Accountability Report Card Summary 2013 Tennessee



Similar documents
Accountability Report Card Summary 2013 New Mexico

Accountability Report Card Summary 2015 Kentucky

Accountability Report Card Summary 2013 Massachusetts

TITLE 34. LABOR AND WORKERS' COMPENSATION CHAPTER 19. CONSCIENTIOUS EMPLOYEE PROTECTION ACT. N.J. Stat. 34:19-1 (2007)

Key Definitions: VT LEG # v.1

ADMINISTRATIVE POLICY SECTION: CORPORATE COMPLIANCE Revised Date: 2/26/15 TITLE: FALSE CLAIMS ACT & WHISTLEBLOWER PROVISIONS

Policy and Procedure: Corporate Compliance Topic: False Claims Act and Whistleblower Provisions, Deficit Reduction Act

Metropolitan Jewish Health System and its Participating Agencies and Programs [MJHS]

Compliance Plan False Claims Act & Whistleblower Provisions Purpose/Policy/Procedures

South Carolina s Statutory Whistleblower Protections. A Review for SC Qui Tam Attorneys, SC Whistleblower Lawyers & SC Fraud Law Firms

NewYork-Presbyterian Hospital Sites: All Centers Hospital Policy and Procedure Manual Number: D160 Page 1 of 9

This policy applies to UNTHSC employees, volunteers, contractors and agents.

Deficit Reduction Act Contract Providers 2015

ADMINISTRATIVE POLICY MANUAL

FEDERAL & NEW YORK STATUTES RELATING TO FILING FALSE CLAIMS

VILLAGECARE CORPORATE COMPLIANCE POLICY AND PROCEDURE MANUAL ORIGINAL EFFECTIVE DATE: JANUARY 1, 2007

COUNTY OF ORANGE. False Claims Act and Whistleblower Provisions Policy and Procedures

Title: Preventing and Reporting Fraud, Waste and Abuse in Federal Health Care Programs. Area Manual: Corporate Compliance Page: Page 1 of 10

North Shore LIJ Health System, Inc.

Cardinal McCloskey Services Corporate Compliance False Claims Act and Whistleblower Provisions

Fraud, Waste and Abuse Prevention and Education Policy

How To Handle A Wrongdoer In A State Agency

Upper Peninsula Health Plan Policy & Procedure

SOUTH NASSAU COMMUNITIES HOSPITAL One Healthy Way, Oceanside, NY 11572

Policies and Procedures: WVUPC Policy Pursuant to the Requirements of the Deficit Reduction Act of 2005

VNSNY CORPORATE. DRA Policy

fraud, waste, abuse, compliance, integrity, Integrity Help Line

NOYES HEALTH ADMINISTRATION POLICY/PROCEDURE

Oklahoma FALSE CLAIMS LAWS

THE COUNTY OF MONTGOMERY POLICIES AND PROCEDURES FALSE CLAIMS AND WHISTLEBLOWER PROTECTIONS

STATEN ISLAND UNIVERSITY HOSPITAL ADMINISTRATIVE POLICY AND PROCEDURE MANUAL

ADMINISTRATION POLICY MEMORANDUM

False Claims Act NUMBER NH-LD-CP-220 Last Revised/Reviewed TITLE. Apr13. LD, CP Corporate Wide TJC FUNCTIONS APPLIES TO I.

CALIFORNIA FALSE CLAIMS ACT GOVERNMENT CODE SECTION

EXECUTIVE SUMMARY Compliance Program and False Claims Recovery

MEMORANDUM. 2. Public Health Solutions responds to questions and reports of fraud, waste, and abuse quickly.

FEDERAL LAWS RELATING TO FRAUD, WASTE AND ABUSE

False Claims Act CMP212

FEDERAL & NEW YORK STATUTES RELATING TO FILING FALSE CLAIMS. 1) Federal False Claims Act (31 USC )

OSF HEALTHCARE FALSE CLAIMS PREVENTION AND WHISTLEBLOWER PROTECTIONS

Office of Personnel Management. Policy Policy Number: Definitions. Communicate: To give a verbal or written report to an appropriate authority.

NORTHCARE NETWORK. POLICY TITLE: Deficit Reduction Act (DRA) EFFECTIVE DATE: 1/1/15 REVIEW DATE: New Policy

Page: 1 of 5. Pharmacy Fraud, Waste and Abuse Policy. 1.0 Compliance Assurance. 2.0 Procedure

AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA

Minnesota False Claims Act

Securities Whistleblower Incentives and Protection

MEMORIAL HERMANN HEALTH SYSTEM POLICY

A Bill Regular Session, 2015 SENATE BILL 830

POLICY ON THE FALSE CLAIMS ACTS

USC Office of Compliance

C O N F I D E N T I A L A N D P R O P R I E T A R Y. Page 1 of 7 Title: FRAUD, WASTE, AND ABUSE POLICY

ESTABLISHING POLICY AND PROCEDURES FOR COMPLIACE WITH 42 USC 139a(a)(68), False Claims and Whistle Blower Protections

Newport Subacute Healthcare Center

SULLIVAN COUNTY EMPLOYEE ORIENTATION FACT SHEET # 31

LAKE COUNTY BOARD OF DD/DEEPWOOD BOARD POLICY I. SUBJECT: FALSE CLAIMS PREVENTION AND WHISTLEBLOWER PROTECTION

Whistleblower Program

Corporate Compliance Policy Concerning the False Claims Acts, Anti- Retaliation Protections, and Detecting and Responding to Fraud

Commodity Futures Trading Commission Commodity Whistleblower Incentives and Protection

Deficit Reduction Act Information for Employees, Contractors and Agents

Last Approval Date: May Page 1 of 12 I. PURPOSE

POLICY AND PROCEDURES MANUAL FRAUD, WASTE, AND ABUSE

Compliance with False Claims Act

Deficit Reduction Act Employee Information Requirements

HP0868, LD 1187, item 1, 123rd Maine State Legislature An Act To Recoup Health Care Funds through the Maine False Claims Act

A summary of administrative remedies found in the Program Fraud Civil Remedies Act

SCAN Health Plan Policy and Procedure Number: CRP-0067, False Claims Act & Deficit Reduction Act 2005

5037 Employee Education About False Claims Recovery The purpose of this policy is to educate employees, contractors, and agents on

Prevention of Fraud, Waste and Abuse

POLICY AND STANDARDS. False Claims Laws and Whistleblower Protections

Chapter No. 367] PUBLIC ACTS, CHAPTER NO. 367 HOUSE BILL NO By Representatives Briley, Hargett, Pleasant

Coffee Regional Medical Center FALSE CLAIMS EDUCATION

Westlake Convalescent Hospital

Deficit Reduction Act of Employee Education About False Claims Recovery

Representing Whistleblowers Nationwide

NEW YORK CITY FALSE CLAIMS ACT Administrative Code through *

MINNESOTA FALSE CLAIMS ACT. Subdivision 1. Scope. --For purposes of this chapter, the terms in this section have the meanings given them.

Avoiding Medicaid Fraud. Odyssey House of Utah Questions? Contact your Program Director or Emily Capito, Director of Operations

Policies and Procedures SECTION:

False Claims Act Policy Effective Date 01/01/2007 Compliance Manual

NEW YORK FALSE CLAIMS ACT

MARYLAND FALSE CLAIMS ACT

EDUCATION ABOUT FALSE CLAIMS RECOVERY

CENTERLIGHT HEALTH SYSTEM CORPORATE COMPLIANCE POLICY. SUBJECT: Detection & Prevention of Fraud, Waste & Abuse POLICY NO.:

HB Introduced by Representative Patterson AN ACT

MINNESOTA FALSE CLAIMS ACT

(A) There are other available remedies that the complainant can reasonably be expected to pursue;

To: All Vendors, Agents and Contractors of Hutchinson Regional Medical Center

TENNCARE POLICY MANUAL

METHODIST HEALTH SYSTEM ADMINISTRATIVE TITLE: DETECTING FRAUD AND ABUSE AND AN OVERVIEW OF THE FEDERAL AND STATE FALSE CLAIMS ACTS

Transcription:

Accountability Report Card Summary 2013 Tennessee Tennessee has one of the strongest state whistleblower laws: Scoring 75 out of a possible 100; Ranking 3 rd out of 51 (50 states and the District of Columbia). Tennessee has good coverage (23 of 33 possible points) with an excellent degree of usability (32 out of 33) and strong remedies (20 out of 33). Tennessee s full Whistleblower Report Card page 2 Narrative summary of Tennessee law page 5

Tennessee Accountability Index Report card Coverage, Usability & Strength Rating on a 100 Point Scale Employment Practices- Tenn. Code Ann. 50-1-304 (2012). State Government- Tenn. Code Ann. 8-50-116 (2012) False Claims Tenn. Code Ann. 4-18-101 et seq (2012) Hazardous Chemical Right to Know Law - Tenn. Code Ann. 50-3-2012 (2012) A Breadth of Coverage (33 points possible from 10 factors). Does the statute cover disclosures of Factor Maximum Points Awarded Points 1. Violation of state or federal law, 6 points 6 points 1 rules or regulations 2. Gross mismanagement 3 points 3 points 3. Abuse of authority (including 3 points 3 points violations of agency policy) 4. Waste of public funds or 3 points 3 points resources 5. Danger to health and/or public 5 points 5 points safety and/or environment 6. Communication of scientific 5 points 0 points opinion or alteration of technical findings 7. Breaches of professional ethical canons 5 points 0 points Does the statute provide 8. Employee may refuse to carry out illegal or improper orders 9. Prohibition on gag orders to prevent employee disclosures 10. Whistleblower protection does not preclude collective bargaining or other rights 1 point 1 point 2 1 point 1 point 3 1 point 1 points 4 Maximum Score 33 points Awarded Score 1 Public employee shall not face retaliatory action because the employee reports (A) a willful effort to violate a state or federal law, rule or regulation, or the willful efforts to conceal such a violation; (B) acts which constituted fraud against the state, the federal government, the public or any fellow employee; (C) the willful misappropriation of state or federal resources; (D) acts which posed a danger to the health or safety of the public or employees; or (E) acts constituting gross mismanagement of a program, gross waste of state or federal funds, or gross abuse of authority. T. C. A. 8-50-116(b)(1). 2 T. C. A. 8-50-116(b)(3). 3 No employer shall make, adopt, or enforce any rule, regulation, or policy preventing an employee from disclosing information to a government or law enforcement agency or from acting in furtherance of a false claims action, including investigating, initiating, testifying, or assisting in an action filed. T. C. A. 4-18- 105. See also T. C. A. 8-50-116(a) (stating the intent of the legislature to encourage disclosures). 4 Nothing in this section shall be deemed to diminish the rights, privileges or remedies of any employee under any other federal or state law or regulation. Tenn. Code Ann. 8-50-116(g).

B. Usability: Scope of Protection (33 points possible from 10 factors) Do the laws protect disclosures made to 23 points Factor Maximum Points Awarded Points 1. Any person or organization, including public media 24 points 24 points 5 Or does the statute protect disclosures made to 2. Any state executive or legislative body or person employed by such entities 3. Testimony in any official proceeding 4. Any state or federal law enforcement or investigative body or entity or its employees 5. Any federal or non-state governmental entity 6. Co-workers or supervisors within the scope of duty 7. Anyone as provided in paragraphs 2 thru 6 (above) without prior disclosure to another state official or supervisor 4 points 0 points 4 points 0 points Does the state law 8. Require an investigation by state auditor or other investigative entity of whistleblower disclosures 9. Have a statute of limitations of one year or longer for filing complaints 10.Allow qui tam or false claim actions for recovery of bounty in cases of fraud against the state 1 point 0 points 3 points (2 points if 6 months or longer and 1 point if 60 days or longer) 5 points (2 points if a qui tam statute of limited scope) 3 points 6 5 points 7 Maximum Score 33 points Awarded Score 32 points 5 The statutes do not specify to whom a disclosure of illegal activities would be made. 6 Action must be brought within one year of the alleged retaliatory incident. T. C. A. 8-50-116(c). 7 The False Claims Act allows for recovery of bounty. Tenn. Code Ann. 4-18-104 (2012).

C. Strength: Remedies against retaliation (33 points possible from 11 factors) Does the statute provide for Factor Maximum Points Awarded Points 1. Prohibition on retaliatory actions 4 points 4 points 8 affecting a state employee s terms and conditions of employment 2. Opportunity for administrative 4 points 0 points challenge 3. Opportunities for court challenge 4 points 4 point 9 4. Trial by jury 5. Burden shifting upon prima facie 1 point 1 points 10 showing. 6. Make whole remedies (court costs, 3 points 3 points 11 attorney fees, back pay; restoration of benefits, etc.) 7. Actual/compensatory damages 3 points 3 points 8. Interim relief, injunction or stay of 3 points 3 points personnel actions 9. Transfer preference for prevailing whistleblower or ban on blackballing 10. Punitive damages or other fines and penalties 2 points 2 points 12 11. Personnel actions against managers found to have retaliated Maximum Score 33 points Awarded Score 20 points Bonus Point (1 point): Posting or employee notice of whistleblower rights required. Factor Maximum Score Awarded Score Posting 1 point 0 points 8 An employer may not recommend or act to discharge, demote, suspend, reassign, transfer, discipline, threaten or otherwise discriminate against a state employee regarding the state employee's evaluation, promotion, compensation, terms, conditions, location or privileges of employment in retaliation for that employee s protected disclosure. T. C. A. 8-50-116(b). 9 T. C. A. 8-50-116(c). 10 New statute: T. C. A. 50 1 701, as added by 2011 Tennessee Laws Pub. Ch. 461 (H.B. 1641). 11 A court, in rendering a judgment in an action brought pursuant to this section, may order injunctive relief, actual damages, reinstatement of the employee, the payment of back wages, full reinstatement of fringe benefits and seniority rights, costs, reasonable attorney's fees or any combination thereof. T. C. A. 8-50-116(d). 12 Willful or malicious violations may bring criminal sanctions and or triple damages. T. C. A. 8-50- 116(d)(3).

Total Points 100 Points 75 points July 29, 2012 State Legislation Protecting State Employee Whistleblowers State- Tennessee Statute- Employment Practices- Tenn. Code Ann. 50-1-304 (2012); State Government- Tenn. Code Ann. 8-50-116 (2012); False Claims Tenn. Code Ann. 4-18-105 (2012); Hazardous Chemical Right to Know Law - Tenn. Code Ann. 50-3-2012 (2012) Provisions- Tennessee has three statutes which protect public whistleblowers. The State government code expresses the intent of the general assembly that state employees are encouraged to report violations of state or federal law or regulations, fraud in government programs, misappropriation of government resources, health and safety dangers, mismanagement, and abuses of authority. The statute also expresses the general assembly s intent that state employees be able to freely report to public bodies, including testifying before legislative panels, on issues of public concern. The statute protects whistleblowers from retaliation for reporting: violations of state and federal laws and regulations, fraud, misappropriation of resources, health and safety dangers, gross mismanagement, gross waste of government funds, or gross abuse of authority. Employees may not be retaliated against for refusing to carry out orders if the order violates state or federal law, regulations, written policy or procedure, or orders that pose an unreasonable health and safety risk. Supervisors may only take adverse personnel action against the whistleblower if they believe in good faith that the employee has been fraudulent, dishonest, or had a willful disregard for the truth in his or her disclosure. Employees must file an action in circuit or chancery court within one year of the alleged violation. Employees may seek actual damages, injunctive relief, reinstatement, payment of back wages, reinstatement of benefits, costs, and reasonable attorney s fees. For acts involving a willful or malicious violation of this statute, a criminal violation, or a violation in attempt to obtain personal gain, the court may award up to 3 times the actual damages. Employers, including state supervisors, agencies, departments, or institutions, are not liable if they took action in good faith pursuant to lawful orders or authority. The Employment Practices statute has a limited application. It applies to both public and private sector employees. The statute provides that no employee shall be discharged or terminated solely for refusing to participate in, or for refusing to remain silent about, illegal activities. Illegal activities means activities that are in violation of the federal and Tennessee civil or criminal code or any regulation intended to protect the public health, safety or welfare. Any employee terminated solely for refusing to participate in, or for refusing to remain silent about, illegal activities shall have a cause of action against the employer for retaliatory discharge and any other damages to which the employee may

be entitled. Any employee who prevails in such cause of action shall be entitled to recover attorney fees and costs. This statute should not be used for frivolous lawsuits. If an employee files a case for retaliatory discharge for any improper purpose, such as to harass or to cause needless increase in costs to the employer, the court, upon motion or its own initiative, shall impose upon the employee, an appropriate sanction, which may include an order to pay the other party or parties the amount of reasonable expenses incurred, including reasonable attorney s fees. The False Claims statute both serves to protect whistleblowers, by providing additional provisions which reiterate the protections from the previous two statutes, as well as providing for qui tam actions whereby the whistleblower may claim a percentage of the bounty recovered from a successful court action. Under The Hazardous Chemical Right to Know Law, Tenn. Code Ann. 50-3-2012, No manufacturing employer, non-manufacturing employer or distributor shall discharge, or cause to be discharged, or otherwise discipline or in any manner discriminate against an employee because the employee has filed a complaint, assisted an inspector of the commissioner who may make or is making an inspection under 50-3-2016(b), or has instituted or caused to be instituted any proceeding under or related to this part, or has testified or is about to testify in any proceeding or because of the exercise of any rights afforded pursuant to this part on behalf of the employee or on behalf of others, nor shall pay, position, seniority or other benefits be lost for exercise of any right provided by this part.