; and (3) policy options to enhance the benefits and mitigate potential challenges of developing or using such devices. 106. Enhancing certain program integrity requirements for DME under Medicare (a) Durable medical equipment Section 1834(a) of the Social Security Act ( 42 U.S.C. 1395m(a) ) is amended by adding at the end the following new paragraph: (23) Master List inclusion and claim review for certain items (A) Master List inclusion Beginning January 1, 2026, for purposes of the Master List described in section 414.234(b) of title 42, Code of Federal Regulations (or any successor regulation), an item for which payment may be made under this subsection shall be treated as having aberrant billing patterns (as such term is used for purposes of such section) if the Secretary determines that, without explanatory contributing factors (such as furnishing emergent care services), a substantial number of written orders for such items under this subsection are from an ordering physician or applicable practitioner with whom the individual involved does not have a prior relationship, as determined on the basis of prior payment experience. (B) Claim review With respect to items furnished on or after January 1, 2026 that are included on the Master List pursuant to subparagraph (A) , if such an item is not subject to a determination of coverage in advance pursuant to paragraph (15)(C), the Secretary may conduct prepayment review of claims for payment for such item. . (b) Report on identifying clinical diagnostic laboratory tests at high risk for fraud and effective mitigation measures Not later than January 1, 2026, the Inspector General of the Department of Health and Human Services shall submit to Congress a report assessing fraudulent claims for clinical diagnostic laboratory tests for which payment may be made under section 1834A of the Social Security Act ( 42 U.S.C. 1395m–1 ) and effective tools for reducing such fraudulent claims. The report shall include— (1) which, if any, clinical diagnostic laboratory tests are