,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #aaf  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #c1 #bjac ,mr4
 ,holt 7= himself & ,mrs4 ,capps7       
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to enc\rage ! use ( m$ical     
*eckli/s ?r\gh rese>*1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,m$ical ,*eckli/ ,act ( #bjac4  #b4 
,rese>* into m$ical *eckli/ developm5t &
 efficacy  7a7 ,/udy ,! ,director ( !   
,ag5cy = ,heal?c>e ,rese>* & ,quality1  
act+ ?r\gh ! ,c5t] = ,quality           
,improvem5t & ,pati5t ,safety1 %all     
conduct rese>* & a /udy1 9 accordance ) 
! requirem5ts ( ?is section1 reg>d+ !   
developm5t & efficacy ( m$ical *eckli/s4
  7b7 ,cont5ts ,9 c>ry+ out subsection  
7a71 ! ,director %all conduct rese>* & a
 /udy reg>d+ ! foll[+3  7#a7 ,te/+ (    
diff]5t models ( m$ical *eckli/s to     
measure ! effect ( *eckli/ =mat1 l5g?1 &
 design = diff]5t cl9ical tasks on--    
7,a7 adoption ( *eckli/s by heal? c>e   

pr(essionals2  7,b7 "t sp5t by heal? c>e
 pr(essionals on ! cl9ical task (       
int]e/2 &  7,c7 reliable completion (   
heal? c>e proc$ures4  7#b7 ,exam9ation (
 *eckli/ developm5t & use 9 o!r         
indu/ries1 su* z comm]cial aviation &   
nucle> p[]1 & ! feasibility ( apply+ &  
adapt+ me?odology develop$ 9 ^?         
indu/ries to ! heal? c>e indu/ry 9 a way
 t w\ld result 9 heal? c>e quality      
improvem5t4  7#c7 ,id5tification (      
organizational *>act]i/ics ne$$ to      
effectively implem5t ! use ( m$ical     
*eckli/s 9 heal? c>e sett+s4  7#d7      
,measurem5t ( ! effects ( ! use ( m$ical
 *eckli/s on pati5t safety & heal?      
outcomes4  7#e7 ,id5tification ( heal?  
c>e proc$ures = :i* ! developm5t & use (
 m$ical *eckli/s w\ld be b5eficial4     
7#f7 ,inve/igation ( ! developm5t1      
implem5tation1 & use ( available m$ical 
*eckli/s1 includ+ *eckli/s = safe surg]y
 & c5tral l9e ins]tion & ma9t5ance1 to  
in=m fur!r m$ical *eckli/ developm5t4   
7c7 ,scope ,! ,director %all ensure t   

ea* aspect ( ! rese>* & /udy conduct$ "u
 subsection 7a7 is exam9$ across a      
v>iety ( heal? c>e provid] *>act]i/ics1 
m$ical proc$ures1 pati5t populations1 & 
o!r factors t c\ld affect ! use ( m$ical
 *eckli/s4  7d7 ,dissem9ation ,!        
,director %all make available to !      
public ! results ( ! /udy conduct$ "u   
subsection 7a7 & %all dissem9ate su*    
results to pati5t safety organizations  
li/$ pursuant to section #ibd7;d7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bii;b-#bd7;d774  7e7         
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjad ?r\gh #bjag4   
#c4 ,coord9at+ m$ical *eckli/s & heal?  
in=mation te*nology sy/ems  7a7 ,9 g5]al
 ,! ,,hit ,policy ,committee 9 ! ,(fice 
( ! ,national ,coord9ator = ,heal?      
,in=mation ,te*nology 7z e/abli%$ 9     
section #cjjb ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;jj-#ab77 %all 
develop policy recomm5dations reg>d+--  

7#a7 ! ext5t to :i* ! use ( m$ical      
*eckli/s %\ld be incorporat$ into heal? 
in=mation te*nology sy/ems2 &  7#b7     
measures to det]m9e ! effectiv5ess ( su*
 use4  7b7 ,areas ( consid]ation ,9 mak+
 recomm5dations "u subsection 7a71 !    
,,hit ,policy ,committee may consid] !  
foll[+ areas3  7#a7 ,! ease ) :i* m$ical
 *eckli/s 9 electronic =mats c be us$ by
 heal? c>e pr(essionals4  7#b7 ,! effect
 ( ! availability ( m$ical *eckli/s 9   
electronic =mats on ! adoption & use (  
m$ical *eckli/s by heal? c>e            
pr(essionals4  7#c7 ,! effect ( ! use ( 
m$ical *eckli/s 9 electronic =mats on ! 
"t sp5t by heal? c>e pr(essionals on    
m$ical proc$ures4  7#d7 ,! ability ( !  
heal? in=mation te*nology sy/em to      
collect data on pati5t safety & heal?   
outcomes t c\ld be analyz$ to aid 9 !   
design & update ( m$ical *eckli/s4  7#e7
 ,! ease ) :i* m$ical *eckli/s 9        
electronic =mats c be updat$ on an ongo+
 basis bas$ on evid5ce f m$ical rese>* &
 local exp]i5ce4  7#f7 ,! capability (  

heal? in=mation te*nology sy/ems to     
collect data1 :]e applicable1 reg>d+ !  
use ( m$ical *eckli/s by heal? c>e      
cl9icians & provid]s1 & any relation    
betwe5 t use & pati5t safety & heal?    
outcomes4  #d4 ,in/itute ( m$ic9e /udy  
on fur!r m$ical *eckli/ rese>*  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices %all ent] into an agreem5t ) ! 
,in/itute ( ,m$ic9e & ! ,national       
,academy ( ,eng9e]+ ( ! ,national       
,academies to conduct a /udy 9          
accordance ) ?is section4  7b7 ,/udy ,! 
,secret>y %all ensure t ! /udy conduct$ 
"u ?is section--  7#a7 reviews available
 m$ical *eckli/s & simil> quality       
improvem5t te*niques1 data on ! adoption
 & use ( su* te*niques by heal? c>e     
pr(essionals1 & evid5ce ( ! efficacy (  
su* te*niques 9 relation to pati5t      
safety & heal? outcomes2  7#b7 id5tifies
 areas ( rese>* ne$$ to improve m$ical  
*eckli/s 9 ord] to increase ! adoption &
 efficacy ( m$ical *eckli/s2  7#c7      
analyzes organizational imp$im5ts to !  

adoption & use ( m$ical *eckli/s2  7#d7 
reviews ! degree to :i* !re is suffici5t
 evid5ce ) :i* to develop new m$ical    
*eckli/s &1 if su* evid5ce is           
insuffici5t1 id5tifies areas requir+    
fur!r /udy 9 ord] to develop su*        
evid5ce2 &  7#e7 det]m9es :e!r !        
availability ( an increas$ numb] (      
m$ical *eckli/s w\ld improve pati5t     
safety & heal? outcomes &1 if s1        
id5tifies me?ods = us+ rec5t m$ical     
rese>* to develop new m$ical *eckli/s4  
7c7 ,me?odology ( /udy  7#a7 ,scope ,!  
,secret>y %all ensure t ! agreem5t ent]$
 into "u subsection 7a7 provides t !    
/udy conduct$ "u su* subsection w       
consid] ! p]spectives (--  7,a7 v>i\s   
types ( heal? c>e pr(essionals 9 v>i\s  
types ( heal? c>e sett+s2  7,b7         
individuals conduct+ academic rese>* 9  
heal? c>e quality2 &  7,c7 pati5ts4     
7#b7 ,consultation ) relevant           
organizations ,! ,secret>y %all ensure t
 ! agreem5t ent]$ into "u subsection 7a7
 provides t relevant ag5cies &          

organizations ) exp]tise on m$ical      
*eckli/s w be consult$ dur+ ! /udy      
conduct$ "u su* subsection1 includ+ !   
foll[+3  7,a7 ,! ,ag5cy = ,heal?c>e     
,rese>* & ,quality4  7,b7 ,! ,am]ican   
,nurses ,association4  7,c7 ,! ,in/itute
 = ,heal?c>e ,improvem5t4  7,d7 ,!      
,am]ican ,hospital ,association4  7,e7  
,! ,am]ican ,m$ical ,association4  7,f7 
,! ,_w ,heal? ,organization4  7,g7 ,!   
,national ,committee = ,quality         
,assurance4  7,h7 ,! ,jo9t ,commission4 
7,i7 ,! ,am]ican ,academy ( ,physician  
,assi/ants4  7d7 ,report ,! ,secret>y   
%all ensure t ! agreem5t ent]$ into "u  
subsection 7a7 provides t n lat] ?an #ah
 mon?s aft] ! date ( ! enactm5t ( ?is   
,act1 a report provid+ ! f9d+s &        
recomm5dations made 9 ! /udy conduct$ "u
 su* subsection w be submitt$ to !      
,secret>y1 ! ,committee on ,en]gy &     
,comm]ce ( ! ,h\se ( ,repres5tatives1 & 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate4  #e4     
,def9itions ,9 ?is ,act1 ! foll[+       

def9itions apply3  7#a7 ,heal? c>e      
pr(essional ,! t]m heal? c>e pr(essional
 means an individual :o provides heal?  
c>e s]vices1 includ+ a physician1       
physician assi/ant1 nurse practition]1  
cl9ical nurse speciali/ 7z ^? t]ms are  
def9$ 9 section #ahfa ( ! ,social       
,security ,act 7#db ,u4,s4,c4 #aciex771 
& su* o!r individuals z ! ,secret>y (   
,heal? & ,human ,s]vices det]m9es       
appropriate4  7#b7 ,heal? c>e sett+ ,!  
t]m heal? c>e sett+ means a facility at 
:i* heal? c>e s]vices are provid$1      
includ+ a hospital provid+ inpati5t     
hospital s]vices 7z t t]m is def9$ 9    
section #ahfa ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciex771 an ambulatory 
surgical c5t] 7meet+ ! /&>ds specifi$ "u
 section #ahcb7;a77#b77;,f77i7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciek771 & su* o!r sett+s z ! ,secret>y
 ( ,heal? & ,human ,s]vices det]m9es    
appropriate4  7#c7 ,heal? c>e provid] ,!
 t]m heal? c>e provid] means a heal? c>e
 pr(essional or a heal? c>e sett+4  7#d7

 ,m$ical *eckli/ ,! t]m m$ical *eckli/  
means a pr$et]m9$1 evid5ce-bas$1        
well-def9$ set ( /eps t %\ld be complet$
 dur+ a designat$ m$ical cl9ical enc\nt]
 or m$ical proc$ure1 z fur!r def9$ by ! 
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality 9 consultation ) ! ,in/itute
 ( ,m$ic9e & ! ,national ,academy (     
,eng9e]+ ( ! ,national ,academies4