,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #cdhc  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ai1 #bjbe,mr4  
,barrett introduced the following bill2 
which was referred to the ,committee on 
,veterans' ,affairs  ,a ,,bill  ,to     
amend title #ch1 to direct the          
,secretary of ,veterans ,affairs to use 
an information technology system to     
detect fraud1 waste1 and abuse regarding
 claims for payment submitted to the    
,secretary under the ,veterans          
,community ,care ,program4  #a4 ,short  
title  ,this ,act may be cited as the   
,forcing ,real ,accountability for      
,unlawful ,distributions ,act of #bjbe  
or the ,,fraud ,act of #bjbe4  #b4      
,information technology system to detect
 fraud1 waste1 and abuse claims under   
the ,veterans ,community ,care ,program 
7a7 ,in general ,subsection 7f7 of      
section #agjc;,d of title #ch1 ,united  
,states ,code1 is amended-- 7#a7 in     
paragraph 7#a7--  7,a7 by striking      
paragraph 7#a7 each place it appears and

 inserting subparagraph 7,a72  7,b7 by  
inserting 7,a7 before ,the ,secretary2  
and  7,c7 by redesignating paragraphs   
7#b7 and 7#c7 as subparagraphs 7,b7 and 
7,c71 respectively2 and  7#b7 by adding 
at the end the following new paragraph3 
7#b7  7,a7 ,the ,secretary shall use an 
information technology system to-- 7i7  
analyze a claim submitted to the        
,secretary--  7,i7 by a health care     
entity or provider that furnishes       
hospital care1 medical services1 or     
extended care services under this       
chapter2 and  7,,ii7 through the health 
care claims enterprise solution  7ii7   
detect whether such claim is a          
fraudulent claim1 an overpayment1 or    
other fraud1 waste1 or abuse4  7,b7 ,the
 information technology system under    
this paragraph shall include the        
following functions3  7i7 ,continuous   
monitoring of claims to detect patterns 
that may indicate fraud1 waste1 or      
abuse4  7ii7 ,analysis of historical and
 real-time claims data to identify and  

predict potential fraudulent claims4    
7iii7 ,ready-made analytic models to    
identify and analyze fraudulent claims4 
7iv7 ,post-payment analysis for overuse 
of services or other practices that     
create unnecessary costs to the         
,department4  7v7 ,integration with     
existing claims processing systems and  
technologies of the ,department4  7vi7  
,logging1 storage1 analysis1 and reports
 regarding the nature1 frequency1 and   
financial impact of detected fraudulent 
claims4  7vii7 ,identification of1 and  
machine learning that is based on1      
patterns of fraudulent claims in order  
to reduce false positives and predict   
new forms of fraud4  7viii7 ,updates to 
detect new models of fraud1 waste and   
abuse4  7ix7 ,any other function        
determined necessary by the ,secretary4 
7,c7 ,to carry out this paragraph1 the  
,secretary shall use funds from the     
,department of ,veterans ,affairs       
franchise fund established under title  
,i of ,public ,law #ajd-bjd 7#ch        

,u4,s4,c4 #cja note74  7,d7 ,not later  
than two years after the date of the    
enactment of the ,,fraud ,act of #bjbe  
and annually thereafter through the day 
described in subparagraph 7,e71 the     
,secretary shall submit to the          
,committees on ,veterans' ,affairs of   
the ,senate and ,house of               
,representatives a report regarding the 
operation of such information technology
 system during the preceding year4 ,each
 such report shall include the following
 elements3 7i7 ,the effectiveness of the
 information technology system in       
performing the functions described in   
subparagraph 7,b74  7ii7 ,the estimated 
savings to the ,department arising from 
the use of the information technology   
system4  7iii7 ,any plans to enhance1   
modify1 or add new capabilities to the  
information technology system4  7,e7    
,this paragraph shall cease to be       
effective on the day that is seven years
 after the date of the enactment of the 
,,fraud ,act of #bjbe4  7,f7 ,in this   

paragraph3  7i7 ,the term ,community    
,care ,network means a network          
established under section #agjc7;h7 of  
this title4  7ii7 ,the term health care 
claims enterprise solution means the    
information technology used by the      
,secretary to process a claim submitted 
under this chapter by a health care     
entity or provider that is not part of a
 ,community ,care ,network4  4  7b7     
,implementation date ,the ,secretary    
shall carry out the amendments made by  
this section not later than one year    
after the date of the enactment of this 
,act4