,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #hhjd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ac1 #bjbf,mr4   
,smuck] introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
au?orize ! ,secret>y ( ,heal? & ,human  
,s]vices to ent] into contracts )       
recov]y audit contractors to p]=m       
prepaym5t reviews "u ! ,m$ic>e program4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,m$ic>e ,paym5t ,integrity ,enhancem5t
 ,act ( #bjbf4  #b4 ,au?oriz+ recov]y   
auditor contractors to conduct prepaym5t
 reviews "u ,m$ic>e  7a7 ,9 g5]al       
,section #ahic7;h7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;ddd7h77 is   
am5d$--  7#a7 9 p>agraph 7#a7-- 7,a7 9  
matt] prec$+ subp>agraph 7,a7--  7i7 by 

/rik+ & rec\p+ & ins]t+ 1 rec\p+2 &     
7ii7 by /rik+ title4 & ins]t+ title1 &  
conduct+ prepaym5t review ( claims =    
paym5t "u ?is title42  7,b7 9           
subp>agraph 7,a71 by ins]t+ except 9 !  
case ( prepaym5t review ( claims =      
paym5t "u ?is title1 be=e paym5t %all be
 made2  7,c7 9 subp>agraph 7,b7-- 7i7 by
 ins]t+ except 9 ! case ( prepaym5t     
review ( claims = paym5t "u ?is title1  
be=e f su* am\nts2 &  7ii7 9 clause     
7ii71 by /rik+ & at ! end2  7,d7 9      
subp>agraph 7,c71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7,e7 by ins]t+ aft]
 subp>agraph 7,c7 ! foll[+ new          
subp>agraph3  7,d7 paym5t to su* a      
contractor = prepaym5t review ( claims =
 paym5t "u ?is title %all be made 9     
am\nts det]m9$ "u a me?odology e/abli%$ 
by ! ,secret>y t--  7i7 takes into      
acc\nt ! am\nt ( improp] paym5t t su*   
contractor prev5t$ f be+ paid "u ?is    
title2 &  7ii7 inc5tivizes ! timely &   
accurate prev5tion ( su* improp]        
paym5ts1 )\t a disproportionate focus on

 p>ticul> types ( claims4  2  7#b7 9    
p>agraph 7#c71 by ins]t+ 1 & n lat] ?an 
#a ye> aft] ! date ( ! enactm5t ( !     
,m$ic>e ,paym5t ,integrity ,enhancem5t  
,act ( #bjbf1 9 ! case ( contracts      
relat+ to ! prepaym5t review ( claims = 
paym5t "u ?is title aft] "u "p ,c or ,d2
  7#c7 9 p>agraph 7#g7--  7,a7 by ins]t+
 or ! prev5tion ( "p or all ( a paym5t  
"u ?is title bas$ on a prepaym5t review 
( a claim = paym5t aft] individual or   
entity2 &  7,b7 by ins]t+ or prepaym5t  
review aft] su* ov]paym5t2  7#d7 9      
p>agraph 7#h71 by ins]t+ 7&1 to ! ext5t 
t contracts "u ?is subsection require   
prepaym5t review ( claims = paym5t "u   
?is title1 on ! p]=mance ( su*          
contractors ) respect to su* prepaym5t  
reviews7 aft] rec\p+ ov]paym5ts2 &  7#e7
 by add+ at ! end ! foll[+ new p>agraph3
  7#aa7 ,fund+ = prepaym5t review ,=    
purposes ( mak+ paym5t to recov]y audit 
contractors = prepaym5t review ( claims 
= paym5t "u ?is title1 z describ$ 9     
p>agraph 7#a77;,d71 ! ,secret>y %all    

provide = ! transf]1 f ! ,f$]al         
,hospital ,insurance ,tru/ ,fund "u     
section #ahag & ! ,f$]al ,supplem5t>y   
,m$ical ,insurance ,tru/ ,fund "u       
section #ahda1 9 su* proportion z !     
,secret>y det]m9es appropriate bas$ ^u !
 relative am\nt ( improp] paym5ts t su* 
contractors prev5t$ f be+ paid "u p>ts  
,a & ,b1 ( su* sums z ! ,secret>y       
det]m9es necess>y1 to ! ,c5t]s = ,m$ic>e
  ,m$icaid ,s]vices ,program ,managem5t 
,acc\nt4  4  7b7 ,regulations ,n lat]   
?an #a ye> aft] ! date ( ! enactm5t (   
?is section1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all issue su* rules z  
are necess>y to implem5t ! am5dm5ts made
 by subsection 7a74 ,su* rules %all     
include--  7#a7 a description ( !       
me?odology t ! ,secret>y %all use z !   
basis = mak+ paym5t to recov]y audit    
contractors = ! prepaym5t review (      
claims = paym5t "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq472 &  7#b7 a description ( 
! me?odology t ! ,secret>y %all use to  

calculate sav+s to ! ,m$ic>e program "u 
su* title ,,xviii g5]at$ by su*         
prepaym5t reviews4