,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajfbe  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #bh1        
#bjbf,mr4 ,joyce ( ,p5nsylvania 7=      
himself1 ,mr4 ,bilirakis1 ,mr4 ,pflug]1 
,mr4 ,k5n$y ( ,utah1 ,mr4 ,c>t] (       
,georgia1 & ,mr4 ,bald]son7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to require ,/ate        
,m$icaid fraud control units to conduct 
annual audits4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,m$icaid ,integrity
 ,improvem5t ,act4  #b4 ,requir+ ,/ate  
,m$icaid fraud control units to conduct 
annual audits ,section #aijc7q7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7q77 is am5d$--  7#a7 9 ! matt]  
prec$+ p>agraph 7#a71 by ins]t+ 1       
subject to p>agraph 7#h77;,c71 be=e     
annually rec]tifies2 &  7#b7 by add+ at 
! end ! foll[+ new p>agraph3  7#h7  7,a7
 ,beg9n+ n lat] ?an ! date t is #a ye>  
aft] ! date ( ! enactm5t ( ?is p>agraph1

 & n less frequ5tly ?an annually        
!reaft]1 = purposes ( conduct+ !        
/atewide program "u p>agraph 7#c71 !    
entity1 9 coord9ation ) ! ,inspector    
,g5]al ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices & ! ,/ate ag5cy responsible =  
adm9i/]+ ! ,/ate plan "u ?is title 7z   
appropriate71 audits a /ati/ically valid
 sample ( high-risk provid]s & suppli]s 
= purposes ( id5tify+ pot5tial fraud1   
wa/e1 & abuse4  7,b7 ,beg9n+ ) respect  
to ! fir/ annual report submitt$ to !   
,secret>y "u p>agraph 7#g7 aft] ! date t
 is #a ye> aft] ! date ( ! enactm5t (   
?is p>agraph1 ! entity %all include 9   
su* report a summ>y ( ! audits conduct$ 
"u ?is p>agraph1 includ+ a description (
 ! ext5t to :i* ov]paym5ts 7 id5tifi$ & 
collect$ 7or ref]r$ = collection7 on !  
basis ( su* audits4  7,c7 ,9 ! case t ! 
,secret>y det]m9es t an entity has n met
 ! requirem5t "u subp>agraph 7,a71 !    
,secret>y may none!less c]tify 7or      
rec]tify7 ! entity z hav+ met su*       
requirem5t if ! entity submits to !     

,secret>y & implem5ts a corrective      
action plan meet+ su* /&>ds z !         
,secret>y may specify4  7,d7 ,= purposes
 ( subp>agraph 7,a71 ! t]m high-risk    
provid] or suppli] means a provid] or   
suppli] p>ticipat+ "u ! ,/ate plan 7or a
 waiv] ( su* plan7 t--  7i7 is designat$
 z a high categorical risk "u ! process 
= scre5+ provid]s & suppli]s "u ?is     
title1 z e/abli%$ by ! ,secret>y "u     
section #ahff7;j77#b72 or  7ii7 is      
o!rwise id5tifi$ by ! entity z          
high-risk1 bas$ ^u risk factors su* z   
abnormal bill+ patt]ns1 prior audits1   
paym5t anomalies1 own]%ip-relat$ risk   
factors 7includ+ own]%ip *anges1        
undisclos$ own]%ip int]e/s1 or          
affiliations ) entities t h be5         
sanction$ or are subject to             
inve/igation71 or cr$ible allegations ( 
fraud4  4