Food Stamp Program: Discretionary Quality Control Provisions of Title IV of Public Law 107-171, 55776-55796 [05-19020]
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55776
Proposed Rules
Federal Register
Vol. 70, No. 184
Friday, September 23, 2005
This section of the FEDERAL REGISTER
contains notices to the public of the proposed
issuance of rules and regulations. The
purpose of these notices is to give interested
persons an opportunity to participate in the
rule making prior to the adoption of the final
rules.
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
RIN 0584–AD37
Food Stamp Program: Discretionary
Quality Control Provisions of Title IV of
Public Law 107–171
Food and Nutrition Service,
USDA.
ACTION: Proposed rule.
AGENCY:
SUMMARY: On May 13, 2002, the
President signed the Farm Security and
Rural Investment Act of 2002. Title IV
of that law, the Food Stamp
Reauthorization Act of 2002, contains
provisions substantively revising the
Quality Control system. This rule
proposes to amend the Food Stamp
Program regulations to implement
certain discretionary provisions
concerning the Quality Control system
in Sections 4118 and 4119 of the Food
Stamp Reauthorization Act of 2002.
This rule would establish new
timeframes for completing individual
Quality Control reviews and establish
procedures for resolving liabilities
following appeal decisions. This rule
proposes to revise the negative case
review procedures and provides
procedures for households that break up
while subject to the penalty for refusal
to cooperate with a Quality Control
review. This rule also proposes several
additional policy changes and technical
corrections, including deletion of
material pertaining to enhanced
administrative funding for low error
rates, which was ended beginning in
Fiscal Year 2003 by the statute. An
interim rule published October 16,
2003, addressed certain nondiscretionary provisions concerning the
Quality Control system in Sections 4118
and 4119 of the Food Stamp
Reauthorization Act. The high
performance bonuses that replace the
administrative enhanced funding are
addressed in a separate rule published
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Comments on this rulemaking
must be received on or before December
22, 2005.
ADDRESSES: The Food and Nutrition
Service, Department of Agriculture
invites interested persons to submit
comments on this proposed rule.
Comments may be submitted by any of
the following methods:
• E-mail: Send comments to
daniel.wilusz@fns.usda.gov.
• Fax: Submit comments by facsimile
transmission to: (703) 305–0928.
• Mail: Send comments to Daniel
Wilusz, Quality Control Branch,
Program Accountability Division, Food
and Nutrition Service, USDA, 3101 Park
Center Drive, Alexandria, Virginia
22302.
• Hand Delivery or Courier: You may
also hand-deliver comments to us on the
8th floor at the above address.
• Federal eRulemaking Portal: Go to
https://www.regulations.gov. Follow the
online instructions for submitting
comments.
DATES:
7 CFR Parts 271, 273, 275, and 277
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February 7, 2005. This rule would affect
State agencies’ quality control review
operations, and it would alter the
impact on State agencies of assessment
and resolution of potential liabilities for
excessive payment error rates and
awarding of bonuses for superior
performance. Households sampled for
quality control review of their cases
would be minimally affected by this
rule.
FOR FURTHER INFORMATION CONTACT:
Questions regarding this rulemaking
should be addressed to Margaret Werts
Batko at the above address, by telephone
at (703) 305–2516, or via the Internet at
margaret.batko@fns.usda.gov.
SUPPLEMENTARY INFORMATION:
I. Additional Information on Comment
Filing/Electronic Access
Electronic Access and Filing Address
You may view and download an
electronic version of this proposed rule
at https://www.fns.usda.gov/fsp/. You
may also comment via the Internet at
the same address. Please include
‘‘Attention: RIN 0584–AD37’’ and your
name and return address in your
Internet message. If you do not receive
a confirmation from the system that we
have received your message, contact us
directly at 703–305–2516.
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Written Comments
Written comments on the proposed
rule should be specific, should be
confined to issues pertinent to the
proposed rule, and should explain the
reason for any change you recommend.
Where possible, you should reference
the specific section or paragraph of the
proposed rule you are addressing. We
may not consider or include in the
Administrative Record for the final rule
comments that we receive after the close
of the comment period or comments
delivered to an address other than those
listed above.
We will make all comments,
including names, street addresses, and
other contact information of
respondents, available for public
inspection on the 8th floor, 3101 Park
Center Drive, Alexandria, Virginia
22302 between 8:30 a.m. and 5 p.m.
Eastern time, Monday through Friday,
excluding Federal holidays.
II. Procedural Matters
Executive Order 12866
This rule has been determined to be
significant under E.O. 12866 and has,
therefore, been reviewed by the Office of
Management and Budget.
Executive Order 12372
The Food Stamp Program is listed in
the Catalog of Federal Domestic
Assistance under No. 10.551. For the
reasons set forth in the final rule in 7
CFR Part 3015, Subpart V and related
Notice (48 FR 29115, June 24, 1983),
this Program is excluded from the scope
of Executive Order 12372 that requires
intergovernmental consultation with
State and local officials.
Regulatory Flexibility Act
This rule has been reviewed with
regard to the requirements of the
Regulatory Flexibility Act (5 U.S.C.
601–612). Eric M. Bost, Under Secretary
for Food, Nutrition, and Consumer
Services, has certified that this rule will
not have a significant economic impact
on a substantial number of small
entities. State and local welfare agencies
will be the most affected to the extent
that they administer the Program.
Public Law 104–4
Title II of the Unfunded Mandate
Reform Act of 1995 (UMRA) establishes
requirements for Federal agencies to
assess the effects of their regulatory
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actions on State, local, and tribal
governments and the private sector.
Under Section 202 of the UMRA, FNS
generally must prepare a written
statement, including a cost-benefit
analysis, for proposed and final rules
with ‘‘Federal mandates’’ that may
result in expenditures to State, local, or
tribal governments in the aggregate, or
to the private sector, of $100 million or
more in any one year. When such a
statement is needed for a rule, section
205 of the UMRA generally requires
FNS to identify and consider a
reasonable number of regulatory
alternatives and adopt the least costly,
more cost-effective or least burdensome
alternative that achieves the objectives
of the rule. This rule contains no
Federal mandates (under the regulatory
provisions of Title II of the UMRA) for
State, local, and tribal governments or
the private sector of $100 million or
more in any one year. This rule is,
therefore, not subject to the
requirements of sections 202 and 205 of
the UMRA.
Federalism Summary Impact Statement
Executive Order 13132 requires
Federal agencies to consider the impact
of their regulatory actions on State and
local governments. Where such actions
have federalism implications, agencies
are directed to provide a statement for
inclusion in the preamble to the
regulations describing the agency’s
considerations in terms of the three
categories called for under section
(6)(b)(2)(B) of Executive Order 13132.
The Food and Nutrition Service has
considered this rule’s impact on State
and local agencies and has determined
that it does not have Federalism
implications under E.O. 13132.
Civil Rights Impact Analysis
FNS has reviewed this proposed rule
in accordance with the Department
Regulation 4300–4, ‘‘Civil Rights Impact
Analysis,’’ to identify and address any
major civil rights impacts the rule might
have on minorities, women, and persons
with disabilities. After a careful review
of the rule’s intent and provisions, FNS
has determined that this rule has no
impact on any of the protected classes.
These changes primarily affect the
quality control (QC) review system and
not individual recipients’ eligibility for
or participation in the Food Stamp
Program. The only provision that has
any direct impact on recipients is the
conforming change made in
§ 273.2(d)(2). This section provides that
a recipient who refuses to cooperate
with a QC review of his or her case will
be terminated from further participation
in the Program; that if the household
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reapplies during the annual review
period, it cannot be determined eligible
until it cooperates with the QC review;
and if it reapplies following the end of
the quality control review period, the
household is required to provide full
verification of its eligibility factors
before it can be certified. The purpose
of the requirement is to encourage
household cooperation with the QC
review of its case. In this rule we are
proposing a conforming amendment to
extend the timeframe of the penalty
consistent with the revised timeframe
for completing the QC review process
established in Section 4119 of the Food
Stamp Reauthorization Act of 2002 and
addressed in this proposed regulation at
§ 275.23. Significant protection exists
within the regulations to ensure that a
household is terminated solely for
refusal, and not inability, to cooperate.
A household so terminated also has the
right to request a fair hearing. Further,
the household has the ability to reverse
its termination by cooperating with the
QC review during the QC review period.
There were 56,954 active case
households subject to a QC review, and
2,101 households who refused to
cooperate with a QC review during
Fiscal Year 2002, the last year
information on non-cooperating
households was collected. Information
on protected class is not available for
these households.
All data available to FNS indicate that
protected individuals have the same
opportunity to participate in the Food
Stamp Program as non-protected
individuals. FNS specifically prohibits
the State and local government agencies
that administer the Program from
engaging in actions that discriminate
against any applicant or participant in
any aspect of program administration,
including, but not limited to, the
certification of households, the issuance
of coupons, the conduct of fair hearings,
or the conduct of any other program
service for reasons of age, race, color,
sex, handicap, religious creed, national
origin, or political beliefs (Food Stamp
Program nondiscrimination policy can
be found at § 272.6). Discrimination in
any aspect of program administration is
prohibited by these regulations, the
Food Stamp Act, the Age Discrimination
Act of 1975 (Pub. L. 94–135), the
Rehabilitation Act of 1973 (Pub. L. 93–
112, section 504), and title VI of the
Civil Rights Act of 1964 (42 U.S.C.
2000d). Enforcement action may be
brought under any applicable Federal
law. Title VI complaints shall be
processed in accord with 7 CFR part
15.’’
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Paperwork Reduction Act
This proposed rule contains reporting
or recordkeeping requirements that have
been approved by the Office of
Management and Budget (OMB) under
several separate information collections
under the Paperwork Reduction Act of
1995. The collections are:
0584–0034, Negative Quality Control
Review Schedule; Status of Sample
Selection and Completion, Form FNS–
245, and FNS–248: This rule does not
affect the negative review schedule,
Form FNS–245. In the most recent
approval of OMB Number 0584–0034,
the form FNS–247 (Statistical Summary
of Sample Distribution) was eliminated.
FNS has stopped requesting that this
form be completed and the information
be submitted. This rule removes the
requirement to submit the report from
the regulations. The elimination does
not affect the burden, as the burden has
already been adjusted for removal of
this form. In this rule we are proposing
to eliminate the Form FNS–248.
However, the information required to be
submitted on that form is still required.
The regulations currently permit that
this information be submitted in another
format. Accordingly, elimination of this
form will not affect the approved
burden for OMB Number 0584–0034.
0584–0074 (Form FNS–380,
Worksheet for Food Stamp Program
Quality Control Reviews); 0584–0299
(Form FNS–380–1, Quality Control
Review Schedule); and 0584–0303
(Sampling Plan, Arbitration, and Good
Cause): This rule does not affect these
information collections. This rule does
not change the requirements for
development and submittal of the
States’ sampling plans. This rule does
not change the requirements for
submitting cases for arbitration nor will
it impact the number of cases
anticipated to be submitted. This rule
does include the provisions for good
cause; however, those provisions are
unchanged except for redesignation.
Therefore, this rule will not impact the
burden currently approved for good
cause either.
OMB Number 0584–0010,
Performance Reporting System,
Management Evaluation, Data Analysis
and Corrective Action: Corrective action
planning is included under this
information collection package.
Regulations prior to passage of the Food
Stamp Reauthorization Act of 2002
required corrective action planning
whenever a State agency failed to reach
the yearly target, whenever a State
agency was not entitled to enhanced
funding, and when its negative case
error rate exceeded one percent. In an
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interim rule entitled ‘‘Non-Discretionary
Quality Control Provisions of Title IV of
Public Law 107–171’’ published on
October 16, 2003 at 68 FR 59519, the
regulations were changed to reflect the
provision in Section 4118 of the Food
Stamp Reauthorization Act of 2002 that
requires corrective action planning
whenever a State agency’s payment
error rate equals or exceeds six percent.
This requirement replaced the
requirement for corrective action
planning whenever a State agency failed
to reach the yearly target. In the
regulations as modified by the interim
rule, State agencies continued to be
required to do corrective action
whenever they were not entitled to
enhanced funding or when the negative
case error rate exceeded one percent. A
State agency was entitled to enhanced
funding when its payment error rate was
less than or equal to 5.90 percent and
its negative case error rate was less than
the national weighted mean negative
case error rate for the prior fiscal year.
This rule proposes to eliminate the
requirement that State agencies conduct
corrective action planning whenever a
State agency is not entitled to enhanced
funding because enhanced funding has
been eliminated by Section 4118 of the
Food Stamp Reauthorization Act of
2002. Elimination of this requirement
will not have a significant impact on
States’ requirements to do corrective
action planning because of the
requirement in the regulation to do
corrective action planning whenever the
State’s error rate exceeds six percent.
The change from 5.9 percent to six is
minimal. In Fiscal Year 2002, no State
below six percent did not get enhanced
funding. Further, in this rule we are
proposing to continue to require that
State agencies do corrective action
planning whenever a State’s negative
case error rate exceeds one percent.
Therefore, there is essentially no impact
resulting from removing the
requirement to do corrective action
planning whenever a State agency is not
entitled to enhanced funding.
Government Paperwork Elimination Act
In compliance with the Government
Paperwork Elimination Act, the Food
and Nutrition Service is committed to
providing electronic submission as an
alternative for information collections
associated with this rule. The Food and
Nutrition Service has made every effort
to streamline and automate these
processes. However, we are not able to
make the entire process electronic at
this time.
Part of the process allows electronic
submission. The Quality Control review
schedule (approved under OMB #0584–
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0299) serves as both the data summary
entry form that the reviewer completes
during each review, and subsequently,
as the data input document for direct
data entry into the automated national
Food Stamp Quality Control System
(FSQCS) at the Kansas City Computer
Center. While the data are manually
collected on a paper form from
information extracted from a case file, it
is electronically submitted to the FSQCS
for tabulation and analysis. Some States
have developed and begun to use
computerized versions of the worksheet
(OMB number 0584–0074), which
provides information collected on the
review schedule. In addition, FNS has
developed a computerized version of
the worksheet. States are being given the
option to continue to use their own
systems, the new computerized version
provided by FNS or the paper version.
When FNS computerized versions of the
worksheet are used, the information is
linked to and creates the review
schedule.
Under OMB number 0584–0034, the
burden for collecting and reporting
information related to the review of
negative cases and the status of sample
selection and completion is approved.
The FNS–245 serves as both the data
summary entry form that the reviewer
completes during each negative case
review, and subsequently as the data
input document for direct data entry
into the FSQCS. Therefore, while data is
manually collected, it is electronically
submitted to the FSQCS for tabulation
and analysis. The FNS–248 (Status of
Sample Selection and Completion)
collects information on the status of
State reviews. The FNS–248 contains
necessary information not produced by
the automated system. However, much
of the form contains information that
can be obtained in other ways. The
regulations already provide that the
information can be submitted in another
format than the Form FNS–248. In this
rule, we are proposing to eliminate the
form and to require the States to submit
the necessary information as requested
by the appropriate regional offices.
States may submit this data
electronically.
The burden under OMB number
0584–0303 encompasses the sampling
plan, arbitration, and good cause. At
this time, these areas are not
substantively electronic submittals. To
the extent possible, States may submit
documents or portions of documents
electronically.
Executive Order 12988
This rule has been reviewed under
Executive Order 12988, Civil Justice
Reform. This rule is intended to have
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preemptive effect with respect to any
State or local laws, regulations, or
policies that conflict with its provisions
or that would otherwise impede its full
implementation. This rule is not
intended to have retroactive effect
unless so specified in the ‘‘Effective
Date’’ paragraph of the final rule. Prior
to any judicial challenge to the
provisions of this rule or the application
of its provisions, all applicable
administrative procedures must be
exhausted. In the Food Stamp Program
the administrative procedures are as
follows: (1) For Program benefit
recipients—State administrative
procedures issued pursuant to 7 U.S.C.
2020(e)(10) and § 273.15; (2) for State
agencies—administrative procedures
issued pursuant to 7 U.S.C. 2023 set out
at § 276.7 (for rules related to nonquality control (QC) liabilities) or Part
283 (for rules related to QC liabilities);
(3) for retailers and wholesalers—
administrative procedures issued
pursuant to 7 U.S.C. 2023 set out at 7
CFR Part 279.
Regulatory Impact Analysis
Need for Action
This action is needed to implement
certain provisions of Sections 4118 and
4119 of Title IV, the Food Stamp
Reauthorization Act of 2002, Public Law
107–171, which was enacted on May 13,
2002. This rule proposes to amend the
Food Stamp Program regulations
concerning the Quality Control (QC)
system to eliminate enhanced funding,
to address the impact of appeals
decisions on the resolution of QC
liabilities for high payment error rates,
to revise the timeframes for completing
individual case reviews and the
timeframes for penalties for households
that refuse to cooperate with a QC
review, and to make a number of
technical policy changes and
corrections. This analysis addresses the
elimination of enhanced funding, the
impact of appeals decisions on the
resolution of QC liabilities for high
payment error rates, the revised
timeframes for completing individual
case reviews, the timeframes for
penalties for households that refuse to
cooperate with a QC review, validation
of the negative case error rate, and
corrective action planning. An interim
rule, published October 16, 2003, at 68
FR 59519, addressed the new liability
system established by Section 4118 of
the Food Stamp Reauthorization Act of
2002. The impact of the new liability
system was addressed in the impact
analysis for that rule. For greater
understanding of the impact of the
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changes to the liability system, the
reader is referred to the interim rule.
Cost Impact
This action does not directly impact
benefit levels or eligibility, so we do not
anticipate any impact on food stamp
benefit costs. The provision extending
the timeframes for verification of
households reapplying for benefits is
not expected to have a measurable
impact on benefit costs. Elimination of
enhanced funding will result in a
savings of administrative matching
funds. In 2002, the Agency paid $77.3
million in enhanced funding incentives
to 13 States. Over the five years between
1998 and 2002, the Agency paid $250
million in enhanced funding, for an
annual average of $50 million during
this period.
If State payment error rates remained
at their 1998–2002 levels, the annual
savings to the Food Stamp Program
would be $50 million and the five-year
savings would be $250 million.
However, this savings will be largely
offset by the establishment of the high
performance bonuses (addressed in the
final rule ‘‘High Performance Bonuses’’
published February 7, 2005, at 70 FR
6313). See Table below.
Benefit Impact
Elimination of enhanced funding
based on payment accuracy would not
have a benefit impact on State
administrating agencies or on program
operations if considered in isolation.
However, when this provision is
combined with the new performance
bonus system in another rulemaking
that proposes to change performance
criteria from a narrow focus on payment
accuracy to a broader measure that
incorporates client service criteria in
addition to payment accuracy, the new
performance bonus system is expected
to encourage States to assess and
improve overall performance. Since the
new bonus system is capped at $48
million annually the impact of the two
rules will offset each other.
COST IMPACT OF CERTAIN QUALITY CONTROL PROVISIONS OF THE FOOD STAMP REAUTHORIZATION ACT OF 2002
(FEDERAL OUTLAYS)
[In millions of dollars]
2005
Elimination of Enhanced Funding ....................................................................................
The provisions affecting the
timeframes for completing individual
case reviews, procedures for appeals for
the resolution of QC liabilities, and the
procedures for treating households that
refuse to cooperate with QC reviews are
not expected to have any measurable
impact on program costs.
III. Background
On May 13, 2002, the President
signed Public Law 107–171, the Farm
Security and Rural Investment Act of
2002. Title IV of Public Law 107–171,
the Food Stamp Reauthorization Act of
2002 (FSRA), significantly revised the
sanction, liability, and enhanced
funding provisions of the Quality
Control (QC) system. An interim rule
entitled ‘‘Non-Discretionary Quality
Control Provisions of Title IV of Public
Law 107–171’’ was published October
16, 2003, at 68 FR 59519 that addressed
certain provisions of Sections 4118 and
4119. A final rule entitled ‘‘High
Performance Bonuses’’ was published
February 7, 2005, at 70 FR 6313 that
implemented Section 4120 of the Food
Stamp Reauthorization Act. This
rulemaking addresses the remaining
provisions of Sections 4118 and 4119 of
the Food Stamp Reauthorization Act. In
addition, it includes several
discretionary policy changes and
numerous technical corrections.
A. Enhanced Funding
The current regulations at § 275.1(b)
provide that the Department shall pay a
State agency enhanced administrative
funding if its payment error rate is less
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than or equal to 5.90 percent and the
negative case error rate is less than the
national weighted mean negative case
error rate for the prior fiscal year.
Section 4118 of FSRA removed the
provision in the Food Stamp Act of
1977 for giving enhanced funding to
State agencies with low payment and
negative case error rates, effective fiscal
year (FY) 2003, effectively ending
enhanced payments. As a technical
detail, we are proposing to eliminate
§ 275.1(b)(1) and (b)(2) and to revise
§ 275.1(a) into a general introductory
paragraph, removing the ‘‘(a)’’ paragraph
designation. Section 4120 of the FSRA
replaces these enhanced funding
provisions with high performance
bonuses. Regulations addressing high
performance bonuses have been
published separately (proposed rule
published December 17, 2003, at 68 FR
70193; final rule published February 7,
2005, at 70 FR 6313).
Section 275.23(d) establishes
procedures for providing enhanced
funding. In accordance with the
elimination of enhanced funding, this
section is no longer necessary.
Therefore, we are proposing to remove
§ 275.23(d).
Section 275.3(c) requires that FNS
validate the negative case error rate
when a State agency’s payment error
rate for an annual review period appears
to entitle it to an increased share of
Federal administrative funding and its
reported negative case error rate for that
period is less than two percentage
points above the national weighted
mean negative case error rate for the
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prior fiscal year. That section also
provides that FNS may review any
negative case for other reasons.
Validation of the negative case error rate
is no longer necessary for purposes of
establishing eligibility for enhanced
funding. However, we are proposing in
§ 275.3(c) to require that all States’
negative case error rates be validated by
FNS. We are proposing to require
universal validation of negatives for two
reasons. First, we believe that fair and
equitable treatment in terms of denying
households needs to be ensured.
Second, the negative error rate is one of
the measurements of high performance.
We believe that it is necessary to ensure
the accuracy of those error rates if
awards will be driven by these rates.
In addition, we are proposing to make
technical changes throughout Part 275
to remove references to enhanced
funding. These deletions are not
discussed in this preamble.
Part 277, Payments of Certain
Administrative Costs of State Agencies,
establishes the rules for paying State
agency administrative costs for
operating the Food Stamp Program. In
§ 277.4, paragraphs (b)(1), (b)(4), (b)(5),
and (b)(6) describe the procedures for
increasing State administrative funding
when State agency quality control error
rates meet certain standards. Each
paragraph provides the authority for
different fiscal year periods beginning
with Fiscal Year 1980. Sections
277.4(b)(1)(i), (b)(4), (b)(5), and (b)(6)
cover fiscal year periods beginning
October 1, 1980, through September 30,
1988. Section 277.4(b)(1)(ii) provides
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the authority for the period beginning
October 1988 and forward. The
authority in the Food Stamp Act for
§ 277.4(b)(1)(i) was removed by the
Hunger Prevention Act of 1988 (Public
Law 100–435). The authority for
§ 277.4(b)(4), (b)(5), and (b)(6) was
removed by the Omnibus Budget
Reconciliation Act of 1982 (Public Law
97–253). Section 4118 of the FSRA
eliminated enhanced funding based on
quality control error rates for fiscal years
beginning October 2002 and beyond,
thus making § 277.4(b)(1)(ii) obsolete for
FY2003 and beyond. All enhanced
funding for Fiscal Years 1980 through
2002 paid under any of these authorities
has already been made. Therefore, these
paragraphs are no longer necessary.
Accordingly, we are proposing to
remove § 277.4(b)(1), (b)(4), (b)(5), and
(b)(6). Sections 277.4(b)(2), (b)(3), (b)(7),
and (b)(8) are proposed to be
redesignated as § 277.4(b)(1), (b)(2),
(b)(3), and (b)(4), respectively. In
addition, we are proposing to correct the
references in redesignated § 277.4(b)(3)
to reflect these changes.
B. Disposition of Cases Where the
Household Refuses To Cooperate
Section 275.12(g) establishes
procedures for disposition of active
quality control cases. Section
275.12(g)(1)(ii) provides procedures for
handling cases when the household
refuses to cooperate in the review.
Under these procedures, the State
agency is required to notify the
household of the penalties for refusing
to cooperate with the review. In
§ 275.12(g)(1)(ii), regulations currently
provide that a reviewer may attempt to
complete the case if this notice has been
sent. This policy was revised by
memorandum on September 1, 1998, in
‘‘Change 1 to the September 1997
version of FNS Handbook 310,’’ to
require the State agency reviewer to
attempt to complete the review. The
change was effective October 1, 1998.
The revised policy has been retained in
subsequent revisions of FNS Handbook
310. The Department requires such
completion because incomplete reviews
introduce bias into the system.
Consistent with this change in policy,
we are proposing to revise
§ 275.12(g)(1)(ii) to say that the reviewer
must attempt to complete the case. As
provided for in the FNS Handbook 310,
the reviewer will attempt to determine
all of the necessary information to the
point where either ineligibility or the
appropriate benefit allotment is
determined, verified, and documented.
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C. Negative Case Reviews
In order to understand the parameters
of the changes being proposed in this
rulemaking for the review of negative
cases, the readers need to understand
the basic framework of the negative case
review process. A negative case is a case
where a household’s application for
food stamp benefits was denied or
where a household’s food stamp
benefits were suspended or terminated.
The negative universe includes all
negative actions that occur during the
review period. Under current rules,
State agencies may randomly select
negative cases for review by either
‘‘action’’ or by ‘‘effective date.’’
‘‘Action’’ is a specific decision to deny,
suspend, or terminate a case. Each
action results in a notice to the
household advising the household of
the action. ‘‘Effective date’’ measures
the result of a negative action, that is,
that following the negative action, the
household does not receive benefits. It
measures the non-receipt of benefits
against the prior receipt of benefits. In
order for a case to be subject to review
as a negative case under the current
rules, there has to be a break in
participation, that is, a household
cannot receive uninterrupted benefits
for two full consecutive months.
Between the negative action and the
next date of participation, there must be
at least one day for which no benefits
are received. A negative case review
consists of a case file review. An
expanded review of items addressed in
the case is permitted if the case file does
not support the negative action under
review. Contact with the household
and/or collateral contacts should occur
only to clarify information in the case
record if the case record does not
support the negative action under
review. Contact with the household
and/or collateral contacts should occur
only to clarify information in the case
record if the case record does not
support the negative action under
review. This proposal would
significantly modify the process
described above in order to make the
process uniform among the States and to
eliminate inappropriate, excessive, and
unnecessary household contacts.
Although not currently required, the
Department has validated all State
agencies’ negative case error rates for
the past several years. As discussed
elsewhere in this rule, we are proposing
that the Department will validate all
State agencies’ negative case error rates
annually. In the process of performing
these validations, it has become
apparent that various State agencies
have interpreted the regulatory
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provisions and Handbook review
provisions differently. Further, it has
become apparent that allowing the use
of two different measuring points, by
‘‘action’’ or by ‘‘effective’’ date, has
contributed to the differences among
State agencies. Secondarily, use of
‘‘effective date’’ has resulted in
confusion when multiple negative
actions have occurred within the sample
month. This is particularly important in
determining the awarding of the high
performance bonus awards for low
negative case error rates. Finally, the
Department has become concerned that
some State QC workers, when they find
that the basis of a negative case action
is invalid, in an effort to find any reason
that the negative action might have been
valid, continue to review a household’s
case until any reason can be found to
support the negative action result. This
can result in multiple household and/or
collateral contacts. The Department
considers such contacts potentially
intimidating and believes it is necessary
to curtail their use. The Department
believes that it is important that all
States conduct negative reviews
interpreting the regulatory and
Handbook provisions the same way to
ensure that review results are
comparable.
First, the Department is proposing
that the negative universe be based on
‘‘action,’’ eliminating the option to use
‘‘effective date.’’ Use of the two different
selection criteria, ‘‘action’’ and
‘‘effective date,’’ has resulted in
differences in the sampling universes
among the States and inconsistent
reviews. These sampling differences are
of statistical concern in calculating a
national negative case error rate.
Further, because multiple actions can
occur within a sampling period, but
only resulting in one denial,
suspension, or termination, States using
‘‘effective date’’ have to decide which of
the several actions to review. This
selection process can introduce bias into
the system. Focusing on ‘‘action’’ means
that each negative action would have an
equal opportunity to be sampled and
reviewed. Finally, negative reviews are
not measuring program losses, but
service to clients. Using ‘‘action’’ means
the review is based on the reason given
the household for the negative action.
We are proposing to revise
§ 275.11(e)(2)(i) and (e)(2)(ii)
accordingly.
Further, we are proposing to delete
the requirement that there be a break in
participation in order for a case to be
subject to review. Section
275.11(f)(2)(vi) provides that a negative
action would not be subject to review if
there were no break in participation.
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Changing the focus to the action
eliminates a need for measuring
whether there was a break in
participation. The break in participation
measures the effectiveness of the
negative action, the denial or end of a
households receipt of benefits.
Elimination of ‘‘break in participation’’
is consistent with the change in focus to
‘‘action’’ only reviews. A conforming
change is also being made to the
definition ‘‘Negative case’’ in § 271.2.
Finally, the Department is proposing
to eliminate the expanded review in
§ 275.13(b). As described above, the
expanded review allows the QC
reviewer to look beyond the reason
given for action taken by the EW to
deny, terminate, or suspend a
household. The QC reviewer may
examine the case file for additional
reasons to support the denial,
suspension, or termination. It also
permits contacting the household or a
collateral contact to clarify a reason for
the denial, suspension, or termination.
During the validation process, it has
become apparent that the expanded
review has become an opportunity to
search for information to eliminate an
invalid negative decision, making the
decision correct, rather than
determining the validity of the action
the EW took. The Department considers
this an inappropriate use of the review
process that needs to be curtailed.
Elimination of the expanded review is
also consistent with a review of
‘‘action.’’ The QC review would be
focused solely on the action taken, not
on other possible negative actions that
could have been taken. Under this
proposal, an action could only be
determined ‘‘valid’’ if the case record
supported the negative action, as it was
presented to the household. If
documentation is missing in the case
file to support and verify the reason for
the specific denial action, the
Department is proposing to continue to
allow the QC reviewer to contact the
household or a collateral contact to
verify the validity of the specific
negative action. The Department
believes that this is necessary to curtail
reviews that are focused on eliminating
the error, rather than on determining the
validity of the action, and result in
excessive collateral contacts, negatively
impacting customer service. A
conforming change is also being made to
§ 275.13(c)(1).
We recognize that by evolving State
interpretations of the regulatory and
Handbook provisions to be the same,
these proposed revisions may change
the proportion of valid determinations.
However, the Department believes that
the consistent interpretations among the
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States will yield information that more
accurately reflects actual negative
actions, and represents a better balance
between accuracy and customer service.
D. Corrective Action Planning
Section 4118 of the FSRA requires a
State agency to do corrective action
planning whenever its payment error
rate is six percent or greater. In the
interim rule published October 16, 2003
at 68 FR 59519, § 275.16(b)(1) was
revised to require corrective action
planning whenever a State agencys error
rate equals or exceeds six percent.
Current regulations provide that
corrective action planning shall also be
done by a State agency when the State
agency is not entitled to enhanced
funding (§ 275.16(b)(2)) or when the
State agencys negative case error rate
exceeds one percent (§ 275.16(b)(3)). We
are proposing to remove § 275.16(b)(2)
as no longer necessary because
enhanced funding has been eliminated.
In practical terms, this change will have
little impact on the number of State
agencies required to do corrective action
planning. In FY 2002, the last year of
enhanced funding, no State that had a
payment error rate of less than six
percent failed to qualify for enhanced
funding. We are proposing to continue
to require State agencies to conduct
corrective action planning whenever the
negative case error rate exceeds one
percent (§ 275.16(b)(3)), but are
proposing to redesignate § 275.16(b)(3)
as § 275.16(b)(2) to reflect the deletion
of § 275.16(b)(2). We believe that
retaining the requirement to do
corrective action planning when the
negative error rate exceeds one percent
is necessary to ensure that households
are not being inappropriately denied or
terminated in an effort to reduce
payment error rates. Also, this is
consistent with the High Performance
Bonuses final rule that provides criteria
for rewarding States with very low
negative case error rates. Finally, we are
proposing to redesignate § 275.16(b)(4),
(b)(5), and (b)(6) as § 275.16(b)(3), (b)(4),
and (b)(5), respectively, to reflect the
deletion of § 275.16(b)(2) and
redesignation of § 275.16(b)(3) as
§ 275.16(b)(2).
Section 275.13 requires State agencies
to review suspended cases as part of the
negative case sample. Suspended cases
were added to the negative universe in
a rule published July 16, 1999, at 64 FR
38287. That rule did not add suspended
cases to those deficiencies requiring
corrective action at § 275.16(b)(6)
(redesignated in this rule as
§ 275.16(b)(5)). To correct this oversight,
we are proposing to revise redesignated
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§ 275.16(b)(5) to include deficiencies
which result in improper suspensions.
E. Timeframes for Announcing the
National Performance Measure and for
Completing Quality Control Reviews
and Resolving State/Federal Differences
The interim rule published October
16, 2003, at 68 FR 59519 revised the
regulations at § 275.23(e)(7) to establish
the following timeframes for completing
quality control reviews and resolving
State/Federal differences and for
announcing the national performance
measure. The deadline for completing
quality control reviews and resolving
State/Federal differences is May 31 of
the following year. The deadline for
announcing the national performance
measure is June 30 following the end of
the fiscal year review period. These new
timeframes provide approximately two
additional months to complete the case
review and arbitration process and to
develop and announce the national
performance measure. In this rule, we
are proposing to use this additional time
in the following way.
Currently, as provided for in
§ 275.21(b)(2), State agencies are
required to complete and transmit to
FNS 90 percent of all cases selected for
a sample month within 75 days of the
end of that sample month. State
agencies are required to complete and
transmit to FNS 100 percent of all cases
selected for a sample month within 95
days of the end of the month. Section
273.21(d) requires that all cases sampled
for the annual review period be
completed or otherwise accounted for
and reported to FNS no later than 105
days from the end of the review period.
In order to fully understand this
proposal, it is helpful to understand the
background of the current timeframes.
Section 13951 of the Mickey Leland
Childhood Hunger Relief Act of 1993,
Public Law 103–66, required that all
case reviews and arbitration be
completed within 180 days of the end
of the review period. On June 23, 1995,
the Department proposed changes to the
regulations to implement the 180-day
requirement to complete all case
reviews and arbitration (60 FR 32615).
In that rule, we proposed to reduce the
amount of time to complete each
monthly sample by requiring that 100
percent of the cases selected for review
be completed within 90 days of the end
of the sample month. However, in the
final rule published June 2, 1997 (62 FR
29652), we left the timeframes as they
were originally, i.e., that 90 percent of
all cases be completed within 75 days
and all cases be disposed of within 95
days of the end of the sample month. In
that final rule, we reduced the amount
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of time FNS regional offices had to
complete validation from 95 days to 43
days and modified the arbitration
system in order to reduce the amount of
time necessary to complete the case
review and arbitration process within
the allotted 180 days. Thus FNS
absorbed all the reduction in time for
completing the annual QC review
process.
We believe that the best uses of the
additional two months of time between
the end of March and May 30 are to
provide States with more time to
complete the individual case review
process, to provide the FNS regional
offices with more time to complete their
reviews of the subsample cases, and to
provide some additional time at the end
of the review process for the Department
to ensure the accuracy of the error rates,
liabilities, and any adjustments to the
liabilities.
Accordingly, in § 275.21(b)(2), we are
proposing to provide State agencies at
least 100 days from the end of the
sample month to complete and transmit
to FNS 90 percent of all cases and that
State agencies shall have at least 113
days from the end of the sample month
to complete and transmit to FNS 100
percent of all cases selected for the
sample month. We are proposing that
State agencies have at least 123 days
from the end of the annual review
period to complete or otherwise account
for all cases selected for review during
the annual review period and to report
to FNS the results of all the reviews.
This gives the State agency an
additional 25 days to act on 90 percent
of the cases selected each sample month
and an additional 18 days to complete
all the cases selected each sample
month. We are proposing that State
agencies have at least until January 21
after the end of the review year to
complete and dispose of all cases. We
are also proposing that FNS may grant
additional time as warranted upon
request by a State agency for cause
shown beyond these dates to complete
and dispose of all cases. We are also
proposing to revise § 275.21(b)(4) by
replacing ‘‘95’’ with ‘‘113’’; to revise
§ 275.21(c) by replacing ‘‘105’’ with
‘‘123’’; and to add a sentence to each of
these paragraphs stating that if FNS
extends the timeframes in § 275.21(b)(2),
that the timeframes in these paragraphs
will be extended accordingly.
On January 22, 2003, we waived the
deadlines for State agencies to complete
processing cases in § 273.21(b) for FY
2003 and provided States with 113 days
to complete each sample month’s cases.
This waiver was extended on March 4,
2004. In providing comments on this
proposal, we would be interested in
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hearing whether this amount of
additional time was useful and/or
sufficient. In addition to the extended
timeframes for completion of individual
cases, that waiver provides State
agencies an additional 10 days at the
end of the review period, i.e., January 22
through January 31, to perform checks
on the individual data transmitted by
State agencies (c-trails). That additional
10 days is an expansion of current
policy allowing additional time to check
the c-trails during the review period. In
this rulemaking, we are not proposing to
allow this additional 10 days at the end
of the review year for checking the ctrails. We are not proposing to allow the
additional 10 days in this rulemaking
because we feel that States have already
received a significant additional amount
of time to perform and complete all
work related to the individual case
reviews. Delaying completion of the
State work until January 31 delays the
completion of the Federal rereview
process which in turn impacts FNS?s
ability to timely and accurately prepare
the payment error rates. However, we
are interested in receiving comments on
this issue.
Under the timeframes as provided in
the January 23, 2003, memorandum,
FNS regional offices were given until
March 31 to complete their subsample
review process in order for all
arbitration to be completed timely and
to provide some additional time to
ensure the accuracy of the error rates,
liabilities, and adjustments to the
liabilities. If FNS opts to extend the
State agencies? timeframes, FNS will
adjust the amount of time provided to
the regions for validation and/or adjust
the time provided to the Department to
ensure the accuracy of the error rates,
liabilities, and adjustments to the
liabilities.
Section 275.21(c) provides that State
agencies report the monthly progress of
sample selection and completion on the
Form FNS–248, Status of Sample
Selection and Completion or other
format specified by FNS. In response to
a notice published at 68 FR 10437 on
March 5, 2003, the Department received
two comments suggesting elimination of
the form. Federal statisticians use the
information on the FNS–248 to track the
status of case completions and identify
when timely generation of an error rate
is jeopardized. Most of the information
on the FNS–248 is available elsewhere.
Further, the form itself is not necessary
for State agencies to provide the
necessary information, and the
regulation currently provides that States
may submit this information other than
on the form. Therefore, we are
proposing to revise § 275.21(c) to
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eliminate the form. State agencies will
still be required to submit the
information on a monthly basis as
directed by the appropriate regional
office.
Section 275.21(d) requires State
agencies to submit an FNS–247,
Statistical Summary of Sample
Distribution, annually. Although the
requirement is still in the regulations,
FNS no longer requires State agencies to
submit this form. Accordingly, we are
proposing to remove § 275.21(d).
Currently, there is one level of
arbitration. Quality control arbitration is
the resolution of disagreements between
the FNS regional office and the State
agency concerning individual QC case
findings and the appropriateness of
actions taken to dispose of an individual
case. The timeframes for conducting
arbitration are in § 275.3(c)(4). Under
these rules, a State agency is required to
submit its request for arbitration within
20 calendar days of the date of receipt
by the State agency of the regional office
case findings. The FNS arbitrator has 20
calendar days from receipt of the State
agency request to review and make a
decision on the case. The arbitration
timeframes as currently established
appear to be adequate from our
perspective. We believe that 20 days is
an adequate amount of time for a State
agency to prepare its case for arbitration.
This time period is intended primarily
for the State agency to prepare its letter
addressing what issue or issues it is
appealing, assemble the case file, and
transmit the request. This time period is
not intended for State agencies to
conduct additional review activities.
Our recent experience with the
arbitration process indicates that, except
for a small number of cases where the
State submitted an incomplete case, 20
days has been sufficient to review and
reach a decision. Accordingly, we are
not proposing to make any changes in
the timeframes for requesting and
conducting arbitration. We are seeking
comments, however, about whether
affected parties and the public agree that
the timeframes are adequate. If
additional time is required for
arbitration, the amount of time given to
State agencies for completing individual
case reviews may need to be reduced
from that proposed in this rule.
F. Consequences To Households Who
Refuse To Cooperate With Quality
Control Reviews
Section 273.2(d)(2) provides
procedures for handling the cases of
food stamp participants who refuse to
cooperate with a quality control review
of their case. Currently, a household is
determined ineligible if it refuses to
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cooperate with a QC review. Questions
have arisen about what happens when
one or more household members leave
a household subject to this penalty.
Because the regulations do not provide
an answer to the question, it has been
left to State agencies to determine which
household members continue to be
subject to the penalty. We are proposing
to amend this provision to provide that
the ineligibility penalty will follow the
household member(s) who refused to
cooperate.
In this rule, we are also proposing to
make a conforming change to
§ 273.2(d)(2). Current procedures in
§ 273.2(d)(2) require that a household be
terminated for refusal to cooperate with
a State or Federal quality control
reviewer. If a household terminated for
refusal to cooperate with a State QC
reviewer reapplies within 95 days of the
end of the annual review period, the
household cannot be determined
eligible until it cooperates with the State
QC reviewer. If the household
terminated for refusal to cooperate with
a State QC reviewer reapplies more than
95 days after the end of the review
period, the household is required to
provide verification of all eligibility
factors before it can be certified. If a
household terminated for refusal to
cooperate with a Federal QC reviewer
reapplies within 7 months of the end of
the annual review period, the household
cannot be determined eligible until it
cooperates with the Federal QC
reviewer. If the household terminated
for refusal to cooperate with a Federal
reviewer reapplies more than seven
months after the end of the review
period, the household is required to
provide verification of all eligibility
factors before it can be certified. We are
proposing to change the dates in
§ 273.2(d)(2) to 123 days and nine
months to conform the dates in
§ 273.2(d)(2) to the proposed changes in
the dates for completion of the State
review process in § 275.21(b) and the
end of the Federal QC review process in
§ 275.23(e)(7) (renumbered in this
proposed rule as § 275.23(c)).
We are also proposing additional
conforming changes to other sections of
the regulations that identify these
timeframes. These conforming
amendments are not discussed in this
preamble.
G. Section 275.23—Determination of
State Agency Program Performance
Section 275.23 establishes the
procedures to be used to evaluate a State
agency’s performance through the
quality control review system. This
section includes the error rates to be
established, the methodology used to
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establish those error rates (including
regression), the thresholds for
establishing potential liabilities for
excessive error rates, the relationship of
the sanction system to the warning
process and negligence, the timeframes
for announcing error rates, the
procedures for resolving liabilities, the
procedures for reducing liabilities based
on good cause on appeal, the policy on
charging interest on liabilities, and the
procedures for new investment
activities to reduce liabilities.
Over time, as the authority for
determining the error rates and the
sanction system has been changed by
legislation, changes have been made
throughout § 275.23. Those changes
were made within the existing structure
of the section. The changes to the
sanction system made by the FSRA
impact much of § 275.23. Because
several sections require substantive
revision and many paragraphs require
minor changes or reference changes, we
have decided to take the opportunity to
reorganize the section at the same time
as making the necessary changes
resulting from the legislation.
Accordingly, we are proposing to revise
and reorganize § 275.23 in its entirety.
Under this proposed reorganization,
§ 275.23(a) will address the basic
components of FNS determination of a
State agency’s efficiency and
effectiveness (currently § 275.23(a) and
(b)). A new § 275.23(b) will address
error rates. The existing methodology
for regression in § 275.23(e)(6) is
proposed to be incorporated into the
new § 275.23(b). Section 273.23(c) will
address the timeframes for completing
case reviews, conducting arbitration,
and issuing error rates. Section
273.23(d) will address State agency
liability. Included in this paragraph will
be the procedure for establishing the
national performance measure, the
liability methodology, appeal rights, and
the relationship to the warning process
and negligence. Section 275.23(e) will
address liability resolution plans;
§ 275.23(f) will address good cause;
§ 275.23(g) will address results of
appeals on liability resolution;
§ 275.23(h) will address new investment
(the rules currently refer to such
investment as ‘‘reinvestment’’; in this
rule, we are proposing to change the
term to ‘‘new investment,’’ consistent
with the language used in the FSRA);
§ 275.23(i) will address payment of the
at-risk money; and § 275.23(j) will
address interest charges.
Current § 275.23(e)(4) (Relationship to
warning process and negligence),
§ 275.23(e)(5) (Good cause), and
§ 275.23(e)(6) (Determination of
payment error rates) are unchanged
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except for minor editing, renumbering,
or reference changes. Sections
275.23(e)(4), (e)(5), and (e)(6) are
proposed to be redesignated as
§ 275.23(d)(4), (f), and (b)(2),
respectively. These changes are part of
the restructuring for purposes of clarity.
Necessary reference changes and
language changes resulting from the
elimination of enhanced funding have
also been made. Such changes are
technical in nature and do not impact
the procedures themselves. These
sections include the regression
methodology and the criteria for good
cause. Although these sections have
been included in their entirety, their
substantive content has not been
changed, and comments are not being
sought on these procedures. Because
comments are not being sought on the
substantive content of these sections,
any comments received on the
substantive content will not be taken
into consideration in developing the
final rule.
H. Elimination of Pre-Fiscal Year 2003
Liability Establishment Procedures
The interim rule, published October
16, 2003, at 68 FR 59515, revised
§ 275.23(e) to eliminate procedures for
establishing liabilities for Fiscal Years
1983 through 1991. Section 275.23(e)(2)
now provides procedures for
establishing liability for excessive
payment error rates for FY 2002. Section
275.23(e)(3) provides procedures for
establishing liability amounts for FY
2003 and beyond, putting in place the
provisions of Section 4118 of the FSRA.
The provisions of Section 4118 give the
Department the authority to waive any
portion of the established liability
amount, to require a State agency to
invest up to 50 percent of any
established liability amount in program
administration activities, to establish up
to 50 percent of the established liability
amount as being ‘‘at-risk’’ for repayment
if a liability amount is established for
the subsequent fiscal year, or any
combination of the three. Readers
should refer to the interim rule for more
information concerning the new liability
system. Comments received in response
to the interim rule and to this proposed
rule will be considered in developing
the final rule on liability resolution. The
final rule will merge the interim rule
and this proposed rule.
We are proposing to remove
§ 275.23(e)(2) (as part of the overall
revision of § 275.23) as it no longer
necessary. All liabilities for FY 2002
have already been determined.
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I. Appeals of Liability Determinations
Section 16(c)(7) of the Food Stamp
Act, as amended, provides that a State
agency is entitled to appeal the amount
of a liability only for a fiscal year in
which a liability amount is established.
That means that excessive payment
error rates in the first year of the new
2-year liability system are not subject to
appeal. Nor is the national performance
measure subject to appeal, in
accordance with Section 16(c)(6)(D) of
the Food Stamp Act, as amended. Thus,
only a State agency’s second year error
rate and related liability determination
are appealable. The Department
recognizes that good cause may exist for
an excessive error rate in year 2 that
could be the result of events in year 1.
The Department has proposed at
§ 275.23(d)(3) to limit appeals to the
determination of a State’s payment error
rate, or a determination of whether the
payment error rate exceeds 105 percent
of the national performance measure
and the liability amount for any year for
which a liability is established. To
address the limitations on the
appealability of year 1 and the
possibility of causes extending back into
that year, we are also proposing to allow
a State agency to address areas of good
cause in the prior fiscal year that may
have impacted the fiscal year 2 for
which a liability amount has been
established.
The recent significant drop in the
national performance measure and
individual State error rates has raised
questions about the effect on this new
liability system if the error rates
continue to fall lower. Specifically
questions have arisen about what
happens if a State agency’s error rate is
below six percent but there is a 95
percent statistical probability that the
State’s payment error rate exceeds 105
percent of the national performance
measure. There are two significant
points to be addressed. First, since six
percent is the potential liability
threshold provided in the FSRA no
liability amount would be established.
However, the year would be a year of
poor performance under the new
liability system and would be
considered a year 1 in determining
whether a State agency had two
consecutive years of error rates
exceeding 105 percent of the national
performance measure. The law
mandates that a year be considered a
year of poor performance whenever
there is a 95 percent statistical
probability that a State agency’s
payment error rate exceeds 105 percent
of the national performance measure.
The six percent threshold for a liability
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amount determination is not relevant to
the determination of poor performance.
Second, questions have also arisen
about whether the determination of
whether a year for which no liability
was established because the State’s error
rate was above the national performance
measure but was below six percent was
a year 1 is appealable. Under FSRA, this
determination is not appealable.
However, in the event a State agency
incurs a potential liability in a
subsequent year, a State agency would
be able to address areas of good cause
in prior fiscal year 1 that may have
impacted the fiscal year 2 for which a
liability amount has been established.
Section 4118 of the FSRA provides
that when a State agency appeals its
liability amount determination, if the
State agency began required new
investment activities prior to an appeal
determination, and if the liability
amount is reduced to $0 through the
appeal, the Secretary shall pay to the
State agency an amount equal to 50
percent of the new investment amount
that was included in the liability
amount subject to appeal. If the
Secretary wholly prevails on a State
agency’s appeal, Section 4118 provides
that the Secretary will require the State
agency to invest all or a portion of the
amount designated for new investment
to be invested or paid to the Federal
government. Section 4118 further
specifies that the Department will issue
regulations addressing how the
remaining new investment amount will
be treated if neither party wholly
prevails. The interim rule published
October 16, 2003 at 68 FR 59519
established in § 275.23(e)(10) the
provisions concerning either the
Secretary or the State agency wholly
prevailing. In accordance with Section
4118 of the FSRA, we are proposing
procedures in this rule for use when
neither party wholly prevails on appeal.
Under the FSRA, liability is
established based on two consecutive
fiscal years of poor performance.
Whenever there is a 95 percent
statistical probability that a State’s
payment error rate exceeds 105 percent
of the national performance measure in
each of two consecutive review years,
the Department will issue, for the
second consecutive fiscal year, a
statement of potential liability amount
to the State agency at the same time that
the Department issues the State agency’s
official regressed payment error rate.
The Department will also advise the
State agency of the Department’s
determination of the portions of the
liability amount (expressed as
percentages) designated as waived, for
new investment, and at-risk. If the State
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agency wishes to appeal the liability
amount through the process in Part 283
of the regulations, the State agency may
do so.
As specified in the interim rule, if the
State agency appeals the liability
amount and wholly prevails and
consequently its liability amount is
reduced to $0 through the appeal, and
the State agency began new investment
activities prior to the appeal
determination, FNS shall pay to the
State agency an amount equal to 50
percent of the new investment amount
expended that was included in the
liability amount subject to the appeal.
This provision has been moved to
§ 275.23(g)(1). The interim rule also
provided that if FNS wholly prevails on
a State agency’s appeal, FNS will
require the State agency to invest all or
a portion of the amount designated for
new investment to be invested or paid
to the Federal government.
The interim rule, however, did not
address either the money designated as
waived or as at-risk in the original
determination with respect to either
party wholly prevailing on appeal. As
indicated above, the Department intends
to identify the portions of the liability
amount to be waived, newly invested, or
at-risk as percentages of the liability
amount. If the State agency wholly
prevails on appeal, the amounts
originally designated was waived or atrisk would be reduced to $0 (percentage
designated multiplied by $0 liability
amount). If FNS wholly prevails on
appeal, the original liability amount
determinations (expressed as
percentages) and designated as waived,
newly invested, or at-risk, would remain
unchanged.
If the State agency appeals the
liability amount and the appeal decision
results in neither FNS nor the State
agency wholly prevailing, a decision
needs to be made as to how the newly
established liability amount will be
treated. The Department believes that
the only way to accomplish this and
implement the statutory intent is to
apply the initial determination
percentages to the newly established
liability amount. For example, if the
original liability was $750,000 and the
Department determined to waive 25%
($187,500) of it, require that 25%
($187,500) be newly invested, and
require 50% ($375,000) remain at-risk
and if the appeal resulted in reducing
the liability amount to $600,000, the
determination under this option would
be 25% ($150,000) waived, 25%
($150,000) required to be newly
invested, and 50% ($300,000) placed atrisk. Using the original percentages,
immediate action can be taken by both
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parties to process the results of the
appeal decision.
J. New Investment
The State agency may choose to begin
new investment of any amount of the
liability so designated while the appeal
is proceeding, based on an approvable
new investment plan. The interim rule
established procedures for adjusting
reimbursement and collection
procedures if a State began new
investment during the appeal process
and subsequently wholly prevailed in
its appeal or if the Department wholly
prevailed on appeal.
In this rule we are proposing
procedures for addressing the
Department’s responsibility if a State
agency began investment prior to
completion of an appeal and neither
agency wholly prevailed.
If a State begins new investment prior
to an appeal decision, and the amount
already invested is less than the
originally designated percentage
multiplied by the new liability amount,
the Department will require that the
State agency continue to invest up to the
newly calculated investment
requirement. In the instances where a
State agency has expended more than
the originally designated percentage
multiplied by the new liability amount,
we are proposing that the Department
will match the amount of funds
expended in excess of that amount. This
is consistent with the requirement in
Section 4118 for when the State agency
wholly prevails on appeal.
The regulations currently detail the
requirements for reinvestment. We are
proposing that these procedures remain
essentially the same but for the above
mentioned change of wording to new
investment. Under the proposed
reorganization, the procedures on new
investment would be in new paragraph
(h) in § 275.23. In the event that a State
agency fails to comply with its new
investment plan, we are proposing in
redesignated § 275.23(h) that the State
agency shall be required to remit to the
Department the amount of funds that
the State agency failed to invest. Those
funds shall be remitted to the
Department within 30 days of the date
the State agency is notified of its failure
to comply with its new investment plan.
Further, we are proposing that interest
shall be charged beginning with the date
the State agency received the notice of
failure to newly invest as required.
K. Payment of At-Risk Money
We are proposing at § 275.23(i) the
procedures concerning a State agency’s
payment of the at-risk money. At-risk
money becomes due if, in the year
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subsequent to the establishment of the
money being at-risk, the State agency is
again potentially liable for a sanction.
Payment shall be made before the end
of the fiscal year following the reporting
period in which the at-risk money
became due (that is September 30 of the
year that the subsequent liability
notification is issued), unless an
administrative appeal relating to
liability is pending. For example, if, in
FY 2003, a State agency’s error rate
exceeds the performance goal, and again
its error rate is excessive in FY 2004
based on its announced error rate, FNS
would send the notification of the FY
2004 liability amount by June 30, 2005.
If the State agency’s error rate in FY
2005 is excessive, any money
designated as at-risk for the FY 2004
liability would be due by September 30,
2006, unless an appeal for the FY 2004
liability is still pending. If the State
agency has appealed the liability
determination, the State agency will not
be required to remit to FNS any at-risk
money until any administrative and
judicial appeals concerning the liability
determination that the at-risk money
was based upon have been completed.
Appeal of a subsequent liability amount
does not eliminate the State’s
requirement to pay the at-risk money
when it becomes due. The appeal of the
subsequent year’s liability amount will
determine whether the liability that year
will be reduced and would affect the
establishment of a possible additional
designation of at-risk money.
We are proposing that interest begin
accruing beginning October 1 following
the September 30 due date for payment
of any at-risk money, unless an appeal
is pending. Section 4118 of the FSRA
provides that interest shall not accrue
on the at-risk amount during a
reasonable period following the
resolution of any administrative or
judicial appeals. Therefore, if an appeal
is pending on September 30, we are
proposing that interest will begin to
accrue beginning 30 calendar days after
the completion of the appeals process
and notification to the State agency of
the final amount of the at-risk money
determined to be required to be repaid.
This is consistent with the requirement
currently in the regulations at
§ 275.23(e)(8) (redesignated as
§ 275.23(j)) for payment of interest on
quality control liability claims. We are
also proposing that FNS will continue to
have the authority to recover a State’s
liability for at-risk money through
offsets to the letter of credit, billing a
State directly, or using other authorized
claims collection mechanisms, in
accordance with redesignated
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55785
§ 275.23(j). The reference to the Federal
Claims Collection Act (Pub. L. 89–508,
80 Stat. 308) has been updated to refer
to the Debt Collection Improvement Act
of 1996, Pub. L. 104–134, and the
Federal Claims Collection Standards, 31
CFR Parts 900–904.
L. Demonstration Projects/SSA
Processing
Demonstration project and SSA jointprocessed cases (cases processed in
accordance with § 273.2(k) of the
regulations) are subject to special
consideration in terms of the QC review
process. Demonstration project cases
and SSA joint-processed cases are
included in the sampling universe,
sampled, reviewed, and in the
calculation of completion rates.
Demonstration project cases that
significantly modify food stamp
eligibility and benefit calculations and
SSA joint-processed are excluded from
the error rate calculations. The
determination of whether the
modification is significant enough to
exclude the demonstration project cases
is made on a project-by-project basis.
SSA joint-processed cases are excluded
under the current regulations in all
instances. Because of recent
demonstration project cases processed
by SSA separately from the procedures
in § 273.2(k), questions have arisen
about how to handle these cases for QC
purposes. These cases would under
normal procedures have been excluded
from the error rate calculations.
However, as demonstration projects,
they have been determined to be more
appropriately included in the error rate
calculations. State agencies have
initiated demonstration projects for
many reasons, including program
simplification and error reduction. In
some instances State agencies want such
cases included in the error rates because
they perceive that the inclusion would
result in improved error rates. Section
275.11(g), § 275.12(h), § 275.13(f), and
§ 275.23(c)(5) (redesignated in this rule
as § 275.23(b)(1)) provide the
procedures for sampling, reviewing, and
reporting the results of demonstration
project cases that significantly modify
the rules for determining households’
eligibility or allotment level and Social
Security Administration (SSA)
processed cases. The language in these
sections has been interpreted variously
by different parties and has been
determined to be unclear. In order to
clarify the procedures and make it clear
that SSA processed demonstration
projects may be included in the error
rates, we are proposing to revise
§ 275.11(g) and redesignated
§ 275.23(b)(1) to provide that
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Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 / Proposed Rules
demonstration project cases and SSA
processed demonstration project cases
may be included in error rate
calculations, as determined on a projectby-project basis by the Department.
M. 120-Day Variance Exclusion
(§ 275.12(d)(2)(vii))
A variance is the incorrect application
of policy and/or deviation between the
information that was used to authorize
the sample month issuance and the
verified information that should have
been used to calculate the sample
month issuance. Section
275.12(d)(2)(vii) provides for exclusion
of variances resulting from application
of new regulations or implementing
memoranda of Federal law changes.
Originally the provision applied only to
mandatory implementation of legislative
and regulatory provisions and only
during the 120 days of the exclusion.
Over time, the extent of the variance
exclusion has been expanded to reflect
a change in viewpoint of the intent of
this hold harmless period. The variance
exclusion was expanded to provide that
the variance exclusion covered errors
made during the 120-day period until
the case was next acted upon. Further,
in response to passage of the FSRA, the
Department applied this variance
exclusion to optional provisions of the
law. Throughout this expansion,
numerous questions have been raised
about what the variance exclusion
actually means. We are proposing in
this rule to clarify the language in
§ 275.12(d)(2)(vii) to provide that all
variances that occur during the variance
exclusion period that stem directly from
the provision being implemented are
excluded until the household’s case is
next recertified or otherwise acted upon.
Further, we are proposing to modify the
provision to indicate that the variance
exclusion may be authorized on a caseby-case basis in the instance of optional
legislative or regulatory changes, not
just mandatory changes. However, we
are not proposing to provide the
exclusion for waivers. The legislative
provision authorizing the variance
exclusion is specific in applying it to
regulatory implementation. The
Department’s extension of that to
implementation of legislative provisions
is driven by the fact that many
legislative provisions are effective
immediately, prior to any regulation
being published.
N. FIX Errors (§ 275.12(f)(3))
As discussed above, a variance is the
incorrect application of policy and/or
deviation between the information that
was used to authorize the sample month
issuance and the verified information
that should have been used to calculate
the sample month issuance. Section
275.12(f)(3) requires that all variances
resulting from use by the State agency
of information received from automated
Federal information exchange systems
(FIX errors) be coded and reported as
variances, although they are excluded in
determining a State agency’s error rates.
Data subject to the FIX exclusion are
limited to Federal sources that verify
income provided by the Federal source
providing the data, Federal sources that
provide the deduction for which the
Federal source directly bills the
household, and the Federal source that
defines the disability. Information
provided by Federal sources that are
comprised of data provided to the
Federal source by other entities is not
information subject to the FIX variance
exclusion. This requirement was
established in an interim rule published
November 2, 1988, at 53 FR 44171 and
again addressed in the final rule
published November 23, 1990, at 55 FR
48831. The requirement was established
for program management purposes.
After fifteen years of having the
requirement in place to report such
variance, the Department has not found
the information to serve any program
management purpose. While State
agencies would still be required to
correct any identified variances in
individual cases, as they are for any
other identified variance, we feel there
is no reason to continue to require
States to report this information to FNS.
There have been few reported variances.
Further, there has been no identified
corrective action necessary at a national
level during the period this requirement
has been in place. Therefore, we are
proposing to remove § 275.12(f)(3) in
this rule.
O. Technical Changes
In addition, we are proposing in Part
271 Definitions to remove definitions no
longer used in the quality control
system and to add the definition
‘‘National performance measure’’ to
reflect current quality control policy,
and we are proposing to make technical
changes throughout Part 275 to remove
references to other Federally mandated
quality control samples, the Worksheet
for Integrated AFDC, Food Stamps, and
Medicaid Quality Control Reviews, and
the Integrated Review Schedule. With
the passage of the Personal
Responsibility and Work Opportunity
Reconciliation Act of 1996, Pub. L. 104–
193, the Aid to Families with
Dependent Children was eliminated and
consequently, the integrated quality
control review system was eliminated.
Therefore, we are proposing to change
throughout Part 275 the titles of the
Work Sheet and Review Schedule to
reflect that quality control reviews are
now food stamp only reviews. We are
also proposing to remove throughout
Part 275 references to integrated quality
control samples, reviews, and other
Federally mandated quality control
systems.
Throughout the rule, we are
proposing to remove references to the
‘‘underissuance error rate’’ wherever
payment error rate and underissuance
error rate are used. The definition of
payment error rate includes both the
overissuance error rate and the
underissuance error rate, making the
separate reference to the underissuance
error rate redundant. This does not
mean that FNS will not calculate the
underissuance error rate.
With full implementation of
electronic benefit transfer systems of
issuance, food stamp benefits are no
longer being issued as coupons.
Accordingly we are proposing to remove
references to coupons in § 275.12(c)(2)
and § 275.13(d).
In addition, we are proposing
technical changes throughout Part 275
to correct references based on changes
proposed to be made in this rule. Due
to the restructuring of § 275.23, many
sections required renumbering and
reference changes throughout § 275.
These reference changes are not
discussed in this preamble. Any
substantive changes are discussed in the
preamble.
DISTRIBUTION TABLE
Old section
New section
275.23(a) ..................................................................................................
275.23(b) ..................................................................................................
275.23(c) ...................................................................................................
275.23(c)(1) ..............................................................................................
275.23(c)(2) ..............................................................................................
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275.23(a)
275.23(a)
275.23(c)
Removed
Removed
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55787
DISTRIBUTION TABLE—Continued
Old section
New section
275.23(c)(3) ..............................................................................................
275.23(c)(4) ..............................................................................................
275.23(c)(5) ..............................................................................................
275.23(d) ..................................................................................................
275.23(e)(1) ..............................................................................................
275.23(e)(2) ..............................................................................................
275.23(e)(3) [1st and 3rd sentences] .......................................................
275.23(e)(3) [2nd sentence] .....................................................................
275.23(e)(3) [4th sentence] ......................................................................
275.23(e)(3) [last sentence and (i), (ii), and (iii)] .....................................
275.23(e)(4) ..............................................................................................
275.23(e)(5) ..............................................................................................
275.23(e)(6) ..............................................................................................
275.23(e)(7) ..............................................................................................
275.23(e)(8) ..............................................................................................
275.23(e)(9)(i) ...........................................................................................
275.23(e)(9)(ii) ..........................................................................................
275.23(e)(9)(iii) .........................................................................................
275.23(e)(10) ............................................................................................
Removed
Removed
275.23(b)(1)
Removed
275.23(d) introductory text
Removed
275.23(d)(1)
271.2 Definition of ‘‘National Performance Measure’’
275.23(d)(3)
275.23(d)(2)
275.23(d)(4)
275.23(f)
275.23(b)(2)
275.23(c)
275.23(j)
275.23(h)(1)
275.23(h)(2)
275.23(h)(3)
275.23(e)
DERIVATION TABLE
New section
Old section
271.2 Definition of National Performance Measure .................................
275.23(a) ..................................................................................................
275.23(b) ..................................................................................................
273.23(b)(1) ..............................................................................................
273.23(b)(2) ..............................................................................................
275.23(c) ...................................................................................................
275.23(d)(1) ..............................................................................................
275.23(d)(2) ..............................................................................................
275.23(d)(3) ..............................................................................................
275.23(d)(4) ..............................................................................................
275.23(e)(1) ..............................................................................................
275.23(e)(2) ..............................................................................................
275.23(f) ...................................................................................................
275.23(g)(1) ..............................................................................................
275.23(g)(2) ..............................................................................................
275.23(h)(1) ..............................................................................................
275.23(h)(2) ..............................................................................................
275.23(h)(3) ..............................................................................................
275.23(h)(4) ..............................................................................................
275.23(h)(5) ..............................................................................................
275.23(j) ....................................................................................................
IV. Implementation
The Department is proposing that the
changes in this rule be effective and be
implemented 60 days following
publication of the final rule in the
Federal Register. Section 4118 of the
FSRA eliminated enhanced funding,
effective October 1, 2002, for FY 2003.
This rule would codify that elimination.
List of Subjects
7 CFR Part 271
14:49 Sep 22, 2005
7 CFR Part 273
Administrative practice and
procedures, Aliens, Claims, Food
stamps, Fraud, Grant programs—social
programs, Penalties, Reporting and
recordkeeping requirements, Social
Security, Students.
Accordingly, 7 CFR Parts 271, 273,
275, and 277 are proposed to be
amended as follows:
1. The authority citation for Parts 271,
273, 275, and 277 continues to read as
follows:
7 CFR Part 275
Administrative practice and
procedure, Food stamps, Reporting, and
recordkeeping requirements.
PART 271—GENERAL INFORMATION
AND DEFINITIONS
7 CFR Part 277
Administrative practice and
procedure, Food stamps, Grant
programs—social programs.
VerDate Aug<31>2005
275.23(e)(3) second sentence
275.23(a), 275.23(b)
275.23(c) [1st sentence]
275.23(c)(1) [end of sentence beginning with word ‘‘based’’]
275.23(c)(4) [end of sentence beginning with word ‘‘based’’]
275.23(c)(5) revised
275.23(e)(6)
275.23(e)(7)
275.23(e)(3) [1st three sentences]
275.23(e)(3) [sentences 5 & 6] and paragraphs (i), (ii), and (iii)
275.23(e)(3) [fourth sentence]
275.23(e)(4)
275.23(e)(10) [first sentence]
275.23(e)(10) [second and third sentences]
275.23(e)(9)(iii) [1st sentence]
275.23(e)(5) [introductory text revised]
275.23(e)(10) [fourth sentence]
275.23(e)(10) [last sentence]
275.23(e)(9)(i)
275.23(e)(9)(ii)
275.23(e)(9)(iv) [first sentence]
275.23(e)(9)(v)
275.23(e)(9)(vi)
275.23(e)(8)
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Food stamps, Government procedure,
Grant programs—Social programs,
Investigations, Records, Reporting and
recordkeeping requirements.
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Authority: 7 U.S.C. 2011–2036.
2. In § 271.2:
a. Remove the definition ‘‘Base
period’’.
b. Remove the definition ‘‘National
standard payment error rate’’.
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c. Add the definition ‘‘National
performance measure’’ in alphabetical
order.
d. Revise the definition ‘‘Negative
case’’.
The addition and revision read as
follows:
§ 271.2
Definitions.
*
*
*
*
*
National performance measure means
the sum of the products of each State
agency’s payment error rate times that
State agency’s proportion of the total
value of the national allotments issued
for the fiscal year using the most recent
issuance data available at the time the
State agency is notified of its
performance error rate.
Negative case means any action taken
to deny, suspend, or terminate a case in
the sample month.
*
*
*
*
*
PART 273—CERTIFICATION OF
ELIGIBLE HOUSEHOLDS
3. In § 273.2, paragraph (d)(2) is
amended by:
a. Removing the reference
‘‘§ 275.3(c)(5) or § 275.12(g)(1)(ii),’’ and
adding in its place the reference
‘‘§§ 275.3(c)(5) and 275.12(g)(1)(ii) of
this chapter,’’;
b. Removing the number ‘‘95’’ in the
third sentence and adding in its place
the number ‘‘123’’;
c. Removing the reference
‘‘§ 273.2(f)(1)(ix)’’ at the end of the third
sentence and adding in its place the
reference ‘‘paragraph (f)(1)(ix) of this
section’’;
d. Removing the word ‘‘seven’’ in the
last sentence and adding in its place the
word ‘‘nine’’;
e. Removing the reference
‘‘§ 273.2(f)(1)(ix)’’ at the end of the last
sentence and adding in its place the
reference ‘‘paragraph (f)(1)(ix) of this
section.’’;
f. Adding a new sentence at the end
of the paragraph to read as follows:
§ 273.2 Office operations and application
processing.
*
*
*
*
*
(d) * * *
(2) * * * In the event that one or
more household members leave a
household terminated for refusal to
cooperate, the penalty for refusal to
cooperate will attach to the person(s)
who refused to cooperate.
*
*
*
*
*
PART 275—PERFORMANCE
REPORTING SYSTEM
§ 275.1
[Amended]
4. In § 275.1:
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14:49 Sep 22, 2005
Jkt 205001
a. Paragraph (a) is amended by
removing the paragraph designation;
and
b. Paragraph (b) is removed.
5. In § 275.3:
a. The introductory text of § 275.3 is
amended by removing the word
‘‘conduct’’ in the second sentence and
adding in its place the word
‘‘conduction’’.
b. The introductory text of paragraph
(c) is amended by removing the words
‘‘and underissuance error rate’’ in the
first sentence, by removing the third and
fourth sentences and adding a new
sentence in their place, and by removing
the reference to ‘‘§ 275.23(e)(6)’’ in the
last sentence and adding in its place a
reference to ‘‘§ 275.23(d)(4)’’.
The addition reads as follows:
§ 275.3
Federal monitoring.
*
*
*
*
*
(c) * * * FNS shall validate each
State agency’s reported negative case
error rate. * * *
*
*
*
*
*
§ 275.4
[Amended]
6. In § 275.4, paragraph (c) is
amended by removing the words
‘‘Integrated TANF, Food Stamps and
Medicaid’’ and by adding in their place
the words ‘‘Food Stamp Program’’, by
removing the words ‘‘Integrated Review
Schedule’’ and by adding in their place
the words ‘‘Quality Control Review
Schedule’’, and by removing the words
‘‘, and Form FNS–248, Status of Sample
Selection and Completion’’.
§ 275.10
[Amended]
7. In § 275.10:
a. Paragraph (a) is amended by
removing the words ‘‘and eligibility for
enhanced funding’’ and the words ‘‘that
is not entitled to enhanced funding’’ in
the last sentence.
b. Paragraph (b)(4) is amended by
removing the word ‘‘standard’’ and
adding in its place the words
‘‘performance measure’’ and by
removing the words ‘‘and State agency
eligibility for enhanced funding’’.
8. In § 275.11:
a. Paragraph (a)(1) is amended by
removing the last sentence.
b. Paragraph (a)(2) introductory text is
amended by removing the words
‘‘integrated sampling,’’.
c. Paragraph (b)(1)(i) is amended by
removing the words ‘‘and underissuance
error rates’’ and adding in their place
the word ‘‘rate’’.
d. Paragraph (e)(2)(i) is revised.
e. Paragraph (e)(2)(ii) is revised.
f. Paragraph (f)(2) introductory text is
revised.
g. Paragraph (f)(2)(v) and (f)(2)(vi) are
removed and paragraphs (f)(2)(vii),
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(f)(2)(viii), and (f)(2)(ix) are redesignated
as (f)(2)(v), (f)(2)(vi), and (f)(2)(vii),
respectively.
h. Paragraph (g) is amended by
removing the reference ‘‘§ 275.23(e)(6)’’
in the third sentence and by adding in
its place the reference ‘‘§ 275.23(b)(2)’’;
by removing the fourth sentence; and by
adding three new sentences at the end
of the paragraph.
The revisions and addition read as
follows:
§ 275.11
Sampling.
*
*
*
*
*
(e) * * *
(2) * * *
(i) All actions to deny an application
in the sample month except those
excluded from the universe in
paragraph (f)(2) of this section. If a
household is subject to more than one
denial action in a single sample month,
each action shall be listed separately in
the sample frame; and
(ii) All actions to suspend or
terminate a household in the sample
month except those excluded from the
universe in paragraph (f)(2) of this
section. Each action to suspend or
terminate a household in the sample
month shall be listed separately in the
sample frame.
*
*
*
*
*
(f) * * *
(2) Negative cases. The universe for
negative cases shall include all actions
taken to deny, suspend or terminate a
household in the sample month except
the following:
*
*
*
*
*
(g) * * * FNS shall establish on an
individual demonstration project basis
whether the results of the reviews of
active and negative demonstration
project cases shall be included or
excluded from the determination of
State agencies’ error rates as described
in § 275.23(b). Cases processed by SSA
in accordance with § 273.2(k) of this
chapter, except for demonstration
project cases, shall be excluded from the
determination of State agencies’ error
rates. FNS shall establish on an
individual project basis whether
demonstration project cases processed
by SSA shall be included or excluded
from the determination of State
agencies’ error rates.
9. In § 275.12:
a. Paragraph (a) is amended by adding
the words ‘‘of this chapter’’ after the
reference ‘‘273.9’’ at the end of the
fourth sentence and by adding the
words ‘‘of this chapter’’ after the
reference ‘‘273.21’’ in the sixth
sentence.
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b. Paragraph (b) is amended by
removing the words ‘‘Integrated
Worksheet,’’ in the last sentence.
c. The introductory text of paragraph
(c) is amended by adding the words ‘‘of
this chapter’’ after the reference
‘‘§ 272.8’’ at the end of the second
sentence and by removing the words
‘‘Integrated Worksheet,’’ in the last
sentence.
d. Paragraph (c)(2) is amended by
removing the word ‘‘coupon’’ in the
second sentence.
e. The introductory text of paragraph
(d) is amended by removing the words
‘‘column (5) of the Integrated
Worksheet,’’ in the last sentence, and by
adding in their place the words
‘‘column (4) of the’’.
f. Paragraph (d)(1) is amended by
adding the words ‘‘of this chapter’’ after
the references ‘‘§ 273.6(c)’’ and
‘‘§ 273.7(f)’’ in the last sentence.
g. Paragraph (d)(2)(i) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§ 273.2(f)(1)(i)’’ in the last
sentence.
h. Paragraph (d)(2)(ii) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§ 273.2(i)(4)(i)’’ in the
first sentence.
i. Paragraph (d)(2)(iii) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§§ 273.12(a) and
273.21(h) and (i)’’ in the second
sentence and after the reference
‘‘§§ 273.12(c) and 273.21(j)’’ in the last
sentence.
j. Paragraph (d)(2)(iv) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§ 273.2(f)(3)(i)(B)’’ in the
first sentence and after the reference
‘‘§ 273.12(c)’’ in the last sentence.
k. The introductory text of paragraph
(d)(2)(vii) is revised.
l. Paragraph (d)(3) is amended by
adding the words ‘‘of this chapter’’ after
the words ‘‘part 273’’ in the second
sentence.
m. Paragraph (e) is amended by
removing the words ‘‘Integrated
Worksheet,’’ in the last sentence.
n. The introductory text of paragraph
(f) is amended by removing the words
‘‘Integrated Review Schedule,’’ in the
last sentence.
o. Paragraph (f)(3) is removed.
p. The introductory text of paragraph
(g) is amended by removing the words
‘‘Integrated Review Schedule,’’ in the
last sentence.
q. Paragraph (g)(1)(ii) introductory
text is amended by removing the word
‘‘may’’ in the second sentence and
adding in its place the word ‘‘must’’.
r. Paragraph (g)(2)(iv) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§ 273.17’’.
s. Paragraph (h) is amended by adding
the words ‘‘of this chapter’’ after the
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reference ‘‘§ 273.2(k)(2)(ii)’’ in the last
sentence.
The revision reads as follows:
§ 275.12
Review of active cases.
*
*
*
*
*
(d) * * *
(2) * * *
(vii) Subject to the limitations
provided in paragraphs (d)(2)(vii)(A)
through (d)(2)(vii)(F) of this section, any
variance resulting from application of a
new Program regulation or
implementing memorandum of a
mandatory change in Federal law that
occurs during the first 120 days from the
required implementation date. The
variance exclusion shall apply to any
action taken on a case directly related to
implementation of a covered provision
during the 120-day exclusionary period
until the case is required to be
recertified or acted upon for some other
reason. FNS may choose to apply this
variance exclusion to optional
regulatory or legislative provisions.
*
*
*
*
*
10. In § 275.13:
a. Paragraphs (a), (b), and (c)(1) are
revised.
b. Paragraph (d) is amended by
removing the word ‘‘coupon’’ in the first
sentence.
The revisions read as follows:
§ 275.13
Review of negative cases.
(a) General. A sample of actions to
deny applications, or suspend or
terminate a household in the sample
month shall be selected for quality
control review. These negative actions
shall be reviewed to determine whether
the State agency’s decision to deny,
suspend, or terminate the household, as
of the review date, was correct.
Depending on the characteristics of
individual State systems, the review
date for negative cases could be the date
of the agency’s decision to deny,
suspend, or terminate program benefits,
the date on which the decision is
entered into the computer system, or the
date of the notice to the client. State
agencies must consistently apply the
same definition for review date to all
sample cases of the same classification.
The review of negative cases shall
include a household case record review;
an error analysis; and the reporting of
review findings, including procedural
problems with the action regardless of
the validity of the decision to deny,
suspend or terminate. In certain
instances, contact with the household or
a collateral contact may be permitted.
(b) Household case record review. The
reviewer shall examine the household
case record and verify through
documentation in it whether the reason
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given for the denial, suspension, or
termination is correct. Through the
review of the household case record, the
reviewer shall complete the household
case record sections and document the
reasons for denial, suspension or
termination on the Negative Quality
Control Review Schedule, Form FNS–
245.
(c) * * *
(1) A negative case shall be
considered correct if the reviewer is able
to verify through documentation in the
household case record that a household
was correctly denied, suspended, or
terminated from the program in
accordance with the reason for the
action given by the State agency in the
notice. Whenever the reviewer is unable
to verify the correctness of the State
agency’s decision to deny, suspend, or
terminate a household’s participation
through such documentation, the QC
reviewer may contact the household or
a collateral contact to verify the
correctness of the specific negative
action under review. If the reviewer is
unable to verify the correctness of the
State agency’s decision to deny,
suspend, or terminate the case for the
specific reason given for the action, the
negative case shall be considered
incorrect.
*
*
*
*
*
§ 275.14
[Amended]
11. In § 275.14:
a. Paragraph (c) is amended by
removing the words ‘‘Integrated Review
Worksheet, Form FNS–380,’’ in the first
sentence and by adding in their place
the words ‘‘Form FNS–380’’.
b. Paragraph (d) is amended by
removing the words ‘‘Integrated Review
Schedule,’’ in the first sentence and by
removing the words ‘‘Integrated Review
Worksheet,’’ in the second sentence.
12. In § 275.16:
a. Paragraph (b)(2) is removed and
paragraphs (b)(3), (b)(4), (b)(5), and
(b)(6) are redesignated as (b)(2), (b)(3),
(b)(4), and (b)(5), respectively.
b. Newly-redesignated paragraph
(b)(5) is revised.
The revision reads as follows:
§ 275.16
Corrective action planning.
*
*
*
*
*
(b) * * *
(5) Result in underissuances,
improper denials, improper
suspensions, improper termination, or
improper systemic suspension of
benefits to eligible households where
such errors are caused by State agency
rules, practices, or procedures.
*
*
*
*
*
13. In § 275.21:
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a. The introductory text of paragraph
(b) is amended by removing the words
‘‘Integrated Review Schedule,’’ in the
second sentence.
b. Paragraph (b)(2) is revised.
c. Paragraph (b)(4) is amended by
removing the number ‘‘95’’ in the first
sentence and adding in its place the
number ‘‘113’’ and adding a new
sentence after the first sentence.
d. Paragraph (c) is revised.
e. Paragraph (d) is removed and
paragraph (e) is redesignated as
paragraph (d).
f. Newly-redesignated paragraph (d) is
revised.
The revisions and addition read as
follows:
§ 275.21
Quality control review reports.
*
*
*
*
*
(b) * * *
(2) The State agency shall have at
least 100 days from the end of the
sample month to dispose of and report
the findings of 90 percent of all selected
cases in a given sample month. The
State agency shall have at least 113 days
from the end of the sample month to
dispose of and report the findings of all
cases selected in a sample month. FNS
may grant additional time as warranted
upon request by a State agency for cause
shown to complete and dispose of
individual cases.
*
*
*
*
*
(4) * * * If FNS extends the
timeframes in paragraph (b)(2) of this
section, this date will be extended
accordingly. * * *
(c) Monthly status. The State agency
shall report in a manner directed by the
regional office the monthly progress of
sample selection and completion within
123 days after the end of the sample
month. Each report shall reflect
sampling and review activity for a given
sample month. If FNS extends the
timeframes in paragraph (b)(2) of this
section, this date will be extended
accordingly.
(d) Demonstration projects/SSA
processing. The State agency shall
identify the monthly status of active and
negative demonstration project/SSA
processed cases (i.e., those cases
described in § 275.11(g)) in accordance
with paragraph (c) of this section.
14. Section 275.23 is revised to read
as follows:
§ 275.23 Determination of State agency
program performance.
(a) Determination of efficiency and
effectiveness. FNS shall determine the
efficiency and effectiveness of a State’s
administration of the Food Stamp
Program by measuring State compliance
with the standards contained in the
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Food Stamp Act, regulations, and the
State Plan of Operation and State efforts
to improve program operations through
corrective action. This determination
shall be made based on:
(1) Reports submitted to FNS by the
State;
(2) FNS reviews of State agency
operations;
(3) State performance reporting
systems and corrective action efforts;
and
(4) Other available information such
as Federal audits and investigations,
civil rights reviews, administrative cost
data, complaints, and any pending
litigation.
(b) State agency error rates. FNS shall
estimate each State agency’s active case,
payment, and negative case error rate
based on the results of quality control
review reports submitted in accordance
with the requirements outlined in
§ 275.21. The determination of the
correctness of the case shall be based on
certification policy as set forth in part
273 of this chapter.
(1) Demonstration projects/SSA
processing. FNS shall make a project by
project determination whether the
reported results of reviews of active and
negative demonstration project cases
shall be included or excluded from the
estimate of the active case error rate,
payment error rate, and negative case
error rate. The reported results of
reviews of cases processed by SSA in
accordance with § 273.2(k) of this
chapter shall be excluded from the
estimate of the active case error rate,
payment error rate, and negative case
error rate. FNS shall make a project by
project determination whether the
reported results of reviews of active and
negative demonstration project cases
processed by SSA shall be included or
excluded from the estimate of the active
case error rate, payment error rate, and
negative case error rate.
(2) Determination of payment error
rates. As specified in § 275.3(c), FNS
will validate each State agency’s
estimated payment error rate by
rereviewing the State agency’s active
case sample and ensuring that its
sampling, estimation, and data
management procedures are correct.
(i) Once the Federal case reviews have
been completed and all differences with
the State agency have been identified,
FNS shall calculate regressed error rates
using the following linear regression
equations.
(A) y1′ = y1 + b1(X1¥x1), where y1′ is
the average value of allotments
overissued to eligible and ineligible
households; y1 is the average value of
allotments overissued to eligible and
ineligible households in the rereview
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sample according to the Federal finding,
b1 is the estimate of the regression
coefficient regressing the Federal
findings of allotments overissued to
eligible and ineligible households on
the corresponding State agency findings,
x1 is the average value of allotments
overissued to eligible and ineligible
households in the rereview sample
according to State agency findings, and
X1 is the average value of allotments
overissued to eligible and ineligible
households in the full quality control
sample according to State agency’s
findings. In stratified sample designs Y1,
X1, and x1 are weighted averages and b1
is a combined regression coefficient in
which stratum weights sum to 1.0 and
are proportional to the estimated
stratum caseloads subject to review.
(B) y2′ = y2 + b2(X2¥x2), where y2′ is
the average value of allotments
underissued to households included in
the active error rate, y2 is the average
value of allotments underissued to
participating households in the rereview
sample according to the Federal finding,
b2 is the estimate of the regression
coefficient regressing the Federal
findings of allotments underissued to
participating households on the
corresponding State agency findings, x2
is the average value of allotments
underissued to participating households
in the rereview sample according to
State agency findings, and X2 is the
average value of allotments underissued
to participating households in the full
quality control sample according to the
State agency’s findings. In stratified
sample designs y2, X2, and x2 are
weighted averages and b2 is a combined
regression coefficient in which stratum
weights sum to 1.0 and are proportional
to the estimated stratum caseloads
subject to review.
(C) The regressed error rates are given
by r1 = y1/u, yielding the regressed
overpayment error rate, and r2′ = y2′/u,
yielding the regressed underpayment
error rate, where u is the average value
of allotments issued to participating
households in the State agency sample.
(D) After application of the
adjustment provisions of paragraph
(b)(2)(iii) of this section, the adjusted
regressed payment error rate shall be
calculated to yield the State agency’s
payment error rate. The adjusted
regressed payment error rate is given by
r1″ + r2″.
(ii) If FNS determines that a State
agency has sampled incorrectly,
estimated improperly, or has
deficiencies in its QC data management
system, FNS will correct the State
agency’s payment and negative case
error rates based upon a correction to
that aspect of the State agency’s QC
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system which is deficient. If FNS cannot
accurately correct the State agency’s
deficiency, FNS will assign the State
agency a payment error rate or negative
case error rate based upon the best
information available. After
consultation with the State agency, the
assigned payment error rate will then be
used in the liability determination. After
consultation with the State agency, the
assigned negative case error rate will be
the official State negative case error rate
for any purpose. State agencies shall
have the right to appeal assessment of
an error rate in this situation in
accordance with the procedures of Part
283 of this chapter.
(iii) Should a State agency fail to
complete 98 percent of its required
sample size, FNS shall adjust the State
agency’s regressed error rates using the
following equations:
(A) r1″=r1′+2(1¥C)S1, where r1″ is the
adjusted regressed overpayment error
rate, r1′, is the regressed overpayment
error rate computed from the formula in
paragraph (b)(2)(i)(C) of this section, C
is the State agency’s rate of completion
of its required sample size expressed as
a decimal value, and S1 is the standard
error of the State agency sample
overpayment error rate. If a State agency
completes all of its required sample
size, then r1″=r1′.
(B) r2″=r2′+2(1 ¥C)S2, where r2″ is the
adjusted regressed underpayment error
rate, r2′ is the regressed underpayment
error rate computed from the formula in
paragraph (b)(2)(i)(C) of this section, C
is the State agency’s rate of completion
of its required sample size expressed as
a decimal value, and S2 is the standard
error of the State agency sample
underpayment error rate. If a State
agency completes all of its required
sample size, then r2″=r2′.
(c) FNS Timeframes for completing
case review process, arbitration, and
issuing error rates. The case review
process and the arbitration of all
difference cases shall be completed by
May 31 following the end of the fiscal
year. FNS shall determine and
announce the national average payment
and negative case error rates for the
fiscal year by June 30 following the end
of the fiscal year. At the same time FNS
shall notify all State agencies of their
individual payment and negative case
error rates and payment error rate
liabilities, if any. FNS shall provide a
copy of each State agency’s notice of
potential liability to its respective chief
executive officer and legislature. FNS
shall initiate collection action on each
claim for such liabilities before the end
of the fiscal year following the reporting
period in which the claim arose unless
an appeal relating to the claim is
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pending. Such appeals include
administrative and judicial appeals
pursuant to Section 14 of the Food
Stamp Act. While the amount of a
State’s liability may be recovered
through offsets to their letter of credit as
identified in § 277.16(c) of this chapter,
FNS shall also have the option of billing
a State directly or using other claims
collection mechanisms authorized
under the Debt Collection Improvement
Act of 1996 (Pub. L. 104–134) and the
Federal Claims Collection Standards (31
CFR Parts 900–904), depending upon
the amount of the State’s liability. FNS
is not bound by the timeframes
referenced in paragraph (c) of this
section in cases where a State fails to
submit QC data expeditiously to FNS
and FNS determines that, as a result, it
is unable to calculate the State’s
payment error rate and payment error
rate liability within the prescribed
timeframe.
(d) State agencies’ liabilities for
payment error rates. At the end of each
fiscal year, each State agency’s payment
error rate over the entire fiscal year will
be computed and evaluated to
determine whether the payment error
rate goal (national performance
measure) established in paragraph (d)(1)
of this section has been met. Each State
agency that fails to achieve its payment
error rate goal during a fiscal year shall
be liable as specified in paragraph (d)(2)
of this section.
(1) National performance measure.
FNS shall announce a national
performance measure not later than June
30 after the end of the fiscal year. The
national performance measure is the
sum of the products of each State
agency’s error rate times that State
agency’s proportion of the total value of
national allotments issued for the fiscal
year using the most recent issuance data
available at the time the State agency is
notified of its payment error rate. Once
announced, the national performance
measure for a given fiscal year will not
be subject to administrative or judicial
appeal.
(2) Liability. For fiscal year 2003 and
subsequent years, liability for payment
shall be established whenever there is a
95 percent statistical probability that,
for the second or subsequent
consecutive fiscal year, a State agency’s
payment error rate exceeds 105 percent
of the national performance measure.
The amount of the liability shall be
equal to the product of the value of all
allotments issued by the State agency in
the second (or subsequent consecutive)
fiscal year; multiplied by the difference
between the State agency’s payment
error rate and 6 percent; multiplied by
10 percent.
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55791
(3) Right to appeal payment error rate
liability. Determination of a State
agency’s payment error rate or whether
that payment error rate exceeds 105
percent of the national performance
measure shall be subject to
administrative or judicial review only if
a liability amount is established for that
fiscal year. Procedures for good cause
appeals of excessive payment error rates
are addressed in paragraph (f) of this
section. The established national
performance measure is not subject to
administrative or judicial appeal, nor is
any prior fiscal year payment error rate
subject to appeal as part of the appeal
of a later fiscal year’s liability amount.
However, State agencies may address
matters related to good cause in an
immediately prior fiscal year that
impacted the fiscal year for which a
liability amount has been established.
The State agency will need to address
how year 2 was impacted by the event(s)
in the prior year.
(4) Relationship to warning process
and negligence.
(i) States’ liability for payment error
rates as determined above in paragraphs
(d)(1) through (d)(3) of this section are
not subject to the warning process of
§ 276.4(d) of this chapter.
(ii) FNS shall not determine
negligence (as described in § 276.3 of
this chapter) based on the overall
payment error rate for issuances to
ineligible households and overissuances
to eligible households in a State or
political subdivision thereof. FNS may
only establish a claim under § 276.3 of
this chapter for dollar losses from
failure to comply, due to negligence on
the part of the State agency (as defined
in § 276.3 of this chapter), with specific
certification requirements. Thus, FNS
will not use the result of States’ QC
reviews to determine negligence.
(iii) Whenever a State is assessed a
liability amount for an excessive
payment error rate, the State shall have
the right to request an appeal in
accordance with procedures set forth in
part 283 of this chapter. While FNS may
determine a State to be liable for dollar
loss under the provisions of this section
and the negligence provisions of § 276.3
of this chapter for the same period of
time, FNS shall not bill a State for the
same dollar loss under both provisions.
If FNS finds a State liable for dollar loss
under both the QC liability system and
the negligence provisions, FNS shall
adjust the billings to ensure that two
claims are not made against the State for
the same dollar loss.
(e) Liability Amount Determinations.
(1) FNS shall provide each State agency
whose payment error rate subjects it to
a liability amount the following
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determinations each expressed as a
percentage of the total liability amount.
FNS shall:
(i) Waive all or a portion of the
liability;
(ii) Require the State agency to invest
up to 50 percent of the liability in
activities to improve program
administration (new investment money
shall not be matched by Federal funds);
(iii) Designate up to 50 percent of the
liability as ‘‘at-risk’’ for repayment if a
liability is established based on the
State agency’s payment error rate for the
subsequent fiscal year; or
(iv) Choose any combination of these
options.
(2) Once FNS determines the
percentages in accordance with
paragraphs (e)(1)(i) through (e)(1)(iv) of
this section, the amount assigned as atrisk is not subject to settlement
negotiation between FNS and the State
agency and may not be reduced unless
an appeal decision revises the total
dollar liability. FNS and the State
agency shall settle any waiver
percentage amount or new investment
percentage amount before the end of the
fiscal year in which the liability amount
is determined. The determination of
percentages for waiver, new investment
and/or at-risk amounts by the
Department is not appealable. Likewise,
a settlement of the waiver and new
investment amounts is unappealable.
(f) Good cause. When a State agency
with otherwise effective administration
exceeds the tolerance level for payment
errors as described in this section, the
State agency may seek relief from
liability claims that would otherwise be
levied under this section on the basis
that the State agency had good cause for
not achieving the payment error rate
tolerance. State agencies desiring such
relief must file an appeal with the
Department’s Administrative Law Judge
(ALJ) in accordance with the procedures
established under part 283 of this
chapter. Paragraphs (f)(1) through (f)(5)
of this section describe the unusual
events that are considered to have a
potential for disrupting program
operations and increasing error rates to
an extent that relief from a resulting
liability amount or increased liability
amount is appropriate. The occurrence
of an event(s) does not automatically
result in a determination of good cause
for an error rate in excess of the national
performance measure. The State agency
must demonstrate that the event had an
adverse and uncontrollable impact on
program operations during the relevant
period, and the event caused an
uncontrollable increase in the error rate.
Good cause relief will only be
considered for that portion of the error
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rate/liability amount attributable to the
unusual event. The following are
unusual events which State agencies
may use as a basis for requesting good
cause relief and specific information
that must be submitted to justify such
requests for relief:
(1) Natural disasters and civil
disorders. Natural disasters such as
those under the authority of The
Disaster Relief and Emergency
Assistance Amendments of 1988 (Pub.
L. 100–707), which amended The Robert
T. Stafford Disaster Relief and
Emergency Assistance Act (Pub. L. 93–
288), or civil disorders that adversely
affect program operations.
(i) When submitting a request for good
cause relief based on this example, the
State agency shall provide the following
information:
(A) The nature of the disaster(s) (e.g.
a tornado, hurricane, earthquake, flood,
etc.) or civil disorder(s) and evidence
that the President has declared a
disaster;
(B) The date(s) of the occurrence;
(C) The date(s) after the occurrence
when program operations were affected;
(D) The geographic extent of the
occurrence (i.e. the county or counties
where the disaster occurred);
(E) The proportion of the food stamp
caseload whose management was
affected;
(F) The reason(s) why the State
agency was unable to control the effects
of the disaster on program
administration and errors.
(G) The identification and explanation
of the uncontrollable nature of errors
caused by the event (types of errors,
geographic location of the errors, time
period during which the errors
occurred, etc.).
(H) The percentage of the payment
error rate that resulted from the
occurrence and how this figure was
derived; and
(I) The degree to which the payment
error rate exceeded the national
performance measure in the subject
fiscal year.
(ii) (A) The following criteria and
methodology will be used to assess and
evaluate good cause in conjunction with
the appeals process, and to determine
that portion of the error rate/liability
amount attributable to the
uncontrollable effects of a disaster or
civil disorder:
(1) Geographical impact of the
disaster;
(2) State efforts to control impact on
program operations;
(3) The proportion of food stamp
caseload affected; and/or
(4) The duration of the disaster and its
impact on program operations.
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(B) Adjustments for these factors may
result in a waiver of all, part, or none
of the liability amount for the applicable
period. As appropriate, the waiver
amount will be adjusted to reflect
States’ otherwise effective
administration of the program based
upon the degree to which the error rate
exceeds the national performance
measure. For example, a reduction in
the waiver amount may be made when
a State agency’s recent error rate history
indicates that even absent the events
described, the State agency would have
exceeded the national performance
measure in the review period.
(iii) If a State agency has provided
insufficient information to determine a
waiver amount for the uncontrollable
effects of a natural disaster or civil
disorder using factual analysis, the
waiver amount shall be evaluated using
the following formula and methodology
which measures both the duration and
intensity of the event. Duration will be
measured by the number of months the
event had an adverse impact on program
operations. Intensity will be a
proportional measurement of the
issuances for the counties affected to the
State’s total issuance. This ratio will be
determined using issuance figures for
the first full month immediately
preceding the disaster. This figure will
not include issuances made to
households participating under disaster
certification authorized by FNS and
already excluded from the error rate
calculations under § 275.12(g)(2)(vi).
The counties considered affected will
include counties where the disaster/
civil disorder occurred, and any other
county that the State agency can
demonstrate had program operations
adversely impacted due to the event
(such as a county that diverted
significant numbers of food stamp
certification or administrative staff). The
amount of the waiver of liability will be
determined using the linear equation W
= Ia/Ib × [M/12 or Mp/18] × L, where Ia
is the issuance for the first full month
immediately preceding the unusual
event for the county affected; Ib is the
State’s total issuance for the first full
month immediately preceding the
unusual event; M/12 is the number of
months in the subject fiscal year that the
unusual event had an adverse impact on
program operations; Mp/18 is the
number of months in the last half (April
through September) of the prior fiscal
year that the unusual event had an
adverse impact on program operations;
L is the total amount of the liability for
the fiscal year. Mathematically this
formula could result in a waiver of more
than 100% of the liability amount;
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however, no more than 100% of a
State’s liability amount will be waived
for any one fiscal year. Under this
approach, unless the State agency can
demonstrate a direct uncontrollable
impact on the error rate, the effects of
disasters or civil disorders that ended
prior to the second half of the prior
fiscal year will not be considered.
(2) Strikes. Strikes by State agency
staff necessary to determine Food Stamp
Program eligibility and process case
changes.
(i) When submitting a request for good
cause relief based on this example, the
State agency shall provide the following
information:
(A) Which workers (i.e. eligibility
workers, clerks, data input staff, etc.)
and how many (number and percentage
of total staff) were on strike or refused
to cross picket lines;
(B) The date(s) and nature of the strike
(i.e., the issues surrounding the strike);
(C) The date(s) after the occurrence
when program operations were affected;
(D) The geographic extent of the strike
(i.e. the county or counties where the
strike occurred);
(E) The proportion of the food stamp
caseload whose management was
affected;
(F) The reason(s) why the State
agency was unable to control the effects
of the strike on program administration
and errors;
(G) Identification and explanation of
the uncontrollable nature of errors
caused by the event (types of errors,
geographic location of the errors, time
period during which the errors
occurred, etc.);
(H) The percentage of the payment
error rate that resulted from the strike
and how this figure was derived; and
(I) The degree to which the payment
error rate exceeded the national
performance measure in the subject
fiscal year.
(ii) (A) The following criteria shall be
used to assess, evaluate and respond to
claims by the State agency for a good
cause waiver of a liability amount in
conjunction with the appeals process,
and to determine that portion of the
error rate/liability amount attributable
to the uncontrollable effects of the
strike:
(1) Geographical impact of the strike;
(2) State efforts to control impact on
program operations;
(3) The proportion of food stamp
caseload affected; and/or
(4) The duration of the strike and its
impact on program operations.
(B) Adjustments for these factors may
result in a waiver of all, part, or none
of the liability amount for the applicable
period. For example, the amount of the
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Jkt 205001
waiver might be reduced for a strike that
was limited to a small area of the State.
As appropriate, the waiver amount will
be adjusted to reflect States’ otherwise
effective administration of the program
based upon the degree to which the
error rate exceeded the national
performance measure.
(iii) If a State agency has provided
insufficient information to determine a
waiver amount for the uncontrollable
effects of a strike using factual analysis,
a waiver amount shall be evaluated by
using the formula described in
paragraph (f)(1) of this section. Under
this approach, unless the State agency
can demonstrate a direct uncontrollable
impact on the error rate, the effects of
strikes that ended prior to the second
half of the prior fiscal year will not be
considered.
(3) Caseload growth. A significant
growth in food stamp caseload in a State
prior to or during a fiscal year, such as
a 15 percent growth in caseload.
Caseload growth which historically
increases during certain periods of the
year will not be considered unusual or
beyond the State agency’s control.
(i) When submitting a request for good
cause relief based on this example, the
State agency shall provide the following
information:
(A) The amount of growth (both actual
and percentage);
(B) The time the growth occurred
(what month(s)/year);
(C) The date(s) after the occurrence
when program operations were affected;
(D) The geographic extent of the
caseload growth (i.e. Statewide or in
which particular counties);
(E) The impact of caseload growth;
(F) The reason(s) why the State
agency was unable to control the effects
of caseload growth on program
administration and errors;
(G) The percentage of the payment
error rate that resulted from the caseload
growth and how this figure was derived;
and
(H) The degree to which the error rate
exceeded the national performance
measure in the subject fiscal year.
(ii)(A) The following criteria and
methodology shall be used to assess and
evaluate good cause in conjunction with
the appeals process, and to determine
that portion of the error rate/liability
amount attributable to the
uncontrollable effects of unusual
caseload growth:
(1) Geographical impact of the
caseload growth;
(2) State efforts to control impact on
program operations;
(3) The proportion of food stamp
caseload affected; and/or
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55793
(4) The duration of the caseload
growth and its impact on program
operations.
(B) Adjustments for these factors may
result in a waiver of all, part, or none
of the liability amount for the applicable
period. As appropriate, the waiver
amount will be adjusted to reflect
States’ otherwise effective
administration of the program based
upon the degree to which the error rate
exceeded the national performance
measure. For example, a reduction in
the waiver amount may be made when
a State agency’s recent error rate history
indicates that even absent the events
described, the State agency would have
exceeded the national performance
measure in the review period. Under
this approach, unless the State agency
can demonstrate a direct uncontrollable
impact on the error rate, the effects of
caseload growth that ended prior to the
second half of the prior fiscal year will
not be considered.
(iii) If the State agency has provided
insufficient information to determine a
waiver amount for the uncontrollable
effects of caseload growth using factual
analysis, the waiver amount shall be
evaluated using the following five-step
calculation:
(A) Step 1, determine the average
number of households certified to
participate Statewide in the Food Stamp
program for the base period consisting
of twelve consecutive months ending
with March of the prior fiscal year;
(B) Step 2, determine the percentage
of increase in caseload growth from the
base period (Step 1) using the average
number of households certified to
participate Statewide in the Food Stamp
Program for any twelve consecutive
months in the period beginning with
April of the prior fiscal year and ending
with June of the current year;
(C) Step 3, determine the percentage
the error rate for the subject fiscal year,
as calculated under paragraph (b)(2) of
this section, exceeds the national
performance measure determined in
accordance with paragraph (d)(1) of this
section;
(D) Step 4, divide the percentage of
caseload growth increase arrived at in
step 2 by the percentage the error rate
for the subject fiscal year exceeds the
national performance measure as
determined in step 3; and
(E) Step 5, multiply the quotient
arrived at in step 4 by the liability
amount for the current fiscal year to
determine the amount of waiver of
liability.
(iv) Under this methodology, caseload
growth of less than 15% and/or
occurring in the last three months of the
subject fiscal year will not be
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considered. Mathematically this formula
could result in a waiver of more than
100% of the liability amount; however,
no more than 100% of a State’s liability
amount will be waived for any one
fiscal year.
(4) Program changes. A change in the
Food Stamp Program or other Federal or
State program that has a substantial
adverse impact on the management of
the Food Stamp Program of a State.
Requests for relief from errors caused by
the uncontrollable effects of unusual
program changes other than those
variances already excluded by
§ 275.12(d)(2)(vii) will be considered to
the extent the program change is not
common to all States.
(i) When submitting a request for good
cause relief based on unusual changes
in the Food Stamp or other Federal or
State programs, the State agency shall
provide the following information:
(A) The type of changes(s) that
occurred;
(B) When the change(s) occurred;
(C) The nature of the adverse effect of
the changes on program operations and
the State agency’s efforts to mitigate
these effects;
(D) Reason(s) the State agency was
unable to adequately handle the
change(s);
(E) Identification and explanation of
the uncontrollable errors caused by the
changes (types of errors, geographic
location of the errors, time period
during which the errors occurred, etc.);
(F) The percentage of the payment
error rate that resulted from the adverse
impact of the change(s) and how this
figure was derived; and
(G) The degree to which the payment
error rate exceeded the national
performance measure in the subject
fiscal year.
(ii)(A) The following criteria will be
used to assess and evaluate good cause
in conjunction with the appeals process
and to determine that portion of the
error rate/liability amount attributable
to the uncontrollable effects of unusual
changes in the Food Stamp Program or
other Federal and State programs:
(1) State efforts to control impact on
program operations;
(2) The proportion of food stamp
caseload affected; and/or
(3) The duration of the unusual
changes in the Food Stamp Program or
other Federal and State programs and
the impact on program operations.
(B) Adjustments for these factors may
result in a waiver of all, part, or none
of the liability amount for the applicable
period. As appropriate, the waiver
amount will be adjusted to reflect
States’ otherwise effective
administration of the program based
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14:49 Sep 22, 2005
Jkt 205001
upon the degree to which the error rate
exceeded the national performance
measure.
(5) Significant circumstances beyond
the control of a State agency. Requests
for relief from errors caused by the
uncontrollable effect of a significant
circumstance other than those
specifically set forth in paragraphs (f)(1)
through (f)(4) of this section will be
considered to the extent that the
circumstance is not common to all
States, such as a fire in a certification
office.
(i) When submitting a request for good
cause relief based on significant
circumstances, the State agency shall
provide the following information:
(A) The significant circumstances that
the State agency believes uncontrollably
and adversely affected the payment
error rate for the fiscal year in question;
(B) Why the State agency had no
control over the significant
circumstances;
(C) How the significant circumstances
had an uncontrollable and adverse
impact on the State agency’s error rate;
(D) Where the significant
circumstances existed (i.e. Statewide or
in particular counties);
(E) When the significant
circumstances existed (provide specific
dates whenever possible);
(F) The proportion of the food stamp
caseload whose management was
affected;
(G) Identification and explanation of
the uncontrollable errors caused by the
event (types of errors, geographic
location of the errors, time period
during which the errors occurred, etc.);
(H) The percentage of the payment
error rate that was caused by the
significant circumstances and how this
figure was derived; and
(I) The degree to which the payment
error rate exceeded the national
performance measure in the subject
fiscal year.
(ii)(A) The following criteria shall be
used to assess and evaluate good cause
in conjunction with the appeals process,
and to determine that portion of the
error rate/liability amount attributable
to the uncontrollable effects of a
significant circumstance beyond the
control of the State agency, other than
those set forth in paragraph (f)(5) of this
section:
(1) Geographical impact of the
significant circumstances;
(2) State efforts to control impact on
program operations;
(3) The proportion of food stamp
caseload affected; and/or
(4) The duration of the significant
circumstances and the impact on
program operations.
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(B) Adjustments for these factors may
result in a waiver of all, part, or none
of the liability amount for the applicable
period. As appropriate, the waiver
amount will be adjusted to reflect
States’ otherwise effective
administration of the program based
upon the degree to which the error rate
exceeded the national performance
measure.
(6) Adjustments. When good cause is
found under the criteria in paragraphs
(f)(1) through (f)(5) of this section, the
waiver amount may be adjusted to
reflect States’ otherwise effective
administration of the program based
upon the degree to which the error rate
exceeds the national performance
measure.
(7) Evidence. When submitting a
request to the ALJ for good cause relief,
the State agency shall include such data
and documentation as is necessary to
support and verify the information
submitted in accordance with the
requirements of paragraph (f) of this
section so as to fully explain how a
particular significant circumstance(s)
uncontrollably affected its payment
error rate.
(8) Finality. The initial decision of the
ALJ concerning good cause shall
constitute the final determination for
purposes of judicial review as
established under the provisions of
§ 283.17 and § 283.20 of this chapter.
(g) Results of appeals on liability
amount determinations.
(1) If a State agency wholly prevails
on appeal and, consequently, its
liability amount is reduced to $0
through the appeal, and if the State
agency began new investment activities
prior to the appeal determination, FNS
shall pay to the State agency an amount
equal to 50 percent of the new
investment amount that was expended
by the State agency.
(2) If FNS wholly prevails on a State
agency’s appeal, FNS will require the
State agency to invest all or a portion of
the amount designated for new
investment to be invested or to be paid
to the Federal government.
(3) If neither the State agency nor FNS
wholly prevails on a State agency’s
appeal, FNS shall apply the original
waiver, new investment, and at-risk
percentage determinations to the
liability amount established through the
appeal. If the State agency began new
investment prior to the appeal decision
and has already expended more than the
amount produced for new investment as
a result of the appeal decision, the
Department will match the amount of
funds expended in excess of the amount
now required by the Department for
new investment.
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(h) New investment requirements.
Once FNS has determined the
percentage of a liability amount to be
invested or following an appeal and
recalculation by FNS of an amount to be
invested, a State agency shall submit a
plan of offsetting investments in
program administration activities
intended to reduce error rates.
(1) The State agency’s investment
plan activity or activities must meet the
following conditions to be accepted by
the Department:
(i) The activity or activities must be
directly related to error reduction in the
ongoing program, with specific
objectives regarding the amount of error
reduction, and type of errors that will be
reduced. The costs of demonstration,
research, or evaluation projects under
sections 17(a) through (c) of the Act will
not be accepted. The State agency may
direct the investment plan to a specific
project area or implement the plan on a
Statewide basis. In addition, the
Department will allow an investment
plan to be tested in a limited area, as a
pilot project, if the Department
determines it to be appropriate. A
request by the State agency for a waiver
of existing rules will not be acceptable
as a component of the investment plan.
The State agency must submit any
waiver request through the normal
channels for approval and receive
approval of the request prior to
including the waiver in the investment
plan. Waivers that have been approved
for the State agency’s use in the ongoing
operation of the program may continue
to be used.
(ii) The program administration
activity must represent a new or
increased expenditure. The proposed
activity must also represent an addition
to the minimum program administration
required by law for State agency
administration including corrective
action. Therefore, basic training of
eligibility workers or a continuing
correction action from a Corrective
Action Plan shall not be acceptable. The
State agency may include a previous
initiative in its plan; however, the State
agency would have to demonstrate that
the initiative is entirely funded by State
money, represents an increase in
spending and there are no remaining
Federal funds earmarked for the
activity.
(iii) Investment activities must be
funded in full by the State agency,
without any matching Federal funds
until the entire amount agreed to is
spent. Amounts spent in excess of the
settlement amount included in the plan
may be subject to Federal matching
funds.
(2) The request shall include:
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Jkt 205001
(i) A statement of the amount of
money that is a quality control liability
claim that is to be offset by investment
in program improvements;
(ii) A detailed description of the
planned program administration
activity;
(iii) Planned expenditures, including
time schedule and anticipated cost
breakdown;
(iv) Anticipated impact of the activity,
identifying the types of error expected
to be affected;
(v) Documentation that the funds
would not replace expenditures already
earmarked for an ongoing effort; and
(vi) A statement that the expenditures
are not simply a reallocation of
resources.
(3) A State agency may choose to
begin expending State funds for any
amount of the liability designated as
‘‘new investment’’ in the liability
amount determination prior to any
appeal. FNS reserves the right to
approve whether the expenditure meets
the requirements for new investment.
Expenditures made prior to approval by
the Department will be subject to
approval before they are accepted. Once
a new investment plan is approved, the
State agency shall submit plan
modifications to the Department for
approval, prior to implementation.
(4) Each State agency which has part
of a liability designated for new
investment shall submit periodic
documented reports according to a
schedule in its approved investment
plan. At a minimum, these reports shall
contain:
(i) A detailed description of the
expenditure of funds, including the
source of funds and the actual goods
and services purchased or rented with
the funds;
(ii) A detailed description of the
actual activity; and
(iii) An explanation of the activity’s
effect on errors, including an
explanation of any discrepancy between
the planned effect and the actual effect.
(5) Any funds that the State agency’s
reports do not document as spent as
specified in the new investment plan
may be recovered by the Department.
Before the funds are withdrawn, the
State agency will be provided an
opportunity to provide the missing
documentation.
(6) If the funds are recovered, the
Department shall charge interest on the
funds not spent according to the plan in
accordance with paragraph (j) of this
section.
(i) At-risk money. If appropriate, FNS
shall initiate collection action on each
claim for such liabilities before the end
of the fiscal year following the reporting
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55795
period in which the claim arose unless
an administrative appeal relating to the
claim is pending. Such appeals include
administrative and judicial appeals
pursuant to Section 14 of the Food
Stamp Act. If a State agency, in the
subsequent year, is again subject to a
liability amount based on the national
performance measure and the error rate
issued to the State agency, the State
agency will be required to remit to FNS
any money designated as at-risk for the
prior fiscal year in accordance with
either the original liability amount or a
revised liability amount arising from an
appeal, as appropriate, within 30 days
of the date of the final billing. Appeals
of the subsequent liability amount will
not affect the requirement that the State
agency pay the at-risk amount for the
prior year. The amount of a State’s atrisk money may be recovered through
offsets to the State agency’s letter of
credit as identified in § 277.16(c) of this
chapter. FNS shall also have the option
of billing a State directly or using other
claims collection mechanisms
authorized under the Debt Collection
Improvement Act of 1996 (Pub. L. 104–
134) and the Federal Claims Collection
Standards (31 CFR Parts 900–904),
depending upon the amount of the
State’s liability.
(j) Interest charges.
(1) To the extent that a State agency
does not pay an at-risk amount within
30 days from the date on which the bill
for collection is received by the State
agency, the State agency shall be liable
for interest on any unpaid portion of
such claim accruing from the date on
which the bill for collection was
received by the State agency. If the State
agency is notified that it failed to invest
funds in accordance with an approved
new investment plan, the State agency
has 30 days from the date of receipt of
notification of non-expenditure of new
investment funds to pay the Department
the amount of funds not so invested. If
the State agency does not pay the
Department the amount of funds not
invested within 30 days from the date
of receipt of the notification of nonexpenditure, the State agency shall be
liable for interest on the non-expended
funds from the date on which the
notification was received by the State
agency. If the State agency agrees to pay
the claim through reduction in Federal
financial participation for
administrative costs, this agreement
shall be considered to be paying the
claim. If the State agency appeals such
claim (in whole or in part), the interest
on any unpaid portion of the claim shall
accrue from the date of the decision on
the administrative appeal, or from a date
that is one year after the date the bill is
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received, whichever is earlier, until the
date the unpaid portion of the payment
is received.
(2) A State agency may choose to pay
the amount designated as at-risk prior to
resolution of any appeals. If the State
agency pays such claim (in whole or in
part) and the claim is subsequently
overturned or adjusted through
administrative or judicial appeal, any
amounts paid by the State agency above
what is actually due shall be promptly
returned with interest, accruing from
the date the payment was received until
the date the payment is returned.
(3) Any interest assessed under
paragraph (j)(1) of this section shall be
computed at a rate determined by the
Secretary based on the average of the
bond equivalent of the weekly 90-day
Treasury bill auction rates during the
period such interest accrues. The bond
equivalent is the discount rate (i.e., the
price the bond is actually sold for as
opposed to its face value) determined by
the weekly auction (i.e., the difference
between the discount rate and face
value) converted to an annualized
figure. The Secretary shall use the
investment rate (i.e., the rate for 365
days) compounded in simple interest for
the period for which the claim is not
paid. Interest billings shall be made
quarterly with the initial billing
accruing from the date the interest is
first due. Because the discount rate for
Treasury bills is issued weekly, the
interest rate for State agency claims
shall be averaged for the appropriate
weeks.
PART 277—PAYMENTS OF CERTAIN
ADMINISTRATIVE COSTS OF STATE
AGENCIES
§ 277.4
[Amended]
15. In § 277.4:
a. Paragraph (b) is amended by
removing paragraphs (b)(1), (b)(4), (b)(5),
and (b)(6) and by redesignating
paragraphs (b)(2), (b)(3), (b)(7), and
(b)(8) as paragraphs (b)(1), (b)(2), (b)(3),
and (b)(4), respectively.
b. Newly redesignated paragraph
(b)(3) is amended by removing the
words ‘‘Beginning October 1982,’’ and
by removing the reference ‘‘paragraphs
(b)(2) and (b)(3)’’ and adding in its place
the reference ‘‘paragraphs (b)(1) and
(b)(2)’’.
Dated: September 12, 2005.
Eric M. Bost,
Under Secretary, Food, Nutrition, and
Consumer Services.
[FR Doc. 05–19020 Filed 9–22–05; 8:45 am]
BILLING CODE 3410–30–P
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14:49 Sep 22, 2005
Jkt 205001
DEPARTMENT OF ENERGY
Federal Energy Regulatory
Commission
18 CFR Chapter I
[Docket No. RM05–25–000]
Preventing Undue Discrimination and
Preference in Transmission Services
September 16, 2005.
Federal Energy Regulatory
Commission, (DOE).
ACTION: Notice of inquiry (NOI).
AGENCY:
SUMMARY: The Federal Energy
Regulatory Commission (Commission) is
inviting comments on whether reforms
are needed to the Order No. 888 pro
forma open access transmission tariff
(OATT) and the OATTs of public
utilities to ensure that services
thereunder are just, reasonable and not
unduly discriminatory or preferential.
The Commission is also inviting
comments on the implementation of the
newly established section 211A of the
Federal Power Act (concerning the
provision of open access transmission
service by unregulated transmitting
utilities). Finally, the Commission is
inviting comments on section 1233 of
the Energy Policy Act of 2005, which
defines native load service obligation.
DATES: Comments on this NOI are due
on November 22, 2005.
ADDRESSES: Comments may be filed
electronically via the eFiling link on the
Commission’s Web site at https://
www.ferc.gov. Commenters unable to
file comments electronically must send
an original and 14 copies of their
comments to: Federal Energy Regulatory
Commission, Office of the Secretary,
888 First Street, NE., Washington, DC
20426. Refer to the Procedure for
Comments section of the preamble for
additional information on how to file
comments.
FOR FURTHER INFORMATION CONTACT:
Daniel Hedberg (Technical Information),
Office of Markets, Tariffs & Rates,
Federal Energy Regulatory Commission,
888 First Street, NE., Washington, DC
20426, (202) 502–6243.
David Withnell (Legal Information),
Office of General Counsel—Markets,
Tariffs & Rates, Federal Energy
Regulatory Commission, 888 First
Street, NE., Washington, DC 20426,
(202) 502–8421.
SUPPLEMENTARY INFORMATION:
Introduction
1. The Federal Energy Regulatory
Commission (Commission) has a
mandate under sections 205 and 206 of
PO 00000
Frm 00021
Fmt 4702
Sfmt 4702
the Federal Power Act (FPA) 1 to ensure
that, with respect to any transmission in
interstate commerce or any sale of
electric energy for resale in interstate
commerce by a public utility, no person
is subject to any undue prejudice or
disadvantage. Under these sections, the
Commission must determine whether
any rule, regulation, practice, or
contract affecting rates for such
transmission or sale for resale is unduly
discriminatory or preferential, and we
must disapprove any of the foregoing
that do not meet this standard. Pursuant
to that mandate, in 1996, the
Commission issued Order No. 888 2 to
remedy undue discrimination or
preference in access to the monopoly
owned transmission wires that control
whether and to whom electricity can be
transported in interstate commerce.3
2. The Commission is issuing this
Notice of Inquiry to seek comments on
whether reforms are needed to the Order
No. 888 pro forma open access
transmission tariff (OATT) and to the
OATTs of public utilities to prevent
undue discrimination and preference in
the provision of transmission services.
The Commission’s preliminary view is
that the pro forma OATT and public
utilities’ OATTs should be reformed to
reflect lessons learned during nearly a
decade of the electric utility industry’s
and the Commission’s experience with
open access transmission. In addition,
the Commission is concerned that
public utility transmission providers
have come to different interpretations of
1 16 U.S.C. 824d–824e (2000). Section 205(b)
states that ‘‘[n]o public utility shall, with respect to
any transmission or sale subject to the jurisdiction
of the Commission, (1) make or grant any undue
preference or advantage to any person or subject
any person to any undue preference or
disadvantage. * * * ’’ In addition, section 206(a)
states that ‘‘[w]henever the Commission * * * shall
find that any rate, charge, or classification
demanded, observed, charged or collected by any
public utility for any transmission or sale subject
to the jurisdiction of the Commission, or that any
rule, regulation, practice, or contract affecting such
rate, charge, or classification is unjust,
unreasonable, unduly discriminatory or
preferential, the Commission shall determine the
just and reasonable rate, charge, classification, rule,
regulation, practice or contract to be thereafter
observed and in force, and shall fix the same by
order.’’
2 Promoting Wholesale Competition Through
Open Access Non-discriminatory Transmission
Services by Public Utilities; Recovery of Stranded
Costs by Public Utilities and Transmitting Utilities,
Order No. 888, 61 FR 21,540 (May 10, 1996), FERC
Stats. & Regs. ¶ 31,036 (1996), order on reh’g, Order
No. 888–A, 62 FR 12,274 (March 14, 1997), FERC
Stats. & Regs. ¶ 31,048 (1997), order on reh’g, Order
No. 888–B, 81 FERC ¶ 61,248 (1997), order on reh’g,
Order No. 888–C, 82 FERC ¶ 61,046 (1998), aff’d in
relevant part sub nom. Transmission Access Policy
Study Group v. FERC, 225 F.3d 667 (D.C. Cir. 2000),
aff’d sub nom. New York v. FERC, 535 U.S. 1
(2002).
3 Order No. 888 at 31,669.
E:\FR\FM\23SEP1.SGM
23SEP1
Agencies
[Federal Register Volume 70, Number 184 (Friday, September 23, 2005)]
[Proposed Rules]
[Pages 55776-55796]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-19020]
========================================================================
Proposed Rules
Federal Register
________________________________________________________________________
This section of the FEDERAL REGISTER contains notices to the public of
the proposed issuance of rules and regulations. The purpose of these
notices is to give interested persons an opportunity to participate in
the rule making prior to the adoption of the final rules.
========================================================================
Federal Register / Vol. 70, No. 184 / Friday, September 23, 2005 /
Proposed Rules
[[Page 55776]]
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Parts 271, 273, 275, and 277
RIN 0584-AD37
Food Stamp Program: Discretionary Quality Control Provisions of
Title IV of Public Law 107-171
AGENCY: Food and Nutrition Service, USDA.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: On May 13, 2002, the President signed the Farm Security and
Rural Investment Act of 2002. Title IV of that law, the Food Stamp
Reauthorization Act of 2002, contains provisions substantively revising
the Quality Control system. This rule proposes to amend the Food Stamp
Program regulations to implement certain discretionary provisions
concerning the Quality Control system in Sections 4118 and 4119 of the
Food Stamp Reauthorization Act of 2002. This rule would establish new
timeframes for completing individual Quality Control reviews and
establish procedures for resolving liabilities following appeal
decisions. This rule proposes to revise the negative case review
procedures and provides procedures for households that break up while
subject to the penalty for refusal to cooperate with a Quality Control
review. This rule also proposes several additional policy changes and
technical corrections, including deletion of material pertaining to
enhanced administrative funding for low error rates, which was ended
beginning in Fiscal Year 2003 by the statute. An interim rule published
October 16, 2003, addressed certain non-discretionary provisions
concerning the Quality Control system in Sections 4118 and 4119 of the
Food Stamp Reauthorization Act. The high performance bonuses that
replace the administrative enhanced funding are addressed in a separate
rule published February 7, 2005. This rule would affect State agencies'
quality control review operations, and it would alter the impact on
State agencies of assessment and resolution of potential liabilities
for excessive payment error rates and awarding of bonuses for superior
performance. Households sampled for quality control review of their
cases would be minimally affected by this rule.
DATES: Comments on this rulemaking must be received on or before
December 22, 2005.
ADDRESSES: The Food and Nutrition Service, Department of Agriculture
invites interested persons to submit comments on this proposed rule.
Comments may be submitted by any of the following methods:
E-mail: Send comments to daniel.wilusz@fns.usda.gov.
Fax: Submit comments by facsimile transmission to: (703)
305-0928.
Mail: Send comments to Daniel Wilusz, Quality Control
Branch, Program Accountability Division, Food and Nutrition Service,
USDA, 3101 Park Center Drive, Alexandria, Virginia 22302.
Hand Delivery or Courier: You may also hand-deliver
comments to us on the 8th floor at the above address.
Federal eRulemaking Portal: Go to https://
www.regulations.gov. Follow the online instructions for submitting
comments.
FOR FURTHER INFORMATION CONTACT: Questions regarding this rulemaking
should be addressed to Margaret Werts Batko at the above address, by
telephone at (703) 305-2516, or via the Internet at
margaret.batko@fns.usda.gov.
SUPPLEMENTARY INFORMATION:
I. Additional Information on Comment Filing/Electronic Access
Electronic Access and Filing Address
You may view and download an electronic version of this proposed
rule at https://www.fns.usda.gov/fsp/. You may also comment via the
Internet at the same address. Please include ``Attention: RIN 0584-
AD37'' and your name and return address in your Internet message. If
you do not receive a confirmation from the system that we have received
your message, contact us directly at 703-305-2516.
Written Comments
Written comments on the proposed rule should be specific, should be
confined to issues pertinent to the proposed rule, and should explain
the reason for any change you recommend. Where possible, you should
reference the specific section or paragraph of the proposed rule you
are addressing. We may not consider or include in the Administrative
Record for the final rule comments that we receive after the close of
the comment period or comments delivered to an address other than those
listed above.
We will make all comments, including names, street addresses, and
other contact information of respondents, available for public
inspection on the 8th floor, 3101 Park Center Drive, Alexandria,
Virginia 22302 between 8:30 a.m. and 5 p.m. Eastern time, Monday
through Friday, excluding Federal holidays.
II. Procedural Matters
Executive Order 12866
This rule has been determined to be significant under E.O. 12866
and has, therefore, been reviewed by the Office of Management and
Budget.
Executive Order 12372
The Food Stamp Program is listed in the Catalog of Federal Domestic
Assistance under No. 10.551. For the reasons set forth in the final
rule in 7 CFR Part 3015, Subpart V and related Notice (48 FR 29115,
June 24, 1983), this Program is excluded from the scope of Executive
Order 12372 that requires intergovernmental consultation with State and
local officials.
Regulatory Flexibility Act
This rule has been reviewed with regard to the requirements of the
Regulatory Flexibility Act (5 U.S.C. 601-612). Eric M. Bost, Under
Secretary for Food, Nutrition, and Consumer Services, has certified
that this rule will not have a significant economic impact on a
substantial number of small entities. State and local welfare agencies
will be the most affected to the extent that they administer the
Program.
Public Law 104-4
Title II of the Unfunded Mandate Reform Act of 1995 (UMRA)
establishes requirements for Federal agencies to assess the effects of
their regulatory
[[Page 55777]]
actions on State, local, and tribal governments and the private sector.
Under Section 202 of the UMRA, FNS generally must prepare a written
statement, including a cost-benefit analysis, for proposed and final
rules with ``Federal mandates'' that may result in expenditures to
State, local, or tribal governments in the aggregate, or to the private
sector, of $100 million or more in any one year. When such a statement
is needed for a rule, section 205 of the UMRA generally requires FNS to
identify and consider a reasonable number of regulatory alternatives
and adopt the least costly, more cost-effective or least burdensome
alternative that achieves the objectives of the rule. This rule
contains no Federal mandates (under the regulatory provisions of Title
II of the UMRA) for State, local, and tribal governments or the private
sector of $100 million or more in any one year. This rule is,
therefore, not subject to the requirements of sections 202 and 205 of
the UMRA.
Federalism Summary Impact Statement
Executive Order 13132 requires Federal agencies to consider the
impact of their regulatory actions on State and local governments.
Where such actions have federalism implications, agencies are directed
to provide a statement for inclusion in the preamble to the regulations
describing the agency's considerations in terms of the three categories
called for under section (6)(b)(2)(B) of Executive Order 13132. The
Food and Nutrition Service has considered this rule's impact on State
and local agencies and has determined that it does not have Federalism
implications under E.O. 13132.
Civil Rights Impact Analysis
FNS has reviewed this proposed rule in accordance with the
Department Regulation 4300-4, ``Civil Rights Impact Analysis,'' to
identify and address any major civil rights impacts the rule might have
on minorities, women, and persons with disabilities. After a careful
review of the rule's intent and provisions, FNS has determined that
this rule has no impact on any of the protected classes. These changes
primarily affect the quality control (QC) review system and not
individual recipients' eligibility for or participation in the Food
Stamp Program. The only provision that has any direct impact on
recipients is the conforming change made in Sec. 273.2(d)(2). This
section provides that a recipient who refuses to cooperate with a QC
review of his or her case will be terminated from further participation
in the Program; that if the household reapplies during the annual
review period, it cannot be determined eligible until it cooperates
with the QC review; and if it reapplies following the end of the
quality control review period, the household is required to provide
full verification of its eligibility factors before it can be
certified. The purpose of the requirement is to encourage household
cooperation with the QC review of its case. In this rule we are
proposing a conforming amendment to extend the timeframe of the penalty
consistent with the revised timeframe for completing the QC review
process established in Section 4119 of the Food Stamp Reauthorization
Act of 2002 and addressed in this proposed regulation at Sec. 275.23.
Significant protection exists within the regulations to ensure that a
household is terminated solely for refusal, and not inability, to
cooperate. A household so terminated also has the right to request a
fair hearing. Further, the household has the ability to reverse its
termination by cooperating with the QC review during the QC review
period. There were 56,954 active case households subject to a QC
review, and 2,101 households who refused to cooperate with a QC review
during Fiscal Year 2002, the last year information on non-cooperating
households was collected. Information on protected class is not
available for these households.
All data available to FNS indicate that protected individuals have
the same opportunity to participate in the Food Stamp Program as non-
protected individuals. FNS specifically prohibits the State and local
government agencies that administer the Program from engaging in
actions that discriminate against any applicant or participant in any
aspect of program administration, including, but not limited to, the
certification of households, the issuance of coupons, the conduct of
fair hearings, or the conduct of any other program service for reasons
of age, race, color, sex, handicap, religious creed, national origin,
or political beliefs (Food Stamp Program nondiscrimination policy can
be found at Sec. 272.6). Discrimination in any aspect of program
administration is prohibited by these regulations, the Food Stamp Act,
the Age Discrimination Act of 1975 (Pub. L. 94-135), the Rehabilitation
Act of 1973 (Pub. L. 93-112, section 504), and title VI of the Civil
Rights Act of 1964 (42 U.S.C. 2000d). Enforcement action may be brought
under any applicable Federal law. Title VI complaints shall be
processed in accord with 7 CFR part 15.''
Paperwork Reduction Act
This proposed rule contains reporting or recordkeeping requirements
that have been approved by the Office of Management and Budget (OMB)
under several separate information collections under the Paperwork
Reduction Act of 1995. The collections are:
0584-0034, Negative Quality Control Review Schedule; Status of
Sample Selection and Completion, Form FNS-245, and FNS-248: This rule
does not affect the negative review schedule, Form FNS-245. In the most
recent approval of OMB Number 0584-0034, the form FNS-247 (Statistical
Summary of Sample Distribution) was eliminated. FNS has stopped
requesting that this form be completed and the information be
submitted. This rule removes the requirement to submit the report from
the regulations. The elimination does not affect the burden, as the
burden has already been adjusted for removal of this form. In this rule
we are proposing to eliminate the Form FNS-248. However, the
information required to be submitted on that form is still required.
The regulations currently permit that this information be submitted in
another format. Accordingly, elimination of this form will not affect
the approved burden for OMB Number 0584-0034.
0584-0074 (Form FNS-380, Worksheet for Food Stamp Program Quality
Control Reviews); 0584-0299 (Form FNS-380-1, Quality Control Review
Schedule); and 0584-0303 (Sampling Plan, Arbitration, and Good Cause):
This rule does not affect these information collections. This rule does
not change the requirements for development and submittal of the
States' sampling plans. This rule does not change the requirements for
submitting cases for arbitration nor will it impact the number of cases
anticipated to be submitted. This rule does include the provisions for
good cause; however, those provisions are unchanged except for
redesignation. Therefore, this rule will not impact the burden
currently approved for good cause either.
OMB Number 0584-0010, Performance Reporting System, Management
Evaluation, Data Analysis and Corrective Action: Corrective action
planning is included under this information collection package.
Regulations prior to passage of the Food Stamp Reauthorization Act of
2002 required corrective action planning whenever a State agency failed
to reach the yearly target, whenever a State agency was not entitled to
enhanced funding, and when its negative case error rate exceeded one
percent. In an
[[Page 55778]]
interim rule entitled ``Non-Discretionary Quality Control Provisions of
Title IV of Public Law 107-171'' published on October 16, 2003 at 68 FR
59519, the regulations were changed to reflect the provision in Section
4118 of the Food Stamp Reauthorization Act of 2002 that requires
corrective action planning whenever a State agency's payment error rate
equals or exceeds six percent. This requirement replaced the
requirement for corrective action planning whenever a State agency
failed to reach the yearly target. In the regulations as modified by
the interim rule, State agencies continued to be required to do
corrective action whenever they were not entitled to enhanced funding
or when the negative case error rate exceeded one percent. A State
agency was entitled to enhanced funding when its payment error rate was
less than or equal to 5.90 percent and its negative case error rate was
less than the national weighted mean negative case error rate for the
prior fiscal year. This rule proposes to eliminate the requirement that
State agencies conduct corrective action planning whenever a State
agency is not entitled to enhanced funding because enhanced funding has
been eliminated by Section 4118 of the Food Stamp Reauthorization Act
of 2002. Elimination of this requirement will not have a significant
impact on States' requirements to do corrective action planning because
of the requirement in the regulation to do corrective action planning
whenever the State's error rate exceeds six percent. The change from
5.9 percent to six is minimal. In Fiscal Year 2002, no State below six
percent did not get enhanced funding. Further, in this rule we are
proposing to continue to require that State agencies do corrective
action planning whenever a State's negative case error rate exceeds one
percent. Therefore, there is essentially no impact resulting from
removing the requirement to do corrective action planning whenever a
State agency is not entitled to enhanced funding.
Government Paperwork Elimination Act
In compliance with the Government Paperwork Elimination Act, the
Food and Nutrition Service is committed to providing electronic
submission as an alternative for information collections associated
with this rule. The Food and Nutrition Service has made every effort to
streamline and automate these processes. However, we are not able to
make the entire process electronic at this time.
Part of the process allows electronic submission. The Quality
Control review schedule (approved under OMB 0584-0299) serves
as both the data summary entry form that the reviewer completes during
each review, and subsequently, as the data input document for direct
data entry into the automated national Food Stamp Quality Control
System (FSQCS) at the Kansas City Computer Center. While the data are
manually collected on a paper form from information extracted from a
case file, it is electronically submitted to the FSQCS for tabulation
and analysis. Some States have developed and begun to use computerized
versions of the worksheet (OMB number 0584-0074), which provides
information collected on the review schedule. In addition, FNS has
developed a computerized version of the worksheet. States are being
given the option to continue to use their own systems, the new
computerized version provided by FNS or the paper version. When FNS
computerized versions of the worksheet are used, the information is
linked to and creates the review schedule.
Under OMB number 0584-0034, the burden for collecting and reporting
information related to the review of negative cases and the status of
sample selection and completion is approved. The FNS-245 serves as both
the data summary entry form that the reviewer completes during each
negative case review, and subsequently as the data input document for
direct data entry into the FSQCS. Therefore, while data is manually
collected, it is electronically submitted to the FSQCS for tabulation
and analysis. The FNS-248 (Status of Sample Selection and Completion)
collects information on the status of State reviews. The FNS-248
contains necessary information not produced by the automated system.
However, much of the form contains information that can be obtained in
other ways. The regulations already provide that the information can be
submitted in another format than the Form FNS-248. In this rule, we are
proposing to eliminate the form and to require the States to submit the
necessary information as requested by the appropriate regional offices.
States may submit this data electronically.
The burden under OMB number 0584-0303 encompasses the sampling
plan, arbitration, and good cause. At this time, these areas are not
substantively electronic submittals. To the extent possible, States may
submit documents or portions of documents electronically.
Executive Order 12988
This rule has been reviewed under Executive Order 12988, Civil
Justice Reform. This rule is intended to have preemptive effect with
respect to any State or local laws, regulations, or policies that
conflict with its provisions or that would otherwise impede its full
implementation. This rule is not intended to have retroactive effect
unless so specified in the ``Effective Date'' paragraph of the final
rule. Prior to any judicial challenge to the provisions of this rule or
the application of its provisions, all applicable administrative
procedures must be exhausted. In the Food Stamp Program the
administrative procedures are as follows: (1) For Program benefit
recipients--State administrative procedures issued pursuant to 7 U.S.C.
2020(e)(10) and Sec. 273.15; (2) for State agencies--administrative
procedures issued pursuant to 7 U.S.C. 2023 set out at Sec. 276.7 (for
rules related to non-quality control (QC) liabilities) or Part 283 (for
rules related to QC liabilities); (3) for retailers and wholesalers--
administrative procedures issued pursuant to 7 U.S.C. 2023 set out at 7
CFR Part 279.
Regulatory Impact Analysis
Need for Action
This action is needed to implement certain provisions of Sections
4118 and 4119 of Title IV, the Food Stamp Reauthorization Act of 2002,
Public Law 107-171, which was enacted on May 13, 2002. This rule
proposes to amend the Food Stamp Program regulations concerning the
Quality Control (QC) system to eliminate enhanced funding, to address
the impact of appeals decisions on the resolution of QC liabilities for
high payment error rates, to revise the timeframes for completing
individual case reviews and the timeframes for penalties for households
that refuse to cooperate with a QC review, and to make a number of
technical policy changes and corrections. This analysis addresses the
elimination of enhanced funding, the impact of appeals decisions on the
resolution of QC liabilities for high payment error rates, the revised
timeframes for completing individual case reviews, the timeframes for
penalties for households that refuse to cooperate with a QC review,
validation of the negative case error rate, and corrective action
planning. An interim rule, published October 16, 2003, at 68 FR 59519,
addressed the new liability system established by Section 4118 of the
Food Stamp Reauthorization Act of 2002. The impact of the new liability
system was addressed in the impact analysis for that rule. For greater
understanding of the impact of the
[[Page 55779]]
changes to the liability system, the reader is referred to the interim
rule.
Cost Impact
This action does not directly impact benefit levels or eligibility,
so we do not anticipate any impact on food stamp benefit costs. The
provision extending the timeframes for verification of households
reapplying for benefits is not expected to have a measurable impact on
benefit costs. Elimination of enhanced funding will result in a savings
of administrative matching funds. In 2002, the Agency paid $77.3
million in enhanced funding incentives to 13 States. Over the five
years between 1998 and 2002, the Agency paid $250 million in enhanced
funding, for an annual average of $50 million during this period.
If State payment error rates remained at their 1998-2002 levels,
the annual savings to the Food Stamp Program would be $50 million and
the five-year savings would be $250 million. However, this savings will
be largely offset by the establishment of the high performance bonuses
(addressed in the final rule ``High Performance Bonuses'' published
February 7, 2005, at 70 FR 6313). See Table below.
Benefit Impact
Elimination of enhanced funding based on payment accuracy would not
have a benefit impact on State administrating agencies or on program
operations if considered in isolation. However, when this provision is
combined with the new performance bonus system in another rulemaking
that proposes to change performance criteria from a narrow focus on
payment accuracy to a broader measure that incorporates client service
criteria in addition to payment accuracy, the new performance bonus
system is expected to encourage States to assess and improve overall
performance. Since the new bonus system is capped at $48 million
annually the impact of the two rules will offset each other.
Cost Impact of Certain Quality Control Provisions of the Food Stamp Reauthorization Act of 2002 (Federal
Outlays)
[In millions of dollars]
----------------------------------------------------------------------------------------------------------------
2005 2006 2007 2008 2009 5-year
----------------------------------------------------------------------------------------------------------------
Elimination of Enhanced Funding........................... -50 -50 -50 -50 -50 -250
----------------------------------------------------------------------------------------------------------------
The provisions affecting the timeframes for completing individual
case reviews, procedures for appeals for the resolution of QC
liabilities, and the procedures for treating households that refuse to
cooperate with QC reviews are not expected to have any measurable
impact on program costs.
III. Background
On May 13, 2002, the President signed Public Law 107-171, the Farm
Security and Rural Investment Act of 2002. Title IV of Public Law 107-
171, the Food Stamp Reauthorization Act of 2002 (FSRA), significantly
revised the sanction, liability, and enhanced funding provisions of the
Quality Control (QC) system. An interim rule entitled ``Non-
Discretionary Quality Control Provisions of Title IV of Public Law 107-
171'' was published October 16, 2003, at 68 FR 59519 that addressed
certain provisions of Sections 4118 and 4119. A final rule entitled
``High Performance Bonuses'' was published February 7, 2005, at 70 FR
6313 that implemented Section 4120 of the Food Stamp Reauthorization
Act. This rulemaking addresses the remaining provisions of Sections
4118 and 4119 of the Food Stamp Reauthorization Act. In addition, it
includes several discretionary policy changes and numerous technical
corrections.
A. Enhanced Funding
The current regulations at Sec. 275.1(b) provide that the
Department shall pay a State agency enhanced administrative funding if
its payment error rate is less than or equal to 5.90 percent and the
negative case error rate is less than the national weighted mean
negative case error rate for the prior fiscal year. Section 4118 of
FSRA removed the provision in the Food Stamp Act of 1977 for giving
enhanced funding to State agencies with low payment and negative case
error rates, effective fiscal year (FY) 2003, effectively ending
enhanced payments. As a technical detail, we are proposing to eliminate
Sec. 275.1(b)(1) and (b)(2) and to revise Sec. 275.1(a) into a
general introductory paragraph, removing the ``(a)'' paragraph
designation. Section 4120 of the FSRA replaces these enhanced funding
provisions with high performance bonuses. Regulations addressing high
performance bonuses have been published separately (proposed rule
published December 17, 2003, at 68 FR 70193; final rule published
February 7, 2005, at 70 FR 6313).
Section 275.23(d) establishes procedures for providing enhanced
funding. In accordance with the elimination of enhanced funding, this
section is no longer necessary. Therefore, we are proposing to remove
Sec. 275.23(d).
Section 275.3(c) requires that FNS validate the negative case error
rate when a State agency's payment error rate for an annual review
period appears to entitle it to an increased share of Federal
administrative funding and its reported negative case error rate for
that period is less than two percentage points above the national
weighted mean negative case error rate for the prior fiscal year. That
section also provides that FNS may review any negative case for other
reasons. Validation of the negative case error rate is no longer
necessary for purposes of establishing eligibility for enhanced
funding. However, we are proposing in Sec. 275.3(c) to require that
all States' negative case error rates be validated by FNS. We are
proposing to require universal validation of negatives for two reasons.
First, we believe that fair and equitable treatment in terms of denying
households needs to be ensured. Second, the negative error rate is one
of the measurements of high performance. We believe that it is
necessary to ensure the accuracy of those error rates if awards will be
driven by these rates.
In addition, we are proposing to make technical changes throughout
Part 275 to remove references to enhanced funding. These deletions are
not discussed in this preamble.
Part 277, Payments of Certain Administrative Costs of State
Agencies, establishes the rules for paying State agency administrative
costs for operating the Food Stamp Program. In Sec. 277.4, paragraphs
(b)(1), (b)(4), (b)(5), and (b)(6) describe the procedures for
increasing State administrative funding when State agency quality
control error rates meet certain standards. Each paragraph provides the
authority for different fiscal year periods beginning with Fiscal Year
1980. Sections 277.4(b)(1)(i), (b)(4), (b)(5), and (b)(6) cover fiscal
year periods beginning October 1, 1980, through September 30, 1988.
Section 277.4(b)(1)(ii) provides
[[Page 55780]]
the authority for the period beginning October 1988 and forward. The
authority in the Food Stamp Act for Sec. 277.4(b)(1)(i) was removed by
the Hunger Prevention Act of 1988 (Public Law 100-435). The authority
for Sec. 277.4(b)(4), (b)(5), and (b)(6) was removed by the Omnibus
Budget Reconciliation Act of 1982 (Public Law 97-253). Section 4118 of
the FSRA eliminated enhanced funding based on quality control error
rates for fiscal years beginning October 2002 and beyond, thus making
Sec. 277.4(b)(1)(ii) obsolete for FY2003 and beyond. All enhanced
funding for Fiscal Years 1980 through 2002 paid under any of these
authorities has already been made. Therefore, these paragraphs are no
longer necessary. Accordingly, we are proposing to remove Sec.
277.4(b)(1), (b)(4), (b)(5), and (b)(6). Sections 277.4(b)(2), (b)(3),
(b)(7), and (b)(8) are proposed to be redesignated as Sec.
277.4(b)(1), (b)(2), (b)(3), and (b)(4), respectively. In addition, we
are proposing to correct the references in redesignated Sec.
277.4(b)(3) to reflect these changes.
B. Disposition of Cases Where the Household Refuses To Cooperate
Section 275.12(g) establishes procedures for disposition of active
quality control cases. Section 275.12(g)(1)(ii) provides procedures for
handling cases when the household refuses to cooperate in the review.
Under these procedures, the State agency is required to notify the
household of the penalties for refusing to cooperate with the review.
In Sec. 275.12(g)(1)(ii), regulations currently provide that a
reviewer may attempt to complete the case if this notice has been sent.
This policy was revised by memorandum on September 1, 1998, in ``Change
1 to the September 1997 version of FNS Handbook 310,'' to require the
State agency reviewer to attempt to complete the review. The change was
effective October 1, 1998. The revised policy has been retained in
subsequent revisions of FNS Handbook 310. The Department requires such
completion because incomplete reviews introduce bias into the system.
Consistent with this change in policy, we are proposing to revise Sec.
275.12(g)(1)(ii) to say that the reviewer must attempt to complete the
case. As provided for in the FNS Handbook 310, the reviewer will
attempt to determine all of the necessary information to the point
where either ineligibility or the appropriate benefit allotment is
determined, verified, and documented.
C. Negative Case Reviews
In order to understand the parameters of the changes being proposed
in this rulemaking for the review of negative cases, the readers need
to understand the basic framework of the negative case review process.
A negative case is a case where a household's application for food
stamp benefits was denied or where a household's food stamp benefits
were suspended or terminated. The negative universe includes all
negative actions that occur during the review period. Under current
rules, State agencies may randomly select negative cases for review by
either ``action'' or by ``effective date.'' ``Action'' is a specific
decision to deny, suspend, or terminate a case. Each action results in
a notice to the household advising the household of the action.
``Effective date'' measures the result of a negative action, that is,
that following the negative action, the household does not receive
benefits. It measures the non-receipt of benefits against the prior
receipt of benefits. In order for a case to be subject to review as a
negative case under the current rules, there has to be a break in
participation, that is, a household cannot receive uninterrupted
benefits for two full consecutive months. Between the negative action
and the next date of participation, there must be at least one day for
which no benefits are received. A negative case review consists of a
case file review. An expanded review of items addressed in the case is
permitted if the case file does not support the negative action under
review. Contact with the household and/or collateral contacts should
occur only to clarify information in the case record if the case record
does not support the negative action under review. Contact with the
household and/or collateral contacts should occur only to clarify
information in the case record if the case record does not support the
negative action under review. This proposal would significantly modify
the process described above in order to make the process uniform among
the States and to eliminate inappropriate, excessive, and unnecessary
household contacts.
Although not currently required, the Department has validated all
State agencies' negative case error rates for the past several years.
As discussed elsewhere in this rule, we are proposing that the
Department will validate all State agencies' negative case error rates
annually. In the process of performing these validations, it has become
apparent that various State agencies have interpreted the regulatory
provisions and Handbook review provisions differently. Further, it has
become apparent that allowing the use of two different measuring
points, by ``action'' or by ``effective'' date, has contributed to the
differences among State agencies. Secondarily, use of ``effective
date'' has resulted in confusion when multiple negative actions have
occurred within the sample month. This is particularly important in
determining the awarding of the high performance bonus awards for low
negative case error rates. Finally, the Department has become concerned
that some State QC workers, when they find that the basis of a negative
case action is invalid, in an effort to find any reason that the
negative action might have been valid, continue to review a household's
case until any reason can be found to support the negative action
result. This can result in multiple household and/or collateral
contacts. The Department considers such contacts potentially
intimidating and believes it is necessary to curtail their use. The
Department believes that it is important that all States conduct
negative reviews interpreting the regulatory and Handbook provisions
the same way to ensure that review results are comparable.
First, the Department is proposing that the negative universe be
based on ``action,'' eliminating the option to use ``effective date.''
Use of the two different selection criteria, ``action'' and ``effective
date,'' has resulted in differences in the sampling universes among the
States and inconsistent reviews. These sampling differences are of
statistical concern in calculating a national negative case error rate.
Further, because multiple actions can occur within a sampling period,
but only resulting in one denial, suspension, or termination, States
using ``effective date'' have to decide which of the several actions to
review. This selection process can introduce bias into the system.
Focusing on ``action'' means that each negative action would have an
equal opportunity to be sampled and reviewed. Finally, negative reviews
are not measuring program losses, but service to clients. Using
``action'' means the review is based on the reason given the household
for the negative action. We are proposing to revise Sec.
275.11(e)(2)(i) and (e)(2)(ii) accordingly.
Further, we are proposing to delete the requirement that there be a
break in participation in order for a case to be subject to review.
Section 275.11(f)(2)(vi) provides that a negative action would not be
subject to review if there were no break in participation.
[[Page 55781]]
Changing the focus to the action eliminates a need for measuring
whether there was a break in participation. The break in participation
measures the effectiveness of the negative action, the denial or end of
a households receipt of benefits. Elimination of ``break in
participation'' is consistent with the change in focus to ``action''
only reviews. A conforming change is also being made to the definition
``Negative case'' in Sec. 271.2.
Finally, the Department is proposing to eliminate the expanded
review in Sec. 275.13(b). As described above, the expanded review
allows the QC reviewer to look beyond the reason given for action taken
by the EW to deny, terminate, or suspend a household. The QC reviewer
may examine the case file for additional reasons to support the denial,
suspension, or termination. It also permits contacting the household or
a collateral contact to clarify a reason for the denial, suspension, or
termination. During the validation process, it has become apparent that
the expanded review has become an opportunity to search for information
to eliminate an invalid negative decision, making the decision correct,
rather than determining the validity of the action the EW took. The
Department considers this an inappropriate use of the review process
that needs to be curtailed. Elimination of the expanded review is also
consistent with a review of ``action.'' The QC review would be focused
solely on the action taken, not on other possible negative actions that
could have been taken. Under this proposal, an action could only be
determined ``valid'' if the case record supported the negative action,
as it was presented to the household. If documentation is missing in
the case file to support and verify the reason for the specific denial
action, the Department is proposing to continue to allow the QC
reviewer to contact the household or a collateral contact to verify the
validity of the specific negative action. The Department believes that
this is necessary to curtail reviews that are focused on eliminating
the error, rather than on determining the validity of the action, and
result in excessive collateral contacts, negatively impacting customer
service. A conforming change is also being made to Sec. 275.13(c)(1).
We recognize that by evolving State interpretations of the
regulatory and Handbook provisions to be the same, these proposed
revisions may change the proportion of valid determinations. However,
the Department believes that the consistent interpretations among the
States will yield information that more accurately reflects actual
negative actions, and represents a better balance between accuracy and
customer service.
D. Corrective Action Planning
Section 4118 of the FSRA requires a State agency to do corrective
action planning whenever its payment error rate is six percent or
greater. In the interim rule published October 16, 2003 at 68 FR 59519,
Sec. 275.16(b)(1) was revised to require corrective action planning
whenever a State agencys error rate equals or exceeds six percent.
Current regulations provide that corrective action planning shall also
be done by a State agency when the State agency is not entitled to
enhanced funding (Sec. 275.16(b)(2)) or when the State agencys
negative case error rate exceeds one percent (Sec. 275.16(b)(3)). We
are proposing to remove Sec. 275.16(b)(2) as no longer necessary
because enhanced funding has been eliminated. In practical terms, this
change will have little impact on the number of State agencies required
to do corrective action planning. In FY 2002, the last year of enhanced
funding, no State that had a payment error rate of less than six
percent failed to qualify for enhanced funding. We are proposing to
continue to require State agencies to conduct corrective action
planning whenever the negative case error rate exceeds one percent
(Sec. 275.16(b)(3)), but are proposing to redesignate Sec.
275.16(b)(3) as Sec. 275.16(b)(2) to reflect the deletion of Sec.
275.16(b)(2). We believe that retaining the requirement to do
corrective action planning when the negative error rate exceeds one
percent is necessary to ensure that households are not being
inappropriately denied or terminated in an effort to reduce payment
error rates. Also, this is consistent with the High Performance Bonuses
final rule that provides criteria for rewarding States with very low
negative case error rates. Finally, we are proposing to redesignate
Sec. 275.16(b)(4), (b)(5), and (b)(6) as Sec. 275.16(b)(3), (b)(4),
and (b)(5), respectively, to reflect the deletion of Sec. 275.16(b)(2)
and redesignation of Sec. 275.16(b)(3) as Sec. 275.16(b)(2).
Section 275.13 requires State agencies to review suspended cases as
part of the negative case sample. Suspended cases were added to the
negative universe in a rule published July 16, 1999, at 64 FR 38287.
That rule did not add suspended cases to those deficiencies requiring
corrective action at Sec. 275.16(b)(6) (redesignated in this rule as
Sec. 275.16(b)(5)). To correct this oversight, we are proposing to
revise redesignated Sec. 275.16(b)(5) to include deficiencies which
result in improper suspensions.
E. Timeframes for Announcing the National Performance Measure and for
Completing Quality Control Reviews and Resolving State/Federal
Differences
The interim rule published October 16, 2003, at 68 FR 59519 revised
the regulations at Sec. 275.23(e)(7) to establish the following
timeframes for completing quality control reviews and resolving State/
Federal differences and for announcing the national performance
measure. The deadline for completing quality control reviews and
resolving State/Federal differences is May 31 of the following year.
The deadline for announcing the national performance measure is June 30
following the end of the fiscal year review period. These new
timeframes provide approximately two additional months to complete the
case review and arbitration process and to develop and announce the
national performance measure. In this rule, we are proposing to use
this additional time in the following way.
Currently, as provided for in Sec. 275.21(b)(2), State agencies
are required to complete and transmit to FNS 90 percent of all cases
selected for a sample month within 75 days of the end of that sample
month. State agencies are required to complete and transmit to FNS 100
percent of all cases selected for a sample month within 95 days of the
end of the month. Section 273.21(d) requires that all cases sampled for
the annual review period be completed or otherwise accounted for and
reported to FNS no later than 105 days from the end of the review
period.
In order to fully understand this proposal, it is helpful to
understand the background of the current timeframes. Section 13951 of
the Mickey Leland Childhood Hunger Relief Act of 1993, Public Law 103-
66, required that all case reviews and arbitration be completed within
180 days of the end of the review period. On June 23, 1995, the
Department proposed changes to the regulations to implement the 180-day
requirement to complete all case reviews and arbitration (60 FR 32615).
In that rule, we proposed to reduce the amount of time to complete each
monthly sample by requiring that 100 percent of the cases selected for
review be completed within 90 days of the end of the sample month.
However, in the final rule published June 2, 1997 (62 FR 29652), we
left the timeframes as they were originally, i.e., that 90 percent of
all cases be completed within 75 days and all cases be disposed of
within 95 days of the end of the sample month. In that final rule, we
reduced the amount
[[Page 55782]]
of time FNS regional offices had to complete validation from 95 days to
43 days and modified the arbitration system in order to reduce the
amount of time necessary to complete the case review and arbitration
process within the allotted 180 days. Thus FNS absorbed all the
reduction in time for completing the annual QC review process.
We believe that the best uses of the additional two months of time
between the end of March and May 30 are to provide States with more
time to complete the individual case review process, to provide the FNS
regional offices with more time to complete their reviews of the
subsample cases, and to provide some additional time at the end of the
review process for the Department to ensure the accuracy of the error
rates, liabilities, and any adjustments to the liabilities.
Accordingly, in Sec. 275.21(b)(2), we are proposing to provide
State agencies at least 100 days from the end of the sample month to
complete and transmit to FNS 90 percent of all cases and that State
agencies shall have at least 113 days from the end of the sample month
to complete and transmit to FNS 100 percent of all cases selected for
the sample month. We are proposing that State agencies have at least
123 days from the end of the annual review period to complete or
otherwise account for all cases selected for review during the annual
review period and to report to FNS the results of all the reviews. This
gives the State agency an additional 25 days to act on 90 percent of
the cases selected each sample month and an additional 18 days to
complete all the cases selected each sample month. We are proposing
that State agencies have at least until January 21 after the end of the
review year to complete and dispose of all cases. We are also proposing
that FNS may grant additional time as warranted upon request by a State
agency for cause shown beyond these dates to complete and dispose of
all cases. We are also proposing to revise Sec. 275.21(b)(4) by
replacing ``95'' with ``113''; to revise Sec. 275.21(c) by replacing
``105'' with ``123''; and to add a sentence to each of these paragraphs
stating that if FNS extends the timeframes in Sec. 275.21(b)(2), that
the timeframes in these paragraphs will be extended accordingly.
On January 22, 2003, we waived the deadlines for State agencies to
complete processing cases in Sec. 273.21(b) for FY 2003 and provided
States with 113 days to complete each sample month's cases. This waiver
was extended on March 4, 2004. In providing comments on this proposal,
we would be interested in hearing whether this amount of additional
time was useful and/or sufficient. In addition to the extended
timeframes for completion of individual cases, that waiver provides
State agencies an additional 10 days at the end of the review period,
i.e., January 22 through January 31, to perform checks on the
individual data transmitted by State agencies (c-trails). That
additional 10 days is an expansion of current policy allowing
additional time to check the c-trails during the review period. In this
rulemaking, we are not proposing to allow this additional 10 days at
the end of the review year for checking the c-trails. We are not
proposing to allow the additional 10 days in this rulemaking because we
feel that States have already received a significant additional amount
of time to perform and complete all work related to the individual case
reviews. Delaying completion of the State work until January 31 delays
the completion of the Federal rereview process which in turn impacts
FNS?s ability to timely and accurately prepare the payment error rates.
However, we are interested in receiving comments on this issue.
Under the timeframes as provided in the January 23, 2003,
memorandum, FNS regional offices were given until March 31 to complete
their subsample review process in order for all arbitration to be
completed timely and to provide some additional time to ensure the
accuracy of the error rates, liabilities, and adjustments to the
liabilities. If FNS opts to extend the State agencies? timeframes, FNS
will adjust the amount of time provided to the regions for validation
and/or adjust the time provided to the Department to ensure the
accuracy of the error rates, liabilities, and adjustments to the
liabilities.
Section 275.21(c) provides that State agencies report the monthly
progress of sample selection and completion on the Form FNS-248, Status
of Sample Selection and Completion or other format specified by FNS. In
response to a notice published at 68 FR 10437 on March 5, 2003, the
Department received two comments suggesting elimination of the form.
Federal statisticians use the information on the FNS-248 to track the
status of case completions and identify when timely generation of an
error rate is jeopardized. Most of the information on the FNS-248 is
available elsewhere. Further, the form itself is not necessary for
State agencies to provide the necessary information, and the regulation
currently provides that States may submit this information other than
on the form. Therefore, we are proposing to revise Sec. 275.21(c) to
eliminate the form. State agencies will still be required to submit the
information on a monthly basis as directed by the appropriate regional
office.
Section 275.21(d) requires State agencies to submit an FNS-247,
Statistical Summary of Sample Distribution, annually. Although the
requirement is still in the regulations, FNS no longer requires State
agencies to submit this form. Accordingly, we are proposing to remove
Sec. 275.21(d).
Currently, there is one level of arbitration. Quality control
arbitration is the resolution of disagreements between the FNS regional
office and the State agency concerning individual QC case findings and
the appropriateness of actions taken to dispose of an individual case.
The timeframes for conducting arbitration are in Sec. 275.3(c)(4).
Under these rules, a State agency is required to submit its request for
arbitration within 20 calendar days of the date of receipt by the State
agency of the regional office case findings. The FNS arbitrator has 20
calendar days from receipt of the State agency request to review and
make a decision on the case. The arbitration timeframes as currently
established appear to be adequate from our perspective. We believe that
20 days is an adequate amount of time for a State agency to prepare its
case for arbitration. This time period is intended primarily for the
State agency to prepare its letter addressing what issue or issues it
is appealing, assemble the case file, and transmit the request. This
time period is not intended for State agencies to conduct additional
review activities. Our recent experience with the arbitration process
indicates that, except for a small number of cases where the State
submitted an incomplete case, 20 days has been sufficient to review and
reach a decision. Accordingly, we are not proposing to make any changes
in the timeframes for requesting and conducting arbitration. We are
seeking comments, however, about whether affected parties and the
public agree that the timeframes are adequate. If additional time is
required for arbitration, the amount of time given to State agencies
for completing individual case reviews may need to be reduced from that
proposed in this rule.
F. Consequences To Households Who Refuse To Cooperate With Quality
Control Reviews
Section 273.2(d)(2) provides procedures for handling the cases of
food stamp participants who refuse to cooperate with a quality control
review of their case. Currently, a household is determined ineligible
if it refuses to
[[Page 55783]]
cooperate with a QC review. Questions have arisen about what happens
when one or more household members leave a household subject to this
penalty. Because the regulations do not provide an answer to the
question, it has been left to State agencies to determine which
household members continue to be subject to the penalty. We are
proposing to amend this provision to provide that the ineligibility
penalty will follow the household member(s) who refused to cooperate.
In this rule, we are also proposing to make a conforming change to
Sec. 273.2(d)(2). Current procedures in Sec. 273.2(d)(2) require that
a household be terminated for refusal to cooperate with a State or
Federal quality control reviewer. If a household terminated for refusal
to cooperate with a State QC reviewer reapplies within 95 days of the
end of the annual review period, the household cannot be determined
eligible until it cooperates with the State QC reviewer. If the
household terminated for refusal to cooperate with a State QC reviewer
reapplies more than 95 days after the end of the review period, the
household is required to provide verification of all eligibility
factors before it can be certified. If a household terminated for
refusal to cooperate with a Federal QC reviewer reapplies within 7
months of the end of the annual review period, the household cannot be
determined eligible until it cooperates with the Federal QC reviewer.
If the household terminated for refusal to cooperate with a Federal
reviewer reapplies more than seven months after the end of the review
period, the household is required to provide verification of all
eligibility factors before it can be certified. We are proposing to
change the dates in Sec. 273.2(d)(2) to 123 days and nine months to
conform the dates in Sec. 273.2(d)(2) to the proposed changes in the
dates for completion of the State review process in Sec. 275.21(b) and
the end of the Federal QC review process in Sec. 275.23(e)(7)
(renumbered in this proposed rule as Sec. 275.23(c)).
We are also proposing additional conforming changes to other
sections of the regulations that identify these timeframes. These
conforming amendments are not discussed in this preamble.
G. Section 275.23--Determination of State Agency Program Performance
Section 275.23 establishes the procedures to be used to evaluate a
State agency's performance through the quality control review system.
This section includes the error rates to be established, the
methodology used to establish those error rates (including regression),
the thresholds for establishing potential liabilities for excessive
error rates, the relationship of the sanction system to the warning
process and negligence, the timeframes for announcing error rates, the
procedures for resolving liabilities, the procedures for reducing
liabilities based on good cause on appeal, the policy on charging
interest on liabilities, and the procedures for new investment
activities to reduce liabilities.
Over time, as the authority for determining the error rates and the
sanction system has been changed by legislation, changes have been made
throughout Sec. 275.23. Those changes were made within the existing
structure of the section. The changes to the sanction system made by
the FSRA impact much of Sec. 275.23. Because several sections require
substantive revision and many paragraphs require minor changes or
reference changes, we have decided to take the opportunity to
reorganize the section at the same time as making the necessary changes
resulting from the legislation. Accordingly, we are proposing to revise
and reorganize Sec. 275.23 in its entirety.
Under this proposed reorganization, Sec. 275.23(a) will address
the basic components of FNS determination of a State agency's
efficiency and effectiveness (currently Sec. 275.23(a) and (b)). A new
Sec. 275.23(b) will address error rates. The existing methodology for
regression in Sec. 275.23(e)(6) is proposed to be incorporated into
the new Sec. 275.23(b). Section 273.23(c) will address the timeframes
for completing case reviews, conducting arbitration, and issuing error
rates. Section 273.23(d) will address State agency liability. Included
in this paragraph will be the procedure for establishing the national
performance measure, the liability methodology, appeal rights, and the
relationship to the warning process and negligence. Section 275.23(e)
will address liability resolution plans; Sec. 275.23(f) will address
good cause; Sec. 275.23(g) will address results of appeals on
liability resolution; Sec. 275.23(h) will address new investment (the
rules currently refer to such investment as ``reinvestment''; in this
rule, we are proposing to change the term to ``new investment,''
consistent with the language used in the FSRA); Sec. 275.23(i) will
address payment of the at-risk money; and Sec. 275.23(j) will address
interest charges.
Current Sec. 275.23(e)(4) (Relationship to warning process and
negligence), Sec. 275.23(e)(5) (Good cause), and Sec. 275.23(e)(6)
(Determination of payment error rates) are unchanged except for minor
editing, renumbering, or reference changes. Sections 275.23(e)(4),
(e)(5), and (e)(6) are proposed to be redesignated as Sec.
275.23(d)(4), (f), and (b)(2), respectively. These changes are part of
the restructuring for purposes of clarity. Necessary reference changes
and language changes resulting from the elimination of enhanced funding
have also been made. Such changes are technical in nature and do not
impact the procedures themselves. These sections include the regression
methodology and the criteria for good cause. Although these sections
have been included in their entirety, their substantive content has not
been changed, and comments are not being sought on these procedures.
Because comments are not being sought on the substantive content of
these sections, any comments received on the substantive content will
not be taken into consideration in developing the final rule.
H. Elimination of Pre-Fiscal Year 2003 Liability Establishment
Procedures
The interim rule, published October 16, 2003, at 68 FR 59515,
revised Sec. 275.23(e) to eliminate procedures for establishing
liabilities for Fiscal Years 1983 through 1991. Section 275.23(e)(2)
now provides procedures for establishing liability for excessive
payment error rates for FY 2002. Section 275.23(e)(3) provides
procedures for establishing liability amounts for FY 2003 and beyond,
putting in place the provisions of Section 4118 of the FSRA. The
provisions of Section 4118 give the Department the authority to waive
any portion of the established liability amount, to require a State
agency to invest up to 50 percent of any established liability amount
in program administration activities, to establish up to 50 percent of
the established liability amount as being ``at-risk'' for repayment if
a liability amount is established for the subsequent fiscal year, or
any combination of the three. Readers should refer to the interim rule
for more information concerning the new liability system. Comments
received in response to the interim rule and to this proposed rule will
be considered in developing the final rule on liability resolution. The
final rule will merge the interim rule and this proposed rule.
We are proposing to remove Sec. 275.23(e)(2) (as part of the
overall revision of Sec. 275.23) as it no longer necessary. All
liabilities for FY 2002 have already been determined.
[[Page 55784]]
I. Appeals of Liability Determinations
Section 16(c)(7) of the Food Stamp Act, as amended, provides that a
State agency is entitled to appeal the amount of a liability only for a
fiscal year in which a liability amount is established. That means that
excessive payment error rates in the first year of the new 2-year
liability system are not subject to appeal. Nor is the national
performance measure subject to appeal, in accordance with Section
16(c)(6)(D) of the Food Stamp Act, as amended. Thus, only a State
agency's second year error rate and related liability determination are
appealable. The Department recognizes that good cause may exist for an
excessive error rate in year 2 that could be the result of events in
year 1. The Department has proposed at Sec. 275.23(d)(3) to limit
appeals to the determination of a State's payment error rate, or a
determination of whether the payment error rate exceeds 105 percent of
the national performance measure and the liability amount for any year
for which a liability is established. To address the limitations on the
appealability of year 1 and the possibility of causes extending back
into that year, we are also proposing to allow a State agency to
address areas of good cause in the prior fiscal year that may have
impacted the fiscal year 2 for which a liability amount has been
established.
The recent significant drop in the national performance measure and
individual State error rates has raised questions about the effect on
this new liability system if the error rates continue to fall lower.
Specifically questions have arisen about what happens if a State
agency's error rate is below six percent but there is a 95 percent
statistical probability that the State's payment error rate exceeds 105
percent of the national performance measure. There are two significant
points to be addressed. First, since six percent is the potential
liability threshold provided in the FSRA no liability amount would be
established. However, the year would be a year of poor performance
under the new liability system and would be considered a year 1 in
determining whether a State agency had two consecutive years of error
rates exceeding 105 percent of the national performance measure. The
law mandates that a year be considered a year of poor performance
whenever there is a 95 percent statistical probability that a State
agency's payment error rate exceeds 105 percent of the national
performance measure. The six percent threshold for a liability amount
determination is not relevant to the determination of poor performance.
Second, questions have also arisen about whether the determination of
whether a year for which no liability was established because the
State's error rate was above the national performance measure but was
below six percent was a year 1 is appealable. Under FSRA, this
determination is not appealable. However, in the event a State agency
incurs a potential liability in a subsequent year, a State agency would
be able to address areas of good cause in prior fiscal year 1 that may
have impacted the fiscal year 2 for which a liability amount has been
established.
Section 4118 of the FSRA provides that when a State agency appeals
its liability amount determination, if the State agency began required
new investment activities prior to an appeal determination, and if the
liability amount is reduced to $0 through the appeal, the Secretary
shall pay to the State agency an amount equal to 50 percent of the new
investment amount that was included in the liability amount subject to
appeal. If the Secretary wholly prevails on a State agency's appeal,
Section 4118 provides that the Secretary will require the State agency
to invest all or a portion of the amount designated for new investment
to be invested or paid to the Federal government. Section 4118 further
specifies that the Department will issue regulations addressing how the
remaining new investment amount will be treated if neither party wholly
prevails. The interim rule published October 16, 2003 at 68 FR 59519
established in Sec. 275.23(e)(10) the provisions concerning either the
Secretary or the State agency wholly prevailing. In accordance with
Section 4118 of the FSRA, we are proposing procedures in this rule for
use when neither party wholly prevails on appeal.
Under the FSRA, liability is established based on two consecutive
fiscal years of poor performance. Whenever there is a 95 percent
statistical probability that a State's payment error rate exceeds 105
percent of the national performance measure in each of two consecutive
review years, the Department will issue, for the second consecutive
fiscal year, a statement of potential liability amount to the State
agency at the same time that the Department issues the State agency's
official regressed payment error rate. The Department will also advise
the State agency of the Department's determination of the portions of
the liability amount (expressed as percentages) designated as waived,
for new investment, and at-risk. If the State agency wishes to appeal
the liability amount through the process in Part 283 of the
regulations, the State agency may do so.
As specified in the interim rule, if the State agency appeals the
liability amou