,,ib ,union ,cal5d> ,no4 #cjj #aai?     
,,congress  #a/ ,session  ,h4 ,r4 #cdhc 
,report ,no4 #aai-cdh ,,9 ,,! ,,h\se ,,(
 ,,repres5tatives  ,may #ai1 #bjbe,mr4  
,b>rett introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,octob] #ba1 #bjbe;,additional
 sponsor3 ,mr4 ,h>idopolos  ,octob] #ba1
 #bjbe,report$ ) an am5dm5t1 committ$ to
 ! ,committee ( ! ,:ole ,h\se on ! ,/ate
 ( ! ,union1 & ord]$ to be              
printed,strike out all aft] ! enact+    
clause & ins]t ! "p pr9t$ 9 italic,for  
text ( introduc$ bill1 see copy ( bill z
 introduc$ on ,may #ai1 #bjbe  ,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 ,detection ( fraud1  

wa/e1 & abuse 9 programs ( ! ,vet]ans   
,heal? ,adm9i/ration  7a7 ,9 g5]al      
,sub*apt] ,i ( *apt] #ag ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #agjf;,a ! foll[+ new      
section 7& am5d+ ! table ( sections at !
 beg9n+ ( su* *apt] accord+ly73         
#agjf;,b4 ,managem5t ( heal? c>e3       
detection ( fraud1 wa/e1 & abuse  7a7 ,9
 g5]al ,to detect fraud1 wa/e1 & abuse 9
 programs ( ! ,vet]ans ,heal?           
,adm9i/ration1 ! ,secret>y %all use     
processes & sy/ems1 includ+ ! in=mation 
te*nology sy/em describ$ 9 subsection   
7b71 to-- 7#a7 analyze a claim submitt$ 
to ! ,secret>y 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#b7 reanalyze a claim1       
describ$ 9 p>agraph 7#a7 t ! ,secret>y  
det]m9es may be fraudul5t1 aft] pay+ su*
 claim4  7b7 ,in=mation te*nology sy/em 
,! in=mation te*nology sy/em describ$ 9 
?is subsection %all include ! foll[+    
functions3 7#a7 ,cont9u\s monitor+ (    

claims to detect patt]ns t may indicate 
fraud1 wa/e1 or abuse4  7#b7 ,analysis (
 hi/orical & real-"t claims data to     
id5tify & pr$ict pot5tial fraudul5t     
claims4  7#c7 ,ready-made analytic      
models to id5tify & analyze fraudul5t   
claims4  7#d7 ,po/-paym5t analysis =    
ov]use ( s]vices or o!r practices t     
create unnecess>y co/s to ! ,dep>tm5t4  
7#e7 ,integration ) exi/+ claims        
process+ sy/ems & te*nologies ( !       
,dep>tm5t4  7#f7 ,logg+1 /orage1        
analysis1 & reports reg>d+ ! nature1    
frequ5cy1 & f9ancial impact ( detect$   
fraudul5t claims4  7#g7 ,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     
7#h7 ,updates to detect new models (    
fraud1 wa/e & abuse4  7#i7 ,any o!r     
function det]m9$ necess>y by !          
,secret>y4  7c7 ,use ( fran*ise fund ,to
 c>ry out ?is section1 ! ,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  7d7 ,report ,n   
lat] ?an two ye>s aft] ! date ( !       
enactm5t ( ! ,,fraud ,act ( #bjbe1 &    
annually !reaft] = five additional ye>s1
 ! ,secret>y %all submit to !           
,committees on ,vet]ans' ,affairs ( !   
,s5ate & ,h\se ( ,repres5tatives a      
report reg>d+ ! op]ation ( ! processes &
 sy/ems "u subsection 7a7 dur+ ! prec$+ 
ye>4 ,ea* su* report %all include !     
det]m9ation ( ! ,secret>y reg>d+ !      
foll[+ elem5ts3 7#a7 ,! effectiv5ess (  
su* processes & sy/ems 9 detect+ fraud1 
wa/e1 & abuse describ$ 9 subsection 7a74
  7#b7 ,! e/imat$ sav+s to ! ,dep>tm5t  
aris+ f ! use ( su* processes & sy/ems4 
7#c7 ,any plans to enhance1 modify1 or  
add new capabilities to su* processes & 
sy/ems4  4  7b7 ,implem5tation date ,!  
,secret>y ( ,vet]ans ,affairs %all c>ry 
out section #agjf;,b ( su* title1 z add$
 by subsection 7a71 n lat] ?an "o ye>   
aft] ! date ( ! enactm5t ( ?is ,act4    
#c4 ,ext5sion ( c]ta9 limits on paym5t (

 p5sion ,section #eejc7;d77#g7 ( title  
#ch1 ,unit$ ,/ates ,code1 is am5d$ by   
/rik+ ,novemb] #cj1 #bjca & ins]t+      
,janu>y #cj1 #bjcd4  ,octob] #ba1       
#bjbe,report$ ) an am5dm5t1 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union1 & ord]$ to be pr9t$