as
    fraud a reduction in legitimate claims activity due to increased state
    controls. In addition, while our model took into account a variety of
    factors that may be correlated with PUA benefit payment, such as the
    COVID-19 excess death rate, the COVID-19 stringency index, the
    unemployment rate, and states’ fraud prevention efforts, we may not
    have taken into account all possible factors. To account for these
    limitations, we used the econometric model in conjunction with the
    results obtained from our statistical sampling of PUA payments. The
    two approaches provided generally consistent results on the scale of
    fraud in the PUA program.
We generated the upper and the lower range of estimated fraud across
the regular UI program, FPUC, PEUC, MEUC, Extended Benefits, and
PUA using the approaches described above. The range obtained from the
BAM program fraud estimate was applied to regular UI, PEUC, Extended
Benefits, MEUC, and the estimated portion of FPUC that was not
attributable to PUA. 24 The PUA range, which we obtained from the PUA
sample and checked against the econometric modeling, was applied to
PUA payments and the portion of FPUC payments that arose from the
PUA payments. We combined the component estimates by summing the
lower limit of each component to create the lower end of the overall range


24FPUC payments were made in addition to payments made on an existing claim. DOL
reported that it could not calculate the portion of FPUC payments that were made for PUA
claims. We asked the 14 SWAs we interviewed to provide the FPUC percentages, and we
received seven written responses that referred to expenditure data. We validated our
estimation procedure by comparing our state-level results with the percentage reported by
those states.




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Methodology GAO Used to Estimate Fraud in
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during the Pandemic




and summing the upper limit of each component to create the upper end
of the overall range.
Our estimate includes different fraud types, including claimants
intentionally misrepresenting themselves as other individuals and
claimants intentionally misstating facts related to their eligibility. We
attempted to use a diverse set of methods in order to cover a substantial
portion of fraud types identified by the 14 states we interviewed. However,
given both the uncertainty associated with the hidden nature of fraud and
the resource limitations on the entities that investigate and adjudicate
fraudulent claims, it was not possible to identify and cover all potential
fraud schemes and types. We also could not eliminate the possibility that
some of the sampled cases that were identified as potential fraud may
have involved nonfraudulent overpayments or have been properly paid.
Due to these limitations, we do not provide a statistical confidence level
when reporting our likely fraud range.
Further, we requested, identified, and reviewed relevant reports from
state entities as of March 2023 related to estimating the extent of fraud
and potential fraud in UI programs during the pandemic to gain
information about fraud estimates reported at the state level. 25
We assessed the reliability of the DOL Employment and Training
Administration data, BAM program fraud estimates, DOL’s sample of PUA
payments, and DOL OIG fraud indicators on PUA payments by (1)
reviewing information about the data and the system that produced them;
(2) interviewing officials knowledgeable about the data, when feasible; (3)
performing electronic testing, when feasible; and (4) tracing information to
source documents, when feasible. We assessed the reliability of EVS,
DMF, and NDNH data by reviewing relevant information about the data
and performing electronic testing, when feasible. We determined that the
data were sufficiently reliable for the purposes of responding to our
objective.




25Throughout this report, we refer to estimates as projections or inferences based on
measures, assumptions, or analytical techniques. Estimates are often used when direct
measures are unavailable, incomplete, or unreliable.




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Appendix II: GAO Unemployment Insurance-
                                       Appendix II: GAO Unemployment Insurance-
                                       Related Recommendations to the Department


Related Recommendations to the
                                       of Labor




Department of Labor
                                       Table 6 lists GAO’s 26 recommendations made since 2018 to the
                                       Department of Labor (DOL) to help improve the Unemployment Insurance
                                       (UI) system and their implementation status.

Table 6: GAO’s 26 Recommendations to the Department of Labor (DOL) to improve the Unemployment Insurance (UI) System,
Status as of August 2023

No.       Status             Report number, date Recommendation to DOL
1         Closed –           GAO-22-105051,        (priority)c The Secretary of Labor should examine the suitability of existing
          implementeda       October 27, 2021      fraud controls in the UI program and prioritize residual fraud risks.
2                            GAO-22-104251,        The Secretary of Labor should ensure that the Office of Unemployment
                             June 7, 2022          Insurance review the customer service challenges that states faced during
                                                   the pandemic, identify comprehensive information on customer service best
                                                   practices, and provide states with this information to assist them in improving
                                                   service delivery.
3                            GAO-21-387, March     The Secretary of Labor should ensure that the Office of Unemployment
                             31, 2021              Insurance collects data from states on the amount of overpayments waived in
                                                   the PUA program, similar to the regular UI program.
4                            GAO-22-105051,        The Secretary of Labor should identify inherent fraud risks facing the UI
                             October 27, 2021      program.
5                            GAO-22-105051,        The Secretary of Labor should assess the likelihood and impact of inherent
                             October 27, 2021      fraud risks facing the UI program.
6                            GAO-22-105051,        The Secretary of Labor should document the fraud risk profile for the UI
                             October 27, 2021      program.
7                            GAO-21-265, January The Secretary of Labor should ensure that the Office of Unemployment
                             28, 2021            Insurance collects data from states on the amount of overpayments
                                                 recovered in the Pandemic Unemployment Assistance (PUA) program,
                                                 similar to the regular UI program.
8                            GAO-21-191,           The Secretary of Labor should ensure that the Office of Unemployment
                             November 30, 2020     Insurance revises its weekly news releases to clarify that in the current
                                                   unemployment environments, the numbers it reports for weeks of
                                                   unemployment claimed do not accurately estimate the number of unique
                                                   individuals claiming benefits.
9                            GAO-18-633,           The Secretary of Labor should systematically collect sufficient information on
                             September 4, 2018     state profiling systems, possibly through DOL’s new UI state self-assessment
                                                   process, to identify states at risk of poor profiling system performance. For
                                                   instance, DOL could collect information on challenges that states have
                                                   experienced using and maintaining their profiling systems, planned changes
                                                   to the systems, or state processes for assessing the systems’ performance.
10                           GAO-18-633,           The Secretary of Labor should develop a process to use information on state
                             September 4, 2018     risks of poor profiling system performance to provide technical assistance to
                                                   states that need to improve their systems. DOL may also wish to tailor its
                                                   technical assistance based on state service delivery goals and technical
                                                   capacity.
11        Open – partially   GAO-21-191,           (priority) The Secretary of Labor should ensure that the Office of
          addressedb         November 30, 2020     Unemployment Insurance pursues options to report the actual number of
                                                   distinct individuals claiming benefits, such as by collecting these already
                                                   available data from states, starting from January 2020 onward.




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                             Appendix II: GAO Unemployment Insurance-
                             Related Recommendations to the Department
                             of Labor




12                GAO-23-105523,         The Secretary of Labor should design and implement an antifraud strategy for
                  December 22, 2022      UI based on a fraud risk profile consistent with leading practices as provided
                                         in the Fraud Risk Framework.
13                GAO-22-105051,         The Secretary of Labor should designate a dedicated entity and document its
                  October 27, 2021       responsibilities for managing the process of assessing fraud risks to the UI
                                         program, consistent with leading practices as provided in our Fraud Risk
                                         Framework. This entity should have, among other things, clearly defined and
                                         documented responsibilities and authority for managing fraud risk
                                         assessments and for facilitating communication among stakeholders
                                         regarding fraud-related issues.
14   Open – not   GAO-22-104438,         (priority) The Secretary of Labor should ensure that the Office of
     addressedd   June 7, 2022           Unemployment Insurance examines and publicly reports on the extent and
                                         potential causes of racial and ethnic inequities in the receipt of PUA benefits,
                                         as part of the agency’s efforts to modernize UI and improve equity in the
                                         system. The report should also address whether there is a need to examine
                                         racial, ethnic, or other inequities in regular UI benefit receipt, based on the
                                         PUA findings.
15                GAO-18-486, August     (priority) The Assistant Secretary of DOL’s Employment and Training
                  22, 2018               Administration should provide states with information about its determination
                                         that the use of state formal warning policies is no longer permissible under
                                         federal law.
16                GAO-18-486, August     (priority) The Assistant Secretary of DOL’s Employment and Training
                  22, 2018               Administration should clarify information on work search verification
                                         requirements in its revised Benefit Accuracy Measurement procedures. The
                                         revised procedures should include an explanation of what DOL considers to
                                         be sufficient verification of claimants’ work search activities.
17                GAO-23-105478, July The Secretary of the Department of Labor should direct the Office of
                  2023                Unemployment Insurance Modernization and the Office of the Chief
                                      Information Officer to update their processes for UI pilots to reflect leading
                                      practices for pilot design and implement the leading pilot design practices that
                                      address the weaknesses that we identified on its future pilots.
18                GAO-23-105478, July The Secretary of the Department of Labor should direct the Office of
                  2023                Unemployment Insurance to define UI IT modernization standards for states.
19                GAO-23-105478, July The Secretary of the Department of Labor should direct the Office of
                  2023                Unemployment Insurance to measure states’ UI IT performance against
                                      established standards.
20                GAO-22-105162,         The Secretary of Labor should develop and execute a transformation plan
                  June 7, 2022           that meets GAO’s high-risk criteria for transformation; the plan should outline
                                         coordinated and sustained actions to address known issues related to
                                         providing effective service and mitigating financial risk, including ways to
                                         demonstrate improvements. Planned actions may include addressing audit
                                         recommendations and determining whether legislative changes are needed,
                                         as appropriate. Planned actions may also include achieving quantifiable
                                         results in reducing improper payment rates, including those related to fraud;
                                         improving efficiency in claims processing and restoring prepandemic payment
                                         timeliness levels; better reaching current worker populations; and enhancing
                                         equity in benefit distribution.




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                                                            Appendix II: GAO Unemployment Insurance-
                                                            Related Recommendations to the Department
                                                            of Labor




 21                                         GAO-22-104438,               The Secretary of Labor should study and advise the Congress and other
                                            June 7, 2022                 policymakers on the costs, benefits, and risks of various options to
                                                                         systematically support self-employed and contingent workers during periods
                                                                         of involuntary unemployment outside of declared disasters, including
                                                                         considering options’ feasibility and approach to fraud prevention.
 22                                         GAO-22-104251,               The Secretary of Labor should ensure that the Office of Unemployment
                                            June 7, 2022                 Insurance assesses lessons learned from the pandemic to inform its future
                                                                         disaster responses efforts and support the Congress on ways to address
                                                                         future emergencies.
 23                                         GAO-22-105051,               The Secretary of Labor should determine fraud risk tolerance for the UI
                                            October 27, 2021             program.
 24                                         GAO-18-633,                  The Secretary of Labor should update agency guidelines to ensure that it
                                            September 4, 2018            clearly informs states about the range of allowable profiling approaches.
 25                                         GAO-18-486, August           The Assistant Secretary of DOL’s Employment and Training Administration
                                            22, 2018                     should monitor states’ efforts to discontinue the use of formal warning
                                                                         policies.
 26                                         GAO-18-486, August           The Assistant Secretary of DOL’s Employment and Training Administration
                                            22, 2018                     should monitor states’ compliance with the clarified work search verification
                                                                         requirements.
Source: GAO analysis of open recommendations to DOL. | GAO-23-106696
                                                            aRecommendations that have been closed as implemented are those where the agency has
                                                            completed all action(s) to implement the recommendation or the intent of the recommendation.
                                                            bRecommendations that have been partially addressed are those where the agency has completed
                                                            action(s) that contribute to the full implementation of the recommendation, but some actions remain
                                                            outstanding.
                                                            cPriority recommendations are those that GAO believes warrant priority attention from heads of key
                                                            departments or agencies. They are highlighted because, upon implementation, they may significantly
                                                            improve government operations, for example, by realizing large dollar savings; eliminating
                                                            mismanagement, fraud, and abuse; or making progress toward addressing a high risk or
                                                            fragmentation, overlap, or duplication issue.
                                                            dRecommendations that have not been addressed are those where the agency has yet to take any
                                                            action(s) to implement the recommendation.




                                                            Page 51                                                 GAO-23-106696 Unemployment Insurance
Appendix III: Financial Assistance Allocated
                                         Appendix III: Financial Assistance Allocated
                                         and Awarded to States


and Awarded to States

                                         Table 7 lists the total amount of grants that the Department of Labor
                                         (DOL) allocated and awarded to states for initiatives including fraud
                                         prevention, detection, investigation, and recovery activities in the
                                         unemployment insurance (UI) programs as of May 2023. These totals
                                         include both Coronavirus Aid, Relief, and Economic Security (CARES)
                                         Act and American Rescue Plan Act (ARPA) funding that was used to
                                         address fraud in all UI programs. 1 The total amount allocated represents
                                         the maximum amount of funds available for states to apply for in each of
                                         these grants. The total amount awarded represents the amount of funds
                                         that DOL approved for states to receive after the application process.
                                         In June 2023, the Fiscal Responsibility Act of 2023 (FRA) was signed into
                                         law. This law rescinded total ARPA funding for UI programs that had not
                                         been awarded and reduced the total ARPA funding for UI programs from
                                         $2 billion to $1 billion. In July 2023, DOL announced updated financial
                                         assistance amounts for states, which reflected the FRA rescission.

Table 7: Coronavirus Aid, Relief, and Economic Security Act and American Rescue Plan Act Financial Assistance Dollar
Amounts Allocated (as of July 2023) and Awarded (as of May 2023) by the Department of Labor to States and U.S. Territories

State                                                                Total amount allocated                 Total amount awarded
                                                                                (in dollars)                          (in dollars)
Alabama                                                                            19,761,600                          16,390,322

Alaska                                                                             11,038,750                           6,238,991

American Samoa                                                                           500,000                          300,000

Arizona                                                                            33,023,350                          29,182,281

Arkansas                                                                           16,663,800                          10,226,684

California                                                                         51,533,850                          40,911,465

Colorado                                                                           30,091,350                          26,127,555

Commonwealth of the Northern Mariana Islands                                            1,050,000                       1,026,060

Connecticut                                                                        19,628,600                          15,794,849

Delaware                                                                           11,274,000                          10,319,842

District of Columbia                                                                9,593,000                           8,634,624

Federated States of Micronesia                                                           500,000                          200,000




                                         1Pub. L. No. 116-136, 134 Stat. 281 (2020); Pub. L. No. 117-2, 135 Stat. 4 (2021).




                                         Page 52                                              GAO-23-106696 Unemployment Insurance
                 Appendix III: Financial Assistance Allocated
                 and Awarded to States




Florida                                                    32,494,550                          23,795,789

Georgia                                                    29,929,350                          15,726,189

Guam                                                            1,050,000                       1,026,060

Hawaii                                                     11,407,750                           8,845,328

Idaho                                                      11,130,750                           8,608,747

Illinois                                                   31,208,350                          25,094,049

Indiana                                                    29,621,350                          22,206,376

Iowa                                                       19,353,600                          13,327,338

Kansas                                                     20,202,800                          18,308,817

Kentucky                                                   20,689,600                          16,947,071

Louisiana                                                  17,591,800                          11,084,688

Maine                                                      14,279,987                           9,535,575

Maryland                                                   30,197,350                          22,818,913

Massachusetts                                              27,283,800                          11,083,800

Michigan                                                   33,037,350                          27,823,810

Minnesota                                                  24,148,800                           4,860,000

Mississippi                                                19,960,600                          15,068,629

Missouri                                                   28,891,350                          17,923,800

Montana                                                     9,564,000                           7,155,992

Nebraska                                                   11,052,750                           9,523,254

Nevada                                                     21,941,600                          19,908,013

New Hampshire                                              11,382,750                           9,718,695

New Jersey                                                 27,489,800                          24,517,615

New Mexico                                                 14,333,980                          11,833,778

New York                                                   38,573,550                          34,315,180

North Carolina                                             29,969,350                          17,923,800

North Dakota                                                9,544,000                           3,862,417




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                                                              Appendix III: Financial Assistance Allocated
                                                              and Awarded to States




 Ohio                                                                                                        31,892,350                                  24,417,298

 Oklahoma                                                                                                    19,598,639                                  14,740,241

 Oregon                                                                                                      22,841,600                                  19,411,467

 Palau                                                                                                           500,000                                     194,300

 Pennsylvania                                                                                                37,496,350                                  31,206,763

 Puerto Rico                                                                                                 10,939,000                                    9,905,996

 Republic of Marshall Islands                                                                                    500,000                                     100,000

 Rhode Island                                                                                                11,879,750                                    9,255,707

 South Carolina                                                                                              18,867,800                                  16,103,076

 South Dakota                                                                                                  9,408,000                                   8,460,169

 Tennessee                                                                                                   24,552,800                                  14,874,660

 Texas                                                                                                       34,001,550                                  29,994,524

 Utah                                                                                                        16,136,800                                  11,550,670

 Vermont                                                                                                       9,566,000                                   4,803,745

 Virgin Islands                                                                                              10,894,750                                    2,430,000

 Virginia                                                                                                    31,524,350                                  26,496,795

 Washington                                                                                                  32,921,350                                  25,991,442

 West Virginia                                                                                               11,385,750                                    8,849,212

 Wisconsin                                                                                                   31,551,350                                  28,332,104

 Wyoming                                                                                                     10,899,750                                    7,156,000

 Total                                                                                                    1,158,347,156                                 872,470,565

Source: GAO analysis of Department of Labor data. | GAO-23-106696

                                                              Note: Total amounts in table 7 differ from those in table 1. Table 7 figures reflect only funds that were
                                                              allocated and awarded specifically to states and territories and does not include the $46 million
                                                              available for Tiger Team consultations nor the $200 million for unemployment insurance IT
                                                              modernization initiatives, as these funds were made available in lump sums and awarded based on
                                                              state applications.




                                                              Page 54                                                   GAO-23-106696 Unemployment Insurance
Appendix IV: Fraudulent Overpayments   Appendix IV: Fraudulent Overpayments
                                       Recovered and Written Off in Unemployment


Recovered and Written Off in Unemployment
                                       Insurance (UI) Programs




Insurance (UI) Programs
                                       The tables below provide amounts that states reported to the Department
                                       of Labor (DOL) for established fraudulent overpayments, recoveries, and
                                       write-offs for the regular UI program (table 8) and pandemic UI programs
                                       (table 9). With the exception of the Pandemic Unemployment Assistance
                                       (PUA) program, DOL requires states to report fraudulent overpayments,
                                       recoveries, and write-offs on a quarterly basis. For PUA, DOL requires
                                       monthly reporting of overpayments and recoveries; DOL does not require
                                       states to include PUA amounts written off.
                                       It may take states many years to recover UI overpayments. Since regular
                                       UI programs have been in existence longer than the pandemic UI
                                       programs, states have had more time to recover overpayments that
                                       occurred many years prior to the recovery. As a result, states might report
                                       instances where the amount recovered for the regular UI program
                                       appears to exceed the reported overpayments for a given reporting
                                       period.

Table 8: Fraudulent Overpayments Recovered and Written Off in the Regular Unemployment Insurance Program, March 2020
– March 2023 (as of May 1, 2023)

State                                   Total fraudulent      Total fraudulent overpayments Total fraudulent overpayments
                               overpayments established                            recovered                     written off
                                             (in dollars)                         (in dollars)                  (in dollars)
Alabama                                           5,334,028                         5,438,234                        86,621
Alaska                                            5,527,276                         5,128,286                        66,433
Arizona                                          22,646,270                        28,971,386                     2,347,835
Arkansas                                          7,337,139                         8,512,982                       593,003
California                                   367,107,069                        208,812,336                         721,819
Colorado                                          3,616,513                         4,002,416                     3,648,607
Connecticut                                      17,418,467                        16,716,891                       136,170
Delaware                                          2,020,605                         1,250,144                             0
District of Columbia                              5,892,639                         8,644,624                        90,970
Florida                                            650,451                          3,778,956                         3,357
Georgia                                          34,095,676                        11,777,959                     2,805,866
Hawaii                                            4,777,313                         1,410,768                             0
Idaho                                            11,916,269                         8,447,389                        67,521
Illinois                                         41,460,515                        32,144,067                        42,449
Indiana                                          11,822,170                        12,277,119                       557,416
Iowa                                              9,680,894                        12,877,258                       252,374
Kansas                                            3,703,406                         8,772,021                         1,247
Kentucky                                         58,254,321                        11,695,453                       315,679




                                       Page 55                                          GAO-23-106696 Unemployment Insurance
                                                              Appendix IV: Fraudulent Overpayments
                                                              Recovered and Written Off in Unemployment
                                                              Insurance (UI) Programs




 Louisiana                                                              12,580,087                        11,815,248                        95,432
 Maine                                                                   1,577,516                         2,275,281                       235,984
 Maryland                                                               13,613,286                        17,945,521                        21,644
 Massachusetts                                                          29,818,650                        24,567,457                       209,736
 Michigan                                                                5,931,958                         6,700,814                       485,339
 Minnesota                                                              35,064,088                        13,277,802                     6,861,380
 Mississippi                                                            42,046,701                        25,280,239                       774,434
 Missouri                                                               18,018,078                        11,880,754                             0
 Montana                                                                 4,992,667                         3,067,642                       103,562
 Nebraska                                                                 596,004                          2,015,814                         2,367
 Nevada                                                                 12,366,896                         6,972,926                     2,738,173
 New Hampshire                                                           2,245,432                         1,655,128                        19,291
 New Jersey                                                             48,755,967                        56,429,439                             0
 New Mexico                                                              5,884,274                         6,370,515                             0
 New York                                                            249,948,288                      154,980,897                       24,643,163
 North Carolina                                                         45,627,622                        12,292,631                     7,100,114
 North Dakota                                                            1,700,953                         1,096,628                         6,548
 Ohio                                                                   89,502,081                        20,849,677                     1,310,304
 Oklahoma                                                                3,645,341                         9,431,169                        34,288
 Oregon                                                                 30,389,656                        17,070,197                       212,176
 Pennsylvania                                                           16,790,032                        55,540,248                     2,949,926
 Puerto Rico                                                             4,593,412                         1,761,063                             0
 Rhode Island                                                            3,599,475                         5,246,965                         7,184
 South Carolina                                                         24,509,942                        15,415,168                        49,739
 South Dakota                                                            2,676,030                         1,136,568                       142,313
 Tennessee                                                               8,335,837                        12,174,757                     1,131,356
 Texas                                                                  11,039,164                        18,549,040                       339,391
 Utah                                                                    9,823,242                         7,685,465                       185,813
 Vermont                                                                 3,073,722                         1,540,421                       137,029
 Virgin Islands (U.S.)                                                    286,554                            86,168                              0
 Virginia                                                               15,787,037                         5,772,926                     3,791,360
 Washington                                                              8,691,628                        12,388,639                     2,658,019
 West Virginia                                                           1,412,992                         2,105,401                     1,207,131
 Wisconsin                                                              16,852,283                        14,946,811                        88,601
 Wyoming                                                                 2,186,092                         2,472,432                       101,195
 Total dollars                                                      1,397,224,008                     953,456,140                       69,380,359
Source: GAO analysis of Department of Labor data. | GAO-23-106696




                                                              Page 56                                          GAO-23-106696 Unemployment Insurance
                                       Appendix IV: Fraudulent Overpayments
                                       Recovered and Written Off in Unemployment
                                       Insurance (UI) Programs




Table 9: Fraudulent Overpayments Recovered and Written Off in the Pandemic Unemployment Insurance Programs, March
2020 – March 2023 (as of May 1, 2023)

State                            Total fraudulent overpayments Total fraudulent overpayments      Total fraudulent overpayments
                                                    established                     recovered                          written off
                                                     (in dollars)                  (in dollars)                       (in dollars)
Alabama                                             22,247,643                       1,033,806                           204,342
Alaska                                               5,342,585                        423,050                               4,018
Arizona                                           130,601,698                        5,234,319                           275,602
Arkansas                                            12,481,190                        635,684                            176,135
California                                           2,664,903                       1,256,073                                  0
Colorado                                          382,048,674                         960,449                            211,868
Connecticut                                          6,755,530                       1,940,377                              5,695
Delaware                                             3,626,308                        253,936                                   0
District of Columbia                                 6,244,260                        577,386                               1,380
Florida                                                204,916                          23,578                                  0
Georgia                                             27,780,819                        164,955                                   0
Hawaii                                               3,897,553                        700,434                               1,200
Idaho                                               10,849,661                       1,968,828                            13,023
Illinois                                            66,759,768                       2,489,214                                  0
Indiana                                             39,084,328                       5,130,582                           182,229
Iowa                                                20,933,644                        835,234                               6,540
Kansas                                               2,994,687                        126,665                                   0
Kentucky                                            52,503,988                        333,067                             68,565
Louisiana                                           18,410,377                        224,916                             47,468
Maine                                                3,583,045                          55,083                                  9
Maryland                                            22,384,273                       1,118,071                            20,550
Massachusetts                                       74,012,489                       1,101,390                              1,249
Michigan                                             3,917,799                          47,604                              2,880
Minnesota                                           26,298,145                       2,923,538                           136,217
Mississippi                                         80,836,538                     15,224,310                             72,557
Missouri                                            38,924,684                       2,128,148                                  0
Montana                                              5,424,176                       1,084,775                            93,474
Nebraska                                             1,054,461                        115,505                                  60
Nevada                                               7,706,796                        402,063                            119,004




                                       Page 57                                          GAO-23-106696 Unemployment Insurance
                                                              Appendix IV: Fraudulent Overpayments
                                                              Recovered and Written Off in Unemployment
                                                              Insurance (UI) Programs




 New Hampshire                                                               2,089,265                             266,887                                         0
 New Jersey                                                                      20,677                                    0                                       0
 New Mexico                                                                 13,407,119                             715,144                                         0
 New York                                                                 668,496,890                           76,996,784                            2,420,554
 North Carolina                                                           129,529,137                            8,579,215                              517,805
 North Dakota                                                                2,586,402                             588,327                                34,502
 Ohio                                                                   1,098,002,231                           18,392,359                                         0
 Oklahoma                                                                    4,396,159                              99,922                                 1,500
 Oregon                                                                     56,374,096                           2,102,250                                         0
 Pennsylvania                                                             119,206,185                            1,286,636                              947,338
 Puerto Rico                                                                 8,541,355                              14,462                                         0
 Rhode Island                                                                2,139,227                             753,555                                   125
 South Carolina                                                             71,462,001                          19,806,306                              109,552
 South Dakota                                                                4,617,004                             937,022                                54,565
 Tennessee                                                                  32,503,303                           4,437,687                              563,783
 Texas                                                                    387,441,479                           14,749,133                                 2,605
 Utah                                                                       19,075,483                           2,292,424                                65,705
 Vermont                                                                     3,141,000                           1,452,194                                28,486
 Virgin Islands (U.S.)                                                       1,611,751                             125,362                                 1,574
 Virginia                                                                   69,352,768                           4,778,565                           33,914,465
 Washington                                                                 14,335,162                           2,958,616                                22,031
 West Virginia                                                              56,921,173                                     0                                 810
 Wisconsin                                                                  39,349,745                           4,316,893                              188,712
 Wyoming                                                                       408,603                             127,299                                         0
 Total dollars                                                          3,884,583,153                         214,290,082                            40,518,177
Source: GAO analysis of Department of Labor data. | GAO-23-106696

                                                              Note: Some states did not report totals for the pandemic UI programs during our review time frame.
                                                              Specifically, three states did not report information for Pandemic Unemployment Assistance (PUA),
                                                              three states did not report information for Pandemic Emergency Unemployment Compensation
                                                              (PEUC), two states did not report information for Federal Pandemic Unemployment Compensation
                                                              (FPUC), and 19 states did not report information for Mixed Earner Unemployment Compensation
                                                              (MEUC).




                                                              Page 58                                                GAO-23-106696 Unemployment Insurance
Appendix V: Nonfraudulent Overpayments Appendix V: Nonfraudulent Overpayments
                                       Recovered, Written Off, and Waived in


Recovered, Written Off, and Waived in
                                       Unemployment Insurance (UI) Programs




Unemployment Insurance (UI) Programs
                                       The tables below provide amounts that states reported to the Department
                                       of Labor (DOL) for established nonfraudulent overpayments, recoveries
                                       write-offs, and waivers for the regular UI program (table 10) and
                                       pandemic UI programs (table 11). With the exception of the Pandemic
                                       Unemployment Assistance (PUA) program, DOL requires states to report
                                       nonfraudulent overpayments, recoveries, write-offs, and waivers on a
                                       quarterly basis. For PUA, DOL requires monthly reporting of
                                       overpayments, recoveries, and waivers; DOL does not require states to
                                       include PUA amounts written off.

Table 10: Nonfraudulent Overpayments Recovered, Written Off, and Waived in the Regular Unemployment Insurance
Program, March 2020 – March 2023 (as of May 1, 2023)

State                                 Total nonfraudulent     Total nonfraudulent     Total nonfraudulent     Total nonfraudulent
                                overpayments established overpayments recovered            overpayments            overpayments
                                               (in dollars)            (in dollars)             written off                waived
                                                                                               (in dollars)            (in dollars)
Alabama                                       47,380,799                11,529,229                112,776                        0
Alaska                                        15,476,061                10,194,698              1,364,678                  49,153
Arizona                                       43,928,975                71,833,863              4,438,116             33,428,140
Arkansas                                      25,120,424                 9,067,035                931,287                 565,162
California                                   383,074,458                74,448,432                615,008             26,820,594
Colorado                                     424,452,848                73,660,486           178,554,852              16,360,216
Connecticut                                   40,496,978                16,660,804                125,799             14,914,773
Delaware                                         7,116,945               4,486,898                  1,223                   5,799
District of Columbia                          20,673,007                12,461,994                187,347                 782,328
Florida                                      551,418,239               117,439,534              1,010,897             83,429,035
Georgia                                       78,678,118                37,131,482            11,122,250                6,387,412
Hawaii                                        13,367,332                 8,892,625                 26,421                 509,956
Idaho                                         11,286,626                 6,118,128                 87,220               1,340,533
Illinois                                     505,820,802                71,604,940                 39,998               3,720,388
Indiana                                      130,310,856                42,274,396              1,705,318                 413,075
Iowa                                          77,703,878                26,251,589              7,306,761                  21,756
Kansas                                        27,616,883                15,079,029                 79,114               1,302,812
Kentucky                                      99,458,610                14,200,321                192,193             18,859,966
Louisiana                                     48,495,490                14,147,877              3,293,869               1,287,455
Maine                                         15,365,554                 6,821,988              1,337,325                 425,533
Maryland                                     349,444,474                42,601,196              2,053,978               1,619,114




                                       Page 59                                         GAO-23-106696 Unemployment Insurance
                                                              Appendix V: Nonfraudulent Overpayments
                                                              Recovered, Written Off, and Waived in
                                                              Unemployment Insurance (UI) Programs




 Massachusetts                                                       1,367,200,988            57,019,342         1,194,487         144,798,865
 Michigan                                                             666,096,100           103,120,133          4,211,053          24,735,474
 Minnesota                                                             91,354,905             48,231,327         7,725,462                   0
 Mississippi                                                           38,426,052             20,667,653           885,411                   0
 Missouri                                                             129,030,797             36,006,129                 0                   0
 Montana                                                               15,426,065              7,890,421           908,312             329,551
 Nebraska                                                              12,143,881              5,092,067            15,060                   0
 Nevada                                                               590,253,434           100,425,550         89,758,756             123,422
 New Hampshire                                                        137,672,639             15,463,378           113,202          40,412,590
 New Jersey                                                           947,271,163           578,315,344                  0           3,888,913
 New Mexico                                                           100,459,840             75,320,942                 0                   0
 New York                                                             154,716,407             26,982,627         4,068,249                   0
 North Carolina                                                       139,698,272             39,977,173         3,337,465             489,645
 North Dakota                                                          28,262,811              9,795,120             4,680             209,987
 Ohio                                                                 305,309,216             75,245,559         4,055,498          51,990,274
 Oklahoma                                                              49,782,801             12,001,587        23,888,778                   0
 Oregon                                                                87,676,075             29,108,896           347,561          10,977,041
 Pennsylvania                                                         302,308,905             80,083,777        20,624,847             205,738
 Puerto Rico                                                           25,844,210             10,906,680             2,217                   0
 Rhode Island                                                          16,229,099              6,529,288             2,279           3,559,709
 South Carolina                                                        73,148,544             19,912,613            47,507             461,678
 South Dakota                                                            7,453,683             3,772,849           376,342             215,637
 Tennessee                                                             25,969,352             15,060,447         2,892,466           1,160,183
 Texas                                                               1,409,516,992          327,603,965          2,717,743             250,609
 Utah                                                                  21,381,955             10,551,492         1,515,540             456,137
 Vermont                                                               17,908,846              3,433,850           548,190           8,286,397
 Virgin Islands (U.S.)                                                   1,314,107               604,691                 0               3,852
 Virginia                                                             492,758,561             35,002,667        38,372,310          79,320,701
 Washington                                                           979,462,447           144,110,439         15,890,685          26,213,615
 West Virginia                                                         21,217,090              5,132,688         4,117,132                   0
 Wisconsin                                                             84,976,837             39,082,384         6,386,787           7,244,025
 Wyoming                                                                 7,355,033             4,345,819           171,066             398,774
 Total dollars                                                      11,264,314,464         2,633,703,441       448,765,515         617,976,017
Source: GAO analysis of Department of Labor data. | GAO-23-106696




                                                              Page 60                                      GAO-23-106696 Unemployment Insurance
                                        Appendix V: Nonfraudulent Overpayments
                                        Recovered, Written Off, and Waived in
                                        Unemployment Insurance (UI) Programs




Table 11: Nonfraudulent Overpayments Recovered, Written Off, and Waived in the Pandemic Unemployment Insurance (UI)
Programs, March 2020 – March 2023 (as of May 1, 2023)

State                     Total nonfraudulent            Total nonfraudulent     Total nonfraudulent     Total nonfraudulent
                                overpayments        overpayments recovered             overpayments            overpayments
                                  established                     (in dollars)            written offa                waived
                                   (in dollars)                                           (in dollars)            (in dollars)
Alabama                         $ 236,188,851                    $ 13,519,425               $ 614,574               $ 194,044
Alaska                             75,725,260                      30,913,923                  22,713               5,091,569
Arizona                            89,071,647                      17,828,558             12,245,327              44,353,167
Arkansas                          142,445,184                       3,720,193               1,298,600                858,622
California                         39,043,749                         331,151                       0                       0
Colorado                        2,233,971,821                     225,323,367            213,400,958             176,834,237
Connecticut                        18,241,163                       2,792,622                       0               6,379,041
Delaware                           12,084,126                       2,852,438                       0                     600
District of Columbia               63,871,929                      32,839,807                  47,836                276,217
Florida                         3,447,451,453                      91,840,956                431,746             522,756,035
Georgia                            47,262,434                       2,874,432                       0                   3,471
Hawaii                             17,657,259                      12,859,371                       0                492,500
Idaho                              26,886,191                       7,942,124                141,169                9,028,929
Illinois                        2,702,495,829                      82,414,901                       0             86,727,948
Indiana                         1,117,033,830                      84,722,393               7,348,814            110,202,363
Iowa                              106,714,289                      11,122,778                199,375              20,260,328
Kansas                             24,366,595                       1,924,783                       0                  27,873
Kentucky                           24,435,631                       1,245,960                131,197                8,699,697
Louisiana                         205,592,949                       9,619,651                  33,960             18,189,644
Maine                              83,739,781                       3,885,614                      11                285,360
Maryland                        3,971,797,918                      67,376,375             10,979,855             261,603,083
Massachusetts                   3,020,190,957                     158,919,275             10,571,879           1,218,566,906
Michigan                        1,949,204,677                      39,983,007               1,290,096             10,274,767
Minnesota                          55,309,611                      13,304,736                112,128                        0
Mississippi                       349,628,955                      29,671,998                192,409                        0
Missouri                          494,865,173                      23,851,909                       0             81,379,730
Montana                            76,300,556                       9,695,301                469,039                 713,899
Nebraska                           56,582,099                       8,567,330                  77,447               1,332,878
Nevada                            986,460,095                      52,029,201             25,964,582                3,236,471




                                        Page 61                                        GAO-23-106696 Unemployment Insurance
                                                              Appendix V: Nonfraudulent Overpayments
                                                              Recovered, Written Off, and Waived in
                                                              Unemployment Insurance (UI) Programs




 New Hampshire                                        157,710,695                             10,463,106                        2,090                 7,898,054
 New Jersey                                           107,166,709                              2,192,073                             0                             0
 New Mexico                                           551,502,937                             32,095,142                             0               32,555,980
 New York                                             215,817,440                             36,174,954                   9,338,213                               0
 North Carolina                                       797,588,272                             64,952,495                   6,776,154                 25,099,654
 North Dakota                                          80,108,256                              7,739,293                        3,129                   556,467
 Ohio                                              5,403,592,587                             141,796,582                     170,389               415,455,971
 Oklahoma                                              56,006,144                              2,916,638                 14,596,311                                0
 Oregon                                               111,384,170                              5,742,835                             0                5,380,564
 Pennsylvania                                      2,925,184,909                             377,007,276                   2,372,584                  1,886,589
 Puerto Rico                                          183,737,814                             25,850,537                             0                             0
 Rhode Island                                          45,959,642                              4,186,991                        1,191                 7,954,797
 South Carolina                                       159,582,791                             33,538,483                     114,860                  1,215,328
 South Dakota                                          21,412,579                              5,964,033                     120,524                  3,405,848
 Tennessee                                             69,206,237                              6,271,803                     853,714                  2,278,809
 Texas                                             3,679,413,674                             917,316,677                     250,394             1,515,975,221
 Utah                                                  43,896,825                              6,405,364                      56,749                    550,474
 Vermont                                                 5,655,900                             3,464,664                      10,518                    156,469
 Virgin Islands (U.S.)                                   3,541,245                               460,419                             0                     3,852
 Virginia                                             905,413,053                             54,650,533                 74,450,774                217,498,861
 Washington                                        1,833,884,292                             154,606,336                   3,035,097                 25,961,729
 West Virginia                                         50,053,928                              1,794,904                     143,150                    328,926
 Wisconsin                                            175,610,406                             48,153,324                   2,173,020                 18,814,471
 Wyoming                                               24,531,788                              3,025,447                     100,083                  2,003,431
 Total dollars                                   39,282,582,305                           2,990,743,488                 400,142,659              4,872,750,874
Source: GAO analysis of Department of Labor data. | GAO-23-106696

                                                              Note: Some states did not report totals for the pandemic UI programs during our review time frame.
                                                              Specifically, three states did not report information for Pandemic Unemployment Assistance (PUA),
                                                              three states did not report information for Pandemic Emergency Unemployment Compensation
                                                              (PEUC), two states did not report information for Federal Pandemic Unemployment Compensation
                                                              (FPUC), and 19 states did not report information for Mixed Earner Unemployment Compensation
                                                              (MEUC).




                                                              Page 62                                                GAO-23-106696 Unemployment Insurance
Appendix VI: Comments from the
             Appendix VI: Comments from the Department
             of Labor


Department of Labor




             Page 63                                     GAO-23-106696 Unemployment Insurance
Appendix VI: Comments from the Department
of Labor




Page 64                                     GAO-23-106696 Unemployment Insurance
Appendix VI: Comments from the Department
of Labor




Page 65                                     GAO-23-106696 Unemployment Insurance
Appendix VII: GAO Contact and Staff
                  Appendix VII: GAO Contact and Staff
                  Acknowledgments


Acknowledgments

                  Seto J. Bagdoyan, (202) 512-6722, BagdoyanS@gao.gov
GAO Contacts
                  Jared B. Smith, (202) 512-2700, SmithJB@gao.gov

                  In addition to the contacts named above, Gabrielle Fagan (Assistant
Staff             Director), Daniel Flavin (Assistant Director), Dae Park (Assistant
Acknowledgments   Director), Erica Varner (Assistant Director), Erin Barry, Ranya Elias, Cole
                  Haase, Daniel Harris, Lauren Kirkpatrick, Won Lee, Sophia Liu, Maria
                  McMullen, Isaac Pavkovic, Gloria Proa, Steven Putansu, Sabrina
                  Streagle, and April VanCleef made key contributions to this report.




                  Page 66                                   GAO-23-106696 Unemployment Insurance
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