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GAO-24-106608 1 (2023-12-07)

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Why   This Matters


Key  Takeaways


Improper payments  are a long-standing, significant problem in the federal
government.1 Since fiscal year 2003, executive agencies have reported
cumulative improper payment estimates of about $2.4 trillion, including $247
billion for fiscal year 2022. Improper payments are any payments that should not
have been  made or that were made in an incorrect amount, which can stem from
various causes, including fraud. Fraud involves obtaining a thing of value through
willful misrepresentation. Willful misrepresentation can be characterized by
making material false statements of fact based on actual knowledge, deliberate
ignorance, or reckless disregard of falsity. The extent of fraud government-wide
will likely never be known with certainty because not all fraud will be detected,
investigated, and adjudicated through judicial or other systems. As of December
2023, we are exploring ways to estimate the amount of fraud that affects the
federal government.
Both improper payments  and fraud result in significant financial and nonfinancial
impacts to the integrity of federal programs. They erode public trust in
government, waste taxpayer dollars, and hinder agencies' efforts to execute their
missions and program objectives effectively and efficiently. Legislation, guidance
from the Office of Management and Budget (OMB), and  standards for internal
control in the federal government have increasingly focused on the need for
program  managers to strategically address improper payments, including those
resulting from fraud. Understanding the relationships and distinctions between
improper payments  and fraud is important to more effectively target the
associated root causes and mitigate the impacts of each.
House  Report 117-389, accompanying  the Legislative Branch Appropriations Act,
2023, includes a provision for GAO to provide quarterly reports in improper
payments. In fiscal year 2023, we issued three reports under this provision.2 In
this fourth report, we describe examples of the relationships and distinctions
between  improper payments and fraud. We also describe relevant GAO and
other federal guidance and executive agency efforts since 2015 to manage and
reduce the causes and impacts of improper payments and fraud.


.   Improper payments and fraud are distinct concepts. Improper payments can
    have fraud-related root causes and impacts, but not all are caused by fraud.
  We  have  made over 40 recommendations  to agencies and published
    guidance to help them better use data to manage fraud risks that include
    fraud-related improper payments. Agencies had not fully implemented more
    than half of these recommendations as of August 2023. We have also
    recommended   that Congress take action in this area, which it had not yet
    done as of September 2023.


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GAO-24-106608 Improper Payments and Fraud

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