Fewer prosecuted in benefits program fraud

Tuesday, June 28, 2011

Fewer prosecuted in benefits program fraud

By:  Brad Heath,  USA TODAY

WASHINGTON - The Obama administration is prosecuting fewer cases in which people are accused of defrauding government benefits programs, even as the number of Americans seeking federal aid has ballooned to record levels, a USA TODAY analysis found.

The drop in criminal prosecutions indicates a shift for federal law enforcement agencies, which have increasingly targeted schemes aimed at mortgage lending, financial institutions and MedicareEnlargeClose

, the government insurance plan for the elderly. It suggests that people who defraud food stamps, Social Security or other benefits programs are less likely to face federal criminal charges.

In the two years since President Obama took office, data released by the Justice Department show the number of criminal prosecutions for defrauding those programs has dropped by about 20% to its lowest point in a decade. Figures from the department's annual reports and from TRAC, a research organization at Syracuse University, also show a declining number of prosecutions.

Last year, records show, the Justice Department brought 678 such cases.

Criminal prosecution is typically the most significant step the government can take when it suspects fraud. Although officials can try to recover lost money and ban swindlers from receiving aid without bringing a criminal case, "as with anything else in law enforcement, if there's a law on the books and you don't enforce it, it becomes meaningless," says University of Maryland law professor Jane Barrett, a former federal prosecutor.

During the past two years, the agencies responsible for investigating fraud have referred about 8% fewer cases to federal prosecutors, Justice Department records show. At the same time, records compiled by TRAC show that prosecutors have been turning down a higher percentage of the referrals they received.

Former Los Angeles U.S. attorney Thomas P. O'Brien says focusing the government's limited resources on Medicare and other high-cost frauds makes sense because those schemes tend to involve far more taxpayer money. "You have to decide what will have the biggest impact for taxpayers," he says. "But you also can't turn a blind eye to a certain area and say the government's not going to take a very aggressive stance," he says.

The drop in prosecutions comes as a lackluster economy has swelled the size of government benefits programs. By last year, almost 49% of American households collected Social Security, food stamps, housing assistance or one of dozens of other forms of federal benefits, Bureau of Labor Statistics surveys show. Food stamps alone help feed a record one in eight Americans.

Auditors say the risk of fraud has grown along with the size of those programs. "When we have more people on assistance, there's more susceptibility to people defrauding it," says Alan Kimichik, the inspector general of Michigan's Department of Human Services, which operates that state's food stamps program.

Officials have no way of knowing how much fraud costs its benefits programs each year, but the sum is certainly substantial. Auditors estimated that $330 million worth of food stamps were "trafficked" in 2008, a figure that was rising as the number of people seeking aid increased. The Labor Department estimated that $17.5 billion of unemployment insurance was lost to "improper payments" last year, though it could not say how much was because of fraud.

"Some of these cases, we assume that they can deal with them administratively," says former Housing Department inspector general Kenneth Donohue, a principal with the Reznick Group. "Typically, with the little cases, the U.S. attorney's offices would not want to pursue them."

Jessica Smith, a spokeswoman for the Justice Department, says criminal prosecutions can fluctuate over time, and officials have other tools - including settlements and civil lawsuits - to go after fraud.

Iowa Sen. Chuck Grassley, the top Republican on the Senate Judiciary Committee, says prioritizing the costliest schemes is important, but "no type of fraud, regardless of size or scope, should get a free pass from those sworn to uphold the laws and Constitution of the United States."

The Justice Department's last major push to prosecute fraud cases came in the aftermath of Hurricane Katrina in 2005, when prosecutors were instructed to take a zero-tolerance approach to people trying to cheat the aid programs intended to help rebuild the Gulf Coast. They responded by bringing federal charges in thousands of cases, even when the schemes involved only a few thousand dollars, court records show.

That approach was an important tool for deterring swindlers, and it helped uncover problems in aid programs that made the abuses possible, says David Dugas, the former U.S. attorney in Baton Rouge, who oversaw the effort.

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