#aag? ,,congress  #b;d ,session  ,h4 ,r4
 #gbgg  ,,an ,,act  ,to improve ! me?ods
 by :i* ! ,secret>y ( ,vet]ans ,affairs 
id5tifies heal? c>e provid]s t are n    
eligible to p>ticipate 9 ! ,vet]ans     
,community ,c>e ,program4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,improv+
 ,ov]sight ( ,vet]ans ,community ,c>e   
,provid]s ,act ( #bjbb4  #b4            
,id5tification ( heal? c>e provid]s t   
are n eligible to p>ticipate 9 ,vet]ans 
,community ,c>e ,program  7a7 ,plan     
7#a7 ,requirem5t ,beg9n+ n lat] ?an #ij 
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,vet]ans ,affairs1  
act+ ?r\gh ! ,"u ,secret>y = ,heal?1    
%all c>ry out a plan to improve ! me?ods
 by :i* ! ,secret>y id5tifies heal? c>e 
provid]s t are n eligible to p>ticipate 
9 ! ,vet]ans ,community ,c>e ,program4  
7#b7 ,matt]s includ$ ,! plan "u p>agraph
 7#a7 %all include ! foll[+3 7,a7       
,modify+ ! /&>d op]at+ proc$ures ( !    
,(fice ( ,community ,c>e ( ! ,vet]ans   
,heal? ,adm9i/ration reg>d+ ! exclusion 

( heal? c>e provid]s f p>ticipat+ 9 !   
,vet]ans ,community ,c>e ,program to    
require ! automat$ cont9u\s mat*+ (     
heal? c>e provid]s 9 ! ,provid] ,pr(ile 
,managem5t ,sy/em ( ! ,vet]ans ,heal?   
,adm9i/ration1 or su* successor sy/em1 )
 cov]$ data sy/ems us+ multiple unique  
id5tifi]s1 includ+ taxpay] id5tification
 numb]1 national provid] id5tifi]1      
,social ,security numb]1 & date ( bir?4 
7,b7 ,a fraud risk analysis conduct$ by 
! ,(fice ( ,community ,c>e reg>d+ !     
exclusion ( heal? c>e provid]s f        
p>ticipat+ 9 ! ,vet]ans ,community ,c>e 
,program t includes-- 7i7 an assessm5t (
 ! likelihood & impact ( inh]5t fraud   
risks relat+ to ! self-c]tification (   
,/ate lic5ses & addresses provid$ by    
heal? c>e provid]s2  7ii7 a det]m9ation 
( ! fraud risk tol]ance2 &  7iii7 an    
exam9ation ( ! suitability ( exi/+ fraud
 controls4  7,c7 ,any o!r matt]s ! ,"u  
,secret>y det]m9es w improve ! ov]sight 
( heal? c>e provid]s p>ticipat+ 9 !     
,vet]ans ,community ,c>e ,program4  7b7 

,c]tification ,n lat] ?an #bgj days aft]
 ! date ( ! enactm5t ( ?is ,act1 !      
,secret>y %all c]tify to ! ,committees  
on ,vet]ans' ,affairs ( ! ,h\se (       
,repres5tatives & ! ,s5ate t ! ,secret>y
 has implem5t$ ! plan "u subsection 7a74
  7c7 ,reports  7#a7 ,initial report ,n 
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y %all submit to 
! ,committees on ,vet]ans' ,affairs ( ! 
,h\se ( ,repres5tatives & ! ,s5ate a    
report t-- 7,a7 describes ! progress !  
,"u ,secret>y has made 9 c>ry+ out !    
plan "u subsection 7a72 &  7,b7 includes
 recomm5dations = legislative action to 
fur!r improve ! me?ods by :i* !         
,secret>y id5tifies heal? c>e provid]s t
 are n eligible to p>ticipate 9 !       
,vet]ans ,community ,c>e ,program4  7#b7
 ,update ,n lat] ?an two ye>s aft] !    
date on :i* ! ,secret>y submits ! report
 "u p>agraph 7#a71 ! ,secret>y %all     
submit to ! ,committees on ,vet]ans'    
,affairs ( ! ,h\se ( ,repres5tatives & !
 ,s5ate an update to ! report4  7d7     

,def9itions ,9 ?is section3 7#a7 ,! t]m 
cov]$ data sy/ems means ! foll[+3  7,a7 
,! ,li/ ( ,exclud$                      
,individuals_/,entities ( ! ,(fice (    
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices4  7,b7 ,! ,sy/em =   
,aw>d ,managem5t ,exclusions li/        
describ$ 9 "p #i ( title #dh1 ,code (   
,f$]al ,regulations1 & "p #ahj ( title  
#b ( su* ,code1 or successor            
regulations4  7,c7 ,! mon?ly            
deactivation file ( ! ,national ,plan & 
,provid] ,enum]ation ,sy/em ( ! ,c5t]s =
 ,m$ic>e  ,m$icaid ,s]vices4  7,d7 ,!   
,national ,practition] ,data ,bank      
e/abli%$ pursuant to ! ,heal? ,c>e      
,quality ,improvem5t ,act ( #aihf 7#db  
,u4,s4,c4 #aaaja et seq474  7#b7 ,! t]m 
,vet]ans ,community ,c>e ,program means 
! program e/abli%$ "u section #agjc (   
title #ch1 ,unit$ ,/ates ,code4  ,pass$ 
! ,h\se ( ,repres5tatives ,novemb] #ag1 
#bjbb4;,cl]k4