,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ecbf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #f1 #bjbf,ms4   
,cortez ,ma/o 7= h]self1 ,mr4 ,grassley1
 ,mr4 ,wyd51 & ,mr4 ,crapo7 introduc$ ! 
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xviii ( ! ,social      
,security ,act to /r5g!n program        
integrity ov]sight = ! ,heal? ,c>e      
,fraud & ,abuse ,control ,program1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,heal? ,c>e ,fraud     
,prev5tion & ,en=cem5t ,act4  #b4       
,/r5g!n+ program integrity ov]sight = ! 
,heal? ,c>e ,fraud & ,abuse ,control    
,program  7a7 ,additional fund+  7#a7   
,dep>tm5ts ( ,heal? & ,human ,s]vices & 
,ju/ice ,section #ahag7k77#c77;,a77i7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie;i7k77#c77;,a77i77 is am5d$-- 7,a7 
9 subclause 7,,iii71 by /rik+ & at !    
end2  7,b7 9 subclause 7,,iv7-- 7i7 by  
ins]t+ & be=e fiscal ye> #bjbg aft] aft]
 fiscal ye> #bjjf2 &  7ii7 by /rik+ !   

p]iod at ! end & ins]t+ a semicolon2 &  
7,c7 by add+ at ! end ! foll[+ new      
subclauses3  7,v7 = fiscal ye> #bjbg1   
#dij1jjj1jjj2  7,,vi7 = fiscal ye>      
#bjbh1 #ebj1jjj1jjj2  7,,vii7 = fiscal  
ye> #bjbi1 #egj1jjj1jjj2 &  7,,viii7 =  
ea* fiscal ye> aft] fiscal ye> #bjbi1 ! 
limit "u ?is clause = ! prec$+ fiscal   
ye>1 increas$ by ! p]c5tage increase 9 !
 consum] price index = all urban        
consum]s 7all items2 ,unit$ ,/ates city 
av]age7 ov] ! previ\s ye>4  4  7#b7     
,(fice ( ! ,inspector ,g5]al ( !        
,dep>tm5t ( ,heal? & ,human ,s]vices    
,section #ahag7k77#c77;,a77ii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i7k77#c77;,a77ii77 is am5d$-- 7,a7
 9 subclause 7,,viii71 by /rik+ & at !  
end2  7,b7 9 subclause 7,,ix7-- 7i7 by  
ins]t+ & be=e fiscal ye> #bjbg aft] aft]
 fiscal ye> #bjjg2 &  7ii7 by /rik+ !   
p]iod at ! end & ins]t+ a semicolon2 &  
7,c7 by add+ at ! end ! foll[+ new      
subclauses3  7,x7 = fiscal ye> #bjbg1   
#cbj1jjj1jjj2  7,,xi7 = fiscal ye>      

#bjbh1 #cdj1jjj1jjj2  7,,xii7 = fiscal  
ye> #bjbi1 #cgj1jjj1jjj2 &  7,,xiii7 =  
ea* fiscal ye> aft] fiscal ye> #bjbi1 n 
less ?an ! am\nt requir$ "u ?is clause =
 ! prec$+ fiscal ye>1 increas$ by !     
p]c5tage increase 9 ! consum] price     
index = all urban consum]s 7all items2  
,unit$ ,/ates city av]age7 ov] ! previ\s
 ye>4  4  7#c7 ,f$]al ,bureau (         
,inve/igation ,section #ahag7k77#c77;,b7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acie;i7k77#c77;,b77 is       
am5d$-- 7,a7 9 clause 7vii71 by /rik+ & 
at ! end2  7,b7 9 clause 7viii7-- 7i7 by
 ins]t+ & be=e fiscal ye> #bjbg aft]    
aft] fiscal ye> #bjjf2 &  7ii7 by /rik+ 
! p]iod at ! end & ins]t+ a semicolon2 &
  7,c7 by add+ at ! end ! foll[+ new    
clauses3  7ix7 = fiscal ye> #bjbg1      
#bcj1jjj1jjj2  7x7 = fiscal ye> #bjbh1  
#bej1jjj1jjj2  7xi7 = fiscal ye> #bjbi1 
#bgj1jjj1jjj2 &  7xii7 = ea* fiscal ye> 
aft] fiscal ye> #bjbi1 ! am\nt to be    
appropriat$ "u ?is subp>agraph = !      
prec$+ fiscal ye>1 increas$ by !        

p]c5tage increase 9 ! consum] price     
index = all urban consum]s 7all items2  
,unit$ ,/ates city av]age7 ov] ! previ\s
 ye>4  4  7#d7 ,m$ic>e ,integrity       
,program ,section #ahag7k77#d7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i7k77#d77 is am5d$-- 7,a7 9       
subp>agraph 7,b7-- 7i7 9 clause 7vii71  
by ins]t+ & be=e fiscal ye> #bjbg aft]  
aft] fiscal ye> #bjjb2 &  7ii7 by add+  
at ! end ! foll[+ new clauses3  7viii7  
,= fiscal ye> #bjbg1 #a1bhj1jjj1jjj4    
7ix7 ,= fiscal ye> #bjbh1               
#a1chj1jjj1jjj4  7x7 ,= fiscal ye>      
#bjbi1 #a1dhj1jjj1jjj4  7xi7 ,= ea*     
fiscal ye> aft] fiscal ye> #bjbi1 !     
am\nt appropriat$ "u ?is subp>agraph = !
 prec$+ fiscal ye>1 z increas$ pursuant 
to subp>agraph 7,c77ii74  2 &  7,b7 9   
subp>agraph 7,c77ii71 by /rik+ ,= ea*   
fiscal ye> aft] #bjaj & ins]t+ ,= ea* ( 
fiscal ye>s #bjaa ?r\gh #bjbf1 & = ea*  
fiscal ye> aft] fiscal ye> #bjbi4  7#e7 
,m$ic>e-,m$icaid data mat* program      
,section #ahag7k77#d77;,d7 ( ! ,social  

,security ,act 7#db ,u4,s4,c4           
#acie;i7k77#d77;,d77 is am5d$-- 7,a7 9  
clause 7v71 by ins]t+ ?r\gh fiscal ye>  
#bjbf aft] & ea* fiscal ye> !reaft]2 &  
7,b7 by add+ at ! end ! foll[+ new      
clauses3  7vi7 #aaj1jjj1jjj = fiscal ye>
 #bjbg4  7vii7 #abj1jjj1jjj = fiscal ye>
 #bjbh4  7viii7 #acj1jjj1jjj = fiscal   
ye> #bjbi4  7ix7 ,= ea* fiscal ye> aft] 
fiscal ye> #bjbh1 ! am\nt appropriat$ "u
 ?is subp>agraph = ! prec$+ fiscal ye>1 
z increas$ pursuant to subp>agraph      
7,c77ii74  4  7b7 ,expansion (          
inve/igative au?ority ( ! (fice ( !     
inspector g5]al ( ! dep>tm5t ( heal? &  
human s]vices ,section                  
#ahag7k77#c77;,a77ii7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#acie;i7k77#c77;,a77ii77 is am5d$-- 7#a7
 9 ! head+1 by /rik+ ,m$ic>e & m$icaid  
activities & ins]t+ ,(fice ( ! inspector
 g5]al ( ! dep>tm5t ( heal? & human     
s]vices2 &  7#b7 9 ! matt] prec$+       
subclause 7,i71 by /rik+ title ,,xix &  
ins]t+ title ,,xix & any program        

e/abli%$ "u title ,i 7or "u ! am5dm5ts  
made by su* title7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh7 t is adm9i/]$ by
 ! ,secret>y4  7c7 ,cl>ification conc]n+
 ! def9ition ( heal? plan ,section      
#aabh;,c ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;a-#g;c7 is am5d$-- 7#a7
 9 subsection 7a77#a77;,b71 by ins]t+   
public & private be=e deliv]y2 &  7#b7 9
 subsection 7c71 9 ! matt] prec$+       
p>agraph 7#a71 by ins]t+ public or      
private be=e plan or program4  7d7      
,cl>ification ( au?ority = ! activities 
( ! dep>tm5ts ( ju/ice & heal? & human  
s]vices ,section #ahag7k77#c7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acie;i7k77#c77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,d7     
,rule ( con/ruction4--,no?+ 9 ?is       
p>agraph %all be con/ru$ to limit !     
au?ority ( ! ,secret>y1 ! ,attorney     
,g5]al1 or ! ,inspector ,g5]al ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices to 
use funds made available "u ?is p>agraph

 to-- 7i7 detect or prosecute heal? c>e 
fraud & abuse2 &  7ii7 communicate ) !  
public ab\t heal? c>e fraud4  4  7e7    
,annual report to congress ,section     
#ahag7k77#e7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acie;i7k77#e77 is       
am5d$-- 7#a7 by r$esignat+ subp>agraphs 
7,a7 & 7,b7 z clauses 7i7 & 7ii71       
respectively1 & ind5t+ appropriately2   
7#b7 by /rik+ report4--,n lat] ?an      
,janu>y #a & ins]t+ 8report4--  7,a7 ,9 
g5]al ,n lat] ?an ,april #a  2 &  7#c7  
by add+ at ! end ! foll[+ new           
subp>agraph3  7,b7 ,requir$ notice (    
delay  7i7 ,9 g5]al ,if ! annual report 
requir$ "u subp>agraph 7,a7 is n        
submitt$ to ,congress by ,april #a ( !  
ye>1 ! ,secret>y & ,attorney ,g5]al %all
 jo9tly provide notice to ! appropriate 
committees ( ,congress beg9n+ n lat] ?an
 su* ,april #a1 & annually !reaft] until
 su* report is submitt$ to ,congress1   
/at+ ! reason = ! delay4  7ii7          
,applicable committees ( ,congress def9$
 ,= purposes ( ?is subp>agraph1 ! t]m   

appropriate committees ( ,congress means
 ! ,committees on ,f9ance & ! ,budget ( 
! ,s5ate & ! ,committees on ,ways &     
,means1 ! ,budget1 & ,en]gy & ,comm]ce (
 ! ,h\se ( ,repres5tatives4  4  7f7     
,process = det]m9+ fund+ allocation =   
dep>tm5ts ( ju/ice & heal? & human      
s]vices ,section #ahag7k77#c77;,a77i7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie;i7k77#c77;,a77i77 is am5d$1 9 !   
matt] prec$+ subclause 7,i71 by /rik+   
c]tify & ins]t+ agree4  7g7 ,inclusion (
 *ildr5's heal? insurance program 9     
m$ic>e-,m$icaid data mat* program       
,section #ahic7;g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;ddd7g77 is   
am5d$--  7#a7 9 p>agraph 7#a77;,a7--    
7,a7 9 ! matt] prec$+ clause 7i71 by    
/rik+ "u title ,,xix = ! purpose ( &    
ins]t+ "u title ,,xix1 & beg9n+ ) #bjbg1
 ) respect to ! ,/ate ,*ildr5's ,heal?  
,insurance ,program "u title ,,xxi1 = ! 
purpose (2  7,b7 9 clause 7i71 by /rik+ 
"u ?is title & ! ,m$icaid program       
e/abli%$ "u title ,,xix & ins]t+ "u ?is 

title1 ! ,m$icaid program e/abli%$ "u   
title ,,xix1 & ! ,/ate ,*ildr5's ,heal? 
,insurance ,program e/abli%$ "u title   
,,xxi2  7,c7 9 clause 7ii71 by ins]t+ & 
! ,/ate ,*ildr5's ,heal? ,insurance     
,program "u title ,,xxi aft] "u title   
,,xix2 &  7,d7 9 clause 7iii71 by /rik+ 
bo?2 &  7#b7 9 p>agraph 7#b71 by /rik+  
titles ,,xi & ,,xix & ins]t+ titles     
,,xi1 ,,xix1 & ,,xxi4  #c4 ,,gao /udy & 
report on p]=mance & effectiv5ess (     
,heal? ,c>e ,fraud & ,abuse ,control    
,program  7a7 ,/udy ,! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates 79 ?is section 
ref]r$ to z ! ,comptroll] ,g5]al7 %all  
conduct a /udy reg>d+ ! p]=mance &      
effectiv5ess ( ! ,heal? ,c>e ,fraud &   
,abuse ,control ,program4 ,to ! ext5t   
feasible & data are available1 ! /udy   
%all include ! foll[+3 7#a7 ,an analysis
 ( h[ ! ,dep>tm5t ( ,heal? & ,human     
,s]vices & ! ,dep>tm5t ( ,ju/ice h us$  
_! appropriations to a*ieve ! goals ( ! 
,heal? ,c>e ,fraud & ,abuse ,control    
,program "u section #aabh;,c ( ! ,social

 ,security ,act 7#db ,u4,s4,c4          
#acbj;a-#g;c74  7#b7 ,an analysis (     
p]=mance assessm5ts & o!r metrics !     
,dep>tm5t ( ,heal? & ,human ,s]vices & !
 ,dep>tm5t ( ,ju/ice use to det]m9e !   
p]=mance & effectiv5ess ( ! ,heal? ,c>e 
,fraud & ,abuse ,control ,program4  7#c7
 ,a description ( h[ ! ,dep>tm5t (      
,heal? & ,human ,s]vices & ! ,dep>tm5t (
 ,ju/ice obligat$ funds = ! ,heal? ,c>e 
,fraud & ,abuse ,control ,program4  7#d7
 ,an analysis ( h[ ! ,dep>tm5t ( ,heal? 
& ,human ,s]vices & ! ,dep>tm5t (       
,ju/ice assess ,heal? ,c>e ,fraud &     
,abuse ,control activities & :e!r key   
program outputs h *ang$ ov] "t s9ce !   
mo/ rec5t ,gov]nm5t ,acc\ntability      
,(fice report "u section #ahag7k77#f7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie;i7k77#f774  7#e7 ,an analysis (   
evid5ce available reg>d+ ! effectiv5ess 
( ! ,heal? ,c>e ,fraud & ,abuse ,control
 ,program 9 r$uc+ heal? c>e fraud &     
abuse4  7#f7 ,an analysis ( ! timel9ess 
( ! annual ,heal? ,c>e ,fraud & ,abuse  

,control report "u section #ahag7k77#e7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acie;i7k77#e77 & h[ !        
,dep>tm5t ( ,heal? & ,human ,s]vices & !
 ,dep>tm5t ( ,ju/ice c\ld improve !     
timel9ess ( su* report4  7b7 ,report ,n 
lat] ?an #af mon?s aft] ! date (        
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al %all report to ,congress !       
results ( ! /udy conduct$ "u subsection 
7a71 toge!r ) recomm5dations = su*      
legislation & adm9i/rative action z !   
,comptroll] ,g5]al det]m9es appropriate4