,,ib  ,union ,cal5d> ,no4 #dcc  #aad?   
,,congress  #b;d ,session  ,h4 ,r4 #digh
  ,report ,no4 #aad-eei  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,april #ah1 #bjaf 
,mr4 ,j5k9s ( ,we/ ,virg9ia 7= himself1 
,mrs4 ,bu/os1 ,mr4 ,co/ello (           
,p5nsylvania1 ,ms4 ,ku/]1 ,mrs4 ,wagn]1 
,mr4 ,poliqu91 & ,mr4 ,womack7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ,en]gy & ,comm]ce  ,may   
#aj1 #bjaf ,additional sponsors3 ,mr4   
,rog]s ( ,k5tucky1 ,mrs4 ,black1 ,ms4   
,mc,sally1 ,mr4 ,ryan ( ,ohio1 ,ms4     
,kaptur1 ,mrs4 ,h>tzl]1 ,mr4 ,rokita1   
,mr4 ,kilm]1 & ,mr4 ,turn]  ,may #aj1   
#bjaf ,report$ ) am5dm5ts1 committ$ to !
 ,committee ( ! ,:ole ,h\se on ! ,/ate (
 ! ,union1 & ord]$ to be pr9t$ ,/rike   
out all aft] ! enact+ clause & ins]t !  
"p pr9t$ 9 italic ,= text ( introduc$   
bill1 see copy ( bill z introduc$ on    
,april #ah1 #bjaf  ,a ,,bill  ,to       
require ! ,gov]nm5t ,acc\ntability      
,(fice to submit to ,congress a report  
on neonatal ab/95ce syndrome 7,,nas7 9 !

 ,unit$ ,/ates & its treatm5t "u        
,m$icaid4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,nurtur+ ,& ,support+      
,heal?y ,babies ,act or z ! ,,nas       
,heal?y ,babies ,act4  #b4 ,,gao report 
on neonatal ab/95ce syndrome 7,,nas7    
7a7 ,9 g5]al ,n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ! ,committee on ,en]gy & 
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,f9ance & ! ,committee on
 ,heal?1 ,education1 ,labor & ,p5sions (
 ! ,s5ate a report on neonatal ab/95ce  
syndrome 79 ?is section ref]r$ to z     
,,nas7 9 ! ,unit$ ,/ates4  7b7          
,in=mation to be includ$ 9 report ,su*  
report %all include in=mation on !      
foll[+3 7#a7 ,! preval5ce ( ,,nas 9 !   
,unit$ ,/ates1 includ+ ! proportion (   
*ildr5 born 9 ! ,unit$ ,/ates ) ,,nas :o
 are eligible = m$ical assi/ance "u     
,/ate ,m$icaid programs "u title ,,xix (
 ! ,social ,security ,act at bir? & !   
co/s associat$ ) ,,nas ?r\gh su*        

programs4  7#b7 ,! s]vices = :i* cov]age
 is available "u ,/ate ,m$icaid programs
 = treatm5t ( infants ) ,,nas4  7#c7 ,! 
sett+s 7includ+ inpati5t1 outpati5t1    
hospital-bas$1 & o!r sett+s7 = !        
treatm5t ( infants ) ,,nas & !          
reimbursem5t me?odologies & co/s        
associat$ ) su* treatm5t 9 su* sett+s4  
7#d7 ,! preval5ce ( utilization ( v>i\s 
c>e sett+s "u ,/ate ,m$icaid programs = 
treatm5t ( infants ) ,,nas & any ,f$]al 
b>ri]s to treat+ su* infants "u su*     
programs1 p>ticul>ly 9 non-hospital-bas$
 sett+s4  7c7 ,recomm5dations ,su*      
report also %all include su*            
recomm5dations z ! ,comptroll] ,g5]al   
det]m9es appropriate = improvem5ts t w  
ensure access to treatm5t = infants )   
,,nas "u ,/ate ,m$icaid programs4  #c4  
,exclud+ abuse-det]r5t =mulations (     
prescription drugs f ! ,m$icaid         
additional rebate requirem5t = new      
=mulations ( prescription drugs  7a7 ,9 
g5]al ,! la/ s5t5ce ( section           
#aibg7;c77#b77;,c7 ( ! ,social ,security

 ,act 7#db ,u4,s4,c4                    
#acifr-#h7;c77#b77;,c77 is am5d$ by     
ins]t+ be=e ! p]iod at ! end ! foll[+3 1
 b does n include an abuse-det]r5t      
=mulation ( ! drug 7z det]m9$ by !      
,secret>y71 reg>dless ( :e!r su*        
abuse-det]r5t =mulation is an ext5d$    
release =mulation4  7b7 ,effective date 
,! am5dm5t made by subsection 7a7 %all  
apply to drugs t are paid = by a ,/ate 9
 cal5d> qu>t]s beg9n+ on or aft] ! date 
( ! enactm5t ( ?is ,act4  #d4 ,limit+   
disclosure ( pr$ictive model+ & o!r     
analytics te*nologies to id5tify &      
prev5t wa/e1 fraud1 & abuse  7a7 ,9     
g5]al ,title ,,xi ( ! ,social ,security 
,act is am5d$ by ins]t+ aft] section    
#aabh;,j 7#db ,u4,s4,c4 #acbj;a-#gk7 !  
foll[+ new section3  #aabh,k4           
,disclosure ( pr$ictive model+ & o!r    
analytics te*nologies to id5tify &      
prev5t wa/e1 fraud1 & abuse  7a7        
,ref]5ce to pr$ictive model+ te*nologies
 requirem5ts ,= provisions relat+ to !  
use ( pr$ictive model+ & o!r analytics  

te*nologies to id5tify & prev5t wa/e1   
fraud1 & abuse ) respect to ! ,m$ic>e   
program "u title ,,xviii1 ! ,m$icaid    
program "u title ,,xix1 & ! ,*ildr5's   
,heal? ,insurance ,program "u title     
,,xxi1 see section #dbda ( ! ,small     
,bus9ess ,jobs ,act ( #bjaj 7#db        
,u4,s4,c4 #acbj;a-#gm74  7b7 ,limit+    
disclosure ( pr$ictive model+           
te*nologies ,9 implem5t+ su* provisions 
"u su* section #dbda ) respect to cov]$ 
algori?ms 7z def9$ 9 subsection 7c771 ! 
foll[+ %all apply3 7#a7 ,nonapplication 
( ,,foia ,! cov]$ algori?ms us$ or      
develop$ = purposes ( su* section       
7includ+ by ! ,secret>y or a ,/ate 7or  
an entity op]at+ "u a contract ) a      
,/ate77 %all be exempt f disclosure "u  
section #eeb7;b77#c7 ( title #e1 ,unit$ 
,/ates ,code4  7#b7 ,limitation )       
respect to use & disclosure ( in=mation 
by ,/ate ag5cies  7,a7 ,9 g5]al ,a ,/ate
 ag5cy may n use or disclose cov]$      
algori?ms us$ or develop$ = purposes (  
su* section except = purposes ( adm9i/]+

 ! ,/ate plan 7or a waiv] ( ! plan7 "u !
 ,m$icaid program "u title ,,xix or !   
,/ate *ild heal? plan 7or a waiv] ( !   
plan7 "u ! ,*ildr5's ,heal? ,insurance  
,program "u title ,,xxi1 includ+ by     
enabl+ an entity op]at+ "u a contract ) 
a ,/ate to assi/ ! ,/ate to id5tify or  
prev5t wa/e1 fraud & abuse ) respect to 
su* programs4  7,b7 ,in=mation security 
,a ,/ate ag5cy %all h 9 effect data     
security & control policies t !         
,secret>y f9ds adequate to ensure !     
security ( cov]$ algori?ms us$ or       
develop$ = purposes ( su* section #dbda 
& to ensure t access to su* in=mation is
 re/rict$ to au?oriz$ p]sons = purposes 
( au?oriz$ uses & disclosures describ$ 9
 subp>agraph 7,a74  7,c7 ,proc$ural     
requirem5ts ,/ate ag5cies to :i*        
in=mation is disclos$ pursuant to su*   
section #dbda %all adh]e to uni=m       
proc$ures e/abli%$ by ! ,secret>y4  7c7 
,cov]$ algori?m def9$ ,9 ?is section1 ! 
t]m cov]$ algori?m--  7#a7 means a      
pr$ictive model+ or o!r analytics       

te*nology1 z us$ = purposes ( section   
#dbda7;a7 ( ! ,small ,bus9ess ,jobs ,act
 ( #bjaj 7#db ,u4,s4,c4 #acbj;a-#gm7a77 
to id5tify & prev5t wa/e1 fraud1 & abuse
 ) respect to ! ,m$ic>e program "u title
 ,,xviii1 ! ,m$icaid program "u title   
,,xix1 & ! ,*ildr5's ,heal? ,insurance  
,program "u title ,,xxi2 &  7#b7        
includes ! ma!matical expressions       
utiliz$ 9 ! application ( su* te*nology 
& ! means by :i* su* te*nology is       
develop$4  4  7b7 ,con=m+ am5dm5ts  7#a7
 ,m$icaid ,/ate plan requirem5t ,section
 #aijb7;a7 ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acif;a7a77 is am5d$--   
7,a7 9 p>agraph 7#hj71 by /rik+ & at !  
end2  7,b7 9 p>agraph 7#ha71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7,c7 by 
ins]t+ aft] p>agraph 7#ha7 ! foll[+ new 
p>agraph3  7#hb7 provide t ! ,/ate ag5cy
 responsible = adm9i/]+ ! ,/ate plan "u 
?is title provides assurances to !      
,secret>y t ! ,/ate ag5cy is 9          
compliance ) subp>agraphs 7,a71 7,b71 & 
7,c7 ( section #aabh,k7b77#b74  4  7#b7 

,/ate *ild heal? plan requirem5t        
,section #bajb7;a77#g7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acig;bb7a77#g77 is am5d$--  7,a7 9     
subp>agraph 7,a71 by /rik+ 1 & at ! end 
& ins]t+ a semicolon2  7,b7 9           
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7,c7 by add+ at !  
end ! foll[+ new subp>agraph3  7,c7 to  
ensure t ! ,/ate ag5cy involv$ is 9     
compliance ) subp>agraphs 7,a71 7,b71 & 
7,c7 ( section #aabh,k7b77#b74  4  #e4  
,m$icaid ,improvem5t ,fund ,section     
#aida7;b77#a7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifw-#a7;b77#a77 is   
am5d$ to read z foll[s3  7#a7 ,9 g5]al  
,!re %all be available to ! ,fund1 =    
exp5ditures f ! ,fund = fiscal ye> #bjba
 & !reaft]1 #e1jjj1jjj4  4  ,am5d !     
title s z to read3 ,a bill to require ! 
,gov]nm5t ,acc\ntability ,(fice to      
submit to ,congress a report on neonatal
 ab/95ce syndrome 7,,nas7 9 ! ,unit$    
,/ates & its treatm5t "u ,m$icaid1 & =  
o!r purposes44  ,may #aj1 #bjaf ,report$

 ) am5dm5ts1 committ$ to ! ,committee ( 
! ,:ole ,h\se on ! ,/ate ( ! ,union1 &  
ord]$ to be pr9t$