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119-hr-3483119th CongressWALLET

FRAUD Act of 2025

Sponsored By: Representative Barrett, Tom [R-MI-7]

In Committee

Summary

Detect fraud, waste, and abuse in Veterans Health Administration health care claims. This bill would require the VA to build an IT system and related processes to analyze claims before and after payment, flag suspicious activity, and report on results.

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  • Veterans and households: Veterans' claims would be continuously monitored and could be reanalyzed after payment when the system flags possible fraud. Reports must include how effective the system is at detecting problems.
  • Health care providers and billing entities: Providers who furnish hospital, medical, or extended care services would face continuous and historical analysis, ready-made analytic models, post-payment reviews, and machine-learning updates as part of the system's nine listed functions.
  • VA operations and oversight: The VA would fund the system from its franchise fund, must implement it within one year of enactment, and must deliver a report starting two years after enactment and annually for five years that includes estimated savings and planned enhancements.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

VA pension deadline extended to 2034

If enacted, this would move a VA deadline from November 30, 2031 to January 30, 2034 in 38 U.S.C. 5503(d)(7). Veterans covered by that rule would have more time under the same timetable. It would not change who qualifies or how much is paid.

New fraud checks on VA health claims

The bill would direct VA to set up an IT system to spot fraud, waste, and abuse in VA health claims. It would watch claims in real time, use past and current data, and recheck paid claims that look suspicious. The system would use models and machine learning and tie into VA’s existing claim tools. VA would fund this from its franchise fund. VA would have to launch it within one year after enactment and report to Congress within two years, then yearly for five more years on results and savings.

Sponsors & CoSponsors

Sponsor

Barrett, Tom [R-MI-7]

MI • R

Cosponsors

  • Rep. Haridopolos, Mike [R-FL-8]

    FL • R

    Sponsored 9/17/2025

Roll Call Votes

No roll call votes available for this bill.

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