,,iib  #aaf? ,,congress  #a/ ,session   
,h4 ,r4 #ebe  ,,9 ,,! ,,s5ate ,,( ,,!   
,,unit$ ,,/ates  ,febru>y #bf1          
#bjai,receiv$2 read twice & ref]r$ to ! 
,committee on ,f9ance  ,,an ,,act  ,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 ( #bjai4  #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 
organizations1 & any o!r entity det]m9$ 
appropriate by ! ,secret>y 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 ,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  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 unlawful 
conduct to appropriate gov]nm5tal       

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 (     
#bjai1 ! 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$]al ,gov]nm5t & 
repres5tatives ( ! private sector       
select$ by ! ,secret>y4  7,,ii7 ,*airs  
,! executive bo>d %all be co-*air$ by "o
 ,f$]al ,gov]nm5t (ficial & "o          
repres5tative f ! private sector4  7ii7 
,meet+s ,! executive bo>d ( ! p>tn]%ip  
%all meet at lea/ once 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,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$]al ,gov]nm5t attributable
 to ! p>tn]%ip dur+ su* p]iod2  7iv7 any
 o!r outcomes attributable to !         
p>tn]%ip1 z det]m9$ 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] #ag1 #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 ,nonapplicability ( ,,faca ,!      
provisions ( ! ,f$]al ,advisory         
,committee ,act %all n apply to !       
p>tn]%ip e/abli%$ by subp>agraph 7,a74  
7,j7 ,implem5tation ,not)/&+ any o!r    
provision ( law1 ! ,secret>y may        
implem5t ! p>tn]%ip e/abli%$ by         
subp>agraph 7,a7 by program in/ruction  
or o!rwise4  7,k7 ,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 #b ye>s 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  ,pass$ ! ,h\se ( 
,repres5tatives ,febru>y #be1           
#bjai4;,*]yl ,l4 ,johnson1,cl]k4