#aafth ,,congress  #ast ,session  ,h4   
,r4 #ebe  ,,an ,,act  ,to amend title   
,,xi of the ,social ,security ,act to   
direct the ,secretary of ,health and    
,human ,services to establish a         
public-private partnership for purposes 
of identifying health care waste1 fraud1
 and abuse4  #a4 ,short title ,this ,act
 may be cited as the ,strengthening the 
,health ,care ,fraud ,prevention ,task  
,force ,act of #bjai4  #b4              
,public-private partnership for health  
care waste1 fraud1 and abuse detection  
7a7 ,in general ,section #aabh;,c7a7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #acbj;a-#g;c7a77 is amended by
 adding at the end the following new    
paragraph3  7#f7 ,public-private        
partnership for waste1 fraud1 and abuse 
detection  7,a7 ,in general ,under the  
program described in paragraph 7#a71    
there is established a public-private   
partnership 7in this paragraph referred 
to as the partnership7 of health plans1 
,federal and ,state agencies1 law       

enforcement agencies1 health care       
anti-fraud organizations1 and any other 
entity determined appropriate by the    
,secretary 7in this paragraph referred  
to as partners7 for purposes of         
detecting and preventing health care    
waste1 fraud1 and abuse4  7,b7 ,contract
 with trusted third party ,in carrying  
out the partnership1 the ,secretary     
shall enter into a contract with a      
trusted third party for purposes of     
carrying out the duties of the          
partnership described in subparagraph   
7,c74  7,c7 ,duties of partnership ,the 
partnership shall-- 7i7 provide         
technical and operational support to    
facilitate data sharing between partners
 in the partnership2  7ii7 analyze data 
so shared to identify fraudulent and    
aberrant billing patterns2  7iii7       
conduct aggregate analyses of health    
care data so shared across ,federal1    
,state1 and private health plans for    
purposes of detecting fraud1 waste1 and 
abuse schemes2  7iv7 identify outlier   

trends and potential vulnerabilities of 
partners in the partnership with respect
 to such schemes2  7v7 refer specific   
cases of potential unlawful conduct to  
appropriate governmental entities2  7vi7
 convene1 not less than annually1       
meetings with partners in the           
partnership for purposes of providing   
updates on the partnership's work and   
facilitating information sharing between
 the partners2  7vii7 enter into data   
sharing and data use agreements with    
partners in the partnership in such a   
manner so as to ensure the partnership  
has access to data necessary to identify
 waste1 fraud1 and abuse while          
maintaining the confidentiality and     
integrity of such data2  7viii7 provide 
partners in the partnership with        
plan-specific1 confidential feedback on 
any aberrant billing patterns or        
potential fraud identified by the       
partnership with respect to such        
partner2  7ix7 establish a process by   
which entities described in subparagraph

 7,a7 may enter the partnership and     
requirements such entities must meet to 
enter the partnership2  7x7 provide     
appropriate training1 outreach1 and     
education to partners based on the      
results of data analyses described in   
clauses 7ii7 and 7iii72 and  7xi7       
perform such other duties as the        
,secretary determines appropriate4  7,d7
 ,substance use disorder treatment      
analysis ,not later than #b years after 
the date of the enactment of the        
,strengthening the ,health ,care ,fraud 
,prevention ,task ,force ,act of #bjai1 
the trusted third party with a contract 
in effect under subparagraph 7,b7 shall 
perform an analysis of aberrant or      
fraudulent billing patterns and trends  
with respect to providers and suppliers 
of substance use disorder treatments    
from data shared with the partnership4  
7,e7 ,executive ,board  7i7 ,executive  
,board composition  7,i7 ,in general    
,there shall be an executive board of   
the partnership comprised of            

representatives of the ,federal         
,government and representatives of the  
private sector selected by the          
,secretary4  7,,ii7 ,chairs ,the        
executive board shall be co-chaired by  
one ,federal ,government official and   
one representative from the private     
sector4  7ii7 ,meetings ,the executive  
board of the partnership shall meet at  
least once per year4  7iii7 ,executive  
board duties ,the duties of the         
executive board shall include the       
following3 7,i7 ,providing strategic    
direction for the partnership1 including
 membership criteria and a mission      
statement4  7,,ii7 ,communicating with  
the leadership of the ,department of    
,health and ,human ,services and the    
,department of ,justice and the various 
private health sector associations4     
7,f7 ,reports ,not later than ,september
 #cj1 #bjba1 and every #b years         
thereafter1 the ,secretary shall submit 
to ,congress and make available on the  
public website of the ,centers for      

,medicare  ,medicaid ,services a report 
containing--  7i7 a review of activities
 conducted by the partnership over the  
#b-year period ending on the date of the
 submission of such report1 including   
any progress to any objectives          
established by the partnership2  7ii7   
any savings voluntarily reported by     
health plans participating in the       
partnership attributable to the         
partnership during such period2  7iii7  
any savings to the ,federal ,government 
attributable to the partnership during  
such period2  7iv7 any other outcomes   
attributable to the partnership1 as     
determined by the ,secretary1 during    
such period2 and  7v7 a strategic plan  
for the #b-year period beginning on the 
day after the date of the submission of 
such report1 including a description of 
any emerging fraud and abuse schemes1   
trends1 or practices that the           
partnership intends to study during such
 period4  7,g7 ,funding ,the partnership
 shall be funded by amounts otherwise   

made available to the ,secretary for    
carrying out the program described in   
paragraph 7#a74  7,h7 ,transitional     
provisions ,to the extent consistent    
with this subsection1 all functions1    
personnel1 assets1 liabilities1 and     
administrative actions applicable on the
 date before the date of the enactment  
of this paragraph to the ,national      
,fraud ,prevention ,partnership         
established on ,september #ag1 #bjab1 by
 charter of the ,secretary shall be     
transferred to the partnership          
established under subparagraph 7,a7 as  
of the date of the enactment of this    
paragraph4  7,i7 ,nonapplicability of   
,,faca ,the provisions of the ,federal  
,advisory ,committee ,act shall not     
apply to the partnership established by 
subparagraph 7,a74  7,j7 ,implementation
 ,notwithstanding any other provision of
 law1 the ,secretary may implement the  
partnership established by subparagraph 
7,a7 by program instruction or          
otherwise4  7,k7 ,definition ,for       

purposes of this paragraph1 the term    
trusted third party means an entity     
that--  7i7 demonstrates the capability 
to carry out the duties of the          
partnership described in subparagraph   
7,c72  7ii7 complies with such conflict 
of interest standards determined        
appropriate by the ,secretary2 and      
7iii7 meets such other requirements as  
the ,secretary may prescribe4  4  7b7   
,potential expansion of public-,private 
partnership analyses ,not later than #b 
years after the date of the enactment of
 this ,act1 the ,secretary of ,health   
and ,human ,services shall conduct a    
study and submit to ,congress a report  
on the feasibility of the partnership   
7as described in section #aabh;,c7a77#f7
 of the ,social ,security ,act1 as added
 by subsection 7a77 establishing a      
system to conduct real-time data        
analysis to proactively identify ongoing
 as well as emergent fraud trends for   
the entities participating in the       
partnership and provide such entities   

with real-time feedback on potentially  
fraudulent claims4 ,such report shall   
include the estimated cost of and any   
potential barriers to the partnership   
establishing such a system4  ,passed the
 ,house of ,representatives ,february   
#be1 #bjai4;,clerk4