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GAO-24-107471 1 (2024-07-23)

handle is hein.gao/gaoqpn0001 and id is 1 raw text is: Why This Matters

Key Takeaways

Fraud poses a significant risk to the integrity of federal programs and erodes
public trust in government. The unemployment insurance (UI) system has faced
long-standing challenges with effective service delivery and program integrity,
which worsened during the COVID-19 pandemic because of historic levels of job
loss, among other reasons. As a result of these long-standing challenges, in June
2022 we designated the UI system as a high-risk area.
The Department of Labor (DOL) oversees UI, and states design and administer
their own UI programs within federal parameters. The CARES Act, enacted in
March 2020, created three new federally funded temporary UI programs that
expanded UI benefit eligibility, enhanced benefits, and extended benefit duration.
One of these was the Pandemic Unemployment Assistance (PUA) program.
The unprecedented demand for UI benefits and the need to quickly implement
the new programs increased the risk of fraud. In February 2023, the Comptroller
General of the United States testified before the Committee on Ways and Means
of the U.S. House of Representatives that DOL and the states were not
adequately prepared to handle UI fraud risks when the pandemic began. In
March 2023, we were asked to continue our work to develop a comprehensive
estimate of UI fraud during the pandemic and address DOL and states' efforts for
identifying and recovering UI overpayments. In September 2023, we estimated
that the amount lost to fraud in DOL's UI programs during the pandemic-from
April 2020 through May 2023-was likely between $100 billion and $135 billion.
Additionally, our analysis found higher fraud rates for PUA payments than for
other UI program payments. In this report, we provide additional information on
the controls that states used to prevent and detect fraud in their PUA programs.
* States faced challenges in rapidly implementing their new PUA programs and
in establishing effective antifraud controls in response to the unprecedented
unemployment caused by the COVID-19 pandemic.
* The controls used by states to manage fraud risk varied but, in general, all
states within our review increased the variety of controls used in their PUA
programs as the pandemic progressed. Sometimes states added new
controls in response to the availability of new resources or after identifying
program vulnerabilities.
* State officials we spoke with from 14 selected states said that implementing
new controls, or expanding existing controls, helped them to address fraud
risks they identified in their state's PUA program.
* A key lesson learned is that failing to apply a new control to previously
approved continuing claims may leave a state vulnerable to fraud and lessen
the efficacy of the control at mitigating fraud risk in the program.

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GAO-24-107471 Pandernic Unemployment Assistance

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