On August 1, 2024, the Department of Justice (“DOJ”) rolled out its Corporate Whistleblower Awards Pilot Program after announcing the initiative in March. Described as “[s]upercharging DOJ’s corporate investigations and prosecutions,”[1] the Pilot Program dramatically expands the pool of would-be whistleblowers and underscores the importance of robust compliance and reporting programs. This marks a significant change to the federal whistleblower landscape, as whistleblowers now have a financial incentive to report corporate misconduct involving companies billing private health insurance plans and misconduct involving privately held companies doing business abroad.
New Focus Areas
Intended to fill identified gaps in existing federal whistleblower programs, the three-year Pilot Program seeks information about certain corporate misconduct not covered by the federal False Claims Act (“FCA”) or other federal whistleblower programs, such as those under the Securities and Exchange Commission (“SEC”), the Commodity Futures Trading Commission (“CFTC”) and the Financial Crimes Enforcement Network.
Specifically, the Pilot Program targets information in four subject matter areas:
- certain crimes and violations by financial institutions or their agents;
- foreign corruption and bribery involving privately held companies;
- domestic corruption involving privately held companies; and
- health care fraud against private benefit programs or patients and “any other federal violations involving conduct related to health care not covered” by the FCA.[2]
In light of these focus areas, health care providers should review existing compliance programs to ensure they are prioritizing investigations of complaints about incorrect billing to private insurance. Privately held companies doing business abroad should consider whether they have sufficient processes in place to encourage and investigate internal complaints about violations of the Foreign Corrupt Practices Act.
Whistleblower Incentives
The Pilot Program provides potential financial incentives for whistleblowers who report original, truthful information about criminal misconduct that falls within one or more of these four areas.[3] A whistleblower will only be eligible for an award under the Pilot Program if they are ineligible for an award through another federal whistleblower program or a qui tam action.[4]
A whistleblower who provides information leading to a successful prosecution and a forfeiture greater than $1 million may, in the DOJ’s discretion, receive a portion of the net proceeds forfeited.[5] A whistleblower is eligible to receive up to 30% of the first $100 million in forfeited net assets and up to 5% of any forfeiture between $100 million and $500 million.[6]
Strong Compliance Programs Are Essential
The DOJ has long emphasized the importance of strong compliance programs and has provided cooperation credit to companies that emphasize compliance and self-report violations.[7] Two aspects of the Pilot Program heighten the need for companies to review and enhance their compliance programs.
First, to be eligible for an award, a whistleblower must report the misconduct to the DOJ within 120 days of reporting internally.[8] Second, the DOJ temporarily amended its Criminal Division Corporate Enforcement and Voluntary Self-Disclosure Policy so that a company that self-discloses misconduct to the DOJ within 120 days of an internal whistleblower report, and before the DOJ reaches out to the company, may be eligible for a non-prosecution agreement—even if the whistleblower has already reported the misconduct to the DOJ.[9]
In many instances, particularly those where the reported conduct involves complex or wide-ranging issues, the 120-day deadline for a company to both conduct an internal investigation and determine whether to self-disclose to the DOJ will be challenging, if not unfeasible. Companies may find themselves in the difficult position of deciding whether to self-disclose before they feel certain that misconduct has occurred, calling into question how effective the 120-day deadline will be in encouraging voluntary self-disclosures.
For that reason, companies should act quickly to review existing compliance programs with an eye toward the DOJ’s new focus areas and the 120-day deadline. If you have questions, please reach out to your Dinsmore attorney or the authors of this alert.