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November 2, 2022

Unemployment Insurance Program Integrity: Recent
Developments

Program integrity activities are designed to prevent fraud,
waste, and abuse of government resources. The federal-
state Unemployment Insurance (UI) system has faced long-
standing program integrity challenges. The enhanced UI
benefits created by Congress in response to the COVID-19
pandemic exacerbated program integrity concerns related to
improper payments and fraud.
Background: UI Programs and Benefits
Under permanent law, the UI system has two components:
* Unemployment Compensation (UC) programs in 53
states (including DC, Puerto Rico, and the U.S. Virgin
Islands), which provide state-financed weekly UC
benefits to eligible unemployed workers; and
* the Extended Benefit (EB) program, which may provide
additional weeks of unemployment benefits depending
on state law, additional federal eligibility requirements,
and state economic conditions.
COVID-19 U    Programs
In response to unemployment caused by the COVID-19
pandemic, Congress created three temporary, now-expired
UI benefits through the Coronavirus Aid, Relief, and
Economic Security (CARES) Act (P.L. 116-136). These
benefits were extended through the Continued Assistance
for Unemployed Workers Act of 2020 (Division N, Title II,
Subtitle A of P.L. 116-260) and Title IX, Subtitle A, of the
American Rescue Plan Act of 2021 (ARPA; P.L. 117-2):
* Federal Pandemic Unemployment Compensation
(FPUC), which supplemented weekly UI benefits (by
$600 from March 29, 2020, through July 25, 2020; and
$300 from December 27, 2020, through September 4,
2021). FPUC payments totaled $448.6 billion.
* Pandemic Emergency Unemployment Compensation
(PEUC), which provided additional weeks of UI
benefits for individuals who exhausted other UI benefits
and were able to work, available for work, and actively
seeking work, subject to COVID-19-related flexibilities.
PEUC payments totaled $85.1 billion.
* Pandemic Unemployment Assistance (PUA), which
provided UI benefits to individuals who were not
otherwise eligible for UI benefits (e.g., self-employed,
independent contractors, gig economy workers);
unemployed, partially unemployed, or unable to work
due to a specific COVID-19-related reason; and not able
to telework and not receiving any paid leave. PUA
payments totaled $131.2 billion.

P.L. 116-260 also authorized a smaller COVID-19 UI
benefit: Mixed Earner Unemployment Compensation
(MEUC), which provided a $100 per week benefit
augmentation for unemployed workers with income from
both wage-and-salary jobs and self-employment who were
not currently receiving PUA. MEUC totaled $62.9 million.
Administration
All UI programs and benefits (including temporary
benefits) are administered by states with oversight provided
by the Employment and Training Administration (ETA) of
the U.S. Department of Labor (DOL). For more details on
permanent-law UI benefits and expired COVID-19 UI
benefits, see CRS Report R46687, Unemployment
Insurance (UI) Benefits: Permanent-Law Programs and the
COVID-19 Pandemic Response.
UI Program Integrity
An improper payment is any payment that should not have
been made or was made in an incorrect amount under
statutory, administrative, or other legally applicable
requirements. This includes any payment to an ineligible
recipient. Improper payments include both overpayments
and underpayments. UI overpayments are identified when a
state determines that the individual received a payment, or a
portion of a payment, to which the individual is not entitled.
Fraud-a subset of overpayments-is defined under each
state's UC laws, and, thus, what constitutes fraud varies
from state to state. In general, fraud involves a knowing and
willful act or concealment of material facts to obtain or
increase benefits. Fraud determinations often include
identifying a pattern of action or the claimant's certification
of erroneous information under the penalty of perjury.
Regular UC benefits do not employ one federal definition
of fraud, yet several of the COVID-19 UI benefits did
include statutory language related to fraud.
U  Program Integrity Challenges
Program integrity issues related to permanent-law UI
programs have long been of concern. The improper
payment estimate for the UI system has been above 10% for
14 of the past 18 years. The Office of Management and
Budget (OMB) continues to designate UI as a high-
priority program (i.e., a program with estimated improper
payments of more than $100 million a year). The COVID-
19 UI benefits heightened program integrity concerns.
According to the most recent estimate, the UI improper
payment rate for FY2021 was 17.9%, with a total of $73.8
billion in improper payments. (This estimate includes UC,
EB, FPUC, and PEUC benefits.)
Recent UI program integrity challenges can be grouped into
three categories. First, there are preexisting, administrative

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