This bill proposes a two-year pilot program within Medicare to enhance oversight of payments for durable medical equipment and clinical diagnostic laboratory tests by utilizing a predictive risk-scoring algorithm . Set to begin by January 1, 2026, the program aims to improve the detection and prevention of fraud and abuse in these specific areas of Medicare spending. Participation in the pilot program is voluntary for beneficiaries , who must opt-in to receive electronic Medicare Summary Notices and agree to participate. The algorithm will score relevant transactions from 1 (least risky) to 99 (most risky), considering factors such as the absence of a prior beneficiary-provider relationship, aberrant billing patterns, and changes in provider ownership or electronic fund transfer details. Before implementation, the Secretary must conduct sufficient testing and evaluation of the algorithm, establish notification methods for affected parties, and collaborate with industry representatives. For any transaction flagged as high-risk by the algorithm, a human review process will be initiated to determine if the payment should be suspended. Beneficiaries will then have the opportunity to confirm the transaction or cure the high-risk score if they believe it is based on inaccurate data, responding via email or phone. If a transaction is suspended, the beneficiary will receive automatic electronic alerts through Medicare Summary Notices, including information on how to report suspected fraud, and the Secretary may terminate or reissue Medicare cards to prevent further fraud.