,,ii ,cal5d> ,no4 #dii #aah? ,,congress #b;d ,session ,s4 #djce ,report ,no4 #aah-bbj ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ba1 #bjbd,mr4 ,scott ( ,florida 7= himself & ,mr4 ,c>p]7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ,septemb] #aj1 #bjbd,report$ by ,mr4 ,pet]s1 ) an amendment,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,a ,,bill ,to require ! ,director ( ! ,(fice ( ,p]sonnel ,managem5t to take c]ta9 actions ) respect to ! heal? insurance program c>ri$ out "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,fehb ,protection ,act4 #b4 ,,fehb improvem5ts 7a7 ,def9itions ,9 ?is section3 7#a7 ,director ,! t]m ,director means ! ,director ( ! ,(fice ( ,p]sonnel ,managem5t4 7#b7 ,employ+ (fice ,! t]m employ+ (fice has ! mean+ giv5 ! t]m 9 section #hij4aja7;a7 ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7#c7 ,heal? b5efits plan2 memb] ( family ,! t]ms heal? b5efits plan & memb] ( family h ! mean+s giv5 ^? t]ms 9 section #hija ( title #e1 ,unit$ ,/ates ,code4 7#d7 ,op5 season ,! t]m op5 season means an op5 season describ$ 9 section #hij4cja7;f7 ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7#e7 ,program ,! t]m ,program means ! heal? insurance program c>ri$ out "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 includ+ ! program c>ri$ out "u section #hijc;c ( t title4 7#f7 ,qualify+ life ev5t ,! t]m qualify+ life ev5t has ! mean+ giv5 ! t]m 9 section #hib4aja ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7b7 ,v]ification requirem5ts ,beg9n+ on ! date t is #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all require ea* employ+ (fice to v]ify-- 7#a7 ! v]acity ( any qualify+ life ev5t ?r\gh :i* an enrollee 9 ! ,program seeks to add a memb] ( family ) respect to ! enrollee to a heal? b5efits plan "u ! ,program2 & 7#b7 t1 :5 an enrollee 9 ! ,program seeks to add a memb] ( family ) respect to ! enrollee to ! heal? b5efits plan ( ! enrollee "u ! ,program dur+ any op5 season1 ! individual s add$ is actually a memb] ( family ) respect to ! enrollee4 7c7 ,fraud risk assessm5t ,9 any fraud risk assessm5t conduct$ ) respect to ! ,program on or aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all include an assessm5t ( individuals :o are enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program ev5 ?\gh ^? individuals are n eligible to be s enroll$ or cov]$4 7d7 ,family memb] eligibility v]ification audit 7#a7 ,9 g5]al ,dur+ ! #e-ye> p]iod beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,director %all conduct a compreh5sive audit reg>d+ memb]s ( family-- 7,a7 :o are cov]$ "u an enrollm5t 9 a heal? b5efits plan "u ! ,program2 & 7,b7 ) respect to :om ! basis = ! eligibility = ! cov]age describ$ 9 subp>agraph 7,a7 has n be5 v]ifi$4 7#b7 ,cont5ts ,9 conduct+ ! audit requir$ "u p>agraph 7#a71 ! ,director %all review m>riage c]tificates1 bir? c]tificates1 & o!r appropriate docum5ts t are necess>y to det]m9e eligibility to enroll 9 a heal? b5efits plan "u ! ,program4 7e7 ,dis5rollm5t or removal ,beg9n+ on ! date ( enactm5t ( ?is ,act1 ! ,director may dis5roll or remove f enrollm5t any individual enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program if ! ,director det]m9es t su* individual is n eligible to be s enroll$ or cov]$4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,,fehb ,protection ,act4 #b4 ,,fehb improvem5ts 7a7 ,def9itions ,9 ?is section3 7#a7 ,appropriate committees ( ,congress ,! t]m appropriate committees ( ,congress means-- 7,a7 ! ,committee on ,homel& ,security & ,gov]nm5tal ,affairs ( ! ,s5ate2 7,b7 ! ,committee on ,appropriations ( ! ,s5ate2 7,c7 ! ,committee on ,ov]sight & ,acc\ntability ( ! ,h\se ( ,repres5tatives2 & 7,d7 ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives4 7#b7 ,director ,! t]m ,director means ! ,director ( ! ,(fice ( ,p]sonnel ,managem5t4 7#c7 ,employ+ (fice ,! t]m employ+ (fice has ! mean+ giv5 ! t]m 9 section #hij4aja7;a7 ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7#d7 ,heal? b5efits plan2 memb] ( family ,! t]ms heal? b5efits plan & memb] ( family h ! mean+s giv5 ^? t]ms 9 section #hija ( title #e1 ,unit$ ,/ates ,code4 7#e7 ,op5 season ,! t]m op5 season means an op5 season describ$ 9 section #hij4cja7;f7 ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7#f7 ,program ,! t]m ,program means ! heal? insurance program c>ri$ out "u *apt] #hi ( title #e1 ,unit$ ,/ates ,code1 includ+ ! program c>ri$ out "u section #hijc;c ( t title4 7#g7 ,qualify+ life ev5t ,! t]m qualify+ life ev5t has ! mean+ giv5 ! t]m 9 section #hib4aja ( title #e1 ,code ( ,f$]al ,regulations1 or any successor regulation4 7b7 ,v]ification requirem5ts ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all issue regulations & implem5t a process to require ea* employ+ (fice to v]ify-- 7#a7 ! v]acity ( any qualify+ life ev5t ?r\gh :i* an enrollee 9 ! ,program seeks to add a memb] ( family ) respect to ! enrollee to a heal? b5efits plan "u ! ,program2 & 7#b7 t1 :5 an enrollee 9 ! ,program seeks to add a memb] ( family ) respect to ! enrollee to ! heal? b5efits plan ( ! enrollee "u ! ,program1 includ+ dur+ any op5 season1 ! individual s add$ is actually a memb] ( family ) respect to ! enrollee4 7c7 ,fraud risk assessm5t ,9 any fraud risk assessm5t conduct$ ) respect to ! ,program on or aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all include an assessm5t ( individuals :o are enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program ev5 ?\gh ^? individuals are n eligible to be s enroll$ or cov]$4 7d7 ,family memb] eligibility v]ification audit 7#a7 ,9 g5]al ,dur+ ! #c-ye> p]iod beg9n+ on ! date t is #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,director1 9 coord9ation ) ! head ( ea* employ+ (fice1 %all conduct a compreh5sive audit reg>d+ memb]s ( family :o are enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program4 7#b7 ,cont5ts ,9 conduct+ ! audit requir$ "u p>agraph 7#a71 ! ,director1 9 coord9ation ) ! head ( ea* employ+ (fice1 %all review m>riage c]tificates1 bir? c]tificates1 & o!r appropriate docum5ts t are necess>y to det]m9e eligibility to enroll 91 or be cov]$ "u1 a heal? b5efits plan "u ! ,program4 7#c7 ,reports 7,a7 ,9 g5]al ,n lat] ?an #ahj days aft] ! date on :i* ! #c-ye> p]iod describ$ 9 p>agraph 7#a7 beg9s1 & once e #ahj days !reaft] until ! end ( t #c-ye> p]iod1 ! ,director %all submit to ! appropriate committees ( ,congress a report reg>d+ ! /atus ( ! audit requir$ "u t p>agraph4 7,b7 ,cont5ts ,ea* report requir$ "u subp>agraph 7,a7 %all include1 = ! p]iod cov]$ by ! report-- 7i7 ! numb] ( memb]s ( family :o 7 review$ "u ! audit conduct$ "u p>agraph 7#a71 includ+ ! numb] ( ^? individuals f\nd dur+ ! audit to be ineligible to be enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program2 7ii7 ! numb] ( memb]s ( family :o dis5roll$ f a heal? b5efits plan1 & ! numb] ( memb]s ( family :o r$uc$ ! am\nt ( cov]age "u a heal? b5efits plan1 "u ! ,program be=e ! end ( a cov]age ye>2 & 7iii7 any o!r in=mation t ! ,director det]m9es to be relevant4 7e7 ,dis5rollm5t or removal ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is ,act1 ! ,director %all develop a process ?r\gh :i* any individual enroll$ 91 or cov]$ "u1 a heal? b5efits plan "u ! ,program :o is n eligible to be s enroll$ or cov]$ %all be dis5roll$ or remov$ f enrollm5t ) respect to t heal? b5efits plan4 ,septemb] #aj1 #bjbd,report$ ) an am5dm5t