ATTY GENERAL-MEDICAID FRAUD
One significant outcome of SB1613 is the establishment of a specific Whistleblower Reward and Protection Fund. For cases settled on or after October 1, 2023, the fund will allocate one-third of its proceeds to this program, creating incentives for individuals to report fraudulent activities while ensuring their protection. The remaining two-thirds of the fund will provide awards to Qui Tam plaintiffs, encouraging private individuals to help uncover fraud in state programs. This change may lead to an increase in reported fraud cases and promote accountability.
SB1613 amends various statutes in Illinois, particularly focusing on fraud prevention in Medicaid and public aid programs. The bill designates the Attorney General's office as the primary body for investigating civil violations related to false claims. This shifts the responsibilities from the Illinois State Police, specifically the Medicaid Fraud Control Unit, aligning enforcement more closely with the Attorney General's authority. The change is expected to streamline fraud investigations, enhancing efficiency in managing such cases.
As the bill moves through the legislative process, notable contention arises surrounding the implications of shifting investigation authority solely to the Attorney General's office. Some lawmakers express concerns about effectiveness and oversight, questioning whether this transition could lead to insufficient monitoring of Medicaid fraud cases, especially if resources within the Attorney General’s office are limited. Moreover, there are discussions about the necessity of maintaining the collaborative role of the Illinois State Police in such investigations to ensure comprehensive oversight.