,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cdhc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ai1 #bjbe,mr4   
,b>rett introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to am5d title #ch1
 to direct ! ,secret>y ( ,vet]ans       
,affairs to use an in=mation te*nology  
sy/em to detect fraud1 wa/e1 & abuse    
reg>d+ claims = paym5t submitt$ to !    
,secret>y "u ! ,vet]ans ,community ,c>e 
,program4  #a4 ,%ort title  ,?is ,act   
may be cit$ z ! ,=c+ ,real              
,acc\ntability = ,unlawful ,di/ributions
 ,act ( #bjbe or ! ,,fraud ,act ( #bjbe4
  #b4 ,in=mation te*nology sy/em to     
detect fraud1 wa/e1 & abuse claims "u ! 
,vet]ans ,community ,c>e ,program  7a7  
,9 g5]al ,subsection 7f7 ( section      
#agjc;,d ( title #ch1 ,unit$ ,/ates     
,code1 is am5d$-- 7#a7 9 p>agraph 7#a7--
  7,a7 by /rik+ p>agraph 7#a7 ea* place 
x appe>s & ins]t+ subp>agraph 7,a72     
7,b7 by ins]t+ 7,a7 be=e ,! ,secret>y2 &
  7,c7 by r$esignat+ p>agraphs 7#b7 &   

7#c7 z subp>agraphs 7,b7 & 7,c71        
respectively2 &  7#b7 by add+ at ! end !
 foll[+ new p>agraph3  7#b7  7,a7 ,!    
,secret>y %all use an in=mation         
te*nology sy/em to-- 7i7 analyze a claim
 submitt$ to ! ,secret>y--  7,i7 by a   
heal? c>e entity or provid] t furni%es  
hospital c>e1 m$ical s]vices1 or ext5d$ 
c>e s]vices "u ?is *apt]2 &  7,,ii7     
?r\gh ! heal? c>e claims ent]prise      
solution  7ii7 detect :e!r su* claim is 
a fraudul5t claim1 an ov]paym5t1 or o!r 
fraud1 wa/e1 or abuse4  7,b7 ,!         
in=mation te*nology sy/em "u ?is        
p>agraph %all include ! foll[+          
functions3  7i7 ,cont9u\s monitor+ (    
claims to detect patt]ns t may indicate 
fraud1 wa/e1 or abuse4  7ii7 ,analysis (
 hi/orical & real-"t claims data to     
id5tify & pr$ict pot5tial fraudul5t     
claims4  7iii7 ,ready-made analytic     
models to id5tify & analyze fraudul5t   
claims4  7iv7 ,po/-paym5t analysis =    
ov]use ( s]vices or o!r practices t     
create unnecess>y co/s to ! ,dep>tm5t4  

7v7 ,integration ) exi/+ claims process+
 sy/ems & te*nologies ( ! ,dep>tm5t4    
7vi7 ,logg+1 /orage1 analysis1 & reports
 reg>d+ ! nature1 frequ5cy1 & f9ancial  
impact ( detect$ fraudul5t claims4      
7vii7 ,id5tification (1 & ma*9e le>n+ t 
is bas$ on1 patt]ns ( fraudul5t claims 9
 ord] to r$uce false positives & pr$ict 
new =ms ( fraud4  7viii7 ,updates to    
detect new models ( fraud1 wa/e & abuse4
  7ix7 ,any o!r function det]m9$        
necess>y by ! ,secret>y4  7,c7 ,to c>ry 
out ?is p>agraph1 ! ,secret>y %all use  
funds f ! ,dep>tm5t ( ,vet]ans ,affairs 
fran*ise fund e/abli%$ "u title ,i (    
,public ,law #ajd-bjd 7#ch ,u4,s4,c4    
#cja note74  7,d7 ,n lat] ?an two ye>s  
aft] ! date ( ! enactm5t ( ! ,,fraud    
,act ( #bjbe & annually !reaft] ?r\gh ! 
day describ$ 9 subp>agraph 7,e71 !      
,secret>y %all submit to ! ,committees  
on ,vet]ans' ,affairs ( ! ,s5ate & ,h\se
 ( ,repres5tatives a report reg>d+ !    
op]ation ( su* in=mation te*nology sy/em
 dur+ ! prec$+ ye>4 ,ea* su* report %all

 include ! foll[+ elem5ts3 7i7 ,!       
effectiv5ess ( ! in=mation te*nology    
sy/em 9 p]=m+ ! functions describ$ 9    
subp>agraph 7,b74  7ii7 ,! e/imat$ sav+s
 to ! ,dep>tm5t aris+ f ! use ( !       
in=mation te*nology sy/em4  7iii7 ,any  
plans to enhance1 modify1 or add new    
capabilities to ! in=mation te*nology   
sy/em4  7,e7 ,?is p>agraph %all cease to
 be effective on ! day t is sev5 ye>s   
aft] ! date ( ! enactm5t ( ! ,,fraud    
,act ( #bjbe4  7,f7 ,9 ?is p>agraph3    
7i7 ,! t]m ,community ,c>e ,network     
means a network e/abli%$ "u section     
#agjc7;h7 ( ?is title4  7ii7 ,! t]m     
heal? c>e claims ent]prise solution     
means ! in=mation te*nology us$ by !    
,secret>y to process a claim submitt$ "u
 ?is *apt] by a heal? c>e entity or     
provid] t is n "p ( a ,community ,c>e   
,network4  4  7b7 ,implem5tation date ,!
 ,secret>y %all c>ry out ! am5dm5ts made
 by ?is section n lat] ?an "o ye> aft] !
 date ( ! enactm5t ( ?is ,act4