Department of Justice >
USAM >
Title 9 prev | next | Criminal Resource Manual |
9-42.000
FRAUD AGAINST
THE GOVERNMENT
9-42.100 Introduction
9-42.010 Coordination of Criminal
and
Civil Fraud Against the Government Cases
9-42.160 False Statements to a
Federal
Criminal Investigator
9-42.191 Application of
Appropriate
Statute
9-42.420 Federal Procurement
Fraud
Unit
9-42.430 Department of Defense
Voluntary Disclosure Program
9-42.440 Provisions for the
Handling
of Qui Tam Suits Filed Under the False Claims Act
9-42.451 Plea Bargaining in
Medicare-Medicaid Frauds
9-42.500 Referral Procedures --
Relationship and Coordination With the Statutory Inspectors
General
9-42.510 Social Security Fraud
9-42.530 Department of Defense
Memorandum of Understanding
Related and supporting material can also be found in the Criminal Resource Manual
Scope of the General Statutes Prohibiting Fraud Against the Government | Criminal Resource Manual at 901 |
1996 Amendments to 18 U.S.C. § 1001 | Criminal Resource Manual at 902 |
False Statements, Concealment -- 18 U.S.C. § 1001 | Criminal Resource Manual at 903 |
Purpose of Statute | Criminal Resource Manual at 904 |
Items Not Required to Be Proved | Criminal Resource Manual at 905 |
Jurisdictional Requirements Satisfied | Criminal Resource Manual at 906 |
Statements Warranting Prosecution | Criminal Resource Manual at 907 |
Elements of 18 U.S.C. § 1001 | Criminal Resource Manual at 908 |
False Statement | Criminal Resource Manual at 909 |
Knowingly and Willfully | Criminal Resource Manual at 910 |
Materiality | Criminal Resource Manual at 911 |
Falsity | Criminal Resource Manual at 912 |
Department or Agency | Criminal Resource Manual at 913 |
Concealment--Failure to Disclose | Criminal Resource Manual at 914 |
False Statements as to Future Actions | Criminal Resource Manual at 915 |
False Statements to a Federal Investigator | Criminal Resource Manual at 916 |
Corporate Crimes | Criminal Resource Manual at 917 |
False Statements and Venue | Criminal Resource Manual at 918 |
Multiplicity, Duplicity, Single Document Policy | Criminal Resource Manual at 919 |
General Versus Specific Statutes | Criminal Resource Manual at 920 |
False Claims | Criminal Resource Manual at 921 |
Elements of 18 U.S.C. § 287 | Criminal Resource Manual at 922 |
18 U.S.C. § 371: Conspiracy to Defraud the United States | Criminal Resource Manual at 923 |
Defrauding the Government of Money or Property | Criminal Resource Manual at 924 |
Obstructing or Impairing Legitimate Government Activity | Criminal Resource Manual at 925 |
Government Instrumentality | Criminal Resource Manual at 926 |
Anti-Kickback Act of 1986 | Criminal Resource Manual at 927 |
Procurement Integrity Act | Criminal Resource Manual at 928 |
Obstruction of Federal Audit | Criminal Resource Manual at 929 |
Major Fraud Against the United States | Criminal Resource Manual at 930 |
Department of Defense Voluntary Disclosure Program | Criminal Resource Manual at 931 |
Provisions for the Handling of Qui Tam Suits Filed Under the False Claims Act | Criminal Resource Manual at 932 |
Medicare-Medicaid Frauds | Criminal Resource Manual at 933 |
Policy Statement of the Department of Justice on Its Relationship and Coordination with the Statutory Inspectors General of the Various Departments and Agencies of the United States | Criminal Resource Manual at 934 |
Implementation of the Policy Statement | Criminal Resource Manual at 935 |
Social Security Violations | Criminal Resource Manual at 936 |
Department of Agriculture-Food Stamp Violations | Criminal Resource Manual at 937 |
Department of Defense Memorandum of Understanding | Criminal Resource Manual at 938 |
The Federal Bureau of Investigation has been directed to furnish both the Fraud Section of the Criminal Division and the Commercial Litigation Branch of the Civil Division with copies of all reports in all matters involving fraud against the government, or bribery or conflict of interest involving a public employee. Other federal investigative agencies are required to forward similar reports of investigation to the Branch Director or appropriate United States Attorney.
Cases pursued criminally must also be analyzed for civil potential. This analysis should be conducted at the earliest possible stage. Criminal dispositions by plea bargain should not waive or release the government's civil interests, except in return for adequate consideration, as measured by the Department's standards for civil settlements generally. Proposed civil dispositions involving over $1,000,000 in single damages plus civil penalties must be referred to the Commercial Litigation Branch for approval. See 28 C.F.R. § 0.160, § 0.164, and Civil Division Directive No. 14-95, 60 Fed. Reg. 17457 (April 6, 1995), reprinted in 28 C.F.R. Pt. 0, Subpart Y, Appendix.
As to cases referred to it, the Commercial Litigation Branch notifies the appropriate United States Attorney and other interested offices within the Department of Justice of potential civil actions that come to the Branch's attention. The Branch coordinates its cases with the appropriate United States Attorney to ensure the pursuit of both civil and criminal redress. Cases are similarly coordinated within the United States Attorneys' offices. This coordination may include the simultaneous initiation of civil and criminal proceedings in cases in which the monetary recovery to the government and the deterrent effect will be enhanced, giving due consideration to the risks to the criminal case and the availability of protective orders and stays.
The attorney from the Commercial Litigation Branch or Assistant United States Attorney assigned to the matter follows the investigation as it develops and, where necessary, requests, in coordination with other interested offices of the Department of Justice, that an investigation be conducted relating to areas such as damages, which are particularly pertinent to civil actions. It is the policy of the Department to coordinate jointly the investigation of criminal and civil actions. Pursuant to this policy, an Attorney General memorandum to the United States Attorneys dated July 16, 1986 states that "where possible, documents should be obtained by methods other than grand jury subpoenas." This Attorney General memorandum encourages the use of Inspector General subpoenas as an alternative to grand jury subpoenas in those cases where an Inspector General has determined that such usage is appropriate.
The Branch attorney or AUSA assigned to the matter, should give consideration at the earliest possible date to the initiation of civil action and advise other interested offices in the Department or United States Attorneys' offices of any contemplated civil action. Absent a specific, detailed statement that there is a strong likelihood that institution of a civil action would materially prejudice contemplated criminal prosecution of specific subjects, the decision to institute civil action is governed solely by the standards specified in 38 Op. Att'y Gen. 98 (1934). That is, the suit is instituted unless there is
or
Provisional relief may be sought in cases in which the investigation warrants the conclusion that dissipation of any substantial amounts of assets is likely, notwithstanding the degree to which the criminal aspects of the matter have been concluded. The Commercial Litigation Branch and/or assigned Assistant United States Attorney should advise other interested offices of the Department or United States Attorneys' offices of any provisional action. Such provisional relief is sought unless there is a clear likelihood that efforts to prevent dissipation of assets would materially prejudice criminal prosecution of specific subjects. Where there is a possible criminal component to the case, the criterion for determining "substantial assets" is set at $50,000, which is the minimum debt that must exist for the United States to obtain discovery in connection with a request for provisional relief under the Federal Debt Collection Procedures Act, 28 U.S.C. § 3015(b). In cases in which assets of $50,000 or more may be dissipated, efforts at provisional relief to secure recovery on behalf of a client agency should, if a conflict exists, be resolved within the Department at the appropriate level.
The Commercial Litigation Branch and the United States Attorneys offices are accorded significant latitude in urging client agencies to withhold payment of claims presented by any subject known to have engaged in fraudulent conduct. The Branch will advise the appropriate United States Attorney's Office and other interested offices of the Department when taking such actions. Absent a specific, detailed statement that withholding action would materially prejudice contemplated criminal prosecution of specific subjects, the decision to withhold is governed by the usual Department standards. The government's common law right to withhold payment by setoff has been upheld by the United States Supreme Court. United States v. Munsey Trust Co., 332 U.S. 234 (1947). Withholding is an important tool for effecting civil redress, and in recent years the government has successfully defended a number of cases in which client agencies have employed this self-help remedy. See, e.g., Peterson v. Weinberger, 508 F.2d 45 (5th Cir. 1975); Brown v. United States, 524 F.2d 693 (Cl. Ct. 1975), as amended, (1976); Continental Management, Inc. v. United States, 527 F.2d 613 (Cl. Ct. 1975). The negotiation of favorable settlements in unliquidated matters also may be enhanced by the bargaining leverage which withholding affords. Client agencies also should be urged to withhold pay and retirement benefits to Federal employees separated because of evidence of wrongdoing. The current regulations regarding the withholding or setoff of backpay are found at 4 C.F.R. § 102.3, 5 C.F.R. §§ 550.805(e)(2), 845.206(b). The current regulations regarding the withholding or setoff of retirement benefits are found at 4 C.F.R. § 102.4 and 5 C.F.R. §§ 179.213(a)(4), 831.1306, 831.1801, 845.206(a).
The existing delegations of authority to file suit, settle or close civil fraud claims are set forth in 28 C.F.R. § 0.160, § 0.164, and Civil Division Directive No. 14-95, 60 Fed. Reg. 17457 (April 6, 1995), reprinted in 28 C.F.R. Pt. 0, Subpart Y, Appendix. They provide for redelegation of the authority of the Civil Division's Assistant Attorney General over fraud claims (set out in 28 C.F.R. § 0.45(d)) to the Division's Branch Directors and United States Attorneys in certain circumstances. Under Directive 14-95, the United States Attorneys are authorized to file suit, close a case, or "take any other action necessary to protect the interests of the United States," wherever "the gross amount of the original claim does not exceed" $1,000,000. Directive No. 14-95, § 1(c). Agencies are also authorized to refer matters directly to United States Attorneys involving "[m]oney claims by the United States, except claims involving penalties and forfeitures, where the gross amount of the original claim does not exceed $1,000,000." Id. § 4(a)(1).
Each United States Attorney's Office has an Affirmative Civil Enforcement (ACE) coordinator, who should be consulted on issues arising from parallel criminal and civil cases.
October 1997 | USAM Chapter 9-42 |
---|