[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3483 Reported in House (RH)]
<DOC>
Union Calendar No. 300
119th CONGRESS
1st Session
H. R. 3483
[Report No. 119-348]
To amend title 38, to direct the Secretary of Veterans Affairs to use
an information technology system to detect fraud, waste, and abuse
regarding claims for payment submitted to the Secretary under the
Veterans Community Care Program.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 19, 2025
Mr. Barrett introduced the following bill; which was referred to the
Committee on Veterans' Affairs
October 21, 2025
Additional sponsor: Mr. Haridopolos
October 21, 2025
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on May 19,
2025]
_______________________________________________________________________
A BILL
To amend title 38, to direct the Secretary of Veterans Affairs to use
an information technology system to detect fraud, waste, and abuse
regarding claims for payment submitted to the Secretary under the
Veterans Community Care Program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Forcing Real Accountability for
Unlawful Distributions Act of 2025'' or the ``FRAUD Act of 2025''.
SEC. 2. DETECTION OF FRAUD, WASTE, AND ABUSE IN PROGRAMS OF THE
VETERANS HEALTH ADMINISTRATION.
(a) In General.--Subchapter I of chapter 17 of title 38, United
States Code, is amended by inserting after section 1706A the following
new section (and amending the table of sections at the beginning of
such chapter accordingly):
``Sec. 1706B. Management of health care: detection of fraud, waste, and
abuse
``(a) In General.--To detect fraud, waste, and abuse in programs of
the Veterans Health Administration, the Secretary shall use processes
and systems, including the information technology system described in
subsection (b), to--
``(1) analyze a claim submitted to the Secretary by a
health care entity or provider that furnishes hospital care,
medical services, or extended care services under this chapter;
and
``(2) reanalyze a claim, described in paragraph (1) that
the Secretary determines may be fraudulent, after paying such
claim.
``(b) Information Technology System.--The information technology
system described in this subsection shall include the following
functions:
``(1) Continuous monitoring of claims to detect patterns
that may indicate fraud, waste, or abuse.
``(2) Analysis of historical and real-time claims data to
identify and predict potential fraudulent claims.
``(3) Ready-made analytic models to identify and analyze
fraudulent claims.
``(4) Post-payment analysis for overuse of services or
other practices that create unnecessary costs to the
Department.
``(5) Integration with existing claims processing systems
and technologies of the Department.
``(6) Logging, storage, analysis, and reports regarding the
nature, frequency, and financial impact of detected fraudulent
claims.
``(7) Identification of, and machine learning that is based
on, patterns of fraudulent claims in order to reduce false
positives and predict new forms of fraud.
``(8) Updates to detect new models of fraud, waste and
abuse.
``(9) Any other function determined necessary by the
Secretary.
``(c) Use of Franchise Fund.--To carry out this section, the
Secretary shall use funds from the Department of Veterans Affairs
franchise fund established under title I of Public Law 104-204 (38
U.S.C. 301 note).
``(d) Report.--Not later than two years after the date of the
enactment of the FRAUD Act of 2025, and annually thereafter for five
additional years, the Secretary shall submit to the Committees on
Veterans' Affairs of the Senate and House of Representatives a report
regarding the operation of the processes and systems under subsection
(a) during the preceding year. Each such report shall include the
determination of the Secretary regarding the following elements:
``(1) The effectiveness of such processes and systems in
detecting fraud, waste, and abuse described in subsection (a).
``(2) The estimated savings to the Department arising from
the use of such processes and systems.
``(3) Any plans to enhance, modify, or add new capabilities
to such processes and systems.''.
(b) Implementation Date.--The Secretary of Veterans Affairs shall
carry out section 1706B of such title, as added by subsection (a), not
later than one year after the date of the enactment of this Act.
SEC. 3. EXTENSION OF CERTAIN LIMITS ON PAYMENT OF PENSION.
Section 5503(d)(7) of title 38, United States Code, is amended by
striking ``November 30, 2031'' and inserting ``January 30, 2034''.
Union Calendar No. 300
119th CONGRESS
1st Session
H. R. 3483
[Report No. 119-348]
_______________________________________________________________________
A BILL
To amend title 38, to direct the Secretary of Veterans Affairs to use
an information technology system to detect fraud, waste, and abuse
regarding claims for payment submitted to the Secretary under the
Veterans Community Care Program.
_______________________________________________________________________
October 21, 2025
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed