,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #idff  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #be1 #bjbf,mr4  
,h>rigan introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,vet]ans'     
,affairs  ,a ,,bill  ,to improve !      
integrity & ov]sight ( ! ,=eign ,m$ical 
,program ( ! ,dep>tm5t ( ,vet]ans       
,affairs1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,=eign  
,m$ical ,program ,integrity &           
,improvem5t ,act4  #b4 ,=eign ,m$ical   
,program ( ! ,dep>tm5t ( ,vet]ans       
,affairs3 rates ( paym5t2 ov]sight  7a7 
,rates ( paym5t ,section #agbd ( title  
#ch1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+ new subsection3  
7g7  7#a7 ,subject to p>agraph 7#b71 !  
rate paid = hospital c>e or m$ical      
s]vices "u ?is section %all be ! less]  
(-- 7,a7 ! am\nt bill$ = su* hospital   
c>e or m$ical s]vices2 or  7,b7 ! rate  
paid by ! ,unit$ ,/ates to a provid] (  
s]vices 7z def9$ 9 section #ahfa7u7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   

#aciex7u777 or a suppli] 7z def9$ 9     
section #ahfa7;d7 ( su* ,act 7#db       
,u4,s4,c4 #aciex7d777 "u ! ,m$ic>e      
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acja et  
seq471 includ+ section #ahcd ( su* ,act 
7#db ,u4,s4,c4 #aciem71 = ! same c>e or 
s]vices4  7#b7 ,! ,secret>y may make a  
paym5t 9 excess ( ! rate det]m9$ "u     
p>agraph 7#a7 to ensure t a vet]an has  
access to hospital c>e or m$ical        
s]vices1 includ+ 9 an em]g5cy4  4  7b7  
,9 ! case ( a deceas$ vet]an or provid] 
,section #agbd ( title #ch1 ,unit$      
,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new subsection3  7h7 7#a7 ,!   
,secret>y may n use any ,f$]al funds to 
pay = c>e or s]vices furni%$ "u ?is     
section--  7,a7  7i7 to an individual :o
 appe>s 9 ! ,dea? ,ma/] ,file2 or  7ii7 
by an individual :o appe>s 9 ! ,dea?    
,ma/] ,file2 &  7,b7 aft] ! date ( dea? 
( su* individual4  7#b7 ,9 ?is          
subsection1 ! t]m ,dea? ,ma/] ,file has 
! mean+ giv5 su* t]m 9 section #bjc ( ! 

,bip>tisan ,budget ,act ( #bjac 7,public
 ,law #aac-afg2 #db ,u4,s4,c4 #acjf;c74 
4  7c7 ,9 cases ( fraud ,section #agbd (
 title #ch1 ,unit$ ,/ates ,code1 is     
fur!r am5d$ by add+ at ! end ! foll[+   
new subsections3  7i7 ,9 ! case ( a     
claim = paym5t = c>e or s]vices furni%$ 
"u ?is section t ! ,secret>y suspects   
con/itutes fraud1 wa/e or abuse1 !      
,secret>y--  7#a7 %all ref] su* claim to
 ! ,inspector ,g5]al ( ! ,dep>tm5t2     
7#b7 may )hold su* paym5t dur+ !        
inve/igation ( su* claim2  7#c7 %all    
approve ! claim & release su* paym5t z  
soon z practicable if ! ,inspector      
,g5]al det]m9es t ! claim is prop]2 &   
7#d7 %all1 if ! ,inspector ,g5]al       
det]m9es t su* claim con/itutes fraud1  
wa/e or abuse--  7,a7 d5y ! claim2 &    
7,b7 take action ! ,secret>y det]m9es   
appropriate to recov] any ,f$]al funds  
already paid 9 relation to su* claim1   
claimant1 or provid]4  7j7  7#a7 ,!     
,secret>y %all ma9ta9 a li/ ( provid]s (
 c>e or s]vices furni%$ "u ?is section  

:o h submitt$ fraudul5t claims = su* c>e
 or s]vices4  7#b7 ,! ,secret>y may n   
use any ,f$]al funds to pay = c>e or    
s]vices furni%$ "u ?is section by a     
provid] ^: "n appe>s on ! li/4  7#c7    
,ea* "t ! ,secret>y adds ! "n ( a       
provid] to ! li/1 ! ,secret>y %all      
di/ribute ! li/ electronically to       
vet]ans regi/]$ 9 a program "u ?is      
section4  7j7 ,! ,secret>y %all         
designate a ,fraud ,detection &         
,prev5tion ,coord9ator to c>ry out      
subsections 7h71 7i71 & 7j7 ( ?is       
section4  4  7d7  ,au?ority ,to contract
  7#a7  ,9 g5]al  ,section #agbd ( title
 #ch1 ,unit$ ,/ates ,code1 is fur!r     
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7k7 ,! ,secret>y may ent]  
into an agreem5t ) an entity pursuant to
 :i* su* entity %all s]ve z a ?ird-p>ty 
adm9i/rator ( claims = c>e or s]vices   
furni%$ "u ?is section4  4  7#b7        
,tempor>y expansion  ,! ,secret>y (     
,vet]ans ,affairs may ent] into an      
agreem5t ) an entity pursuant to :i* su*

 entity %all provide to ! ,secret>y     
access to an in=mation te*nology sy/em =
 ! adm9i/ration ( claims = c>e or       
s]vices furni%$ "u su* section4 ,if !   
,secret>y ex]cises su* au?ority1 !      
,secret>y %all ensure t implem5tation ( 
su* sy/em is complete n lat] ?an "o ye> 
aft] ! date ( ! enactm5t ( ?is ,act4