The bill amends sections of the Code of West Virginia to enhance the authority of the Public Employees Insurance Agency (PEIA) in investigating and prosecuting fraudulent activities. Key provisions include the establishment of civil remedies and penalties for violations, such as the potential for treble damages and the authority to suspend payments to providers under investigation. It introduces a five-year statute of limitations for civil actions and authorizes the creation of a special investigations unit within PEIA, which can issue subpoenas and request search warrants. The bill also redefines violations related to fraudulent claims, emphasizing the importance of maintaining accurate records and allowing the Attorney General or designated attorneys to prosecute civil actions.

Additionally, the bill establishes criminal penalties for individuals involved in fraud against PEIA plans, including solicitation of unlawful remuneration and presenting false claims, with potential felony charges leading to imprisonment of up to 10 years and fines up to $10,000. It mandates confidentiality for records related to agency investigations, exempting them from public disclosure unless part of a legal proceeding. The bill specifies venues for prosecuting these offenses, allowing cases to be initiated in Kanawha County or any county where the violation occurred, and clarifies that the remedies and penalties provided are supplementary to existing laws. It also includes provisions for special registration plates for vehicles used in fraud investigations by state agencies.

Statutes affected:
Originating in Committee: 5-16-12, 5-16-12a, 5-16-12c, 5-16-12d, 5-16-33, 17A-3-23