,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fgec  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #g1         
#bjah,mr4 ,wald5 7= himself & ,mr4      
,pallone7 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 ,,xi 
( ! ,social ,security ,act to direct !  
,secret>y ( ,heal? & ,human ,s]vices to 
e/abli% a public-private p>tn]%ip =     
purposes ( id5tify+ heal? c>e wa/e1     
fraud1 & abuse4  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,/r5g!n+ ! ,heal?  
,c>e ,fraud ,prev5tion ,task ,=ce ,act (
 #bjah4  #b4 ,public-private p>tn]%ip = 
heal? c>e wa/e1 fraud1 & abuse detection
  7a7 ,9 g5]al ,section #aabh;,c7a7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;a-#g;c7a77 is am5d$ by add+ at !  
end ! foll[+ new p>agraph3  7#f7        

,public-private p>tn]%ip = wa/e1 fraud1 
& abuse detection  7,a7 ,9 g5]al ,"u !  
program describ$ 9 p>agraph 7#a71 !re is
 e/abli%$ a public-private p>tn]%ip 79  
?is p>agraph ref]r$ to z ! p>tn]%ip7 (  
heal? plans1 ,f$]al & ,/ate ag5cies1 law
 en=cem5t ag5cies1 & heal? c>e          
anti-fraud organizations 79 ?is p>agraph
 ref]r$ to z p>tn]s7 = purposes (       
detect+ & prev5t+ heal? c>e wa/e1 fraud1
 & abuse4  7,b7 ,contract ) tru/$ ?ird  
p>ty  7i7 ,9 g5]al ,9 c>ry+ out !       
p>tn]%ip1 ! ,secret>y %all ent] into a  
contract ) a tru/$ ?ird p>ty = purposes 
( c>ry+ out ! duties ( ! p>tn]%ip       
describ$ 9 subp>agraph 7,c74  7ii7 ,l5g?
 ( contract ,a contract ) a tru/$ ?ird  
p>ty describ$ 9 clause 7i7 %all be = a  
p]iod ( #e ye>s4 ,su* contract ) su*    
p>ty may be r5ew$ z det]m9$ appropriate 
by ! ,secret>y4  7,c7 ,duties ( p>tn]%ip
 ,! p>tn]%ip %all-- 7i7 provide te*nical
 & op]ational support to facilitate data
 %>+ betwe5 p>tn]s 9 ! p>tn]%ip2  7ii7  
analyze data s %>$ to id5tify fraudul5t 

& ab]rant bill+ patt]ns2  7iii7 conduct 
aggregate analyses ( heal? c>e data s   
%>$ across ,f$]al1 ,/ate1 & private     
heal? plans = purposes ( detect+ fraud1 
wa/e1 & abuse s*emes2  7iv7 id5tify     
outli] tr5ds & pot5tial vuln]abilities (
 p>tn]s 9 ! p>tn]%ip ) respect to su*   
s*emes2  7v7 ref] specific cases (      
pot5tial crim9al conduct to appropriate 
law en=cem5t entities2  7vi7 conv5e1 n  
less ?an annually1 meet+s ) p>tn]s 9 !  
p>tn]%ip = purposes ( provid+ updates on
 ! p>tn]%ip's "w & facilitat+ in=mation 
%>+ betwe5 ! p>tn]s2  7vii7 ent] into   
data %>+ & data use agreem5ts ) p>tn]s 9
 ! p>tn]%ip 9 su* a mann] s z to ensure 
! p>tn]%ip has access to data necess>y  
to id5tify wa/e1 fraud1 & abuse :ile    
ma9ta9+ ! confid5tiality & integrity (  
su* data2  7viii7 provide p>tn]s 9 !    
p>tn]%ip ) plan-specific1 confid5tial   
fe$back on any ab]rant bill+ patt]ns or 
pot5tial fraud id5tifi$ by ! p>tn]%ip ) 
respect to su* p>tn]2  7ix7 e/abli% a   
process by :i* entities describ$ 9      

subp>agraph 7,a7 may ent] ! p>tn]%ip &  
requirem5ts su* entities mu/ meet to    
ent] ! p>tn]%ip2  7x7 provide           
appropriate tra9+1 outrea*1 & education 
to p>tn]s bas$ on ! results ( data      
analyses describ$ 9 clauses 7ii7 &      
7iii72 &  7xi7 p]=m su* o!r duties z !  
,secret>y det]m9es appropriate4  7,d7   
,sub/ance use disord] treatm5t analysis 
,n lat] ?an #b ye>s aft] ! date ( !     
enactm5t ( ! ,/r5g!n+ ! ,heal? ,c>e     
,fraud ,prev5tion ,task ,=ce ,act (     
#bjah1 ! tru/$ ?ird p>ty ) a contract 9 
effect "u subp>agraph 7,b7 %all p]=m an 
analysis ( ab]rant or fraudul5t bill+   
patt]ns & tr5ds ) respect to provid]s & 
suppli]s ( sub/ance use disord]         
treatm5ts f data %>$ ) ! p>tn]%ip4  7,e7
 ,executive ,bo>d  7i7 ,executive ,bo>d 
composition  7,i7 ,9 g5]al ,!re %all be 
an executive bo>d ( ! p>tn]%ip compris$ 
( repres5tatives ( ! ,f$]al ,gov]nm5t   
describ$ 9 subclause 7,,iii7 &          
repres5tatives ( ! private sector       
describ$ 9 subclause 7,,iv74  7,,ii7    

,*airs ,! executive bo>d %all be        
co-*air$ by "o ,f$]al ,gov]nm5t (ficial 
& "o repres5tative f ! private sector4  
7,,iii7 ,f$]al ,gov]nm5t repres5tatives 
7aa7 ,requir$ memb]s ,! executive bo>d  
%all consi/ ( ! foll[+ memb]s 7or       
designees ( ! foll[+7 f ! ,f$]al        
,gov]nm5t3 7,,aa7 ,! ,adm9i/rator ( !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7,,bb7 ,! ,deputy ,attorney ,g5]al = !  
,dep>tm5t ( ,ju/ice4 7,,cc7 ,! ,deputy  
,secret>y ( ! ,dep>tm5t ( ,heal? &      
,human ,s]vices4 7,,dd7 ,! ,inspector   
,g5]al = ! ,dep>tm5t ( ,heal? & ,human  
,s]vices4 7,,ee7 ,! ,director ( ! ,f$]al
 ,bureau ( ,inve/igation4  7bb7         
,p]missive additional memb]s ,if det]m9$
 by unanim\s cons5t ( ! memb]s ( !      
executive bo>d1 ! bo>d may include o!r  
,f$]al or ,/ate ,gov]nm5t repres5tation 
z appropriate1 includ+ s5ior-level      
repres5tation f ! ,,tric>e ,managem5t   
,activity1 ! ,dep>tm5t ( ,vet]ans       
,affairs1 ! ,(fice ( ,p]sonnel          
,managem5t1 ,/ate ,m$icaid ag5cies1 &   

,/ate m$icaid fraud control units4      
7,,iv7 ,private sector memb]%ip  7aa7 ,9
 g5]al ,! executive bo>d %all consi/ (  
at lea/ ?ree s5ior-level repres5tatives 
f v>i\s private sector heal? c>e relat$ 
associations1 includ+ any national      
association focus+ on ,m$icaid fraud at 
! ,/ate level4 ,! private heal? sector  
associations %all be national           
pr(essional associations or trade gr\ps 
t are focus$ on heal? c>e insurance1    
anti-fraud1 or bo?4  7bb7 ,selection ,! 
memb]s ( ! bo>d f private sector heal?  
c>e relat$ associations %all be jo9tly  
select$ by ! ,f$]al ,gov]nm5t memb]s    
describ$ 9 subclause 7,,iii77aa71 aft]  
outrea* to kn[n relevant private sector 
heal? c>e relat$ associations ) a       
national scope4 ,aft] consid]+ any      
appropriate individual input f          
private-sector p>tn]s1 ! ,secret>y &    
,attorney ,g5]al 7or _! designees7 %all 
make all f9al executive decisions4 ,9 ! 
case t ! executive bo>d exp&s ! numb] ( 
memb]s f ! ,f$]al ,gov]nm5t pursuant to 

subclause 7,,iii77bb71 ! numb] ( memb]s 
( ! executive bo>d f ! private heal?    
sector may also increase by ! same numb]
 ( repres5tatives1 ?r\gh ! same process 
z describ$ 9 ?is item = purposes (      
selection ( memb]s f ! private sector4  
7ii7 ,meet+s ,! executive bo>d ( !      
p>tn]%ip %all meet at lea/ twice p] ye>4
  7iii7 ,executive bo>d duties ,! duties
 ( ! executive bo>d %all include !      
foll[+3  7,i7 ,provid+ /rategic         
direction = ! p>tn]%ip1 includ+ memb]%ip
 crit]ia & a mission /atem5t4  7,,ii7   
,communicat+ ) ! lead]%ip ( ! ,dep>tm5t 
( ,heal? & ,human ,s]vices & ! ,dep>tm5t
 ( ,ju/ice & ! v>i\s private heal?      
sector associations4  7,,iii7 ,%>+ )    
p>tn]s topics = /udies & analysis4  7,f7
 ,reports ,n lat] ?an ,septemb] #cj1    
#bjba1 & e #b ye>s !reaft]1 ! ,secret>y 
%all submit to ,congress & make         
available on ! public website ( ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices a report  
conta9+--  7i7 a review ( activities    
conduct$ by ! p>tn]%ip ov] ! #b-ye>     

p]iod end+ on ! date ( ! submission (   
su* report1 includ+ any progress to any 
objectives e/abli%$ by ! p>tn]%ip2  7ii7
 any sav+s volunt>ily report$ by heal?  
plans p>ticipat+ 9 ! p>tn]%ip           
attributable to ! p>tn]%ip dur+ su*     
p]iod2  7iii7 any sav+s to ! ,f$]al     
gov]nm5t attributable to ! p>tn]%ip dur+
 su* p]iod2  7iv7 any o!r sav+s         
attributable to ! p>tn]%ip1 z det]m9$ by
 ! ,secret>y1 dur+ su* p]iod2 &  7v7 a  
/rategic plan = ! #b-ye> p]iod beg9n+ on
 ! day aft] ! date ( ! submission ( su* 
report1 includ+ a description ( any     
em]g+ fraud & abuse s*emes1 tr5ds1 or   
practices t ! p>tn]%ip int5ds to /udy   
dur+ su* p]iod4  7,g7 ,fund+ ,! p>tn]%ip
 %all be fund$ by am\nts o!rwise made   
available to ! ,secret>y = c>ry+ out !  
program describ$ 9 p>agraph 7#a74  7,h7 
,transitional provisions ,to ! ext5t    
consi/5t ) ?is subsection1 all          
functions1 p]sonnel1 assets1            
liabilities1 & adm9i/rative actions     
applicable on ! date be=e ! date ( !    

enactm5t ( ?is p>agraph to ! ,national  
,fraud ,prev5tion ,p>tn]%ip e/abli%$ on 
,septemb] #aj1 #bjab1 by *>t] ( !       
,secret>y %all be transf]r$ to !        
p>tn]%ip e/abli%$ "u subp>agraph 7,a7 z 
( ! date ( ! enactm5t ( ?is p>agraph4   
7,i7 ,def9ition ,= purposes ( ?is       
p>agraph1 ! t]m tru/$ ?ird p>ty means an
 entity t-- 7i7 demon/rates ! capability
 to c>ry out ! duties ( ! p>tn]%ip      
describ$ 9 subp>agraph 7,c72  7ii7      
complies ) su* conflict ( int]e/ /&>ds  
det]m9$ appropriate by ! ,secret>y2 &   
7iii7 meets su* o!r requirem5ts z !     
,secret>y may prescribe4  4  7b7        
,pot5tial expansion ( public-,private   
p>tn]%ip analyses ,n lat] ?an #a ye>    
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y ( ,heal? & ,human ,s]vices    
%all conduct a /udy & submit to         
,congress a report on ! feasibility ( ! 
p>tn]%ip 7z describ$ 9 section          
#aabh;,c7a77#f7 ( ! ,social ,security   
,act1 z add$ by subsection 7a77 e/abli%+
 a sy/em to conduct real-"t data        

analysis to proactively id5tify ongo+ z 
well z em]g5t fraud tr5ds = ! entities  
p>ticipat+ 9 ! p>tn]%ip & provide su*   
entities ) real-"t fe$back on pot5tially
 fraudul5t claims4 ,su* report %all     
include ! e/imat$ co/ ( & any pot5tial  
b>ri]s to ! p>tn]%ip e/abli%+ su* a     
sy/em4