; and (2) by adding at the end the following new subsection: (d) Pilot program testing use of predictive risk-Scoring algorithm To provide oversight of payments for durable medical equipment and clinical diagnostic laboratory tests under the Medicare program (1) In general The Secretary shall establish a pilot program to test the use of predictive risk-scoring algorithms to provide oversight of relevant transactions (as defined in paragraph (8)(B)). (2) Duration The pilot program shall be conducted for a period of 2 years, beginning not later than January 1, 2025. (3) Scope (A) In general The Secretary shall limit the implementation of the pilot program to relevant transactions involving applicable items or services furnished to beneficiaries who have opted in to receive electronic Medicare Summary Notices (in this subsection referred to as applicable beneficiaries ). (B) Voluntary participation An applicable beneficiary may opt out of the pilot program at any time. (4) Considerations The Secretary may, for purposes of identifying and calculating the risks of relevant transactions under the pilot program, consider the following factors: (A) The absence of a prior relationship between the beneficiary and a provider of services (as defined in section 1861(u)) or supplier (as defined in section 1861(d)). (B) Aberrant billing patterns for a provider of services or supplier with regards to volume of claims in one particular area. (C) Electronic fund transfer (EFT) changes. (D) Changes in ownership of a provider of services or supplier. (5) Collaboration The Secretary shall work with industry representatives (including suppliers of durable medical equipment) on the development and implementation of the pilot program. (6) Requirements Under the pilot program, the Secretary shall— (A) adopt a predictive risk-scoring algorithm, modeled similar to leading payment card networks’ real-time consumer feedback mechanisms, that would learn from beneficiary data to score relevant transactions from 1 (least risky) to 99 (most