42 USC 1320a-7n - Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse

U.S Code last checked for updates: Feb 21, 2025

§ 1320a–7n.

Disclosure of predictive modeling and other analytics technologies to identify and prevent waste, fraud, and abuse

(a)

Reference to predictive modeling technologies requirements

(b)

Limiting disclosure of predictive modeling technologies

In implementing such provisions under such section 1320a–7m with respect to covered algorithms (as defined in subsection (c)), the following shall apply:

(1)

Nonapplication of FOIA

(2)

Limitation with respect to use and disclosure of information by State agencies

(A)

In general

(B)

Information security

(C)

Procedural requirements

(c)

Covered algorithm defined

In this section, the term “covered algorithm”—

(1)

means a predictive modeling or other analytics technology, as used for purposes of section 1320a–7m(a) of this title to identify and prevent waste, fraud, and abuse with respect to the Medicare program under subchapter XVIII, the Medicaid program under subchapter XIX, and the Children’s Health Insurance Program under subchapter XXI; and

(2)

includes the mathematical expressions utilized in the application of such technology and the means by which such technology is developed.

(Aug. 14, 1935, ch. 531, title XI, § 1128K, as added Pub. L. 114–198, title VII, § 706(a), July 22, 2016, 130 Stat. 753.)

cite as: 42 USC 1320a-7n