Supplemental Nutrition Assistance Program: Quality Control Provisions of Title IV of Public Law 107-171, 33422-33444 [2010-13446]
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Federal Register / Vol. 75, No. 112 / Friday, June 11, 2010 / Rules and Regulations
DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Parts 271, 273, 275, and 277
[FNS–2009–0045]
RIN 0584–AD31
Supplemental Nutrition Assistance
Program: Quality Control Provisions of
Title IV of Public Law 107–171
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AGENCY: Food and Nutrition Service,
USDA.
ACTION: Final rule.
SUMMARY: This rule finalizes provisions
of an interim rule entitled ‘‘Food Stamp
Program: Non-Discretionary Quality
Control Provisions of Title IV of Public
Law 107–171’’ published on October 16,
2003, and a proposed rule entitled
‘‘Food Stamp Program: Discretionary
Quality Control Provisions of Title IV of
Public Law 107–171’’ published on
September 23, 2005. The Food Stamp
Program is now referred to as the
Supplemental Nutrition Assistance
Program (SNAP) pursuant to the Food
and Nutrition Act of 2008 (Act). This
final rule codifies the provisions
concerning the Quality Control system
in Sections 4118 and 4119 of the Food
Stamp Reauthorization Act (FSRA) of
2002. This rule finalizes the liability
procedures and the deadlines for
completing the quality control review
process and announcement of error rates
established in the interim rule. It
eliminates enhanced administrative
funding for low error rates, establishes
new time frames for completing
individual quality control reviews,
establishes procedures for resolving
liabilities following appeal decisions,
revises the negative case review
procedures, and provides procedures for
households that separate while subject
to the penalty for refusal to cooperate
with a quality control review. This rule
also adopts several policy changes and
technical corrections included in the
proposed rule. In addition, this rule
affects State agencies’ quality control
review operations and alters 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 with cases
sampled for quality control review of
their cases would be minimally affected
by this rule.
DATES: Effective Date: This rule is
effective July 12, 2010. Implementation
date: This rule shall be implemented as
follows: The provisions in 7 CFR 271.2,
7 CFR 275.11(e)(2)(i), 7 CFR
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275.11(e)(2)(ii), 7 CFR 275.13(b), and 7
CFR 275.12(c)(1) concerning negative
cases and 7 CFR 273.2(d)(2) concerning
consequences to households that refuse
to cooperate with quality control (QC)
reviews must be implemented no later
than October 1, 2011. State agencies
may choose to implement these
provisions earlier than October 1, 2011.
A 120-day hold harmless is provided for
implementation of 7 CFR 273.2(d)(2),
concerning consequences to households
who refuse to cooperate with a QC
review. If a State agency implements the
provision before October 1, 2011, the
120-day hold harmless period begins on
the date of implementation. All other
provisions must be implemented August
10, 2010.
FOR FURTHER INFORMATION CONTACT:
Margaret Werts Batko, Quality Control
Branch, Program Accountability and
Administration Division, Food and
Nutrition Service, USDA, 3101 Park
Center Drive, Alexandria, Virginia
22302, (703) 305–2516. The e-mail
address is margaret.batko@fns.usda.gov.
Questions regarding this rulemaking
should be addressed 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 Electronic
Access
Electronic Access
You may view and download an
electronic version of this final rule at
https://www.fns.usda.gov/snap/. All
comments, including names, street
addresses, and other contact
information of respondents, received in
response to the interim and proposed
rules are 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 Supplemental Nutrition
Assistance 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
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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). It has been certified that this
rule will not have a significant
economic impact on a substantial
number of small entities. State welfare
agencies will be the most affected to the
extent that they administer the
Supplemental Nutrition Assistance
Program.
Public Law 104–4
Title II of the Unfunded Mandates
Reform Act of 1995 (UMRA) establishes
requirements for Federal agencies to
assess the effects of their regulatory
actions on State, local, and tribal
governments and the private sector.
Under Section 202 of the UMRA, the
Food and Nutrition Service (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 costeffective 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 E.O. 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.
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Civil Rights Impact Analysis
FNS has reviewed this rule in
accordance with the Department
Regulation 4300–4, ‘‘Civil Rights Impact
Analysis,’’ to identify and address any
major civil rights impacts that 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 intended 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 Supplemental Nutrition
Assistance Program. The only provision
that has any direct impact on recipients
is the conforming change made in 7 CFR
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 QC 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. This rule contains a conforming
amendment to extend the time frame of
the penalty consistent with the revised
time frame for completing the QC
review process established in Section
4119 of the Food Stamp Reauthorization
Act of 2002 and addressed in this rule
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 classes is not available for
these households.
An additional change is also being
made to 7 CFR 273.2(d)(2) that requires
a State agency to convey the
disqualification penalty for refusing to
cooperate with a QC reviewer with the
non-cooperating household member if
the household breaks up and if the State
agency can identify the non-cooperating
individual. This change ameliorates the
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penalty on cooperating household
members. It is not intended to have a
disproportionate impact on any of the
protected classes.
All data available to FNS indicate that
protected individuals have the same
opportunity to participate in the SNAP
as non-protected individuals. The QC
system is a systematic method of
measuring the validity of the SNAP
caseload. A statistically valid sample of
active and negative cases is reviewed to
determine the extent to which
households are receiving the allotments
to which they are entitled, and to
determine which decisions to deny,
suspend, or terminate cases are correct.
Protected classes should appear in any
given sample to the extent that they are
represented in the overall SNAP
population. There is no way to
determine the percentage of each of the
protected classes terminated for refusal
to cooperate with a QC review as that
data is not collected.
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 (SNAP
nondiscrimination policy can be found
at 7 CFR 272.6). Discrimination in any
aspect of program administration is
prohibited by these regulations, the
Food and Nutrition Act of 2008, 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 accordance with 7 CFR
Part 15.
Paperwork Reduction Act
This 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 (expiration date
November 30, 2009): This rule does not
affect the negative review schedule,
Form FNS–245. In the most recent
approval of OMB Number 0584–0034,
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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 that is
still found in the regulation. Eliminating
from the regulations the requirement to
complete the form does not affect the
burden as the burden was already
adjusted in the burden approval process
when the actual use of the form was
discontinued. We proposed to eliminate
the Form FNS–248. Over time, we have
discontinued requiring that the form
itself be submitted. However, some of
information on that form is still
required. State agencies provide the
information on the interval and the
number of cases selected each month by
phone or e-mail. With the elimination of
the Form FNS 248, the regulations will
permit that this information be
submitted in another format. The
burden difference from eliminating most
of the data collection found on the form
has already been accounted for through
the burden approval process.
Accordingly, elimination of this form
will not increase or decrease the
approved burden for OMB Number
0584–0034. We received no comments
on this proposal; we are adopting it as
proposed.
0584–0074 (Form FNS–380,
Worksheet for Supplemental Nutrition
Assistance Program Quality Control
Reviews) (expiration date February 28,
2010) ; 0584–0299 (Form FNS–380–1,
Quality Control Review
Schedule)(expiration January 31, 2010);
and 0584–0303 (Food Stamp Program
Regulations, Part 275—Quality
Control)(expiration date November 30,
2010) (Note the name of 0584–0303 will
be changed to Supplemental Nutrition
Assistance Program Regulations, Part
275—Quality Control when it is next
renewed or a change justification is
done.): 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 (expiration date
April 30, 2010): Corrective action
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planning is included under this
information collection package.
Regulations prior to passage of the Food
Stamp Reauthorization Act of 2002
required corrective action planning
when a State agency failed to reach the
yearly target, when a State agency was
not entitled to enhanced funding, and
when its negative case error rate
exceeded one percent. In an interim rule
entitled ‘‘Food Stamp Program: NonDiscretionary 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. This rule
finalizes this requirement to conduct
corrective action whenever a State’s
payment error rate equals or exceeds six
percent.
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 eliminates 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, the last
year enhanced funding was provided to
States, there was no State whose error
rate was below six percent that did not
get enhanced funding. This rule
finalizes the proposal 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
from removing the requirement to do
corrective action planning whenever a
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State agency is not entitled to enhanced
funding.
E-Government Act Compliance
The Food and Nutrition Service is
committed to complying with the EGovernment Act of 2002, to promote the
use of the Internet and other
information technologies to provide
increased opportunities for citizen
access to Government information and
services, and for other purposes.
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 to the
application of its provisions, all
applicable administrative procedures
must be exhausted. In the Supplemental
Nutrition Assistance 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 7 CFR 273.15; (2) for
State agencies—administrative
procedures issued pursuant to 7 U.S.C.
2023 set out at 7 CFR 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.
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 finalizes provisions of
the interim rule ‘‘Food Stamp Program:
Non-Discretionary Quality Control
Provisions of Title IV of Public Law
107–171’’ published on October 16,
2003, and a proposed rule entitled
‘‘Food Stamp Program: Discretionary
Quality Control Provisions of Title IV of
Public Law 107–171’’ on September 23,
2005.
The interim rule revised the liability
procedures and established new
deadlines for completing the quality
control (QC) review process and
announcement of payment error rates.
This final rule would amend the
Supplemental Nutrition Assistance
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Program regulations concerning the 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 time frames for completing
individual case reviews and the time
frames for penalties for households that
refuse to cooperate with a QC review, to
revise the negative review procedures,
and to make a number of technical
policy changes and corrections. This
analysis addresses the liability
procedures, elimination of enhanced
funding, the impact of appeals decisions
on the resolution of QC liabilities for
high payment error rates, the revised
time frames for completing individual
case reviews and the entire review
process and announcement of the error
rates, the time frames for penalties for
households that refuse to cooperate with
a QC review, negative review
procedures, and corrective action
planning.
Cost Impact
Since this action does not directly
impact benefit levels or eligibility, we
do not anticipate any impact on SNAP
benefit costs. The provision extending
the time frames for verification of
households reapplying for benefits is
not expected to have a measurable
impact on benefit costs. Fewer States
will be identified as having any
potential liability, and most such
liabilities will be significantly lower
than those under the previous system.
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 had
remained at their 1998–2002 levels, the
annual savings to the Supplemental
Nutrition Assistance Program would
have been $50 million and the five-year
savings would have been $250 million.
These savings would have been offset by
the establishment of high performance
bonuses (addressed in the final rule
‘‘Food Stamp Program: High
Performance Bonuses’’ published
February 7, 2005, at 70 FR 6313).
However, between 2002 and 2008,
payment error rates fell from 8.26
percent to 5.01 percent. The number of
States that would have qualified for
enhanced funding would have risen to
28 by 2008 and the amount of incentive
funding received by these States would
have totaled nearly $188 million. The
amount of incentive funding for the five
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years from 2003–2007 would have
totaled $720 million, of which only
$240 million would have been offset by
the new performance bonus, yielding a
net savings of $480 million.
See Table below.
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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 was
expected to encourage States to assess
and improve overall performance.
Benefit Impact
Elimination of enhanced funding
based on payment accuracy did not
have a benefit impact on State
administrating agencies or on program
operations if considered in isolation.
However, when this provision was
combined with the new performance
COST IMPACT OF CERTAIN QUALITY CONTROL PROVISIONS OF THE FOOD STAMP REAUTHORIZATION ACT OF 2002
(FEDERAL OUTLAYS)
[In millions of dollars]
2003
2004
2005
2006
2007
5-Year
Elimination of Enhanced funding .....................................
High Performance Bonus .................................................
¥$95
48
¥$133
48
¥$158
48
¥$160
48
¥$174
48
¥$720
240
Net Savings ..............................................................
¥47
¥85
¥110
¥112
¥126
¥480
The provisions affecting the time
frames for completing individual case
reviews, negative 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.
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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 QC system.
An interim rule entitled ‘‘Food Stamp
Program: 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 ‘‘Food Stamp
Program: High Performance Bonuses’’
was published February 7, 2005, at 70
FR 6313 that implemented Section 4120
of the FSRA. A proposed rulemaking,
published September 23, 2005, at 70 FR
55776 addressed the remaining
provisions of Sections 4118 and 4119 of
the FSRA, negative case review
procedures, and several discretionary
policy changes, and numerous technical
corrections. This rule finalizes both the
interim and the proposed rules.
A. Enhanced Funding
The current regulations at 7 CFR
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
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negative case error rate for the prior
fiscal year. Section 4118 of FSRA
removed the provision in the Food
Stamp Act of 1977 (now the Food and
Nutrition Act of 2008) for giving
enhanced funding to State agencies with
low payment and negative case error
rates, effective fiscal year (FY) 2003,
effectively ending enhanced payments.
Section 4120 of the FSRA replaced 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, these
sections are no longer necessary. We
proposed to eliminate paragraphs (b)(1)
and (b)(2) of 7 CFR 275.1, to change
paragraph (a) of 7 CFR 275.1 into a
general introductory paragraph, and to
remove 7 CFR 275.23(d). We received
two comments on the proposed
elimination of enhanced funding. Both
commenters supported the proposal.
Accordingly, we are adopting as
proposed the revisions to 7 CFR 275.1,
eliminating paragraphs (b)(1) and (2),
changing paragraph (a) into a general
introductory paragraph, and removing 7
CFR 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
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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 proposed in 7
CFR 275.3(c) to require that all States’
negative error rates be validated by FNS.
First, we believe that fair and equitable
treatment needs to be ensured when it
comes to denying households benefits.
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. We
received two comments supporting this
proposal. We are adopting the provision
mandating FNS validation of all States’
negative error rates in 7 CFR 275.3(c).
In addition, we are adopting as
proposed the technical changes
throughout Part 275 that 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 SNAP. In 7 CFR 277.4,
paragraphs (b)(1), (b)(4), (b)(5), and
(b)(6) describe the procedures for
increasing State administrative funding
when State agency QC 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 the authority for
the period beginning October 1988 and
forward. The authority in the Food
Stamp Act (now the Food and Nutrition
Act of 2008) for 7 CFR 277.4(b)(1)(i) was
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removed by the Hunger Prevention Act
of 1988 (Public Law 100–435). The
authority for 7 CFR 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 QC error rates for fiscal years
beginning October 2002 and beyond,
thus making 7 CFR 277.4(b)(1)(ii)
obsolete for FY 2003 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. No comments were
received on these proposed changes.
Accordingly, we are removing 7 CFR
277.4(b)(1), (b)(4), (b)(5), and (b)(6).
Sections 277.4(b)(2), (b)(3), (b)(7), and
(b)(8) are redesignated as 7 CFR
277.4(b)(1), (b)(2), (b)(3), and (b)(4),
respectively. In addition, we are also
revising the references in redesignated 7
CFR 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 QC
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 7 CFR
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 FNS
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 proposed to revise 7 CFR
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.
We received six comments addressing
this proposed revision, all supporting
the revision to the regulations. This
policy has been in effect since October
1998 and benefits State agencies.
Accordingly, we are adopting as
proposed the revision to 7 CFR
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275.12(g)(1)(ii) that requires QC
reviewers to attempt to complete cases
where a household refuses to cooperate.
C. Negative Case Reviews
The Department proposed significant
changes to the negative review
procedures. In order to fully understand
the changes made in this rulemaking to
the procedures for reviewing negative
cases, readers are referred to the
proposed rule located at 70 FR 55776.
The proposed rule has a detailed
description of the existing requirements
and the proposed changes.
First, the Department proposed that
the negative universe be selected based
only on ‘‘action,’’ eliminating the option
to use ‘‘effective date.’’ Second, the
Department proposed to delete the
requirement that there be a break in
participation in order for a negative
action to be subject to review. Finally,
the Department proposed to limit the
use of the expanded review process.
We received 22 comments on one or
more aspects of the proposals to revise
the negative review procedures. Most
commenters opposed all the proposed
changes; a few supported all the
changes; some addressed only one or
two of the proposed changes; and some
commenters supported one or more of
the proposals while opposing one or
more of them. The opposing
commenters also believed that these
proposed changes reflected a change
from ‘‘outcome’’ based reviews to
‘‘procedural’’ reviews.
Specific comments will be addressed
during the discussion of each proposed
change to the negative review
procedures.
Currently, the regulations allow either
‘‘action’’ or ‘‘effective date’’ as the
selection criteria for the sampling
universe. 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 both the States’
and the national negative error rate.
Because multiple actions can occur
within a sampling period, States using
‘‘effective date’’ have had to decide
which of the several actions to review.
This decision process introduces bias
into the system. Focusing on the
‘‘action’’ means that each negative action
has an equal opportunity to be sampled
and reviewed. We proposed to revise 7
CFR 275.11(e)(2)(i) and (e)(2)(ii)
accordingly. Sixteen commenters
addressed the proposal to eliminate
‘‘effective date’’ for constructing the
sample. Ten commenters opposed the
proposal; 4 commenters supported the
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proposal; and two commenters
supported the proposal but said they
used ‘‘effective date’’. We have not
categorized these last two commenters
as either supporting or opposing the
proposals because we believe that,
based on how they worded their
comments, that these commenters
misunderstood the proposal. However,
it is possible that they supported the
proposal even though these States
would be required to change their
methods of sample selection.
Commenters did not address the
statistical issues that resulted in the
decision to propose requiring the use of
‘‘action date’’ and eliminate the use of
‘‘effective date.’’ States did, however,
discuss how this has been the process
for many years and has apparently
worked. It has worked largely because
the Department was unaware that not all
actions were being included in the
universe. The problem only came to our
attention when we began universal
validation of negatives. The increased
attention to negatives has resulted in an
awareness of many of the problem
addressed. State agencies started asking
many questions about how to review
negatives, questions that were not raised
before validation was universal. The
Department became aware of problems
surrounding sample construction in two
major ways. First, statistical reviews
revealed that not all negative actions
were being captured in some States that
were relying on ‘‘effective date’’ to
capture terminations. Further, the
Department has been receiving
questions about what action should be
reviewed when multiple actions
occurred during a sample month and
the reviewer has not been able to
determine what action was sampled.
Commenters were concerned that the
proposed change would necessitate
major computer changes to change the
sample selection process. Such
computer changes are costly and timeconsuming, according to the
commenters. While we understand the
commenters’ concerns about computer
changes that will be required, we
believe that it is necessary that the
sampling universe include all possible
negative actions. Therefore, the best way
to obtain all possible negative actions
and to eliminate possible bias in the
selection process is to select based on
‘‘action’’ rather than ‘‘effective date.’’
Accordingly, we are adopting as
proposed the changes to 7 CFR
275.11(e)(2)(i) and (e)(2)(ii).
We have revised the definition of a
‘‘Negative case’’ in 7 CFR 271.2 to say
that a ‘‘Negative case means any action
to deny, suspend, or terminate a case’’.
One commenter believed the proposed
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definition was not consistent with the
proposal to sample based on action
taken. We disagree with that
commenter. The current definition in 7
CFR 271.2 is not consistent with the
proposed change; however, the new
definition is. We are adopting the
revised definition in 7 CFR 271.2 as
proposed.
One commenter requested additional
time for implementation if the proposal
were to be adopted. We have considered
this suggestion and have decided to
make the modifications to the negative
review procedures effective beginning
with the first day of FY 2012, October
1, 2011.
Section 275.11(f)(2)(vi) currently
provides that a negative action would
only be subject to review if there was a
break in participation. The Department
proposed to eliminate the requirement
in 275.11(f)(2)(vi) that there be a break
in participation for a negative action to
be subject to review because limiting the
focus only to the ‘‘action’’ eliminates a
need for determining whether there was
a break in participation. A conforming
change was also proposed to be made to
the definition ‘‘Negative case’’ in 7 CFR
271.2. Twelve commenters opposed this
proposal; three commenters supported
the proposal. As stated in the preamble
to the proposed rule, this proposed
change to eliminate the ‘‘break in
participation’’ is consistent with the
change in focus to review each
individual action taken. We are
adopting the change to 7 CFR
275.11(f)(2)(iv) as proposed.
Finally, the Department proposed to
limit the expanded review in 7 CFR
275.13(b). The expanded review allows
the QC reviewer to look beyond the
reason given for action taken by the
eligibility worker (EW) to deny,
terminate, or suspend a household.
Under current procedures as provided
for in 7 CFR 275.13(b) and expanded in
FNS Handbook 310, the QC reviewer
may examine the case file for additional
reasons to support the denial,
suspension, or termination. Section
275.13(b) permits contacting the
household or a collateral contact to
clarify whether a reason exists that
supports a denial, suspension, or
termination. The FNS Handbook 310
also permits a field investigation.
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.
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Limiting the expanded review is also
consistent with a review of ‘‘action.’’
Under the review procedures as
proposed, 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 under
review, 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 proposed 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 received 20
comments on this proposal. Eighteen
commenters opposed the proposal; two
supported it. The commenters opposing
the change felt that this change,
especially in combination with the other
two changes, emphasized procedure
rather than outcome. These commenters
believed that the purpose of the negative
review should be to determine if a
household was ineligible for benefits,
regardless of what a household may
have been told about its eligibility. One
commenter even stated that its notices
to households were not always as
accurate as one might wish them to be.
Ten commenters suggested that if the
expanded review be limited, it be
limited to other information in the case
file that would support an alternative
reason for a negative action, but prohibit
contact with the household or a
collateral contact. State agencies
pointed out that while wrong reasons
may be coded for a specific negative
action, the correct reason may be in the
case file. The commenters felt that such
coding errors were procedural rather
than outcome based.
During the period following the
publication of the proposed rule, the
Department revised the FNS 310
Handbook to conform the procedures in
the Handbook to the regulations. By
doing so, the Department eliminated the
most far-reaching forms of the expanded
review in use by some States, i.e., field
investigations. The FNS 310 Handbook
now requires the State agency to review
the case record to determine if there is
another reason in the case record that
makes the negative action valid and
allows the reviewer to contact the
household or a collateral contact to
verify information in the case record.
The Department has considered the
commenters’ concerns about the
expanded review. However, the
Department has decided the limitations
on the scope of the expanded review are
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33427
appropriate and consistent with reviews
based on ‘‘action.’’ Further, the
Department believes that households are
impacted by the reasons they are given
for their case closures and denials.
Section 273.13(a)(2) requires that the
notice of adverse action clearly explain
the proposed action, the reason for the
proposed action, and the household’s
right to appeal. We do not believe that
it is purely procedural when a
household is given an incorrect reason
for the negative action. We do not
believe that it is purely procedural
when the State agency fails to follow
certification policy and provide
households with the rights to which
they are entitled, such as (but not
limited to) Notices of Missed Interview
(NOMIs), expedited service, or properlytimed denials. Therefore, we believe
that it is in the best interests of program
integrity and service to households to
adopt the procedure as proposed.
Further, with the change to ‘‘action’’
only reviews, we do not believe it
necessary or appropriate to seek reasons
other than the stated one given for the
negative action. Accordingly, the
Department is adopting as proposed the
limiting of the expanded review in 7
CFR 275.13(b), with minor wording
changes of ‘‘correct’’ to ‘‘valid’’ and
‘‘incorrect’’ to ‘‘invalid’’. The State
agency will continue to be allowed to
contact the household or a collateral
contact to verify the validity of the
specific negative action. A conforming
change is also being made to 7 CFR
275.13(c)(1).
In summary, the Department has
adopted the provisions revising the
negative case review process because we
believe that to do so is necessary to
correct the statistical issues surrounding
sampling, that the changes will result in
consistent interpretations among the
States, and represents a better balance
between accuracy and customer service.
One commenter requested a 120-day
hold harmless period if the Department
adopted the proposed changes. We have
considered this request but have
determined that it is not appropriate.
Section 16(c)(3) of the Act and Section
275.12(d)(2)(vii) of the regulations (as
modified by this rule) provide for
exclusion of errors resulting in the
application of new regulations.
However, a change in review procedures
does not result in an error; the QC
system is a measurement system and
review procedures are the mechanism of
that measurement. The errors that are
measured are errors in the certification
process. Changes to the review
procedures do not change the
certification requirements. The
Department has not been able to
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determine what the commenter
expected to be excluded.
We would like to address at this point
the need for States to be consistent,
thorough, and accurate in the
construction of the sample universe. All
actions to deny, terminate, or suspend
households need to be included in the
universe. While we believe that using
the notices of adverse action would be
the simplest way to capture the
terminations, it may not be the only
way. Further, the failure to send a notice
is not in and of itself a reason for an
action to be not subject to review. For
example, if for some reason, the State’s
computer fails to issue notices of
adverse action to a category of
households being terminated from the
Program those terminations would still
be subject to review. The State agency
would be responsible for ensuring that
that group of negative actions is subject
to sampling. Also, if the computer sends
notices of adverse action even if the
‘‘action’’ is solely the expiration of the
certification period, it should be noted
that expired certification periods are not
negative actions and such cases should
be excluded from the sample. Another
category of concern is administrative
closures that do not result in adverse
action notices to households, such as a
case closure and transfer to another
number because the worker incorrectly
opened the case under the wrong
number. The Department does not
consider such administrative closures to
be negative actions as defined by this
rule.
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, 7 CFR 275.16(b)(1) was
revised to require corrective action
planning whenever a State agency’s
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 (7 CFR 275.16(b)(2)) or when
the State agency’s negative case error
rate exceeds one percent (7 CFR
275.16(b)(3)). We proposed to remove 7
CFR 275.16(b)(2) as no longer necessary
because enhanced funding has been
eliminated. We also proposed to
continue to require State agencies to
conduct corrective action planning
whenever the negative case error rate
exceeds one percent (7 CFR
275.16(b)(3)), (redesignated as 7 CFR
275.16(b)(2) to reflect the deletion of 7
CFR 275.16(b)(2)). We proposed
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retaining the requirement to do
corrective action planning when the
negative error rate exceeds one percent
to ensure that households are not being
inappropriately denied or terminated.
Further, this proposal is consistent with
the High Performance Bonuses final rule
that provides criteria for rewarding
States with very low negative case error
rates.
Finally, we proposed to redesignate 7
CFR 275.16(b)(4), (b)(5), and (b)(6) as 7
CFR 275.16(b)(3), (b)(4), and (b)(5),
respectively, to reflect the removal of 7
CFR 275.16(b)(2) and redesignation of 7
CFR 275.16(b)(3) as 7 CFR 275.16(b)(2).
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 received 4 comments
concerning corrective action plans for
negative reviews. Two commenters
supported the proposal. Two
commenters were concerned about the
impact of the proposed changes to the
negative review process on the negative
error rate and were opposed to the
provision as written if the changes to
the negative review process were
adopted. As discussed above, the
Department has adopted the changes to
the negative review process. We have
considered the comments; however, we
are adopting as final the change made in
the interim rule to 7 CFR 275.16(b)(1)
and the deletion of 7 CFR 275.16(b)(2)
and the change in the proposed rule to
7 CFR 275.16(b)(3) (redesignated as 7
CFR 275.16(b)(2)). We believe the
1-percent threshold is appropriate even
though some States’ error rates may rise.
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 final rule published July 16, 1999, at
64 FR 38287. That rule did not add
suspended cases to those deficiencies
requiring corrective action at 7 CFR
275.16(b)(6) (redesignated in this rule as
7 CFR 275.16(b)(5)). To correct this
oversight, we proposed to revise
redesignated 7 CFR 275.16(b)(5) to
include deficiencies which result in
improper suspensions. One commenter
addressed and supported this proposal.
We are adopting as proposed the
requirement to address deficiencies in
the handling of suspended cases
through the corrective action planning
process.
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E. Time Frames for Announcing the
National Performance Measure and for
Completing QC Reviews and Resolving
State/Federal Differences
The interim rule published October
16, 2003 at 68 FR 59519 revised the
regulations at 7 CFR 275.23(e)(7) to
establish the following time frames for
completing QC reviews and resolving
State/Federal differences and for
announcing the national performance
measure. The deadline for completing
QC 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 time frames are
mandated by the Act, and we did not
receive any comments addressing these
new time frames for completing the
review process. Accordingly, we are
adopting these time frames established
in the interim rule.
These new time frames provide
approximately two additional months to
complete the case review and arbitration
process and to develop and announce
the national performance measure. We
proposed to use this additional time in
the following way: (1) 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; (2) provide State
agencies 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; (3) provide
State agencies until January 21 after the
end of the review year to complete and
dispose of all cases; and (4) stipulate
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 also proposed to revise 7 CFR
275.21(b)(4) by replacing ‘‘95’’ with
‘‘113’’; to revise 7 CFR 275.21(c) by
replacing ‘‘105’’ with ‘‘123’’; and to add
a sentence to each of these paragraphs
stating that if FNS extends the time
frames in 7 CFR 275.21(b)(2), that the
time frames in these paragraphs will be
extended accordingly. We also proposed
to continue to allow States 20 days to
request arbitration of individual cases;
however, we also requested comments
about whether this time was considered
adequate.
On January 22, 2003, we waived the
deadlines for State agencies to complete
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processing cases in 7 CFR 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 for Fiscal Years 2005 and
2006. The waiver was again extended on
September 12, 2006, for FY 2007 and FY
2008. In providing comments on this
proposal, we requested comments about
whether this amount of additional time
was useful and/or sufficient. In addition
to the extended time frames 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). In the proposed
rulemaking, we did not allow this
additional 10 days at the end of the
review year for checking the c-trails. We
did not propose allowing the additional
10 days at the end of the review year
because we felt that States had 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 re-review
process which in turn impacts FNS’s
ability to timely and accurately prepare
the payment error rates. However, we
were interested in receiving comments
on this issue.
We received 16 comments addressing
the individual case time frames, the 10day period at the end of the review year
to check the c-trails, and the time period
to request arbitration. Concerns were
also raised about the failure of FNS to
establish individual case review times
for the Federal validation process and
delayed arbitration responses. Six
commenters supported the individual
case time frames as proposed; six
commenters recommended additional
time, up to as much as 125 days. Also,
six commenters recommended that we
eliminate the interim tracking and
establish only a final deadline. We have
considered the comments and will
eliminate the interim tracking and
establish only a final date for
completion of each month’s sample;
provide the States 115 days to complete
each month’s sample; and allow 10 days
at the end of the review year to check
the c-trails. We also revised 7 CFR
275.21(b)(4) by replacing the two-tiered
time frame completion schedule with
115 days; revised 7 CFR 275.21(c) by
replacing ‘‘105’’ with ‘‘125’’; and adopted
the proposed addition to each of these
paragraphs stating that if FNS extends
the time frames in 7 CFR 275.21(b)(2),
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that the time frames in these paragraphs
will be extended accordingly.
Although we did not provide the
States with 125 days to complete
individual reviews each month as some
State agencies recommended, we did
provide the State agencies with 2 days
more than proposed to complete
individual reviews, i.e., 115 days
instead of 113 days. As discussed in the
preamble to the proposed rule, when the
time to complete reviews and issue error
rates was cut back by the Mickey Leland
Childhood Hunger Relief Act, Public
Law 103–66, FNS absorbed the entire
reduction. When the FSRA replaced the
60 days lost under Public Law 103–66,
FNS provided the States with a
significant amount of that replaced time.
We believe that FNS needs the
remaining time to complete the
individual case reviews. In addition to
replacing some of the lost time, FNS’s
work load has increased with the advent
of 100 percent validation of negative
cases.
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 time frames for conducting
arbitration are in 7 CFR 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. Prior to Public Law 103–66, States
had 28 days to request arbitration. As
discussed above, originally FNS
absorbed the total cut in review time
and States lost 8 days to request
arbitration. Although we considered the
amount of time allowed for requesting
arbitration to be adequate, we
specifically requested comments,
however, about whether affected parties
and the public agree that the time
frames are adequate. We received 7
comments addressing the time frames
for requesting arbitration. Five
commenters supported additional time
to request arbitration; two commenters
supported the existing 20 days. One
commenter suggested that the
arbitration process be changed to
include a State person. This proposal
was outside the scope of the proposed
rule and has not been addressed.
Two commenters wanted both more
time to do reviews and more time to
request arbitration. Three other
commenters wanted additional time to
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33429
request arbitration. In the proposed rule,
States were given part of the restored
time, and in this rule have been given
two more days to perform their reviews,
time which has come out of the
Department’s time to complete the
Federal re-reviews, conduct arbitration,
and calculate and release the error rates.
As we indicated in the proposed rule, if
we provided more time to request
arbitration, time to conduct reviews by
the States may have had to be reduced.
States did not address this point;
further, States were more concerned
about the amount of time available for
them to conduct individual reviews
than about the time frames to request
arbitration. In response to that concern,
we provided them more time to conduct
individual reviews. That time was taken
from time for Federal re-reviews to be
conducted.
Three States commented that 20 days
was not a sufficient amount of time to
request arbitration when multiple cases
are received at the same time. 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.
Overall, there are very few arbitration
cases in any one review year. In FY
2000 there were a total of 75 cases
nationwide; in FY 2001 there were 37;
in FY 2002, there were 43 cases; in FY
2004, there were 24 cases; in FY 2005,
there were 38 cases; in FY 2006, there
were 27 cases; in FY 2007, there were
47 cases, and in FY 2008, there were 55
cases. The commenters did not provide
a compelling case stating why this work
cannot be completed in the 20 days
provided for that purpose. The
arbitration time frames as currently
established appear to be adequate from
our perspective. Accordingly, we have
decided to make no change to the time
frames to request arbitration.
Under the time frames as provided in
the January 23, 2003; March 4, 2004;
and September 12, 2006 memoranda
from FNS headquarters to FNS regional
offices, 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. Although we did not request
comments on the establishment of
Federal review time frames, we received
three comments suggesting the
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establishment of time frames for
completion of Federal reviews. Those
comments were outside the scope of the
proposed rule. While we understand the
concerns expressed by the commenters
about delays in receiving Federal rereview results, we believe that this is an
issue that can be addressed on a caseby-case basis.
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. Prior to
publication of the proposed rule
(published on September 23, 2005, at 70
FR 55776), 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 proposed to
revise 7 CFR 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. We received
no comments concerning this proposal;
we are adopting it as proposed.
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
proposed to remove 7 CFR 275.21(d).
We received no comments concerning
this proposal; we are adopting it as
proposed.
F. Consequences to Households Who
Refuse To Cooperate With QC Reviews
Section 273.2(d)(2) provides
procedures for handling the cases of
SNAP participants who refuse to
cooperate with a QC review of their
case. Currently, a household is
determined ineligible if it refuses to
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 proposed to
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amend this provision to provide that the
ineligibility penalty will follow the
household member(s) who refused to
cooperate. We received 13 comments
addressing this proposal. Nine
commenters opposed the provision; 4
commenters supported; one commenter
pointed out that a tracking mechanism
would have to be developed.
Commenters opposed to the proposal
believed that it would be difficult to
accomplish and were concerned about
the need for a tracking mechanism to be
developed that would involve computer
expenses. We recognize these concerns;
however, we do not believe households
should be prohibited from participating
in the program if the person who
refused to cooperate with the QC review
no longer resides with the remaining
household members. Therefore, we are
adopting as proposed the requirement
that the ineligibility penalty follow the
household member(s) who refused to
cooperate. If the State agency is unable
to identify a particular household
member as the refusing person, the State
agency may continue to decide what
member(s) to disqualify. We recognize
that it will take States time to adapt
their computer systems to track the
refusing individual. Accordingly we are
giving the States an extended time to
implement the provision, until October
1, 2011. States may opt to implement
this provision earlier. A 120-day hold
harmless provision applies to
implementation of this change.
In this rule, we also proposed to make
a conforming change to 7 CFR
273.2(d)(2). Current procedures in 7
CFR 273.2(d)(2) require that a
household be terminated for refusal to
cooperate with a State or Federal QC
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
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provide verification of all eligibility
factors before it can be certified. We
proposed to change the dates in 7 CFR
273.2(d)(2) to 123 days and nine months
to conform the dates in 7 CFR
273.2(d)(2) to the proposed changes in
the dates for completion of the State
review process in 7 CFR 275.21(b) and
the end of the Federal QC review
process in 7 CFR 275.23(e)(7)
(renumbered in this proposed rule as 7
CFR 275.23(c)). As we modified the
change in dates for completing the QC
review process to 125, we are adopting
this conforming change, making the
appropriate change to 125 days.
We also proposed additional
conforming changes to other sections of
the regulations that identify these time
frames. These conforming amendments
are not discussed in this preamble and
are adopted with appropriate
modifications to reflect the additional
time provided to complete the reviews.
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 QC
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
time frames 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 7 CFR 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 7 CFR 275.23. Because
several sections require substantive
revision and many paragraphs require
minor changes or reference changes, we
proposed to reorganize the section at the
same time as making the necessary
changes resulting from the legislation.
We have adopted the reorganization to
7 CFR 275.23 in its entirety.
Under this reorganization, 7 CFR
275.23(a) addresses the basic
components of FNS determination of a
State agency’s efficiency and
effectiveness (currently 7 CFR 275.23(a)
and (b)). A new 7 CFR 275.23(b)
addresses the error rates. The existing
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methodology for regression in 7 CFR
275.23(e)(6) is incorporated into the
new 7 CFR 275.23(b). Section 273.23(c)
addresses the time frames for
completing case reviews, conducting
arbitration, and issuing error rates.
Section 273.23(d) addresses State
agency liability. Included in this section
is the procedure for establishing the
national performance measure, the
liability amount methodology, appeal
rights, and the relationship to the
warning process and negligence. Section
275.23(e) addresses liability resolution
plans; 7 CFR 275.23(f) addresses good
cause; 7 CFR 275.23(g) addresses results
of appeals on liability resolution; 7 CFR
275.23(h) addresses new investment
(the term ‘‘reinvestment’’ has been
changed in this rule to the term ‘‘new
investment,’’ consistent with the
language used in the FSRA); 7 CFR
275.23(i) addresses payment of the atrisk money; and 7 CFR 275.23(j)
addresses interest charges.
Current 7 CFR 275.23(e)(4)
(Relationship to warning process and
negligence), 7 CFR 275.23(e)(5) (Good
cause), and 7 CFR 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 redesignated as 7 CFR 275.23(d)(4),
(f), and (b)(2), respectively. These
changes are being made as 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. As indicated in the preamble of
the proposed rule, comments were not
being sought on the substantive content
of these sections nor was any
consideration going to be given to any
comments submitted pertinent to these
sections in developing the final rule.
The inclusion of these sections in the
proposed rule was done solely for
purposes of structuring. The
restructuring and redesignations
described in this paragraph have been
adopted as proposed.
H. Elimination of Pre-Fiscal Year 2003
Liability Establishment Procedures
The interim rule, published October
16, 2003, at 68 FR 59515, revised 7 CFR
275.23(e) to eliminate procedures for
establishing liabilities for Fiscal Years
1983 through 1991. We are adopting as
final the revisions to 7 CFR 275.23(e)
that eliminated procedures for
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establishing liabilities for Fiscal Years
1983 through 1991.
Section 275.23(e)(2) provides
procedures for establishing liability for
excessive payment error rates for FY
2002. We proposed removing 7 CFR
275.23(e)(2) (as part of the overall
revision of 7 CFR 275.23) as it no longer
is necessary. All liabilities for FY 2002
have already been determined. We are
adopting this deletion as proposed.
I. Determination of Payment Error Rates
and Potential Liability Amounts
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.
One commenter recommended that the
regulations incorporate the formula for
calculating that there is a 95 percent
confidence that error rate is greater than
105 percent of the national average error
rate. We have determined that this is
unnecessary. This calculation is basic
statistical methodology.
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 new
program administration activities, to
establish up to 50 percent of the
established liability amount as being ‘‘atrisk’’ 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.
As discussed in the preamble of the
proposed rule, at the same time as the
Department advises the State agency of
its error rates, 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.
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We received two comments on the
interim rule provision establishing
procedures for addressing the
Secretary’s authority to resolve the
liability amounts for FY 2003 and
beyond.
One commenter recommended that
liabilities be resolved only through the
use of new investment. This would
require the Department to waive 50
percent of any potential liability amount
that is established. The Department does
not believe that this was the intent of
the law and is not adopting this
proposal.
In the proposed rule, 7 CFR 275.23(c)
specified that the Department would
issue the potential liability amount
settlement proposal at the same time it
issues the State’s official regressed
payment error rate. One comment to the
interim rule recommended that the
Department delay sending the
determination about the disposition of
the liability amount until September
30th, and use the time between the
issuance of the error rates and the
potential liability amount and
September 30th to negotiate a proposed
liability settlement plan. Under this
proposal, the Department would retain
the ability to determine amounts to be
designated as ‘‘at-risk.’’ The Department
has considered the commenter’s
proposal. However, assuming that the
statute allows for the delay, the time
constraints built into the process do not
allow us to proceed as proposed. If the
error rates are issued on June 30, there
are only 92 days available to negotiate
settlements. The Department’s
experience has been that it takes all of
that time just to address the issues
surrounding approval of the settlement
agreement for new investment.
Therefore, we have not adopted the
proposal submitted in response to the
interim rule to delay release of the
proposed potential liability amount
settlement plan until after negotiation
with the affected States.
J. Appeals of Liability Determinations
One commenter, in response to the
interim rule, recommended that the
regulations should provide that the
notification letter sent to the State
agency, Governor, and legislature
include a notification of the State
agency’s appeal rights pursuant to
Section 16(c)(8)(D). As a general
practice, the letters sent by the
Department already include this
information. We do not believe that it is
necessary to incorporate a requirement
in the regulations that the Department
include this information in the letters.
Section 16(c)(7) of the Food and
Nutrition Act, as amended, provides
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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 and Nutrition Act, as
amended. Thus, only a State agency’s
second year error rate and related
potential 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 proposed at 7 CFR
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, the Department also proposed
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.
We received two comments on the
proposal 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. One commenter
supported the provision as proposed.
The second commenter expressed
concern that the proposed rule makes
no provision for good cause from the
year prior to year one to be considered
in determining the status of year 1. As
discussed in the preamble to the
proposed rule and above, there is no
appeal right for a determination of a
year 1 status. Appeal rights only exist
when a potential liability amount is
established in year 2 and only that
year’s error rate and potential liability
amount are appealable.
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. Six percent is the potential
liability threshold provided in the
FSRA. Thus, if the State’s error rate was
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below 6 percent, no liability amount
would be established. However, if the
State’s error rate was determined by a 95
percent statistical probability to be 105
percent of the national performance
measure, 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 would have two
consecutive years of error rates
exceeding 105 percent of the national
performance measure. The law
mandates that a year be considered a
year 1 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 year 1
status. We received one comment
addressing the relationship between the
threshold for establishing a liability
amount and the determination of year 1
status. The commenter recommended
that a State be considered to be meeting
minimum performance standards and
that it not be counted as a year 1
whenever a State’s error rate fell below
6 percent but there was a 95 percent
statistical probability that the State
agency’s payment error rate exceeded
105 percent of the national performance
measure. While we understand the
State’s viewpoint, these separate
measurements are provided by law and
the Department has no discretion in this
area.
Section 4118 of the FSRA provides
that when a State agency appeals its
potential liability amount
determination, if the State agency began
new investment activities prior to an
appeal determination, and if the
potential 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.
As specified in the interim rule, if the
State agency appeals the potential
liability amount and wholly prevails
and consequently its potential liability
amount is reduced to $0 through the
appeal, and the State agency began new
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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
potential liability amount subject to the
appeal. 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
published October 16, 2003, at 68 FR
59519 established in 7 CFR
275.23(e)(10) the provisions concerning
either the Secretary or the State agency
wholly prevailing. These provisions
were moved to 7 CFR 275.23(g)(1) in the
proposed rule. The provisions of the
interim rule, redesignated as 7 CFR
275.23(g)(1) by the proposed rule, are
adopted as final.
Section 16(c)(1)(F)(iv) of the Food
Stamp Act (as amended by Section 4118
of the FSRA) (now the Food and
Nutrition Act of 2008) provides that the
Department shall promulgate
regulations when neither the
Department nor the State agency wholly
prevails on appeal. As that section of
the Act pertains specifically to liability
amounts used for new investment, the
Department needed to address a split
appeals decision in terms of the amount
designated for new investment. The
Department believed that the only way
to accomplish this and implement the
statutory intent was to apply the initial
determination percentages to the
liability amount newly established
through the appeal. For example, if the
original liability was $750,000 and the
Department determined to waive 25
percent ($187,500) of it, require that 25
percent ($187,500) be newly invested,
and require 50 percent ($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 percent ($150,000
waived, 25 percent ($150,000) required
to be newly invested, and 50 percent
($300,000) placed at-risk. Using the
original percentages, immediate action
can be taken by both parties to process
the results of the appeal decision. The
Department received no comments on
this proposal. We are adopting the
provision as proposed.
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 at the same time that it
provides the State agency with
notification of its error rates. If the State
agency wholly prevails on appeal, the
amounts originally designated as
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waived, newly invested, or at-risk
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.
K. 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 approved
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.
We proposed 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 proposed to 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 proposed 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
proposed 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 7 CFR 275.23. In the event that a
State agency fails to comply with its
new investment plan, we proposed in
redesignated 7 CFR 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 proposed that interest shall
be charged beginning with the date the
State agency received the notice of
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failure to newly invest as required. The
Department received no comments on
these proposals. We are adopting these
provisions as proposed.
L. Payment of At-Risk Money
We proposed at 7 CFR 275.23(i) the
procedures concerning a State agency’s
payment of the at-risk money. We
proposed that the at-risk money would
become due if, in the year subsequent to
the establishment of the money being atrisk, the State agency is again
potentially liable for a sanction. Under
the proposal, payment would have to 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 atrisk for the FY 2004 liability would be
due by September 30, 2006 unless an
appeal for the FY 2004 liability was still
pending. If the State agency had
appealed the liability determination, the
State agency would 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
had been completed. Appeal of a
subsequent liability amount would not
have eliminated the State’s requirement
to pay the at-risk money when it became
due. The appeal of the subsequent year’s
liability amount would determine
whether the liability that year would be
reduced and would affect the
establishment of a possible additional
designation of at-risk money.
We did not receive any comments on
this proposal. However, subsequent to
the publication of the proposed rule, we
have determined that a precise reading
of the law requires that payment of the
at-risk money be held in abeyance until
any appeal for the subsequent year’s
potential liability is resolved. If the
potential liability amount for the
subsequent year is reduced to zero, the
at-risk money would not be subject to
repayment. If the potential liability
amount is not reduced to zero, the atrisk money would be required to be
repaid. We have revised 7 CFR 275.23(i)
accordingly.
If an appeal is not pending, we
proposed that interest begin accruing
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33433
beginning October 1 following the
September 30 due date for payment of
any at-risk money. 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
proposed 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 current
regulations at 7 CFR 275.23(e)(8)
(redesignated as 7 CFR 275.23(j)) for
payment of interest on QC liability
claims. We also proposed 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 7 CFR 275.23(j). The
reference to the Federal Claims
Collection Act of 1966 (Pub. L. 89–508,
80 Stat. 308) has been updated to refer
to the Debt Collection Improvement Act
of 1996, Public Law 104–134, and the
Federal Claims Collection Standards, 31
CFR Parts 900–904. The Department
received no comments on these
proposals and is adopting them as
proposed.
M. Demonstration Projects/Social
Security Administration (SSA)
Processing
Demonstration project and SSA jointprocessed cases (cases processed in
accordance with 7 CFR 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 SNAP eligibility
and benefit calculations and SSA jointprocessed 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-byproject 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 7 CFR 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
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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. Sections
275.11(g), 7 CFR 275.12(h), 7 CFR
275.13(f), and 7 CFR 275.23(c)(5)
(redesignated in this rule as 7 CFR
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 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 proposed to revise 7 CFR
275.11(g) and redesignated 7 CFR
275.23(b)(1) to provide that
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. The
Department received two comments
supporting the proposed revisions. We
are adopting the revisions as proposed.
N. 120-Day Variance Exclusion (7 CFR
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. Paragraph
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,
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numerous questions have been raised
about what the variance exclusion
actually means. We proposed to clarify
the language in 7 CFR 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
proposed to modify the provision to
indicate that the variance exclusion may
be authorized on a case-by-case basis in
the instance of optional legislative or
regulatory changes, not just mandatory
changes. However, we did not propose
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. The
Department received 6 comments on
this proposal; 4 commenters supported
the proposal as written; one commenter
wanted the exclusion to apply to all
optional regulatory and legislative
provisions; one commenter wanted the
exclusion to apply to waivers. We have
adopted the provision as proposed.
O. Federal Information Exchange (FIX)
Errors (7 CFR 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. Paragraph
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 for program management
purposes 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
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48831. 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
proposed to remove 7 CFR 275.12(f)(3).
We received 4 comments supporting
this proposed removal, all supporting
the change. We are adopting it as
proposed.
P. Technical Changes
In addition, we proposed in Part 271
Definitions to remove definitions no
longer used in the QC system and to add
the definition ‘‘National performance
measure’’ to reflect current QC policy,
and we also proposed to make technical
changes throughout Part 275 to remove
references to other Federally mandated
QC samples, the Worksheet for
Integrated AFDC, Supplemental
Nutrition Assistance Program, and
Medicaid QC Reviews, and the
Integrated Review Schedule. With the
passage of the Personal Responsibility
and Work Opportunity Reconciliation
Act of 1996, Public Law 104–193, the
Aid to Families with Dependent
Children was eliminated and
consequently, the integrated QC review
system was eliminated. Therefore, we
proposed to change throughout Part 275
the titles of the Work Sheet and Review
Schedule to reflect that QC reviews are
now Supplemental Nutrition Assistance
Program only reviews. We also
proposed to remove throughout Part 275
references to integrated QC samples,
reviews, and other Federally-mandated
QC systems.
Throughout the rule, we proposed 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, benefits are no longer being
issued as coupons. Accordingly we
proposed to remove references to
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coupons in 7 CFR 275.12(c)(2) and 7
CFR 275.13(d).
In addition, we proposed technical
changes throughout Part 275 to correct
references based on changes proposed to
be made in the proposed rule. Due to
the restructuring of 7 CFR 275.23, many
sections required renumbering and
reference changes throughout 7 CFR
33435
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) ..............................................................................................
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) ............................................................................................
275.23(a).
275.23(a).
275.23(c).
Removed.
Removed.
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) ..............................................................................................
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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 interim rule was effective
December 15, 2003. The proposed rule
provided that the changes in that rule
would be effective and be implemented
60 days following publication of the
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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).
final rule in the Federal Register. This
rule finalizes both the interim rule and
the proposed rule and is effective July
12, 2010. The provisions in 7 CFR 271.2,
7 CFR 275.11(e)(2)(i), 7 CFR
275.11(e)(2)(ii), 7 CFR 275.13(b), and 7
CFR 275.13(c)(1) concerning negative
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cases and 7 CFR 273.2(d)(2) concerning
consequences to households that refuse
to cooperate with QC reviews must be
implemented no later than October 1,
2011. State agencies may choose to
implement these provisions earlier than
October 1, 2011. A 120-day hold
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harmless is provided for
implementation of 7 CFR 273.2(d)(2),
concerning consequences to households
who refuse to cooperate with a QC
review. If a State agency implements the
provision before October 1, 2011, the
120-day hold harmless period begins on
the date of implementation. All other
provisions must be implemented August
10, 2010.
List of Subjects
7 CFR Part 271
Administrative practice and
procedure, Supplemental Nutrition
Assistance Program, Grant programs—
social programs.
7 CFR Part 273
Administrative practice and
procedures, Aliens, Claims,
Supplemental Nutrition Assistance
Program, Fraud, Grant programs—social
programs, Penalties, Reporting and
recordkeeping requirements, Social
Security, Students.
7 CFR Part 275
Administrative practice and
procedure, Supplemental Nutrition
Assistance Program, Reporting, and
recordkeeping requirements.
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.
*
*
*
*
*
PART 273—CERTIFICATION OF
ELIGIBLE HOUSEHOLDS
3. In § 273.2, paragraph (d)(2) is
amended as follows:
■ a. Revise ‘‘§ 275.3(c)(5) or
§ 275.12(g)(1)(ii),’’ to read ‘‘§ 275.3(c)(5)
and 275.12(g)(1)(ii) of this chapter,’’;
■ b. Third sentence, revise the number
‘‘95’’ to read ‘‘125’’;
■ c. End of the third sentence revise
‘‘§ 273.2(f)(1)(ix)’’ to read ‘‘paragraph
(f)(1)(ix) of this section’’;
■ d. Last sentence revise ‘‘seven’’ to read
‘‘nine’’ and revise ‘‘§ 273.2(f)(1)(ix)’’ to
read ‘‘paragraph (f)(1)(ix) of this
section.’’;
■ e. Add two new sentences at the end
of the paragraph to read as follows:
■
§ 273.2 Office operations and application
processing.
*
7 CFR Part 277
Supplemental Nutrition Assistance
Program, Government procedure, Grant
programs—Social programs,
Investigations, Records, Reporting and
recordkeeping requirements.
■ Accordingly, 7 CFR Parts 271, 273,
275, and 277 are amended to read as
follows:
■ 1. The authority citation for Parts 271,
273, 275, and 277 continues to read as
follows:
*
*
*
*
(d)* * *
(2) * * * In the event that one or
more household members no longer
resides with a household terminated for
refusal to cooperate, the penalty for
refusal to cooperate will attach to
household of the person(s) who refused
to cooperate. If the State agency is
unable to determine which household
member(s) refused to cooperate, the
State agency shall determine the
household to which the penalty shall
apply.
*
*
*
*
*
Authority: 7 U.S.C. 2011–2036.
PART 271—GENERAL INFORMATION
AND DEFINITIONS
2. In § 271.2:
a. Remove the definition ‘‘Base
period’’.
■ b. Remove the definition ‘‘National
standard payment error rate’’.
■ c. Add the definition ‘‘National
performance measure’’ in alphabetical
order.
■ d. Revise the definition ‘‘Negative
case’’.
The addition and revision read as
follows:
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■
■
§ 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
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PART 275—PERFORMANCE
REPORTING SYSTEM
§ 275.1
[Amended]
4. Section 275.1 is amended by
removing the paragraph designation
from paragraph (a), and removing
paragraph (b).
■ 5. In § 275.3:
■ a. The introductory text of § 275.3 is
amended by revising the term
‘‘scheduling and conduct’’ to read
‘‘scheduling and 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
sentence, by revising the fourth
sentence, and by revising
‘‘§ 275.23(e)(6)’’ in the last sentence to
read ‘‘§ 275.23(d)(4)’’.
The revision reads as follows:
■
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§ 275.3
Federal monitoring.
*
*
*
*
*
(c) * * * FNS shall validate each
State agency’s reported negative error
rate. * * *
*
*
*
*
*
§ 275.4
[Amended]
6. In § 275.4, paragraph (c) is amended
by revising the words ‘‘Integrated TANF,
Food Stamps and Medicaid Quality
Control Reviews’’ to read ‘‘Supplemental
Nutrition Assistance Program’’, by
revising ‘‘Integrated Review Schedule’’
to read ‘‘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
revising ‘‘standard’’ to read ‘‘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
revising the words ‘‘and underissuance
error rates’’ to read ‘‘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),
(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
revising ‘‘§ 275.23(e)(6)’’ in the third
sentence to read ‘‘§ 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,
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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 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.
■ 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 revising the words
‘‘column (5) of the Integrated
Worksheet,’’ in the last sentence to read
‘‘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.
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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. 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 and paragraph (f)(3) is
removed.
■ o. The introductory text of paragraph
(g) is amended by removing the words
‘‘Integrated Review Schedule,’’ in the
last sentence.
■ p. Paragraph (g)(1)(ii) is amended by
removing the word ‘‘may’’ in the second
sentence and adding in its place the
word ‘‘must’’.
■ q. Paragraph (g)(2)(iv) is amended by
adding the words ‘‘of this chapter’’ after
the reference ‘‘§ 273.17’’.
■ r. Paragraph (h) is amended by adding
the words ‘‘of this chapter’’ after the
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 or optional 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.
*
*
*
*
*
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33437
10. In § 275.13 is amended by revising
paragraphs (a), (b), and (c)(1), and
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
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 valid 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,
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suspend, or terminate the case for the
specific reason given for the action, the
negative case shall be considered
invalid.
*
*
*
*
*
§ 275.14
[Amended]
11. In § 275.14 is amended in
paragraph (c) by revising the words
‘‘Integrated Review Worksheet, Form
FNS–380,’’ in the first sentence to read
‘‘Form FNS–380’’ and in paragraph (d)
by revising the words ‘‘Integrated
Review Schedule,’’ in the first sentence
to read ‘‘Integrated Review Worksheet,’’.
■ 12. Section 275.16 is amended by
removing paragraph (b)(2) and
redesignating paragraphs (b)(3), (b)(4),
(b)(5), and (b)(6) as (b)(2), (b)(3), (b)(4),
and (b)(5), respectively; and newly
redesignated paragraph (b)(5) is revised
to read 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:
■ 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
revising the number ‘‘95’’ in the first
sentence to read ‘‘115’’ 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 additions read as
follows:
§ 275.21
Quality control review reports.
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*
*
*
*
*
(b) * * *
(2) The State agency shall have at
least 115 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 time
frames in paragraph (b)(2) of this
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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
125 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 time
frames 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 Supplemental
Nutrition Assistance Program by
measuring State compliance with the
standards contained in the Food and
Nutrition 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
determination for each individual
project 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
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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
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
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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
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
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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 Time frames 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
pending. Such appeals include
administrative and judicial appeals
pursuant to Section 14 of the Food and
Nutrition 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 time frames
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 time
frame.
(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 the paragraph
(d)(2) of this section.
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33439
(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 multiplied by 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.
(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
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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 for each State
agency whose payment error rate
subjects it to a liability amount the
following 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 cannot be
appealed.
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(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
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
Supplemental Nutrition Assistance
Program caseload whose management
was affected;
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(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 Supplemental
Nutrition Assistance Program caseload
affected; and/or
(4) The duration of the disaster 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
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
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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 Supplemental
Nutrition Assistance Program
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 percent of the liability amount;
however, no more than 100 percent 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
Supplemental Nutrition Assistance
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
Supplemental Nutrition Assistance
Program caseload whose management
was affected;
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(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 Supplemental
Nutrition Assistance Program 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
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 Supplemental Nutrition
Assistance Program 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.
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33441
(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 Supplemental
Nutrition Assistance Program caseload
affected; and/or
(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
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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
Supplemental Nutrition Assistance
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
Supplemental Nutrition Assistance
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
considered. Mathematically this formula
could result in a waiver of more than
100 percent of the liability amount;
however, no more than 100 percent of
a State’s liability amount will be waived
for any one fiscal year.
(4) Program changes. A change in the
Supplemental Nutrition Assistance
Program or other Federal or State
program that has a substantial adverse
impact on the management of the
Supplemental Nutrition Assistance
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 Supplemental Nutrition
Assistance Program or other Federal or
State programs, the State agency shall
provide the following information:
(A) The type of changes(s) that
occurred;
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(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 Supplemental Nutrition
Assistance Program or other Federal and
State programs:
(1) State efforts to control impact on
program operations;
(2) The proportion of Supplemental
Nutrition Assistance Program caseload
affected; and/or
(3) The duration of the unusual
changes in the Supplemental Nutrition
Assistance 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
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) The State agency shall provide the
following information 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
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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
Supplemental Nutrition Assistance
Program 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 Supplemental
Nutrition Assistance Program caseload
affected; and/or
(4) The duration of the significant
circumstances 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
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
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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.
(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
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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:
(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
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33443
(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
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 and
Nutrition 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
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of the date of the final billing. The
requirement that the State agency pay
the at-risk amount for the prior year will
be held in abeyance pending the
outcome of any pending appeal for the
subsequent liability. If the subsequent
year’s liability is reduced to $0, the atrisk money from for the prior fiscal year
will not be required to be paid. If the
subsequent year’s liability is not
reduced to $0, the State agency will be
required to pay the at-risk money within
30 days of the date of the appeal
decision. The amount of a State’s at-risk
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 atrisk 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
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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
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
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Sfmt 9990
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
revising ‘‘paragraphs (b)(2) and (b)(3)’’ to
read ‘‘paragraphs (b)(1) and (b)(2)’’.
■
■
Dated: May 27, 2010.
Kevin Concannon,
Under Secretary, Food, Nutrition, and
Consumer Services.
[FR Doc. 2010–13446 Filed 6–10–10; 8:45 am]
BILLING CODE 3410–30–P
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[Federal Register Volume 75, Number 112 (Friday, June 11, 2010)]
[Rules and Regulations]
[Pages 33422-33444]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-13446]
[[Page 33421]]
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Part III
Department of Agriculture
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Food and Nutrition Service
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7 CFR Parts 271, 273, 275, and 277
Supplemental Nutrition Assistance Program: Quality Control Provisions
of Title IV of Public Law 107-171; Final Rule
Federal Register / Vol. 75 , No. 112 / Friday, June 11, 2010 / Rules
and Regulations
[[Page 33422]]
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DEPARTMENT OF AGRICULTURE
Food and Nutrition Service
7 CFR Parts 271, 273, 275, and 277
[FNS-2009-0045]
RIN 0584-AD31
Supplemental Nutrition Assistance Program: Quality Control
Provisions of Title IV of Public Law 107-171
AGENCY: Food and Nutrition Service, USDA.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: This rule finalizes provisions of an interim rule entitled
``Food Stamp Program: Non-Discretionary Quality Control Provisions of
Title IV of Public Law 107-171'' published on October 16, 2003, and a
proposed rule entitled ``Food Stamp Program: Discretionary Quality
Control Provisions of Title IV of Public Law 107-171'' published on
September 23, 2005. The Food Stamp Program is now referred to as the
Supplemental Nutrition Assistance Program (SNAP) pursuant to the Food
and Nutrition Act of 2008 (Act). This final rule codifies the
provisions concerning the Quality Control system in Sections 4118 and
4119 of the Food Stamp Reauthorization Act (FSRA) of 2002. This rule
finalizes the liability procedures and the deadlines for completing the
quality control review process and announcement of error rates
established in the interim rule. It eliminates enhanced administrative
funding for low error rates, establishes new time frames for completing
individual quality control reviews, establishes procedures for
resolving liabilities following appeal decisions, revises the negative
case review procedures, and provides procedures for households that
separate while subject to the penalty for refusal to cooperate with a
quality control review. This rule also adopts several policy changes
and technical corrections included in the proposed rule. In addition,
this rule affects State agencies' quality control review operations and
alters 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 with cases sampled for
quality control review of their cases would be minimally affected by
this rule.
DATES: Effective Date: This rule is effective July 12, 2010.
Implementation date: This rule shall be implemented as follows: The
provisions in 7 CFR 271.2, 7 CFR 275.11(e)(2)(i), 7 CFR
275.11(e)(2)(ii), 7 CFR 275.13(b), and 7 CFR 275.12(c)(1) concerning
negative cases and 7 CFR 273.2(d)(2) concerning consequences to
households that refuse to cooperate with quality control (QC) reviews
must be implemented no later than October 1, 2011. State agencies may
choose to implement these provisions earlier than October 1, 2011. A
120-day hold harmless is provided for implementation of 7 CFR
273.2(d)(2), concerning consequences to households who refuse to
cooperate with a QC review. If a State agency implements the provision
before October 1, 2011, the 120-day hold harmless period begins on the
date of implementation. All other provisions must be implemented August
10, 2010.
FOR FURTHER INFORMATION CONTACT: Margaret Werts Batko, Quality Control
Branch, Program Accountability and Administration Division, Food and
Nutrition Service, USDA, 3101 Park Center Drive, Alexandria, Virginia
22302, (703) 305-2516. The e-mail address is
margaret.batko@fns.usda.gov. Questions regarding this rulemaking should
be addressed 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 Electronic Access
Electronic Access
You may view and download an electronic version of this final rule
at https://www.fns.usda.gov/snap/. All comments, including names, street
addresses, and other contact information of respondents, received in
response to the interim and proposed rules are 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 Supplemental Nutrition Assistance 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). It has been certified
that this rule will not have a significant economic impact on a
substantial number of small entities. State welfare agencies will be
the most affected to the extent that they administer the Supplemental
Nutrition Assistance Program.
Public Law 104-4
Title II of the Unfunded Mandates Reform Act of 1995 (UMRA)
establishes requirements for Federal agencies to assess the effects of
their regulatory actions on State, local, and tribal governments and
the private sector. Under Section 202 of the UMRA, the Food and
Nutrition Service (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 E.O. 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.
[[Page 33423]]
Civil Rights Impact Analysis
FNS has reviewed this rule in accordance with the Department
Regulation 4300-4, ``Civil Rights Impact Analysis,'' to identify and
address any major civil rights impacts that 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 intended 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
Supplemental Nutrition Assistance Program. The only provision that has
any direct impact on recipients is the conforming change made in 7 CFR
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 QC 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. This rule contains a conforming amendment to
extend the time frame of the penalty consistent with the revised time
frame for completing the QC review process established in Section 4119
of the Food Stamp Reauthorization Act of 2002 and addressed in this
rule 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 classes is not available for these households.
An additional change is also being made to 7 CFR 273.2(d)(2) that
requires a State agency to convey the disqualification penalty for
refusing to cooperate with a QC reviewer with the non-cooperating
household member if the household breaks up and if the State agency can
identify the non-cooperating individual. This change ameliorates the
penalty on cooperating household members. It is not intended to have a
disproportionate impact on any of the protected classes.
All data available to FNS indicate that protected individuals have
the same opportunity to participate in the SNAP as non-protected
individuals. The QC system is a systematic method of measuring the
validity of the SNAP caseload. A statistically valid sample of active
and negative cases is reviewed to determine the extent to which
households are receiving the allotments to which they are entitled, and
to determine which decisions to deny, suspend, or terminate cases are
correct. Protected classes should appear in any given sample to the
extent that they are represented in the overall SNAP population. There
is no way to determine the percentage of each of the protected classes
terminated for refusal to cooperate with a QC review as that data is
not collected.
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 (SNAP nondiscrimination policy can be found at 7 CFR 272.6).
Discrimination in any aspect of program administration is prohibited by
these regulations, the Food and Nutrition Act of 2008, 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
accordance with 7 CFR Part 15.
Paperwork Reduction Act
This 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 (expiration
date November 30, 2009): 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 that is still found in the regulation. Eliminating
from the regulations the requirement to complete the form does not
affect the burden as the burden was already adjusted in the burden
approval process when the actual use of the form was discontinued. We
proposed to eliminate the Form FNS-248. Over time, we have discontinued
requiring that the form itself be submitted. However, some of
information on that form is still required. State agencies provide the
information on the interval and the number of cases selected each month
by phone or e-mail. With the elimination of the Form FNS 248, the
regulations will permit that this information be submitted in another
format. The burden difference from eliminating most of the data
collection found on the form has already been accounted for through the
burden approval process. Accordingly, elimination of this form will not
increase or decrease the approved burden for OMB Number 0584-0034. We
received no comments on this proposal; we are adopting it as proposed.
0584-0074 (Form FNS-380, Worksheet for Supplemental Nutrition
Assistance Program Quality Control Reviews) (expiration date February
28, 2010) ; 0584-0299 (Form FNS-380-1, Quality Control Review
Schedule)(expiration January 31, 2010); and 0584-0303 (Food Stamp
Program Regulations, Part 275--Quality Control)(expiration date
November 30, 2010) (Note the name of 0584-0303 will be changed to
Supplemental Nutrition Assistance Program Regulations, Part 275--
Quality Control when it is next renewed or a change justification is
done.): 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 (expiration date April
30, 2010): Corrective action
[[Page 33424]]
planning is included under this information collection package.
Regulations prior to passage of the Food Stamp Reauthorization Act of
2002 required corrective action planning when a State agency failed to
reach the yearly target, when a State agency was not entitled to
enhanced funding, and when its negative case error rate exceeded one
percent. In an interim rule entitled ``Food Stamp Program: 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. This rule finalizes this requirement to conduct corrective
action whenever a State's payment error rate equals or exceeds six
percent.
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
eliminates 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, the last year enhanced funding was
provided to States, there was no State whose error rate was below six
percent that did not get enhanced funding. This rule finalizes the
proposal 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 from removing the requirement
to do corrective action planning whenever a State agency is not
entitled to enhanced funding.
E-Government Act Compliance
The Food and Nutrition Service is committed to complying with the
E-Government Act of 2002, to promote the use of the Internet and other
information technologies to provide increased opportunities for citizen
access to Government information and services, and for other purposes.
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
to the application of its provisions, all applicable administrative
procedures must be exhausted. In the Supplemental Nutrition Assistance
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 7 CFR 273.15; (2) for State agencies--
administrative procedures issued pursuant to 7 U.S.C. 2023 set out at 7
CFR 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.
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
finalizes provisions of the interim rule ``Food Stamp Program: Non-
Discretionary Quality Control Provisions of Title IV of Public Law 107-
171'' published on October 16, 2003, and a proposed rule entitled
``Food Stamp Program: Discretionary Quality Control Provisions of Title
IV of Public Law 107-171'' on September 23, 2005.
The interim rule revised the liability procedures and established
new deadlines for completing the quality control (QC) review process
and announcement of payment error rates. This final rule would amend
the Supplemental Nutrition Assistance Program regulations concerning
the 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 time frames for completing individual case
reviews and the time frames for penalties for households that refuse to
cooperate with a QC review, to revise the negative review procedures,
and to make a number of technical policy changes and corrections. This
analysis addresses the liability procedures, elimination of enhanced
funding, the impact of appeals decisions on the resolution of QC
liabilities for high payment error rates, the revised time frames for
completing individual case reviews and the entire review process and
announcement of the error rates, the time frames for penalties for
households that refuse to cooperate with a QC review, negative review
procedures, and corrective action planning.
Cost Impact
Since this action does not directly impact benefit levels or
eligibility, we do not anticipate any impact on SNAP benefit costs. The
provision extending the time frames for verification of households
reapplying for benefits is not expected to have a measurable impact on
benefit costs. Fewer States will be identified as having any potential
liability, and most such liabilities will be significantly lower than
those under the previous system.
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 had remained at their 1998-2002
levels, the annual savings to the Supplemental Nutrition Assistance
Program would have been $50 million and the five-year savings would
have been $250 million. These savings would have been offset by the
establishment of high performance bonuses (addressed in the final rule
``Food Stamp Program: High Performance Bonuses'' published February 7,
2005, at 70 FR 6313).
However, between 2002 and 2008, payment error rates fell from 8.26
percent to 5.01 percent. The number of States that would have qualified
for enhanced funding would have risen to 28 by 2008 and the amount of
incentive funding received by these States would have totaled nearly
$188 million. The amount of incentive funding for the five
[[Page 33425]]
years from 2003-2007 would have totaled $720 million, of which only
$240 million would have been offset by the new performance bonus,
yielding a net savings of $480 million.
See Table below.
Benefit Impact
Elimination of enhanced funding based on payment accuracy did not
have a benefit impact on State administrating agencies or on program
operations if considered in isolation. However, when this provision was
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 was expected to encourage States to assess and improve overall
performance.
Cost Impact of Certain Quality Control Provisions of the Food Stamp Reauthorization Act of 2002 (Federal
Outlays)
[In millions of dollars]
----------------------------------------------------------------------------------------------------------------
2003 2004 2005 2006 2007 5-Year
----------------------------------------------------------------------------------------------------------------
Elimination of Enhanced funding... -$95 -$133 -$158 -$160 -$174 -$720
High Performance Bonus............ 48 48 48 48 48 240
-----------------------------------------------------------------------------
Net Savings................... -47 -85 -110 -112 -126 -480
----------------------------------------------------------------------------------------------------------------
The provisions affecting the time frames for completing individual
case reviews, negative 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
QC system. An interim rule entitled ``Food Stamp Program: 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
``Food Stamp Program: High Performance Bonuses'' was published February
7, 2005, at 70 FR 6313 that implemented Section 4120 of the FSRA. A
proposed rulemaking, published September 23, 2005, at 70 FR 55776
addressed the remaining provisions of Sections 4118 and 4119 of the
FSRA, negative case review procedures, and several discretionary policy
changes, and numerous technical corrections. This rule finalizes both
the interim and the proposed rules.
A. Enhanced Funding
The current regulations at 7 CFR 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 (now the Food
and Nutrition Act of 2008) for giving enhanced funding to State
agencies with low payment and negative case error rates, effective
fiscal year (FY) 2003, effectively ending enhanced payments. Section
4120 of the FSRA replaced 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, these
sections are no longer necessary. We proposed to eliminate paragraphs
(b)(1) and (b)(2) of 7 CFR 275.1, to change paragraph (a) of 7 CFR
275.1 into a general introductory paragraph, and to remove 7 CFR
275.23(d). We received two comments on the proposed elimination of
enhanced funding. Both commenters supported the proposal. Accordingly,
we are adopting as proposed the revisions to 7 CFR 275.1, eliminating
paragraphs (b)(1) and (2), changing paragraph (a) into a general
introductory paragraph, and removing 7 CFR 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 proposed in 7 CFR 275.3(c) to require that all
States' negative error rates be validated by FNS. First, we believe
that fair and equitable treatment needs to be ensured when it comes to
denying households benefits. 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. We received two comments supporting this proposal. We are
adopting the provision mandating FNS validation of all States' negative
error rates in 7 CFR 275.3(c).
In addition, we are adopting as proposed the technical changes
throughout Part 275 that 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 SNAP. In 7 CFR 277.4, paragraphs (b)(1),
(b)(4), (b)(5), and (b)(6) describe the procedures for increasing State
administrative funding when State agency QC 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
the authority for the period beginning October 1988 and forward. The
authority in the Food Stamp Act (now the Food and Nutrition Act of
2008) for 7 CFR 277.4(b)(1)(i) was
[[Page 33426]]
removed by the Hunger Prevention Act of 1988 (Public Law 100-435). The
authority for 7 CFR 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 QC error rates
for fiscal years beginning October 2002 and beyond, thus making 7 CFR
277.4(b)(1)(ii) obsolete for FY 2003 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. No comments were received on these proposed changes.
Accordingly, we are removing 7 CFR 277.4(b)(1), (b)(4), (b)(5), and
(b)(6). Sections 277.4(b)(2), (b)(3), (b)(7), and (b)(8) are
redesignated as 7 CFR 277.4(b)(1), (b)(2), (b)(3), and (b)(4),
respectively. In addition, we are also revising the references in
redesignated 7 CFR 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
QC 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 7 CFR
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 FNS 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 proposed to revise 7 CFR
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. We received six comments
addressing this proposed revision, all supporting the revision to the
regulations. This policy has been in effect since October 1998 and
benefits State agencies. Accordingly, we are adopting as proposed the
revision to 7 CFR 275.12(g)(1)(ii) that requires QC reviewers to
attempt to complete cases where a household refuses to cooperate.
C. Negative Case Reviews
The Department proposed significant changes to the negative review
procedures. In order to fully understand the changes made in this
rulemaking to the procedures for reviewing negative cases, readers are
referred to the proposed rule located at 70 FR 55776. The proposed rule
has a detailed description of the existing requirements and the
proposed changes.
First, the Department proposed that the negative universe be
selected based only on ``action,'' eliminating the option to use
``effective date.'' Second, the Department proposed to delete the
requirement that there be a break in participation in order for a
negative action to be subject to review. Finally, the Department
proposed to limit the use of the expanded review process.
We received 22 comments on one or more aspects of the proposals to
revise the negative review procedures. Most commenters opposed all the
proposed changes; a few supported all the changes; some addressed only
one or two of the proposed changes; and some commenters supported one
or more of the proposals while opposing one or more of them. The
opposing commenters also believed that these proposed changes reflected
a change from ``outcome'' based reviews to ``procedural'' reviews.
Specific comments will be addressed during the discussion of each
proposed change to the negative review procedures.
Currently, the regulations allow either ``action'' or ``effective
date'' as the selection criteria for the sampling universe. 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 both the States' and the national negative error
rate. Because multiple actions can occur within a sampling period,
States using ``effective date'' have had to decide which of the several
actions to review. This decision process introduces bias into the
system. Focusing on the ``action'' means that each negative action has
an equal opportunity to be sampled and reviewed. We proposed to revise
7 CFR 275.11(e)(2)(i) and (e)(2)(ii) accordingly. Sixteen commenters
addressed the proposal to eliminate ``effective date'' for constructing
the sample. Ten commenters opposed the proposal; 4 commenters supported
the proposal; and two commenters supported the proposal but said they
used ``effective date''. We have not categorized these last two
commenters as either supporting or opposing the proposals because we
believe that, based on how they worded their comments, that these
commenters misunderstood the proposal. However, it is possible that
they supported the proposal even though these States would be required
to change their methods of sample selection.
Commenters did not address the statistical issues that resulted in
the decision to propose requiring the use of ``action date'' and
eliminate the use of ``effective date.'' States did, however, discuss
how this has been the process for many years and has apparently worked.
It has worked largely because the Department was unaware that not all
actions were being included in the universe. The problem only came to
our attention when we began universal validation of negatives. The
increased attention to negatives has resulted in an awareness of many
of the problem addressed. State agencies started asking many questions
about how to review negatives, questions that were not raised before
validation was universal. The Department became aware of problems
surrounding sample construction in two major ways. First, statistical
reviews revealed that not all negative actions were being captured in
some States that were relying on ``effective date'' to capture
terminations. Further, the Department has been receiving questions
about what action should be reviewed when multiple actions occurred
during a sample month and the reviewer has not been able to determine
what action was sampled.
Commenters were concerned that the proposed change would
necessitate major computer changes to change the sample selection
process. Such computer changes are costly and time-consuming, according
to the commenters. While we understand the commenters' concerns about
computer changes that will be required, we believe that it is necessary
that the sampling universe include all possible negative actions.
Therefore, the best way to obtain all possible negative actions and to
eliminate possible bias in the selection process is to select based on
``action'' rather than ``effective date.'' Accordingly, we are adopting
as proposed the changes to 7 CFR 275.11(e)(2)(i) and (e)(2)(ii).
We have revised the definition of a ``Negative case'' in 7 CFR
271.2 to say that a ``Negative case means any action to deny, suspend,
or terminate a case''. One commenter believed the proposed
[[Page 33427]]
definition was not consistent with the proposal to sample based on
action taken. We disagree with that commenter. The current definition
in 7 CFR 271.2 is not consistent with the proposed change; however, the
new definition is. We are adopting the revised definition in 7 CFR
271.2 as proposed.
One commenter requested additional time for implementation if the
proposal were to be adopted. We have considered this suggestion and
have decided to make the modifications to the negative review
procedures effective beginning with the first day of FY 2012, October
1, 2011.
Section 275.11(f)(2)(vi) currently provides that a negative action
would only be subject to review if there was a break in participation.
The Department proposed to eliminate the requirement in
275.11(f)(2)(vi) that there be a break in participation for a negative
action to be subject to review because limiting the focus only to the
``action'' eliminates a need for determining whether there was a break
in participation. A conforming change was also proposed to be made to
the definition ``Negative case'' in 7 CFR 271.2. Twelve commenters
opposed this proposal; three commenters supported the proposal. As
stated in the preamble to the proposed rule, this proposed change to
eliminate the ``break in participation'' is consistent with the change
in focus to review each individual action taken. We are adopting the
change to 7 CFR 275.11(f)(2)(iv) as proposed.
Finally, the Department proposed to limit the expanded review in 7
CFR 275.13(b). The expanded review allows the QC reviewer to look
beyond the reason given for action taken by the eligibility worker (EW)
to deny, terminate, or suspend a household. Under current procedures as
provided for in 7 CFR 275.13(b) and expanded in FNS Handbook 310, the
QC reviewer may examine the case file for additional reasons to support
the denial, suspension, or termination. Section 275.13(b) permits
contacting the household or a collateral contact to clarify whether a
reason exists that supports a denial, suspension, or termination. The
FNS Handbook 310 also permits a field investigation. 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.
Limiting the expanded review is also consistent with a review of
``action.''
Under the review procedures as proposed, 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 under review, 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 proposed 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 received 20 comments on this proposal. Eighteen
commenters opposed the proposal; two supported it. The commenters
opposing the change felt that this change, especially in combination
with the other two changes, emphasized procedure rather than outcome.
These commenters believed that the purpose of the negative review
should be to determine if a household was ineligible for benefits,
regardless of what a household may have been told about its
eligibility. One commenter even stated that its notices to households
were not always as accurate as one might wish them to be. Ten
commenters suggested that if the expanded review be limited, it be
limited to other information in the case file that would support an
alternative reason for a negative action, but prohibit contact with the
household or a collateral contact. State agencies pointed out that
while wrong reasons may be coded for a specific negative action, the
correct reason may be in the case file. The commenters felt that such
coding errors were procedural rather than outcome based.
During the period following the publication of the proposed rule,
the Department revised the FNS 310 Handbook to conform the procedures
in the Handbook to the regulations. By doing so, the Department
eliminated the most far-reaching forms of the expanded review in use by
some States, i.e., field investigations. The FNS 310 Handbook now
requires the State agency to review the case record to determine if
there is another reason in the case record that makes the negative
action valid and allows the reviewer to contact the household or a
collateral contact to verify information in the case record.
The Department has considered the commenters' concerns about the
expanded review. However, the Department has decided the limitations on
the scope of the expanded review are appropriate and consistent with
reviews based on ``action.'' Further, the Department believes that
households are impacted by the reasons they are given for their case
closures and denials. Section 273.13(a)(2) requires that the notice of
adverse action clearly explain the proposed action, the reason for the
proposed action, and the household's right to appeal. We do not believe
that it is purely procedural when a household is given an incorrect
reason for the negative action. We do not believe that it is purely
procedural when the State agency fails to follow certification policy
and provide households with the rights to which they are entitled, such
as (but not limited to) Notices of Missed Interview (NOMIs), expedited
service, or properly-timed denials. Therefore, we believe that it is in
the best interests of program integrity and service to households to
adopt the procedure as proposed. Further, with the change to ``action''
only reviews, we do not believe it necessary or appropriate to seek
reasons other than the stated one given for the negative action.
Accordingly, the Department is adopting as proposed the limiting of the
expanded review in 7 CFR 275.13(b), with minor wording changes of
``correct'' to ``valid'' and ``incorrect'' to ``invalid''. The State
agency will continue to be allowed to contact the household or a
collateral contact to verify the validity of the specific negative
action. A conforming change is also being made to 7 CFR 275.13(c)(1).
In summary, the Department has adopted the provisions revising the
negative case review process because we believe that to do so is
necessary to correct the statistical issues surrounding sampling, that
the changes will result in consistent interpretations among the States,
and represents a better balance between accuracy and customer service.
One commenter requested a 120-day hold harmless period if the
Department adopted the proposed changes. We have considered this
request but have determined that it is not appropriate. Section
16(c)(3) of the Act and Section 275.12(d)(2)(vii) of the regulations
(as modified by this rule) provide for exclusion of errors resulting in
the application of new regulations. However, a change in review
procedures does not result in an error; the QC system is a measurement
system and review procedures are the mechanism of that measurement. The
errors that are measured are errors in the certification process.
Changes to the review procedures do not change the certification
requirements. The Department has not been able to
[[Page 33428]]
determine what the commenter expected to be excluded.
We would like to address at this point the need for States to be
consistent, thorough, and accurate in the construction of the sample
universe. All actions to deny, terminate, or suspend households need to
be included in the universe. While we believe that using the notices of
adverse action would be the simplest way to capture the terminations,
it may not be the only way. Further, the failure to send a notice is
not in and of itself a reason for an action to be not subject to
review. For example, if for some reason, the State's computer fails to
issue notices of adverse action to a category of households being
terminated from the Program those terminations would still be subject
to review. The State agency would be responsible for ensuring that that
group of negative actions is subject to sampling. Also, if the computer
sends notices of adverse action even if the ``action'' is solely the
expiration of the certification period, it should be noted that expired
certification periods are not negative actions and such cases should be
excluded from the sample. Another category of concern is administrative
closures that do not result in adverse action notices to households,
such as a case closure and transfer to another number because the
worker incorrectly opened the case under the wrong number. The
Department does not consider such administrative closures to be
negative actions as defined by this rule.
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,
7 CFR 275.16(b)(1) was revised to require corrective action planning
whenever a State agency's 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 (7 CFR 275.16(b)(2)) or when the State agency's
negative case error rate exceeds one percent (7 CFR 275.16(b)(3)). We
proposed to remove 7 CFR 275.16(b)(2) as no longer necessary because
enhanced funding has been eliminated. We also proposed to continue to
require State agencies to conduct corrective action planning whenever
the negative case error rate exceeds one percent (7 CFR 275.16(b)(3)),
(redesignated as 7 CFR 275.16(b)(2) to reflect the deletion of 7 CFR
275.16(b)(2)). We proposed retaining the requirement to do corrective
action planning when the negative error rate exceeds one percent to
ensure that households are not being inappropriately denied or
terminated. Further, this proposal is consistent with the High
Performance Bonuses final rule that provides criteria for rewarding
States with very low negative case error rates.
Finally, we proposed to redesignate 7 CFR 275.16(b)(4), (b)(5), and
(b)(6) as 7 CFR 275.16(b)(3), (b)(4), and (b)(5), respectively, to
reflect the removal of 7 CFR 275.16(b)(2) and redesignation of 7 CFR
275.16(b)(3) as 7 CFR 275.16(b)(2). 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 received 4 comments
concerning corrective action plans for negative reviews. Two commenters
supported the proposal. Two commenters were concerned about the impact
of the proposed changes to the negative review process on the negative
error rate and were opposed to the provision as written if the changes
to the negative review process were adopted. As discussed above, the
Department has adopted the changes to the negative review process. We
have considered the comments; however, we are adopting as final the
change made in the interim rule to 7 CFR 275.16(b)(1) and the deletion
of 7 CFR 275.16(b)(2) and the change in the proposed rule to 7 CFR
275.16(b)(3) (redesignated as 7 CFR 275.16(b)(2)). We believe the 1-
percent threshold is appropriate even though some States' error rates
may rise.
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 final rule published July 16, 1999, at 64 FR
38287. That rule did not add suspended cases to those deficiencies
requiring corrective action at 7 CFR 275.16(b)(6) (redesignated in this
rule as 7 CFR 275.16(b)(5)). To correct this oversight, we proposed to
revise redesignated 7 CFR 275.16(b)(5) to include deficiencies which
result in improper suspensions. One commenter addressed and supported
this proposal. We are adopting as proposed the requirement to address
deficiencies in the handling of suspended cases through the corrective
action planning process.
E. Time Frames for Announcing the National Performance Measure and for
Completing QC Reviews and Resolving State/Federal Differences
The interim rule published October 16, 2003 at 68 FR 59519 revised
the regulations at 7 CFR 275.23(e)(7) to establish the following time
frames for completing QC reviews and resolving State/Federal
differences and for announcing the national performance measure. The
deadline for completing QC 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 time frames are mandated by
the Act, and we did not receive any comments addressing these new time
frames for completing the review process. Accordingly, we are adopting
these time frames established in the interim rule.
These new time frames provide approximately two additional months
to complete the case review and arbitration process and to develop and
announce the national performance measure. We proposed to use this
additional time in the following way: (1) 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;
(2) provide State agencies 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; (3) provide State agencies until January 21
after the end of the review year to complete and dispose of all cases;
and (4) stipulate 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 also proposed to revise 7 CFR
275.21(b)(4) by replacing ``95'' with ``113''; to revise 7 CFR
275.21(c) by replacing ``105'' with ``123''; and to add a sentence to
each of these paragraphs stating that if FNS extends the time frames in
7 CFR 275.21(b)(2), that the time frames in these paragraphs will be
extended accordingly. We also proposed to continue to allow States 20
days to request arbitration of individual cases; however, we also
requested comments about whether this time was considered adequate.
On January 22, 2003, we waived the deadlines for State agencies to
complete
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processing cases in 7 CFR 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 for Fiscal Years 2005 and 2006. The waiver
was again extended on September 12, 2006, for FY 2007 and FY 2008. In
providing comments on this proposal, we requested comments about
whether this amount of additional time was useful and/or sufficient. In
addition to the extended time frames 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). In the proposed rulemaking, we did not allow this additional
10 days at the end of the review year for checking the c-trails. We did
not propose allowing the additional 10 days at the end of the review
year because we felt that States had 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 re-review process
which in turn impacts FNS's ability to timely and accurately prepare
the payment error rates. However, we were interested in receiving
comments on this issue.
We received 16 comments addressing the individual case time frames,
the 10-day period at the end of the review year to check the c-trails,
and the time period to request arbitration. Concerns were also raised
about the failure of FNS to establish individual case review times for
the Federal validation process and delayed arbitration responses. Six
commenters supported the individual case time frames as proposed; six
commenters recommended additional time, up to as much as 125 days.
Also, six commenters recommended that we eliminate the interim tracking
and establish only a final deadline. We have considered the comments
and will eliminate the interim tracking and establish only a final date
for completion of each month's sample; provide the States 115 days to
complete each month's sample; and allow 10 days at the end of the
review year to check the c-trails. We also revised 7 CFR 275.21(b)(4)
by replacing the two-tiered time frame completion schedule with 115
days; revised 7 CFR 275.21(c) by replacing ``105'' with ``125''; and
adopted the proposed addition to each of these paragraphs stating that
if FNS extends the time frames in 7 CFR 275.21(b)(2), that the time
frames in these paragraphs will be extended accordingly.
Although we did not provide the States with 125 days to complete
individual reviews each month as some State agencies recommended, we
did provide the State agencies with 2 days more than proposed to
complete individual reviews, i.e., 115 days instead of 113 days. As
discussed in the preamble to the proposed rule, when the time to
complete reviews and issue error rates was cut back by the Mickey
Leland Childhood Hunger Relief Act, Public Law 103-66, FNS absorbed the
entire reduction. When the FSRA replaced the 60 days lost under Public
Law 103-66, FNS provided the States with a significant amount of that
replaced time. We believe that FNS needs the remaining time to complete
the individual case reviews. In addition to replacing some of the lost
time, FNS's work load has increased with the advent of 100 percent
validation of negative cases.
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 time frames for conducting arbitration are in 7 CFR 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. Prior to Public Law 103-66, States had 28
days to request arbitration. As discussed above, originally FNS
absorbed the total cut in review time and States lost 8 days to request
arbitration. Although we considered the amount of time allowed for
requesting arbitration to be adequate, we specifically requested
comments, however, about whether affected parties and the public agree
that the time frames are adequate. We received 7 comments addressing
the time frames for requesting arbitration. Five commenters supported
additional time to request arbitration; two commenters supported the
existing 20 days. One commenter suggested that the arbitration process
be changed to include a State person. This proposal was outside the
scope of the proposed rule and has not been addressed.
Two commenters wanted both more time to do reviews and more time to
request arbitration. Three other commenters wanted additional time to
request arbitration. In the proposed rule, States were given part of
the restored time, and in this rule have been given two more days to
perform their reviews, time which has come out of the Department's time
to complete the Federal re-reviews, conduct arbitration, and calculate
and release the error rates. As we indicated in the proposed rule, if
we provided more time to request arbitration, time to conduct reviews
by the States may have had to be reduced. States did not address this
point; further, States were more concerned about the amount of time
available for them to conduct individual reviews than about the time
frames to request arbitration. In response to that concern, we provided
them more time to conduct individual reviews. That time was taken from
time for Federal re-reviews to be conducted.
Three States commented that 20 days was not a sufficient amount of
time to request arbitration when multiple cases are received at the
same time. 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. Overall, there
are very few arbitration cases in any one review year. In FY 2000 there
were a total of 75 cases nationwide; in FY 2001 there were 37; in FY
2002, there were 43 cases; in FY 2004, there were 24 cases; in FY 2005,
there were 38 cases; in FY 2006, there were 27 cases; in FY 2007, there
were 47 cases, and in FY 2008, there were 55 cases. The commenters did
not provide a compelling case stating why this work cannot be completed
in the 20 days provided for that purpose. The arbitration time frames
as currently established appear to be adequate from our perspective.
Accordingly, we have decided to make no change to the time frames to
request arbitration.
Under the time frames as provided in the January 23, 2003; March 4,
2004; and September 12, 2006 memoranda from FNS headquarters to FNS
regional offices, 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. Although we did not request comments on the establishment
of Federal review time frames, we received three comments suggesting
the
[[Page 33430]]
establishment of time frames for completion of Federal reviews. Those
comments were outside the scope of the proposed rule. While we
understand the concerns expressed by the commenters about delays in
receiving Federal re-review results, we believe that this is an issue
that can be addressed on a case-by-case basis.
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.
Prior to publication of the proposed rule (published on September 23,
2005, at 70 FR 55776), 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 proposed
to revise 7 CFR 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. We received no comments
concerning this proposal; we are adopting it as proposed.
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 proposed to remove 7 CFR
275.21(d). We received no comments concerning this proposal; we are
adopting it as proposed.
F. Consequences to Households Who Refuse To Cooperate With QC Reviews
Section 273.2(d)(2) provides procedures for handling the cases of
SNAP participants who refuse to cooperate with a QC review of their
case. Currently, a household is determined ineligible if it refuses to
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 proposed to
amend this provision to provide that the ineligibility penalty will
follow the household member(s) who refused to cooperate. We received 13
comments addressing this proposal. Nine commenters opposed the
provision; 4 commenters supported; one commenter pointed out that a
tracking mechanism would have to be developed. Commenters opposed to
the proposal believed that it would be difficult to accomplish and were
concerned about the need for a tracking mechanism to be developed that
would involve computer expenses. We recognize these concerns; however,
we do not believe households should be prohibited from participating in
the program if the person who refused to cooperate with the QC review
no longer resides with the remaining household members. Therefore, we
are adopting as proposed the requirement that the ineligibility penalty
follow the household member(s) who refused to cooperate. If the State
agency is unable to identify a particular household member as the
refusing person, the State agency may continue to decide what member(s)
to disqualify. We recognize that it will take States time to adapt
their computer systems to track the refusing individual. Accordingly we
are giving the States an extended time to implement the provision,
until October 1, 2011. States may opt to implement this provision
earlier. A 120-day hold harmless provision applies to implementation of
this change.
In this rule, we also proposed to make a conforming change to 7 CFR
273.2(d)(2). Current procedures in 7 CFR 273.2(d)(2) require that a
household be terminated for refusal to cooperate with a State or
Federal QC 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 rea