,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #iejb  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bi1 #bjbf,mr4 
,bresnahan introduced the following     
bill2 which was referred to the         
,committee on ,veterans' ,affairs1 and  
in addition to the ,committees on ,ways 
and ,means1 and ,energy and ,commerce1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
direct the ,secretary of ,veterans      
,affairs to seek to enter into a        
memorandum of understanding with the    
,secretary of ,health and ,human        
,services to avoid duplicative1         
improper1 or erroneous billings or      
payments for hospital care and medical  
services furnished under the laws       
administered by the ,secretary of       
,veterans ,affairs4  #a4 ,short title   
,this ,act may be cited as the ,protect 
,seniors and ,veterans from ,health     

,care ,fraud ,act of #bjbf4  #b4        
,memorandum of understanding for        
reciprocal access to certain health care
 data between the ,secretary of         
,veterans ,affairs and the ,secretary of
 ,health and ,human ,services  7a7 ,in  
general ,not later than one year after  
the date of the enactment of this ,act1 
the ,secretary of ,veterans ,affairs    
shall1 for purposes of avoiding         
duplicative1 improper1 or erroneous     
billings or payments for hospital care  
and medical services furnished under the
 laws administered by the ,secretary of 
,veterans ,affairs1 seek to enter into a
 memorandum of understanding with the   
,secretary of ,health and ,human        
,services with respect to reciprocal    
access between the ,veterans ,health    
,administration and the ,centers for    
,medicare and ,medicaid ,services to    
data and information on veterans who are
 concurrently enrolled in the patient   
enrollment system under section         
#agje7;a7 of title #ch1 ,united ,states 

,code1 and-- 7#a7 the ,medicare program2
  7#b7 the ,medicaid program2 or  7#c7 a
 ,medicare ,advantage plan4  7b7        
,agreement ,the memorandum of           
understanding required under subsection 
7a7 shall include an agreement through  
which-- 7#a7 the ,secretary of ,veterans
 ,affairs transmits to the ,secretary of
 ,health and ,human ,services-- 7,a7    
information relating to veterans who    
are-- 7i7 enrolled in such system for   
patient enrollment2 and  7ii7 in receipt
 of hospital care or medical services   
under laws administered by the          
,secretary of ,veterans ,affairs2 and   
7,b7 such other information as the      
,secretary of ,veterans ,affairs        
determines appropriate1 including       
billing codes and diagnostic codes for  
such hospital care or medical services2 
and  7#b7 the ,secretary of ,health and 
,human ,services-- 7,a7 uses information
 transmitted pursuant to paragraph 7#a7 
to identify veterans who are            
concurrently enrolled in such system for

 patient enrollment and-- 7i7 the       
,medicare program2  7ii7 the ,medicaid  
program2 or  7iii7 a ,medicare          
,advantage plan2 and  7,b7 transmits to 
the ,secretary of ,veterans ,affairs--  
7i7 a list of the veterans identified   
pursuant to subparagraph 7,a72 and  7ii7
 such other information as the          
,secretary of ,health and ,human        
,services determines appropriate4  7c7  
,term ,the memorandum of understanding  
required under subsection 7a7 shall be  
effective for a two-year period         
beginning on the date on which the      
,secretary of ,veterans ,affairs enters 
into such memorandum4  7d7 ,report ,not 
later than one year after the date on   
which the ,secretary of ,veterans       
,affairs enters into the memorandum of  
understanding required under subsection 
7a71 and on a biennial basis thereafter 
during the period such memorandum is    
effective1 the ,secretary shall submit  
to the ,committees on ,veterans'        
,affairs of the ,house of               

,representatives and the ,senate a      
report that includes-- 7#a7 a summary of
 the activities of the ,secretary       
carried out pursuant to such memorandum2
 and  7#b7 an assessment of the         
,secretary with respect to the          
effectiveness of such memorandum in     
avoiding duplicative1 improper1 or      
erroneous billings or payments for      
hospital care and medical services      
furnished under the laws administered by
 the ,secretary4  7e7 ,definitions ,in  
this section3 7#a7 ,the term ,medicaid  
program means the program of medical    
assistance established under title ,,xix
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif et seq474  7#b7 ,the    
term ,medicare ,advantage plan means a  
,medicare ,advantage plan under the     
program established under part ,c of    
title ,,xviii of the ,social ,security  
,act 7#db ,u4,s4,c4 #aciew-#ba et seq474
  7#c7 ,the term ,medicare program means
 the ,medicare program under such title4