FRAUD Act of 2025

The FRAUD Act of 2025 requires the Department of Veterans Affairs (VA) to implement an information technology system to detect fraud, waste, and abuse in healthcare claims submitted under the Veterans Community Care Program. This system must continuously monitor claims from healthcare providers (including those outside the Community Care Network), analyze historical and real-time data to identify fraudulent patterns, and perform post-payment reviews to flag unnecessary costs. The VA must fund this system using existing franchise funds and submit annual reports to Congress on its effectiveness and savings, with the requirement ending seven years after the law's enactment. The bill directly affects VA claims processing, healthcare providers submitting claims, and veterans whose benefits are protected from fraudulent claims.