,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ihfi  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bb1 #bjbf,mr4  
,patronis 7= himself & ,mr4 ,bean (     
,florida7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,education & 
,work=ce  ,a ,,bill  ,to am5d *apt] #ha 
( title #e1 ,unit$ ,/ates ,code1 to     
improve outcomes = injur$ ,f$]al work]s 
& r$uce co/s & fraud1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,,feca ,mod]nization & ,co/ ,conta9m5t
 ,act ( #bjbf4  #b4 ,f9d+s ,congress    
f9ds ! foll[+3  7#a7 ,! ,f$]al          
,employees' ,comp5sation ,act has n     
und]gone significant re=m s9ce #aigd1   
despite advancem5ts 9 work]s'           
comp5sation practices4  7#b7 ,f$]al     
employees' comp5sation co/s are         
significantly high] ?an ^? 9 ! private  
sector1 creat+ a burd5 on taxpay]s4     
7#c7 ,! inability ( ,f$]al employ]s to  
direct injur$ employees to manag$ c>e   
networks results 9 increas$ m$ical co/s1
 inconsi/5t treatm5t1 poor cl9ical      

outcomes & ext5d$ recov]y times4  7#d7  
,fraud 9 ! ,f$]al employees' comp5sation
 sy/em rema9s a significant issue1      
requir+ enhanc$ monitor+ & pr$ictive    
fraud detection measures4  7#e7         
,implem5t+ indu/ry be/ practices1       
includ+ employ]-direct$ m$ical c>e1     
/&>diz$ treatm5t protocols1 & case      
managem5t programs1 w improve effici5cy1
 r$uce co/s1 improve cl9ical outcomes = 
injur$ employees1 & accel]ate employee  
recov]y4  #c4 ,,feca mod]nization  7a7  
,requirem5t ,to seek c>e ?r\gh manag$   
c>e network ,section #hajc7;a7 ( title  
#e1 ,unit$ ,/ates ,code1 is am5d$--     
7#a7 by am5d+ p>agraph 7#c7 to read z   
foll[s3  7#c7 except 9 ! case ( a m$ical
 em]g5cy1 ?r\gh ! manag$ c>e network t  
contracts ) ! employ+ ag5cy ( ! employee
 pursuant to subsection 7c77#a74  2 &   
7#b7 9 ! matt] foll[+ p>agraph 7#c71 by 
/rik+ ,! employee & ins]t+ ,subject to  
subsection 7c71 ! employee4  7b7 ,manag$
 c>e networks ,section #hajc ( title #e1
 ,unit$ ,/ates ,code1 is am5d$ by add+  

at ! end ! foll[+3  7c7 ,manag$ c>e     
networks  7#a7 ,9 g5]al ,to meet !      
requirem5ts ( subsection 7a71 ! head (  
ea* employ+ ag5cy %all ent] into a      
contract ) a manag$ c>e network to      
furni% s]vices1 appliances1 & supplies  
to employees ( su* ag5cy4  7#b7         
,employee  7,a7 ,out-(-network s]vices  
,9 a case 9 :i* ! ,,mcn ) :i* ! employ+ 
ag5cy has a contract is unable to furni%
 prescrib$ or recomm5d$ s]vices1        
appliances1 or supplies to an employee1 
! employee may select a provid] = su*   
s]vices1 appliances1 & supplies 9       
accordance ) ! matt] at ! end (         
subsection 7a7 t foll[s p>agraph 7#c7 ( 
su* subsection4  7,b7 ,second op9ion ,9 
a case 9 :i* ! ,,mcn ) :i* ! employ+    
ag5cy has a contract furni%es a provid] 
to an employee & su* employee disputes a
 diagnosis or treatm5t recomm5dation    
receiv$ f su* provid]1 ! ,,mcn %all     
furni% ! employee a second op9ion f a   
diff]5t provid]4  7,c7 ,dispute         
resolution ,! ,secret>y ( ,labor %all   

e/abli% a sy/em = review ( disputes to  
ensure employees are furni%$ s]vices1   
appliances1 & supplies 9 a timely mann]4
  7#c7 ,requirem5ts ,to be eligible to  
ent] into & ma9ta9 a contract "u        
p>agraph 7#a71 an ,,mcn %all meet !     
foll[+ requirem5ts3  7,a7 ,s]vices ,!   
,,mcn %all make reasonable attempts to  
provide ! s]vices1 appliances1 &        
supplies requir$ to be furni%$ to an    
employee "u subsection 7a74  7,b7       
,practices ,! ,,mcn %all comply ) !     
/&>diz$ treatm5t protocols e/abli%$     
pursuant to p>agraph 7#d74  7,c7        
,limitation on fees ,! ,,mcn may n *>ge 
a fee = a s]vice1 appliance1 or supply 9
 excess ( ! fee e/abli%$ "u ! fee s*$ule
 7or a successor docum5t7 publi%$ by !  
,(fice ( ,work]s ,comp5sation ,programs 
( ! ,dep>tm5t ( ,labor = su* s]vice1    
appliance1 or supply4  7,d7 ,geographic 
accessibility ,! ,,mcn %all ma9ta9 a    
suffici5t numb] ( provid]s )9 reasonable
 proximity to ea* "w site ( ! employ+   
ag5cy4  7,e7 ,evaluations ,! ,,mcn %all1

 us+ a provid] assessm5t sy/em-- 7i7    
regul>ly evaluate ea* provid] provid+   
s]vices to an employ+ ag5cy ?r\gh !     
,,mcn = p]=mance & co/-effectiv5ess2 &  
7ii7 if appropriate1 remove a provid] f 
! ,,mcn or exclude ! provid] f provid+  
s]vices ?r\gh ! ,,mcn to ! employ+      
ag5cy4  7,f7 ,annual reports ,! ,,mcn   
%all1 on an annual basis1 submit to !   
head ( ! employ+ ag5cy a report conta9+ 
in=mation 9 relation to ! prec$+ cal5d> 
ye>1 includ+ in=mation on ! foll[+3  7i7
 ,co/ sav+s1 z comp>$ to e/imat$ co/s ! 
ag5cy w\ld pay if ! ag5cy did n h a     
contract ) ! ,,mcn4  7ii7 ,an assessm5t 
( ! p]=mance ( ea* provid] furni%$ ?r\gh
 ! ,,mcn4  7iii7 ,anonymiz$ data on     
outcomes ( employees :o 7 treat$ by a   
provid] furni%$ ?r\gh ! ,,mcn4  7,g7    
,in=mation = reviews ,! ,,mcn %all      
provide ! review bo>d e/abli%$ pursuant 
to p>agraph 7#e7 su* in=mation z ! bo>d 
det]m9es necess>y to c>ry out ! duties (
 ! bo>d "u su* p>agraph1 includ+1 if    
reque/$1 in=mation ne$$ = ! bo>d to c>ry

 out subp>agraph 7,d7 ( su* p>agraph4   
7#d7 ,treatm5t protocols ,! ,secret>y ( 
,labor %all e/abli% /&>diz$ treatm5t    
protocols = employees bas$ on ! be/     
practices ( ! heal?c>e indu/ry4  7#e7   
,review bo>d  7,a7 ,9 g5]al ,n lat] ?an 
#bgj days aft] ! effective date "u      
section #c7;c7 ( ! ,,feca ,mod]nization 
& ,co/ ,conta9m5t ,act ( #bjbf1 !       
,secret>y ( ,labor %all e/abli% a review
 bo>d4  7,b7  ,memb]%ip  ,! bo>d        
e/abli%$ pursuant to subp>agraph 7,a7   
%all be select$ by ! ,secret>y ( ,labor 
& %all be compos$ ( #af memb]s z foll[s3
  7i7 #b repres5tatives ( ! ,secret>y ( 
,labor :o are f ! ,(fice ( ,work]s      
,comp5sation ,programs4  7ii7 #a        
repres5tative ( ! ,secret>y ( ,labor :o 
is n f su* ,(fice4  7iii7 #a            
repres5tative ( ! head ( ano!r ag5cy4   
7iv7 #b repres5tatives ( employees4  7v7
 #b repres5tatives f ,m,c,ns :o h       
contract$ ) ,f$]al ag5cies4  7vi7 #e    
repres5tatives ( provid]s :o h contract$
 ) ,m,c,ns describ$ 9 clause 7v74  7,c7 

,duties ,! duties ( ! ,bo>d %all be to--
 7i7 monitor--  7,i7 ,m,c,ns to ensure  
compliance ) /&>diz$ treatm5t protocols 
e/abli%$ pursuant to p>agraph 7#d72     
7,,ii7 rate negotiations2 &  7,,iii7 !  
p]=mance ( provid]s furni%$ ?r\gh       
,m,c,ns2 &  7ii7 sugge/ improvem5ts to !
 ,secret>y4  7,d7 ,optional review (    
geographic accessibility ,! ,bo>d may   
ensure ,m,c,ns comply ) p>agraph        
7#c77;,e74  7#f7 ,fraud prev5tion ,!    
,secret>y ( ,labor may contract )       
entities to monitor claims & flag       
pot5tially fraudul5t claims = fur!r     
review us+ pr$ictive analytics tools    
7:i* may include ! use ( artificial     
intellig5ce 7z def9$ 9 section #idja7c7 
( title #ae1 ,unit$ ,/ates ,code77 to1  
bas$ on hi/orical claim patt]ns & m$ical
 inconsi/5cies1 id5tify pot5tially      
fraudul5t claims4  7d7 ,manag$ c>e      
network2 ,,mcn def9$ ,9 ?is section1 !  
t]ms manag$ c>e network & ,,mcn mean a  
network ( provid]s t furni%es s]vices1  
appliances1 & supplies prescrib$ or     

recomm5d$ by a qualifi$ physician z     
describ$ "u subsection 7a74  4  7c7     
,effective ,date ,! am5dm5ts made by ?is
 section %all take effect #a ye> aft] ! 
date ( enactm5t ( ?is ,act4  #d4        
,regulatory au?ority  7a7 ,9 g5]al ,n   
lat] ?an #f mon?s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y ( ,labor %all  
issue su* regulations z are necess>y to 
c>ry out ! purposes ( ?is ,act4  7b7    
,transition plan ,n lat] ?an #a ye> aft]
 ! date ( enactm5t ( ?is ,act1 ! head ( 
ea* ,f$]al ag5cy %all submit to !       
,secret>y a plan describ+ h[ ! ag5cy w  
transition to ! use ( manag$ c>e        
networks pursuant to ! am5dm5ts made by 
section #c ( ?is ,act to section #hajc (
 title #e1 ,unit$ ,/ates ,code4  #e4    
,,gao review ,n lat] ?an #f mon?s aft] !
 end ( ! #e-ye> p]iod beg9n+ on ! date t
 is #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,comptroll] ,g5]al ( ! ,unit$   
,/ates %all submit a report to ,congress
 on ! effect1 dur+ su* #e-ye> p]iod1 ( !
 am5dm5ts made by section #c ( ?is ,act 

to section #hajc ( title #e1 ,unit$     
,/ates ,code1 includ+ ! effect1 9       
relation to adm9i/ration ( su* section1 
on-- 7#a7 co/s2  7#b7 fraud r$uction2 & 
7#c7 adm9i/rative effici5cy4