,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #eade  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #bi1 #bjaf ,mr4
 ,bilirakis 7= himself & ,mr4 ,y>mu?7   
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xix ( !       
,social ,security ,act to exclude       
abuse-det]r5t =mulations ( prescription 
drugs f ! ,m$icaid additional rebate    
requirem5t = new =mulations (           
prescription drugs1 & = o!r purposes4   
#a4 ,exclud+ abuse-det]r5t =mulations ( 
prescription drugs f ! ,m$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  #b4 ,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  #c4  
,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