SLS 12RS-3675 ORIGINAL Page 1 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2012 SENATE BILL NO. 765 (Substitute of Senate Bill No.251 by Senator Morrish) BY SENATOR MORRISH INSURANCE CLAIMS. Creates the Louisiana Fraud Prevention Act. (8/1/12) AN ACT1 To enact R.S. 22:1923(3) and Part II-A of Chapter 7 of Title 22 of the Louisiana Revised2 Statutes of 1950, to be comprised of R.S.22:1931 through 1931.13, relative to3 insurance fraud; to provide definitions; to prohibit insurance fraud; to provide for4 civil actions and monetary penalties; to provide with respect to civil investigative5 demand and deposition; and to provide for related matters.6 Be it enacted by the Legislature of Louisiana:7 Section 1. R.S. 22:1923(3) and Part II-A of Chapter 7 of Title 22 of the Louisiana8 Revised Statutes of 1950, comprised of R.S. 22:1931 through 1931.13 are hereby enacted9 to read as follows:10 §1923. Definitions11 * * *12 (3) "Claim" shall mean any request or demand for payment or benefit,13 whether paid or not, made by a person either in writing or filed electronically,14 and shall include requests for payment, benefits, or both on pre-service and15 post-service basis.16 * * *17 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 2 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. PART II-A. LOUISIANA INSURANCE FRAUD PREVENTION ACT1 §1931. Legislative findings2 The legislature finds that to protect the health, safety, and welfare of the3 citizens of this state, the attorney general of Louisiana and his assistants shall4 be agents of this state with the ability, authority, and resources to pursue civil5 monetary penalties, liquidated damages, or other remedies to protect the6 integrity of the insurance industry from persons who engage in fraud,7 misrepresentation, abuse, or other illegal practices, as further provided in this8 Part, in order to obtain payments to which these insurance providers or persons9 are not entitled.10 §1931.1. Definitions11 As used in this Part the following terms shall have the following12 meanings unless a different meaning is clearly required by context:13 (1) "Agent" means a person who is employed by or has a contractual14 relationship with another person or who acts on behalf of that person.15 (2) "Attorney general" means the attorney general for the state of16 Louisiana.17 (3) "Department" means the Department of Insurance.18 (4) "Insurer" means any person or other entity authorized to transact19 and transacting insurance business in this state. Notwithstanding any contrary20 provisions of R.S. 22:242(7) or any other law, regulation, or definition contained21 in this Code, a health maintenance organization shall be deemed an insurer for22 purposes of this Part.23 (5) "Knowing" or "knowingly" means that the person has actual24 knowledge of the falsity of the information or that the person acts in deliberate25 ignorance or reckless disregard of the truth or falsity of the information.26 (6) "Order" means a final order imposed pursuant to a civil or criminal27 adjudication.28 (7) "Person" means any natural or juridical entity or agent thereof as29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 3 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. defined in federal or state law furnishing or claiming to furnish a good, service,1 or supply who is compensated with insurance proceeds.2 (8) "P.O.S.T.-certified" means peace officer standards and training3 certified as established by the Louisiana Peace Officer Standards and Training4 Council.5 (9) "Property" means any and all property, movable and immovable,6 corporeal and incorporeal.7 (10) "Recovery" means the recovery of attempted benefits pursued,8 overpayments, damages, fines, penalties, costs, expenses, restitution, attorney9 fees, interest, or settlement amounts.10 §1931.2. Prescription11 A. No action brought pursuant to this Part shall be instituted later than12 ten years after the date upon which the alleged violation occurred. For13 violations involving a scheme or course of conduct, no action pursuant to this14 Part shall be instituted more than ten years after the latest component of the15 scheme or course of conduct occurred.16 B. To the extent that the conduct giving rise to the cause of action17 involves the provision of services, supplies, merchandise, or benefits of a18 medical assistance program administered by the Department of Health and19 Hospitals, including any medical assistance programs administered by the state20 pursuant to 42 U.S.C. 1396 et. seq., the provisions of this Part shall not apply.21 C. An action by a prevailing defendant to recover costs, expenses, fees,22 and attorney fees pursuant to R.S. 22:1931.3 may be brought no later than sixty23 days after the rendering of a final nonappealable judgment. In the instance of24 a state criminal action, the action for recovery of the civil monetary penalty25 shall be brought within one year of the date of the criminal conviction, final26 plea, or pre-trial diversion agreement.27 D.(1) In the case of a civil judgment rendered in federal court, the action28 for recovery of the civil monetary penalty pursuant to R.S. 22:1931.6 may be29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 4 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. brought after the judgment becomes enforceable and no later than one year1 after written notification to the attorney general of the enforceable judgment.2 (2) In the case of a criminal conviction, final plea, or pre-trial diversion3 agreement in federal court, the action for recovery pursuant to this Part may4 be brought after the conviction or plea is final and no later than one year after5 written notification to the attorney general of the rendering of the conviction or6 final plea.7 (3) Any action for recovery brought pursuant to the provisions of this8 Part shall be filed in the Nineteenth Judicial District Court for the Parish of9 East Baton Rouge.10 §1931.3. Civil actions authorized11 A. No person shall knowingly commit any fraudulent insurance act as12 defined in R.S. 22:1923 or violate any provision of R.S. 22:1924.13 B. The attorney general may institute a civil action in the Nineteenth14 Judicial District Court for the parish of East Baton Rouge to seek recovery from15 any person or persons who violate any provision of R.S. 22:1924. Each violation16 may be treated as a separate violation or may be combined into one violation at17 the option of the attorney general.18 C. An action by a prevailing defendant to recover costs, expenses, fees,19 and attorney fees shall be ancillary to and shall be brought and heard in the20 same court as the civil action brought pursuant to the provisions of Subsection21 B of this Section.22 D. A prevailing defendant may seek recovery only for costs, expenses,23 fees, and attorney fees if the court finds, following a contradictory hearing, that24 either of the following applies:25 (1) The action was instituted by the attorney general pursuant to26 Subsection A of this Section after it should have been determined by the27 attorney general to be frivolous, vexatious, or brought primarily for the purpose28 of harassment.29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 5 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. (2) The attorney general proceeded with an action properly instituted1 pursuant to Subsection A of this Section after it should have been determined2 by the attorney general that proceeding would be frivolous, vexatious, or for the3 purpose of harassment.4 E. Any action brought pursuant to the provisions of this Part shall be5 filed in the Nineteenth Judicial District Court for the Parish of East Baton6 Rouge.7 §1931.4. Burden of proof; prima facie evidence; standard of review8 A. The burden of proof in an action instituted pursuant to this Part shall9 be a preponderance of the evidence.10 B. Proof by a preponderance of the evidence of a violation of R.S.11 22:1924 shall be deemed to exist if the defendant has pleaded guilty to, been12 convicted of, or entered a plea of nolo contendere to, or participated in a pre-13 trial diversion program for a criminal charge in any federal or state court when14 such charge arises out of circumstances which would be a violation of R.S.15 22:1924.16 C. The submission of a certified or true copy of an order, a civil17 judgment in a state or federal court, or a criminal conviction, final plea, or pre-18 trial diversion agreement shall be prima facie evidence of the same. The19 submission of the bill of information or of the indictment and the minutes of the20 court shall be prima facie evidence as to the circumstances underlying a21 criminal conviction, final plea, or pre-trial diversion agreement.22 §1931.5. Civil monetary penalty23 A. In a civil action instituted in the Nineteenth Judicial District Court for24 the parish of East Baton Rouge pursuant to the provisions of this Part, the25 attorney general may seek a civil monetary penalty provided in R.S. 22:1931.626 from any of the following:27 (1) Any person determined by a court of competent jurisdiction to have28 violated any provision of R.S. 22:1924.29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 6 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. (2) Any person who has violated a settlement agreement entered into1 pursuant to this Part.2 (3) A person who has been found liable in a civil action filed in federal3 court pursuant to 18 U.S.C. 1347 et seq., or 42 U.S.C. 1320a-7(a) or (b), et seq.,4 or 31 U.S.C. 3729.5 (4) A person who has entered a plea of guilty or nolo contendere to or has6 participated in a pre-trial diversion program for, or has been convicted in7 federal or state courts of criminal conduct arising out of circumstances which8 would constitute a violation of R.S. 22:1924.9 §1931.6. Recovery10 A.(1) Actual damages incurred as a result of a violation of the provisions11 of this Part shall be recovered only once by the insurer and shall not be waived12 by the court.13 (2) Except as provided in Paragraph (3) of this Subsection, actual14 damages shall equal the difference between the amount the insurer paid or15 would have paid and the amount that would have been due had not a violation16 of this Part occurred, plus interest at the maximum rate of judicial interest17 provided by R.S. 13:4202, from the date the damage occurred to the date of18 repayment. Actual damages shall include investigative expenses incurred by the19 insurer.20 (3) If the violator is a managed care healthcare provider contracted with21 a health insurer, actual damages shall be determined in accordance with the22 violator's provider agreement.23 B. Any person who is found to have violated R.S. 22:1924 shall be subject24 to a civil fine in an amount not to exceed ten thousand dollars per violation.25 C. In addition to the actual damages provided in Subsection A of this26 Section and any civil fine imposed pursuant to Subsection B of this Section, a27 civil monetary penalty shall be imposed on the violator in an amount which28 equals three times the benefit pursued, including actual damages as a result of29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 7 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. the violation.1 D.(1) Any person who is found to have violated this Part shall be liable2 for all costs, expenses, and fees related to investigations and proceedings3 associated with the violation, including attorney fees.4 (2) All awards of costs, expenses, fees, and attorney fees are subject to5 review by the appellate court for abuse of discretion.6 (3) The attorney general shall promptly remit awards recovered for7 those costs, expenses, and fees incurred by the parties involved in the8 investigations or proceedings to the appropriate party.9 E.(1) Payment of interest on the amount of the civil fine imposed10 pursuant to Subsection B of this Section shall be at the maximum rate of legal11 interest provided by R.S. 13:4202 from the date the damage occurred to the date12 of repayment.13 (2) Prior to the imposition of a civil monetary penalty, the court may14 consider whether extenuating circumstances exist as provided in R.S. 22:1931.7.15 §1931.7. Waiver; extenuating circumstances16 If a waiver is requested by the attorney general, the court may waive any17 recovery, except for actual damages, required to be imposed pursuant to the18 provisions of this Part provided all of the following extenuating circumstances19 are found to be applicable:20 (1) The violator furnished all the information known to him about the21 specific allegation to the department or attorney general no later than thirty22 days after the violator first obtained the information.23 (2) The violator cooperated fully with all federal or state investigations24 concerning the specific allegation.25 (3) At the time the violator furnished the information concerning the26 specific allegation to the department or the attorney general, no criminal, civil,27 or departmental investigation or proceeding had been commenced as to the28 alleged violation.29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 8 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. §1931.8. Deposit of monies collected1 All monies collected pursuant to this Part shall be dedicated to and2 deposited into the Insurance Fraud Investigation Fund pursuant to R.S.3 40:1428(C). Forty percent of the monies deposited into the fund pursuant to4 this Part shall be allocated from the fund to the attorney general's office for5 purposes as provided by law.6 §1931.9. Assessment reduction or recalculation7 Except as provided in this Part, there shall be no reduction or8 recalculation in the Insurance Fraud Investigation Fund assessment as provided9 in R.S. 40:1428.10 §1931.10. Civil investigative demand11 A. If the attorney general has information, evidence, or reason to believe12 that any person or entity may be in possession, custody, or control of any13 documentary material or information relevant to an investigation for a possible14 violation of this Part, he or any of his assistants may issue to the person or entity15 a civil investigative demand before the commencement of a civil proceeding to16 require the production of the documentary material for inspection or copying17 or reproduction, or the answering under oath and in writing of interrogatories.18 Any civil investigative demand issued pursuant to this Part shall state a general19 description of the subject matter being investigated and the applicable20 provisions of law constituting the alleged violation of this Part. A civil21 investigative demand for the production of documentary material shall describe22 each class of documentary material to be produced with such definiteness and23 certainty as to permit such material to be fairly identified. A civil investigative24 demand for answers to written interrogatories shall set forth with specificity the25 written interrogatories to be answered. Each investigative demand shall set a26 return date of no earlier than twenty days after service of the demand upon the27 person or his representative or agent.28 B. A civil investigative demand issued pursuant to this Part may be29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 9 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. served by the sheriff or a P.O.S.T.-certified investigator employed by the1 attorney general or by the office of state police when the demand is issued to a2 resident or a domestic business entity found in this state. A civil investigative3 demand issued to a non-resident or a foreign business entity may be served4 using long-arm jurisdiction as provided for in the Code of Civil Procedure.5 C. Upon failure to comply with the civil investigative demand, the6 attorney general may apply to the district court having jurisdiction over the7 person to compel compliance with the civil investigative demand.8 D. Except as otherwise provided in this Section, no documentary9 material, answers to interrogatories, or copies thereof, while in the possession10 of the attorney general or any other agency assisting the attorney general with11 the matter under investigation, shall be available for examination by any person12 or entity except as determined by the attorney general and subject to any13 conditions imposed by him for effective enforcement of the laws of this state.14 Nothing in this Section shall be construed to prohibit or limit the attorney15 general from sharing any documentary material, answers to interrogatories, or16 copies thereof with the United States government, any other state government,17 any federal or state agency, or any person or entity that may be assisting in the18 investigation or prosecution of the subject matter of the civil investigative19 demand.20 E. The attorney general may use documentary material derived from21 information obtained pursuant to this Section, or copies of that material, as the22 attorney general determines necessary for the enforcement of the laws of this23 state, including presentation before a court.24 F. If any documentary material has been produced by any person or25 entity in the course of any investigation pursuant to a civil investigative demand26 and any case or proceeding before the court or grand jury arising out of such27 investigation, or any proceeding before any state agency involving such material28 has been completed, or if no case or proceeding in which such material may be29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 10 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. used has been commenced within a reasonable time after analysis of all1 documentary material and other information assembled in the course of the2 investigation, the attorney general, upon written request of the person or entity3 who produced the material, shall return to such person or entity any such4 material that has not passed into the control of any court, grand jury, or agency5 through introduction into the record of such case or proceeding.6 G. "Documentary material" as used in this Section shall include but is7 not limited to all electronically-stored information including writings, drawings,8 graphs, charts, photographs, sound recordings, images, and other data or data9 compilations that would be subject to a request for production under Federal10 Rule of Civil Procedure 34 as it exists now or is hereafter amended.11 §1931.11. Investigative deposition12 A. When the attorney general has information, evidence, or reason to13 believe that a violation of this Part has occurred, the attorney general may issue14 an investigative subpoena for deposition testimony to any person or entity that15 may have information or knowledge relevant to the matter under investigation,16 or for the purpose of revealing, identifying, or explaining documentary material17 or other physical evidence sought under R.S. 22:1940. Such investigative18 subpoena shall contain a general description of the matter under investigation19 and a notice informing the prospective deponent of his right to counsel at the20 deposition with opportunity for cross-examination. Such deposition shall be21 conducted at the principal place of business of the deponent, at his place of22 residence, at his domicile, or, if agreeable to the deponent, at some other place23 convenient to the attorney general and the lawful and designated attorney24 representative of the deponent. Such deposition shall be held at a date no earlier25 than seven days after the date on which demand is received, unless the attorney26 general or an assistant attorney general designated by the attorney general27 determines that exceptional circumstances are present which warrant the28 commencement of such testimony within a lesser period of time.29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 11 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. B. An investigative subpoena issued pursuant to this Part may be served1 by the sheriff or a P.O.S.T.-certified investigator employed by the attorney2 general or by the office of state police when the demand is issued to a resident3 or a domestic business entity of this state. An investigative subpoena issued to4 a non-resident or a foreign business entity may be served using long-arm5 jurisdiction as provided for in the Code of Civil Procedure.6 C. When the investigative subpoena is issued to a business entity, the7 entity shall designate one or more officers, directors, or managing agents, who8 are responsible for complying with the subpoena on the entity's behalf, and may9 set forth, for each person designated, the matters on which he will testify. The10 persons so designated shall testify as to matters known or reasonably available11 to the organization.12 D. Upon failure of a person or entity to comply with the investigative13 subpoena, the attorney general may apply to the district court having14 jurisdiction over the person to compel compliance with the investigative15 subpoena. Failure to comply with a court order is punishable by contempt.16 §1931.12. Asset forfeiture17 A. In accordance with the provisions of Subsection B of this Section, the18 court may order the forfeiture of property to satisfy recovery pursuant to this19 Part under either of the following circumstances:20 (1) The court may order a person from whom recovery is due to forfeit21 property which constitutes or was derived directly or indirectly from gross22 proceeds traceable to the violation which forms the basis for the recovery.23 (2) If the attorney general shows that property was transferred to a third24 party to avoid paying recovery, or in an attempt to protect the property from25 forfeiture, the court may order the third party to forfeit the transferred26 property.27 B. Prior to the forfeiture of property, a contradictory hearing shall be28 held during which the attorney general shall prove by clear and convincing29 SB NO. 765 SLS 12RS-3675 ORIGINAL Page 12 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. evidence that the property in question is subject to forfeiture pursuant to1 Subsection A of this Section. No such contradictory hearing shall be required2 if the owner of the property in question agrees to the forfeiture.3 C. If property is transferred to another person within six months prior4 to the occurrence or after the occurrence of the violation for which recovery is5 due or within six months prior to or after the institution of a criminal, civil, or6 departmental investigation or proceeding, it shall be prima facie evidence that7 the transfer was intended to avoid paying recovery or was an attempt to protect8 the property from forfeiture.9 D. The healthcare provider or other person from whom recovery is due10 shall have an affirmative duty to fully disclose all property and liabilities and11 all transfers of property which meet the criteria of Subsection C of this Section12 to the court and the attorney general.13 §1931.13. Termination of Part14 This Part shall terminate on August 1, 2014.15 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Cheryl Horne. DIGEST Present law defines "fraudulent insurance act" and "statement" relative to insurance fraud. Proposed law retains present law and adds a definition for "claim". Proposed law provides legislative findings that specify that giving the La. attorney general and his assistants the ability, authority, and resources to pursue civil monetary penalties, including liquidated damages, or other remedies to protect the integrity of the insurance industry from persons who engage in fraud, misrepresentation, abuse or other illegal practices. Proposed law provides that no action brought pursuant to proposed law shall be instituted later than ten years after the date upon which the alleged violation occurred. Further provides that no action for violations involving a scheme or course of conduct shall be instituted more than ten years after the latest component of the scheme or course of conduct occurred. Proposed law provides when the conduct giving rise to the cause of action involves the provision of services, supplies, merchandise, or benefits of a medical assistance program administered by the Dept. of Health and Hospitals, proposed law shall not apply. Further provides that an action by a prevailing defendant to recover costs, expenses, fees and attorney fees may be brought no later than 60 days after the rendering of a final nonappealable judgment. In the instance of a state criminal action, the action for recovery SB NO. 765 SLS 12RS-3675 ORIGINAL Page 13 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. of the civil monetary penalty shall be brought within one year of the date of the criminal conviction, final plea, or pre-trial diversion agreement. Proposed law provides that in the case of a civil judgment rendered in federal court, the action for recovery of the civil monetary penalty may be brought once the judgment becomes enforceable and no later than one year after written notification to the attorney general of the enforceable judgment. Further provides that in the case of a criminal conviction or plea in federal court, the action may be brought once the conviction or plea is final and no later than one year after written notification to the attorney general of the rendering of the conviction or final plea. Requires any action brought pursuant to proposed law be filed in the 19 th JDC. Present law prohibits presenting or causing to be presented any written or oral statement including computer-generated documents as part of or in support of or denial of a claim for payment or other benefit pursuant to an insurance policy, knowing that such statement contains any false, incomplete, or fraudulent information concerning any fact or thing material to such claim or insurance policy. Further prohibits assisting, abetting, soliciting, or conspiring with another to prepare or make any written or oral statement that is intended to be presented to an insurance company, insured, the Dept. of Insurance, or other party in interest or third party claimant in connection with or in support of or denial, or any claim for payment of other benefit pursuant to an insurance policy, knowing that such statement contains any false, incomplete, or fraudulent information concerning any fact or thing material to such a claim or insurance policy. Proposed law retains present law and permits the attorney general to institute a civil action in the courts of this state to seek recovery from any person or persons who violate present law. Further provides that each violation may be treated as a separate violation or may be combined into one violation at the option of the attorney general. Proposed law provides that an action by a prevailing defendant to recover costs, expenses, fees and attorney fees shall be ancillary to and shall be brought and heard in the same court as the civil action. Further provides that a prevailing defendant may seek recovery when either of the following applies: 1. The action was instituted by the attorney general after it should have been determined by the attorney general to be frivolous, vexatious, or brought primarily for the purpose of harassment. 2. The attorney general proceeded with a property instituted action after it should have been determined that proceeding would be frivolous, vexatious, or for the purpose of harassment. Proposed law provides that the burden of proof in an action instituted pursuant to proposed law shall be a preponderance of the evidence. Further provides that proof by a preponderance of the evidence of a violation of present law shall be deemed to exist if the defendant has pled guilty to, been convicted of, or entered a plea of nolo contendere to, or participated in a pre-trial diversion program for a criminal charge in any federal or state court when such charge arises out of circumstances which would be a violation of present law. Proposed law provides for the submission of a certified or true copy of an order, civil judgment, or criminal conviction or plea shall be prima facie evidence of the same. The submission of the bill of information or of the indictment and the minutes of the court shall be prima facie evidence as to the circumstances underlying a criminal conviction or plea. Proposed law provides that in a civil action instituted in the courts of this state the attorney general may seek the civil monetary penalty provided in proposed law from any of the following: SB NO. 765 SLS 12RS-3675 ORIGINAL Page 14 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. 1. Any person determined by a court of competent jurisdiction to have violated any provisions of present law. 2. Any person who has violated a settlement agreement entered into pursuant to proposed law. 3. A person who has been found liable in a civil action filed in federal court. 4. A person who has entered a plea of guilty or nolo contendere to or has participated in a pre-trial diversion program for, or has been convicted in federal or state court of criminal conduct arising out of circumstances which would constitute a violation of present law. Proposed law requires actual damages incurred as a result of a violation of the provisions of proposed law shall be recovered only once by the insurer and shall not be waived by the court. Further provides that actual damages shall equal the difference between the amount the insurer paid or would have paid and the amount that would have been due had not a violation occurred, plus interest at the maximum rate of legal interest from the date the damage occurred to the date of repayment. Specifies that actual damages shall include investigative expenses incurred by the insurer. Provides that if the violator is a managed care health provider contracted with a health insurer, actual damages shall be determined in accordance with the violator's provider agreement. Proposed law provides for a civil fine for a violation of present law in an amount not to exceed $10,000 per violation. Additionally, a civil monetary penalty shall be imposed on the violator in an amount which equals three times the benefit pursued, including actual damages as a result of the violation. Proposed law requires any person who is found to have violated proposed law shall be liable for all costs, expenses, and fees related to investigations and proceedings associated with the violation, including attorney fees. Further provides that all awards of costs, expenses, fees, and attorney fees are subject to review by the court for abuse of discretion. Requires the attorney general to promptly remit awards for those costs, expenses, and fees incurred by the parties involved in the investigations or proceedings to the appropriate party. Further provides for payment of interest on the amount of the civil fine imposed at the maximum rate of legal interest from the date the damage occurred to the date of repayment. Proposed law promotes that if a waiver is requested by the attorney general, the court may waive any recovery, except for actual damages, required to be imposed pursuant to the provisions of proposed law provided all of the following are found to be applicable: 1. The violator furnished all the information known to him about the allegation to the department or the attorney general no later than thirty days after the violator first obtained the information. 2. The violator cooperated fully with all federal or state investigations concerning the specific allegation. 3. At the time the violator furnished the information concerning the specific allegation to the department or the attorney general, no criminal, civil, or departmental investigation or proceeding had been commenced as to the alleged violation. Proposed law requires all monies collected pursuant to proposed law, to be dedicated to and deposited into the Insurance Fraud Investigation Fund. Provides that 40% recovered shall be allocated from the fund to the attorney general's office. Further provides that there shall be no reduction or recalculation of the Insurance Fraud Investigation Fund as provided in present law. SB NO. 765 SLS 12RS-3675 ORIGINAL Page 15 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Proposed law provides that if the attorney general has information, evidence, or reason to believe that any person or entity may be in possession, custody, or control of any documentary material or information relevant to an investigation for a possible violation of proposed law, he or any of his assistants may issue to the person or entity a civil investigative demand before the commencement of a civil proceeding to require the production of the documentary material for inspection or copying or reproduction, or the answering under oath and in writing of interrogatories. Proposed law requires any civil investigative demand issued shall state a general description of the subject matter being investigated and the applicable provisions of law constituting the alleged violation of proposed law. Further provides that a civil investigative demand for the production of documentary material shall describe each class of documentary material to be produced with such definiteness and certainty as to permit such material to be fairly identified. Proposed law allows a civil investigative demand to be served by the sheriff or a P.O.S.T.- certified investigator employed by the attorney general or by the office or state police when the demand is issued to a resident or domestic business entity found in this state. Provides that a civil investigative demand issued to a non-resident or foreign business entity may be served using the long-arm jurisdiction as provided in present law. Proposed law allows the attorney general to apply to the district court having jurisdiction over the person to compel compliance with the civil investigative demand. Further provides that no documentary material, answers to interrogatories, or copies thereof, shall be available for examination by any person except as determined by the attorney general. Prohibits any part of proposed law to be construed to prohibit or limit the attorney general from sharing any documentary material, answers to interrogatories, or copies thereof with the U.S. government or with any other state government, federal or state agency, or any person or entity that may be assisting in the investigation or prosecution of the subject matter of the civil investigative demand. Proposed law allows the attorney general to use documentary material derived from information obtained, or copies of that material, as the attorney general determines necessary for the enforcement of the laws of this state, including presentation before a court. Further provides if any documentary material has been produced by any person or entity in an investigative demand, the attorney general shall, upon written request of the person or entity who produced the material, return to such person or entity, any material which has not passed into the control of the court, grand jury, or agency through introduction into the record of such case or proceeding. Proposed law defines documentary material to include all electronically-stored information including writings, drawings, graphs, charts, photographs, sound recordings, images, and other data or data compilations that would be subject to a request for productions under Federal Rule of Civil Procedure 34. Proposed law allows the attorney general to issue an investigative subpoena for deposition testimony to any person or entity that may have information or knowledge relevant to the matter under investigation, or for the purpose of revealing, identifying, or explaining documentary material or other physical evidence. Such investigative subpoenas shall contain a general description of the matter under investigation and a notice informing the deponent of his right to counsel at the deposition with the opportunity for cross-examination. Provides that the deposition shall be conducted at the principle place of business of the deponent or at some other place convenient to the attorney general and the lawful and designated attorney representative of the deponent. Such deposition shall be held at a date no earlier than seven days after the date on which demand is received, unless the attorney general or assistant attorney general designated by the attorney general determines that exceptional circumstances are present which warrant the commencement of such testimony within a lesser period of time. SB NO. 765 SLS 12RS-3675 ORIGINAL Page 16 of 16 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Proposed law allows an investigative subpoena to be served by the sheriff or a P.O.S.T.- certified investigator employed by the attorney general or by the office of state police when the demand is issued to a resident or domestic business entity found in this state. Provides that an investigative subpoena issued to a non-resident or foreign business entity may be served using long-arm jurisdiction. Proposed law allows the court to order the forfeiture of property to satisfy recovery of a judgment under the following circumstances: 1. The court may order a person from whom recovery is due to forfeit property which constitutes or was derived directly or indirectly from gross proceeds traceable to the violation which forms the basis for the recovery. 2. If the attorney general shows that the property was transferred to a third party to avoid paying of recovery, or in an attempt to protect the property from forfeiture, the court may order the third party to forfeit the transferred property. Proposed law requires that, prior to a forfeiture of property, a contradictory hearing shall be held during which the attorney general shall prove by clear and convincing evidence that the property in question is subject to forfeiture. Further provides that if the property is transferred to another person within six months prior to the occurrence or after the occurrence of the violation for which recovery is due or within six months prior to or after the institution of a criminal, civil, or departmental investigation or proceeding, it shall be prima facie evidence that the transfer was intended to avoid paying recovery or was an attempt to protect the property from forfeiture. Proposed law provides a health care provider or other person from whom recovery is due shall have an affirmative duty to fully disclose all property and liabilities and all transfers of property which meet the criteria of proposed law. Proposed law terminates on August 1, 2014. Effective August 1, 2012. (Adds R.S.22:1923(3) and 1931 through 1931.13)