,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bhbh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #aj1 #bjah
 ,mr4 ,rubio 7for himself and ,mr4      
,nelson7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
develop and identify indicators of      
potentially fraudulent and disreputable 
recovery housing operators1 and for     
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,sober ,home   
,fraud ,detection ,act4  #b4 ,best      
practices for identifying fraud in      
recovery housing practices  7a7         
,definition ,in this ,act1 the term     
recovery housing means a shared living  
environment free from alcohol and       
illicit drug use and centered on peer   
support and connection to services that 
promote sustained recovery from         
substance use disorders4  7b7           
,identification of fraudulent recovery  
housing operators  7#a7 ,in ,general    

,the ,secretary of ,health and ,human   
,services 7referred to in this ,act as  
the ,secretary71 in consultation with   
the individuals and entities described  
in paragraph 7#b71 shall identify or    
facilitate the development of common    
indicators that could be used to        
identify potentially fraudulent or      
disreputable recovery housing operators4
  7#b7 ,consultation ,in carrying out   
the activities described in paragraph   
7#a71 the ,secretary shall consult      
with-- 7,a7 relevant divisions of the   
,department of ,health and ,human       
,services1 including the ,substance     
,abuse and ,mental ,health ,services    
,administration1 the ,office of         
,inspector ,general1 and the ,centers   
for ,medicare  ,medicaid ,services2     
7,b7 the ,attorney ,general2  7,c7 the  
,secretary of ,housing and ,urban       
,development2  7,d7 ,state health       
departments1 ,state ,medicaid plans1 and
 ,state insurance commissioners2  7,e7  
health insurance issuers2  7,f7 national

 accrediting entities and reputable     
recovery housing operators2  7,g7 the   
,government ,accountability ,office2 and
  7,h7 other stakeholders identified by 
the ,secretary4  7c7 ,requirements  7#a7
 ,practices for identification and      
reporting ,in carrying out the          
activities described in subsection 7b71 
the ,secretary shall consider how law   
enforcement1 public and private payers1 
and the public can best identify and    
report fraudulent or disreputable       
recovery housing operators4  7#b7       
,factors to be considered ,in carrying  
out the activities described in         
subsection 7b71 the ,secretary shall    
also consider identifying or developing 
indicators regarding--  7,a7 unusual    
billing practices2  7,b7 average lengths
 of patient stays that are longer than  
the norm2  7,c7 excessive levels of drug
 testing 7in terms of cost or volume72  
7,d7 unusually high levels of           
recidivism2  7,e7 if the recovery       
housing operator is located in a        

geographic area identified by the       
,secretary as having a high level of    
health care fraud2 and  7,f7 any other  
factors identified by the ,secretary4   
7d7 ,dissemination ,the ,secretary shall
 make the indicators identified or      
developed under subsection 7b7 publicly 
available on the websites of the        
,department of ,health and ,human       
,services1 the ,department of ,justice1 
and the ,department of ,housing and     
,urban ,development1 and shall          
disseminate the indicators identified or
 developed under subsection 7b7 to--    
7#a7 ,state agencies1 which may include 
the provision of technical assistance to
 ,state agencies seeking to adopt or    
implement policies to better identify   
potentially fraudulent recovery housing 
operators2  7#b7 health insurance       
issuers2  7#c7 the ,administrator of the
 ,centers for ,medicare  ,medicaid      
,services2  7#d7 the ,secretary of      
,labor2  7#e7 the ,secretary of ,housing
 and ,urban ,development2  7#f7 ,state  

and local law enforcement agencies2 and 
7#g7 the public1 as appropriate4  7e7   
,updates ,the ,secretary shall update   
the indicators identified under this    
section as necessary4  7f7 ,rule of     
construction ,nothing in this section   
shall be construed to provide the       
,secretary with the ability to require  
,states to adhere to minimum standards  
regarding ,state oversight of recovery  
housing4