[8] Appointed as Inspector General in the aftermath of a contracting scandal, Bowen was tasked with restoring public trust and addressing operational challenges within the Texas Health and Human Services System.

Bowen was also responsible for improving relationships with the Medicaid provider community and the Texas Health and Human Services Commission (HHSC).

[9] As Inspector General, Bowen's role involved preventing, detecting, and deterring fraud, waste, and abuse within the Texas Health and Human Services System.

He cited videos showing misconduct and sent investigators with letters to Planned Parenthood offices in San Antonio, Dallas, and the Houston area, requesting records.

His letters cited the authority of Health and Human Services Commission to investigate allegations of potential fraud involving Medicaid payments.