,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bieg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #a1 #bjac ,mr4 
,murphy ( ,p5nsylvania 7= himself1 ,mr4 
,b>b]1 ,mr4 ,roe ( ,t5nessee1 ,mr4      
,burgess1 ,mr4 ,cassidy1 ,mr4 ,d5t1 ,mr4
 ,tib]i1 ,mrs4 ,blackburn1 ,mr4 ,gu?rie1
 ,mr4 ,buc%on1 & ,mr4 ,m>9o7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d ! ,public ,heal?      
,s]vice ,act & ! ,social ,security ,act 
to ext5d heal? in=mation te*nology      
assi/ance eligibility to behavioral     
heal?1 m5tal heal?1 & sub/ance abuse    
pr(essionals & facilities1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,behavioral ,heal?         
,in=mation ,te*nology ,act ( #bjac4  #b4
 ,ext5sion ( heal? in=mation te*nology  

assi/ance = behavioral & m5tal heal? &  
sub/ance abuse ,section #cjjj7c7 ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;jj7#c77 is am5d$ by      
ins]t+ be=e & any o!r category ! foll[+3
 behavioral & m5tal heal? pr(essionals  
7z def9$ 9 section                      
#cca7;a77#c77;,e77i771 a sub/ance abuse 
pr(essional1 a psy*iatric hospital 7z   
def9$ 9 section #ahfa7;f7 ( ! ,social   
,security ,act71 a community m5tal heal?
 c5t] meet+ ! crit]ia specifi$ 9 section
 #aiac7;c71 a resid5tial or outpati5t   
m5tal heal? or sub/ance abuse treatm5t  
facility14  #c4 ,ext5sion ( eligibility 
= m$ic>e & ,m$icaid heal? in=mation     
te*nology implem5tation assi/ance  7a7  
,paym5t inc5tives = eligible            
pr(essionals "u m$ic>e ,section #ahdh ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#d7 is am5d$--  7#a7 9 subsection
 7a77#g7--  7,a7 9 subp>agraph 7,e71 by 
add+ at ! end ! foll[+ new clause3  7iv7
 ,additional eligible pr(essional ,! t]m
 additional eligible pr(essional means a

 cl9ical psy*ologi/ provid+ qualifi$    
psy*ologi/ s]vices 7z def9$ 9 section   
#ahfa7;ii774  2 &  7,b7 by add+ at ! end
 ! foll[+ new subp>agraph3  7,f7        
,application to additional eligible     
pr(essionals ,! ,secret>y %all apply !  
provisions ( ?is p>agraph ) respect to  
an additional eligible pr(essional 9 !  
same mann] z su* provisions apply to an 
eligible pr(essional1 except 9 apply+   
subp>agraph 7,a7--  7i7 9 clause 7i71 ! 
ref]5ce to #bjae %all be deem$ a ref]5ce
 to #bjai2  7ii7 9 clause 7ii71 !       
ref]5ces to #bjae1 #bjaf1 & #bjag %all  
be deem$ ref]5ces to #bjai1 #bjbj1 &    
#bjba1 respectively2 &  7iii7 9 clause  
7iii71 ! ref]5ce to #bjah %all be deem$ 
a ref]5ce to #bjbb4  2 &  7#b7 9        
subsection 7o7--  7,a7 9 p>agraph 7#e71 
by add+ at ! end ! foll[+ new           
subp>agraph3  7,d7 ,additional eligible 
pr(essional ,! t]m additional eligible  
pr(essional means a cl9ical psy*ologi/  
provid+ qualifi$ psy*ologi/ s]vices 7z  
def9$ 9 section #ahfa7;ii774  2 &  7,b7 

by add+ at ! end ! foll[+ new p>agraph3 
7#f7 ,application to additional eligible
 pr(essionals ,! ,secret>y %all apply ! 
provisions ( ?is subsection ) respect to
 an additional eligible pr(essional 9 ! 
same mann] z su* provisions apply to an 
eligible pr(essional1 except 9 apply+-- 
7,a7 p>agraph 7#a77;,a77ii71 ! ref]5ce  
to #bjaf %all be deem$ a ref]5ce to     
#bjbj2  7,b7 p>agraph 7#a77;,b77ii71 !  
ref]5ces to #bjaa & #bjab %all be deem$ 
ref]5ces to #bjae & #bjaf1 respectively2
  7,c7 p>agraph 7#a77;,b77iii71 !       
ref]5ces to #bjac %all be deem$ ref]5ces
 to #bjag2  7,d7 p>agraph 7#a77;,b77v71 
! ref]5ces to #bjad %all be deem$       
ref]5ces to #bjah2 &  7,e7 p>agraph     
7#a77;,e71 ! ref]5ce to #bjaa %all be   
deem$ a ref]5ce to #bjae4  4  7b7       
,eligible hospitals ,section #ahhf ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7 is am5d$--  7#a7 9 subsection  
7b77#c77;,b77ix71 by add+ at ! end !    
foll[+ new subclause3  7,v7 ,! ,secret>y
 %all apply ! provisions ( ?is          

subsection ) respect to an additional   
eligible hospital 7z def9$ 9 subsection 
7n77#f77;,c77 9 ! same mann] z su*      
provisions apply to an eligible         
hospital1 except 9 apply+--  7aa7       
subclause 7,i71 ! ref]5ces to #bjae1    
#bjaf1 & #bjag %all be deem$ ref]5ces to
 #bjai1 #bjbj1 & #bjba1 respectively2 & 
7bb7 subclause 7,,iii71 ! ref]5ce to    
#bjae %all be deem$ a ref]5ce to #bjai4 
2 &  7#b7 9 subsection 7n7--  7,a7 9    
p>agraph 7#f71 by add+ at ! end ! foll[+
 new subp>agraph3  7,c7 ,additional     
eligible hospital ,! t]m additional     
eligible hospital means an inpati5t     
hospital t is a psy*iatric hospital 7z  
def9$ 9 section #ahfa7;f774  2 &  7,b7  
by add+ at ! end ! foll[+ new p>agraph3 
7#g7 ,application to additional eligible
 hospitals ,! ,secret>y %all apply !    
provisions ( ?is subsection ) respect to
 an additional eligible hospital 9 !    
same mann] z su* provisions apply to an 
eligible hospital1 except 9 apply+--    
7,a7 p>agraph 7#b77;,e77ii71 ! ref]5ces 

to #bjac & #bjae %all be deem$ ref]5ces 
to #bjag & #bjai1 respectively2 &  7,b7 
p>agraph 7#b77;,g77i71 ! ref]5ce to     
#bjaa %all be deem$ a ref]5ce to #bjae4 
4  7c7 ,m$icaid provid]s ,section       
#aijc7t7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;b7t77 is am5d$--  7#a7 
9 p>agraph 7#b77;,b7--  7,a7 9 clause   
7i71 by /rik+ 1 or & ins]t+ a semicolon2
  7,b7 9 clause 7ii71 by /rik+ ! p]iod &
 ins]t+ a semicolon2 &  7,c7 by add+    
aft] clause 7ii7 ! foll[+ new clauses3  
7iii7 a public hospital t is pr9cipally 
a psy*iatric hospital 7z def9$ 9 section
 #ahfa7;f772  7iv7 a private hospital t 
is pr9cipally a psy*iatric hospital 7z  
def9$ 9 section #ahfa7;f77 & t has at   
lea/ #aj p]c5t ( its pati5t volume 7z   
e/imat$ 9 accordance ) a me?odology     
e/abli%$ by ! ,secret>y7 attributable to
 individuals receiv+ m$ical assi/ance "u
 ?is title2  7v7 a community m5tal heal?
 c5t] meet+ ! crit]ia specifi$ 9 section
 #aiac7;c7 ( ! ,public ,heal? ,s]vice   
,act2 or  7vi7 a resid5tial or outpati5t

 m5tal heal? or sub/ance abuse treatm5t 
facility t--  7,i7 is accr$it$ by !     
,jo9t ,commission on ,accr$itation (    
,heal?c>e ,organizations1 ! ,commission 
on ,accr$itation ( ,rehabilitation      
,facilities1 ! ,c\ncil on ,accr$itation1
 or any o!r national accr$it+ ag5cy     
recogniz$ by ! ,secret>y2 &  7,,ii7 has 
at lea/ #aj p]c5t ( its pati5t volume 7z
 e/imat$ 9 accordance ) a me?odology    
e/abli%$ by ! ,secret>y7 attributable to
 individuals receiv+ m$ical assi/ance "u
 ?is title4  2 &  7#b7 9 p>agraph       
7#c77;,b7--  7,a7 9 clause 7iv71 by     
/rik+ & aft] ! semicolon2  7,b7 9 clause
 7v71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+ new      
clause3  7vi7 cl9ical psy*ologi/ provid+
 qualifi$ psy*ologi/ s]vices 7z def9$ 9 
section #ahfa7;ii771 if su* cl9ical     
psy*ologi/ is practic+ 9 an outpati5t   
cl9ic t--  7,i7 is l$ by a cl9ical      
psy*ologi/2 &  7,,ii7 is n o!rwise      
receiv+ paym5t "u p>agraph 7#a7 z a     
,m$icaid provid] describ$ 9 p>agraph    

7#b77;,b74  4  7d7 ,m$ic>e ,advantage   
organizations ,section #ahec ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciew-#bc7 is am5d$--  7#a7 9          
subsection 7l7--  7,a7 9 p>agraph 7#a7--
  7i7 by ins]t+ or additional eligible  
pr(essionals 7z describ$ 9 p>agraph     
7#i77 aft] p>agraph 7#b72 &  7ii7 by    
ins]t+ & additional eligible            
pr(essionals be=e "u su* sections2  7,b7
 9 p>agraph 7#c77;,b7--  7i7 9 clause   
7i7 9 ! matt] prec$+ subclause 7,i71 by 
ins]t+ or an additional eligible        
pr(essional describ$ 9 p>agraph 7#i7    
aft] p>agraph 7#b72 &  7ii7 9 clause    
7ii7--  7,i7 9 ! matt] prec$+ subclause 
7,i71 by ins]t+ or an additional        
eligible pr(essional describ$ 9 p>agraph
 7#i7 aft] p>agraph 7#b72 &  7,,ii7 9   
subclause 7,i71 by ins]t+ or an         
additional eligible pr(essional1        
respectively1 aft] eligible pr(essional2
  7,c7 9 p>agraph 7#c77;,c71 by ins]t+ &
 additional eligible pr(essionals aft]  
all eligible pr(essionals2  7,d7 9      

p>agraph 7#d77;,d71 by add+ at ! end !  
foll[+ new s5t5ce3 ,9 ! case t a        
qualify+ ,,ma organization atte/s t n   
all additional eligible pr(essionals ( !
 organization are mean+ful ,,ehr us]s ) 
respect to an applicable ye>1 !         
,secret>y %all apply ! paym5t adju/m5t  
"u ?is p>agraph bas$ on ! proportion (  
all su* additional eligible pr(essionals
 ( ! organization t are n mean+ful ,,ehr
 us]s = su* ye>42  7,e7 9 p>agraph      
7#f77;,a71 by ins]t+ &1 z applicable1   
ea* additional eligible pr(essional     
describ$ 9 p>agraph 7#i7 aft] p>agraph  
7#b72  7,f7 9 p>agraph 7#f77;,b71 by    
ins]t+ &1 z applicable1 ea* additional  
eligible hospital describ$ 9 p>agraph   
7#i7 aft] subsection 7m77#a72  7,g7 9   
p>agraph 7#g77;,a71 by ins]t+ &1 z      
applicable1 additional eligible         
pr(essionals aft] eligible pr(essionals2
  7,h7 9 p>agraph 7#g77;,b71 by ins]t+  
&1 z applicable1 additional eligible    
pr(essionals aft] eligible pr(essionals2
  7,i7 9 p>agraph 7#h77;,b71 by ins]t+ &

 additional eligible pr(essionals       
describ$ 9 p>agraph 7#i7 aft] p>agraph  
7#b72 &  7,j7 by add+ at ! end ! foll[+ 
new p>agraph3  7#i7 ,additional eligible
 pr(essional describ$ ,) respect to a   
qualify+ ,,ma organization1 an          
additional eligible pr(essional describ$
 9 ?is p>agraph is an additional        
eligible pr(essional 7z def9$ = purposes
 ( section #ahdh7o77 :o--  7,a7 7i7 is  
employ$ by ! organization2 or  7ii7 7,i7
 is employ$ by1 or is a p>tn] (1 an     
entity t ?r\gh contract ) ! organization
 furni%es at lea/ #hj p]c5t ( ! entity's
 ,m$ic>e pati5t c>e s]vices to enrollees
 ( su* organization2 &  7,,ii7 furni%es 
at lea/ #hj p]c5t ( ! pr(essional       
s]vices ( ! additional eligible         
pr(essional cov]$ "u ?is title to       
enrollees ( ! organization2 &  7,b7     
furni%es1 on av]age1 at lea/ #bj h\rs p]
 week ( pati5t c>e s]vices4  2 &  7#b7 9
 subsection 7m7--  7,a7 9 p>agraph      
7#a7--  7i7 by ins]t+ or additional     
eligible hospitals 7z describ$ 9        

p>agraph 7#g77 aft] p>agraph 7#b72 &    
7ii7 by ins]t+ & additional eligible    
hospitals be=e "u su* sections2  7,b7 9 
p>agraph 7#c77;,a77i71 by ins]t+ or     
additional eligible hospital aft]       
eligible hospital2  7,c7 9 p>agraph     
7#c77;,a77ii71 by ins]t+ or an          
additional eligible hospital aft]       
eligible hospital 9 ea* place x occurs2 
7,d7 9 p>agraph 7#c77;,b7--  7i7 9      
clause 7i71 by ins]t+ or an additional  
eligible hospital describ$ 9 p>agraph   
7#g7 aft] p>agraph 7#b72 &  7ii7 9      
clause 7ii7--  7,i7 9 ! matt] prec$+    
subclause 7,i71 by ins]t+ or an         
additional eligible hospital describ$ 9 
p>agraph 7#g7 aft] p>agraph 7#b72 &     
7,,ii7 9 subclause 7,i71 by ins]t+ or an
 additional eligible hospital1          
respectively1 aft] eligible hospital2   
7,e7 9 p>agraph 7#d77;,a71 by ins]t+ or 
"o or m additional eligible hospitals 7z
 def9$ 9 section #ahhf7n771 z           
appropriate1 aft] section               
#ahhf7n77#f77;,a772  7,f7 9 p>agraph    

7#d77;,d71 by add+ at ! end ! foll[+ new
 s5t5ce3 ,9 ! case t a qualify+ ,,ma    
organization atte/s t n all additional  
eligible hospitals ( ! organization are 
mean+ful ,,ehr us]s ) respect to an     
applicable p]iod1 ! ,secret>y %all apply
 ! paym5t adju/m5t "u ?is p>agraph bas$ 
on ! me?odology specifi$ by ! ,secret>y1
 tak+ into acc\nt ! proportion ( su*    
additional eligible hospitals1 or       
dis*>ges f su* hospitals1 t are n       
mean+ful ,,ehr us]s = su* p]iod42  7,g7 
9 p>agraph 7#e77;,a71 by ins]t+ &1 z    
applicable1 ea* additional eligible     
hospital describ$ 9 p>agraph 7#g7 aft]  
p>agraph 7#b72  7,h7 9 p>agraph         
7#e77;,b71 by ins]t+ & additional       
eligible hospitals1 z applicable1 aft]  
eligible hospitals2  7,i7 9 p>agraph    
7#f77;,b71 by ins]t+ & additional       
eligible hospitals describ$ 9 p>agraph  
7#g7 aft] p>agraph 7#b72 &  7,j7 by add+
 at ! end ! foll[+ new p>agraph3  7#g7  
,additional eligible hospital describ$  
,) respect to a qualify+ ,,ma           

organization1 an additional eligible    
hospital describ$ 9 ?is p>agraph is an  
additional eligible hospital 7z def9$ 9 
section #ahhf7n77#f77;,c77 t is "u      
common corporate gov]nance ) su*        
organization & s]ves individuals enroll$
 "u an ,,ma plan (f]$ by su*            
organization4  4  #d4 ,provid+          
protections = c]ta9 provid]s1 v5dors1 & 
us]s ( c]tifi$ ,,ehr te*nology  7a7     
,cov]$ entities  7#a7 ,cov]$ entities ,=
 purposes ( ?is section1 a cov]$ entity 
means1 ) respect to c]tifi$ ,,ehr       
te*nology 7z def9$ 9 section            
#ahdh7o77#d7 ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #aciew-#d7o77#d777 & a   
ye>1 any ( ! foll[+3  7,a7 ,mean+ful    
,,ehr us]s  7i7 ,an eligible pr(essional
 7z def9$ 9 p>agraph 7#e77;,c7 ( section
 #ahdh7o7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciew-#d7o777 det]m9$ to
 be a mean+ful ,,ehr us] "u p>agraph    
7#b7 ( su* section = ! ,,ehr report+    
p]iod 7z def9$ 9 p>agraph 7#e77;,b7 (   
su* section7 dur+ su* ye>1 or an        

additional eligible pr(essional 7z def9$
 9 p>agraph 7#e77;,d7 ( su* section7    
det]m9$ to be a mean+ful ,,ehr us]      
pursuant to p>agraph 7#f7 ( su* section 
= ! ,,ehr report+ p]iod 7z def9$ 9      
p>agraph 7#e77;,b7 ( su* section7 dur+  
su* ye>4  7ii7 ,9 ! case ( a qualify+   
,,ma organization 7z def9$ 9 p>agraph   
7#e7 ( section #ahec7l7 ( su* ,act 7#db 
,u4,s4,c4 #aciew-#bc7l7771 an eligible  
pr(essional describ$ 9 p>agraph 7#b7 (  
su* section or1 z applicable1 an        
additional eligible pr(essional describ$
 9 p>agraph 7#i7 ( su* section ( !      
organization :o ! organization atte/s "u
 p>agraph 7#f7 ( su* section to be a    
mean+ful ,,ehr us] = su* ye>4  7iii7 ,9 
! case ( a qualify+ ,,ma organization 7z
 s def9$71 an eligible hospital describ$
 9 section #ahec7m77#b7 ( su* ,act 7#db 
,u4,s4,c4 #aciew-#bc7m77#b77 or1 z      
applicable1 an additional eligible      
hospital describ$ 9 section #ahec7m77#g7
 ( su* ,act 7#db ,u4,s4,c4              
#aciew-#bc7m77#g77 ( ! organization :i* 

atte/s "u section #ahec7l77#f7 ( su*    
,act 7#db ,u4,s4,c4 #aciew-#bc7l77#f77  
to be a mean+ful ,,ehr us] = !          
applicable p]iod ) respect to su* ye>4  
7iv7 ,an eligible hospital 7z def9$ 9   
p>agraph 7#f77;,b7 ( section #ahhf7n7 ( 
su* ,act 7#db ,u4,s4,c4 #acieww7n77     
det]m9$ to be a mean+ful ,,ehr us] "u   
p>agraph 7#c7 ( su* section = ! ,,ehr   
report+ p]iod 7z def9$ 9 p>agraph       
7#f77;,a7 ( su* section7 ) respect to   
su* ye>1 or an additional eligible      
hospital 7z def9$ 9 p>agraph 7#f77;,c7 (
 su* section7 det]m9$ to be a mean+ful  
,,ehr us] "u p>agraph 7#g7 ( su* section
 = ! ,,ehr report+ p]iod 7z def9$ 9     
p>agraph 7#f77;,a7 ( su* section7 )     
respect to su* ye>4  7v7 ,a critical    
access hospital det]m9$ pursuant to     
section #ahad7l77#c7 ( su* ,act 7#db    
,u4,s4,c4 #acie;f7l77#c77 to be a       
mean+ful ,,ehr us] 7z w\ld be det]m9$ "u
 p>agraph 7#c7 ( section #ahhf7n7 ( su* 
,act 7#db ,u4,s4,c4 #acieww7n777 = an   
,,ehr report+ p]iod 7z def9$ 9 p>agraph 

7#f77;,a7 ( su* section7 = a co/ report+
 p]iod beg9n+ dur+ su* ye>4  7vi7 ,a    
,m$icaid provid] 7z def9$ 9 p>agraph    
7#b7 ( section #aijc7t7 ( su* ,act 7#db 
,u4,s4,c4 #acif;b7t777 eligible =       
paym5ts describ$ 9 p>agraph 7#a7 ( su*  
section = su* ye>4  7,b7 ,heal?         
in=mation ex*ange entities ,individuals 
& entities 7o!r ?an ,/ates or ,/ate     
designat$ entities7 :i* dur+ su* ye> are
 heal? in=mation ex*ange contractors    
7consi/+ ( te*nology provid]s71 heal?   
in=mation ex*ange p>ticipants 7consi/+ (
 organizations provid+ supportive       
te*nology to a heal? in=mation ex*ange71
 & o!r us]s ( heal? in=mation ex*anges  
7consi/+ ( o!r entities t may be ex*ang+
 cl9ical or adm9i/rative data74         
,manufactur]s ( electronic heal? record 
7,,ehr7 s(tw>e & o!r heal? in=mation    
te*nologies :o p>ticipate 9 ! report+ ( 
adv]se ev5ts or :o o!rwise contribute   
relevant pati5t safety "w product "u    
subsection 7b77#a74  7,c7 ,c]ta9 o!r    
,,ehr us]s ,a heal? c>e pr(essional :o1 

dur+ su* ye>--  7i7 is a us] ( su*      
c]tifi$ ,,ehr te*nology2  7ii7 is n     
eligible = inc5tive paym5ts bas$ on     
mean+ful use ( su* te*nology "u title   
,,xviii or ,,xix ( ! ,social ,security  
,act solely because ! pr(essional is n--
  7,i7 an eligible pr(essional 7z def9$ 
9 p>agraph 7#e77;,c7 ( section #ahdh7o7 
( su* ,act 7#db ,u4,s4,c4               
#aciew-#d7o7772  7,,ii7 an eligible     
pr(essional describ$ 9 p>agraph 7#b7 (  
section #ahec7l7 ( su* ,act 7#db        
,u4,s4,c4 #aciew-#bc7l77 or1 z          
applicable1 an additional eligible      
pr(essional describ$ 9 p>agraph 7#i7 (  
su* section1 ) respect to a qualify+    
,,ma organization 7z def9$ 9 p>agraph   
7#e7 ( su* section72  7,,iii7 an        
eligible hospital describ$ 9 p>agraph   
7#b7 ( section #ahec7m7 ( su* ,act 7#db 
,u4,s4,c4 #aciew-#bc7m77 or1 z          
applicable1 an additional eligible      
hospital describ$ 9 p>agraph 7#g7 ( su* 
section1 ) respect to su* a qualify+    
,,ma organization2  7,,iv7 an eligible  

hospital 7z def9$ 9 p>agraph 7#f77;,b7 (
 section #ahhf7n7 ( su* ,act 7#db       
,u4,s4,c4 #acieww7n7772  7,v7 a critical
 access hospital2  7,,vi7 a ,m$icaid    
provid] 7z def9$ 9 p>agraph 7#b7 (      
section #aijc7t7 ( su* ,act 7#db        
,u4,s4,c4 #acif;b7t7772  7,,vii7 an     
additional eligible pr(essional 7z def9$
 9 p>agraph 7#e77;,d7 ( section #ahdh7o7
 ( su* ,act 7#db ,u4,s4,c4              
#aciew-#d7o7772 or  7,,viii7 an         
additional eligible hospital 7z def9$ 9 
p>agraph 7#f77;,c7 ( section #ahhf7n7 ( 
su* ,act 7#db ,u4,s4,c4 #acieww7n7772 & 
7iii7 atte/s1 to ! satisfaction ( !     
,secret>y ( ,heal? & ,human ,s]vices1 t 
b = ! reason describ$ 9 clause 7ii71 !  
pr(essional w\ld o!rwise satisfy crit]ia
 to be eligible = su* inc5tive paym5ts  
dur+ su* ye>4  7b7 ,improv+ pati5t      
safety ?r\gh error report+ & rem$iation1
 & cl>ification ( au?ority  7#a7        
,qu>t]ly report+ by pati5t safety       
organizations ,p>agraph 7#a7 ( section  
#ibd7;b7 ( ! ,public ,heal? ,s]vice ,act

 7#db ,u4,s4,c4 #bii;b-#bd7 is am5d$ by 
add+ at ! end ! foll[+3  7,h7 ,n less   
?an qu>t]ly ea* ye>1 ! entity %all      
submit to ! ,(fice ( ! ,national        
,coord9ator f9d+s t--  7i7 exclude any  
individually id5tifiable in=mation2     
7ii7 are bas$ on in=mation submitt$ to !
 entity by cov]$ entities 7z def9$ 9    
section #d7;a77#a7 ( ! ,behavioral      
,heal? ,in=mation ,te*nology ,act (     
#bjac72  7iii7 describe ! numb] & nature
 ( ,,ehr-relat$ adv]se ev5ts ) respect  
to c]tifi$ ,,ehr te*nology 7z su* t]ms  
are def9$ 9 section #d7;e7 ( su* ,act7 s
 report$2 &  7iv7 = ea* su* ,,ehr-relat$
 adv]se ev5t1 id5tify ! type ev5t & !   
type electronic heal? record involv$4  4
  7#b7 ,application ( safety            
organization privilege & confid5tiality 
protections ,9 ! case ( a cov]$ entity t
 submits to a pati5t safety organization
 in=mation on an ,,ehr-relat$ adv]se    
ev5t ) respect to c]tifi$ ,,ehr         
te*nology1 & 9 ! case ( ! collection &  
ma9t5ance ( su* in=mation by a pati5t   

safety organization1 ! provisions (     
section #ibb ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bii;b-#bb7 %all    
apply to su* in=mation & to !           
organization & ! entity 9 ! same mann]  
su* provisions apply to pati5t safety "w
 product & a pati5t safety organization 
& provid] "u "p ,c ( title ,,ix ( su*   
,act 7#db ,u4,s4,c4 #bii;b-#b et seq474 
7#c7 ,cl>ification ( au?ority ,c]tifi$  
,,ehr te*nology %all n be consid]$ to be
 a device = purposes ( ! ,f$]al ,food1  
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cja et seq474  7c7 ,rules relat+ to    
,e-,discov]y ,9 any heal? c>e lawsuit   
aga9/ a cov]$ entity t is relat$ to an  
,,ehr-relat$ adv]se ev5t1 ) respect to  
c]tifi$ ,,ehr te*nology us$ or provid$  
by ! cov]$ entity1 electronic discov]y  
%all be limit$ to--  7#a7 in=mation t is
 relat$ to su* ,,ehr-relat$ adv]se ev5t2
 &  7#b7 in=mation f ! p]iod 9 :i* su*  
,,ehr-relat$ adv]se ev5t occurr$4  7d7  
,legal protections = cov]$ entities     
7#a7 ,g5]al ,= a cov]$ entity describ$ 9

 subsection 7a71 ! foll[+ protections   
apply3  7,a7 ,enc\rag+ spe$y resolution 
( claims  7i7 ,g5]al ,a claimant may n  
comm5ce a heal? c>e lawsuit aga9/ a     
cov]$ entity on any date t is #c ye>s   
aft] ! date ( manife/ation ( injury or  
#a ye> aft] ! claimant discov]s1 or     
?r\gh ! use ( reasonable dilig5ce %\ld h
 discov]$1 ! injury1 :i*ev] occurs fir/4
 ,?is limitation %all be toll$ to !     
ext5t t ! claimant is able to prove--   
7,i7 fraud2  7,,ii7 int5tional          
concealm5t2 or  7,,iii7 ! pres5ce ( a   
=eign body1 :i* has no !rapeutic or     
diagno/ic purpose or effect1 9 ! p]son (
 ! injur$ p]son4  7ii7 ,treatm5t ( a    
m9or ,a heal? c>e lawsuit by or on      
behalf ( a claimant "u ! age ( #ag ye>s 
at ! "t ! injury 0 suff]$ may n be      
comm5c$ aft] ! date t is #c ye>s aft] ! 
date ( ! alleg$ manife/ation ( injury   
except t actions by a claimant "u ! age 
( #f ye>s may n be comm5c$ aft] ! date t
 is #c ye>s aft] ! date ( manife/ation (
 injury or prior to ! claimant's #h?    

bir?day1 :i*ev] provides a long] p]iod4 
,?is limitation %all be toll$ =         
claimants "u ! age ( #ag ye>s = any     
p]iod dur+ :i* a p>5t or gu>dian & a    
heal? c>e provid] or heal? c>e          
organization h committ$ fraud or        
collusion 9 ! failure to br+ an action  
on behalf ( ! claimant4  7,b7 ,equitable
 assignm5t ( responsibility ,9 any heal?
 c>e lawsuit aga9/ a cov]$ entity--  7i7
 ea* p>ty to ! lawsuit o!r ?an !        
claimant t is su* a cov]$ entity %all be
 liable = t p>ty's sev]al %>e ( any     
damages only & n = ! %>e ( any o!r p]son
 & su* sev]al %>e %all be 9 direct      
proportion to t p>ty's proportion (     
responsibility = ! injury1 z det]m9$ "u 
clause 7iii72  7ii7 :5ev] a judgm5t (   
liability is r5d]$ z to any su* p>ty1 a 
sep>ate judgm5t %all be r5d]$ aga9/ ea* 
su* p>ty = ! am\nt allocat$ to su* p>ty2
 &  7iii7 = purposes ( ?is subp>agraph1 
! tri] ( fact %all det]m9e ! proportion 
( responsibility ( ea* su* p>ty = !     
claimant's h>m4  7,c7 ,subsequ5t rem$ial

 measures ,evid5ce ( subsequ5t rem$ial  
measures to an ,,ehr-relat$ adv]se ev5t 
) respect to c]tifi$ ,,ehr te*nology us$
 or provid$ by ! cov]$ entity 7includ+  
*anges to ! c]tifi$ ,,ehr sy/em1        
additional tra9+ requirem5ts1 or *anges 
to /&>d op]at+ proc$ures7 by a cov]$    
entity %all n be admissible 9 heal? c>e 
lawsuits4  7,d7 ,increas$ burd5 ( pro(  
protection = cov]$ entities ,punitive   
damages may1 if o!rwise p]mitt$ by      
applicable ,/ate or ,f$]al law1 be aw>d$
 aga9/ any cov]$ entity 9 a heal? c>e   
lawsuit only if x is prov5 by cle> &    
conv9c+ evid5ce t su* entity act$ )     
reckless disreg>d = ! heal? or safety ( 
! claimant4 ,9 any su* heal? c>e lawsuit
 :]e no judgm5t = comp5satory damages is
 r5d]$ aga9/ su* entity1 no punitive    
damages may be aw>d$ ) respect to !     
claim 9 su* lawsuit4  7,e7 ,protection f
 libel or sl&] ,cov]$ entities &        
employees1 ag5ts & repres5tatives (     
cov]$ entities are immune f civil action
 = libel or sl&] aris+ f in=mation or   

entries made 9 c]tifi$ ,,ehr te*nology &
 = ! transf] ( su* in=mation to ano!r   
eligible provid]1 hospital or heal?     
in=mation ex*ange1 if ! in=mation1      
transf] ( in=mation1 or entries 7 made 9
 good fai? & )\t malice4  7e7           
,def9itions ,9 ?is section3  7#a7       
,claimant ,! t]m claimant means any     
p]son :o br+s a heal? c>e lawsuit1      
includ+ a p]son :o ass]ts or claims a "r
 to legal or equitable contribution1    
indemnity1 or subrogation1 aris+ out ( a
 heal? c>e liability claim or action1 & 
any p]son on ^: behalf su* a claim is   
ass]t$ or su* an action is br\ght1 :e!r 
deceas$1 incompet5t1 or a m9or4  7#b7   
,comp5satory damages ,! t]m comp5satory 
damages means objectively v]ifiable     
monet>y losses incurr$ z a result ( !   
provisions (1 use (1 or paym5t = 7or    
failure to provide1 use1 or pay =7 heal?
 c>e s]vices or m$ical products1 su* z  
pa/ & future m$ical exp5ses1 loss ( pa/ 
& future e>n+s1 co/ ( obta9+ dome/ic    
s]vices1 loss ( employm5t1 & loss (     

bus9ess or employm5t opportunities1     
damages = physical & emotional pa91     
suff]+1 inconv5i5ce1 physical impairm5t1
 m5tal angui%1 disfigurem5t1 loss (     
enjoym5t 9 life1 loss ( society &       
companion%ip1 loss ( consortium 7o!r ?an
 loss ( dome/ic s]vice71 h$onic damages1
 injury to reputation1 & all o!r        
nonpecuni>y losses ( any k9d or nature4 
,su* t]m includes economic damages &    
noneconomic damages1 z su* t]ms are     
def9$ 9 ?is subsection4  7#c7 ,economic 
damages ,! t]m economic damages means   
objectively v]ifiable monet>y losses    
incurr$ z a result ( ! provisions (1 use
 (1 or paym5t = 7or failure to provide1 
use1 or pay =7 heal? c>e s]vices or     
m$ical products1 su* z pa/ & future     
m$ical exp5ses1 loss ( pa/ & future     
e>n+s1 co/ ( obta9+ dome/ic s]vices1    
loss ( employm5t1 & loss ( bus9ess or   
employm5t opportunities4  7#d7 ,c]tifi$ 
,,ehr te*nology ,! t]m c]tifi$ ,,ehr    
te*nology has ! mean+ giv5 su* t]m 9    
section #ahdh7o77#d7 ( ! ,social        

,security ,act 7#db ,u4,s4,c4           
#aciew-#d7o77#d774  7#e7 ,,ehr-relat$   
adv]se ev5t ,! t]m ,,ehr-relat$ adv]se  
ev5t means1 ) respect to a provid]1 a   
defect1 malfunction1 or error 9 !       
c]tifi$ heal? in=mation te*nology or    
electronic heal? record us$ by !        
provid]1 or 9 ! input or output ( data  
ma9ta9$ ?r\gh su* te*nology or record1 t
 results or c\ld reasonably result 9 h>m
 to a pati5t4  7#f7 ,heal? c>e lawsuit  
,! t]m heal? c>e lawsuit means any heal?
 c>e liability claim conc]n+ ! provision
 ( heal? c>e items or s]vices or any    
m$ical product affect+ int]/ate comm]ce1
 or any heal? c>e liability action      
conc]n+ ! provision ( heal? c>e items or
 s]vices or any m$ical product affect+  
int]/ate comm]ce1 br\ght 9 a ,/ate or   
,f$]al c\rt or pursuant to an alt]native
 dispute resolution sy/em1 aga9/ a heal?
 c>e provid]1 a heal? c>e organization1 
or ! manufactur]1 di/ributor1 suppli]1  
m>ket]1 promot]1 or sell] ( a m$ical    
product1 reg>dless ( ! !ory ( liability 

on :i* ! claim is bas$1 or ! numb] (    
claimants1 pla9tiffs1 def5dants1 or o!r 
p>ties1 or ! numb] ( claims or causes ( 
action1 9 :i* ! claimant alleges a heal?
 c>e liability claim4 ,su* t]m does n   
include a claim or action :i* is bas$ on
 crim9al liability2 :i* seeks civil f9es
 or p5alties paid to ,f$]al1 ,/ate1 or  
local gov]nm5t2 or :i* is gr\nd$ 9      
antitru/4  7#g7 ,heal? c>e liability    
action ,! t]m heal? c>e liability action
 means a civil action br\ght 9 a ,/ate  
or ,f$]al c\rt or pursuant to an        
alt]native dispute resolution sy/em1    
aga9/ a heal? c>e provid]1 a heal? c>e  
organization1 or ! manufactur]1         
di/ributor1 suppli]1 m>ket]1 promot]1 or
 sell] ( a m$ical product1 reg>dless ( !
 !ory ( liability on :i* ! claim is     
bas$1 or ! numb] ( pla9tiffs1 def5dants1
 or o!r p>ties1 or ! numb] ( causes (   
action1 9 :i* ! claimant alleges a heal?
 c>e liability claim4  7#h7 ,heal? c>e  
liability claim ,! t]m heal? c>e        
liability claim means a dem& by any     

p]son1 :e!r or n pursuant to alt]native 
dispute resolution1 aga9/ a heal? c>e   
provid]1 heal? c>e organization1 or !   
manufactur]1 di/ributor1 suppli]1       
m>ket]1 promot]1 or sell] ( a m$ical    
product1 includ+ ?ird-p>ty claims1      
cross-claims1 c\nt]-claims1 or          
contribution claims1 :i* are bas$ ^u !  
provision (1 use (1 or paym5t = 7or !   
failure to provide1 use or pay =7 heal? 
c>e s]vices or m$ical products1         
reg>dless ( ! !ory ( liability on :i* ! 
claim is bas$1 or ! numb] ( pla9tiffs1  
def5dants1 or o!r p>ties1 or ! numb] (  
causes ( action4  7#i7 ,heal? c>e       
organization ,! t]m heal? c>e           
organization means any p]son or entity  
:i* is obligat$ to provide or pay =     
heal? b5efits "u any heal? plan1 includ+
 any p]son or entity act+ "u a contract 
or arrangem5t ) a heal? c>e organization
 to provide or adm9i/] any heal? b5efit4
  7#aj7 ,heal? c>e provid] ,! t]m heal? 
c>e provid] means any p]son or entity   
requir$ by ,/ate or ,f$]al laws or      

regulations to be lic5s$1 regi/]$1 or   
c]tifi$ to provide heal? c>e s]vices1 & 
be+ ei!r s lic5s$1 regi/]$1 or c]tifi$1 
or exempt$ f su* requirem5t by o!r      
/atute or regulation4  7#aa7 ,heal? c>e 
items or s]vices ,! t]m heal? c>e items 
or s]vices means any items or s]vices   
provid$ by a heal? c>e organization1    
provid]1 or by any individual work+ "u !
 sup]vision ( a heal? c>e provid]1 t    
relates to ! diagnosis1 prev5tion1 or   
treatm5t ( any human disease or         
impairm5t1 or ! assessm5t or c>e ( !    
heal? ( human be+s4  7#ab7 ,malici\s    
int5t ,to injure ,! t]m malici\s int5t  
to injure means int5tionally caus+ or   
attempt+ to cause physical injury o!r   
?an provid+ heal? c>e items or s]vices4 
7#ac7 ,m$ical product ,! t]m m$ical     
product means a drug1 device1 or        
biological product int5d$ = humans1 & ! 
t]ms drug1 device1 & biological product 
h ! mean+s giv5 su* t]ms 9 sections     
#bja7;g77#a7 & #bja7;h7 ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     

,u4,s4,c4 #cba7;g77#a7 & 7h77 & section 
#cea7;a7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bfb7;a771 respectively1
 includ+ any compon5t or raw mat]ial us$
 !re91 b exclud+ heal? c>e s]vices4     
7#ad7 ,noneconomic damages ,! t]m       
noneconomic damages means damages =     
physical impairm5t1 m5tal angui%1       
disfigurem5t1 loss ( enjoym5t ( life1   
loss ( society & companion%ip1 loss (   
consortium 7o!r ?an loss ( dome/ic      
s]vice71 h$onic damages1 injury to      
reputation1 & all o!r nonpecuni>y losses
 ( any k9d ( nature4  7#ae7 ,pati5t     
safety organization ,! t]m pati5t safety
 organization has ! mean+ giv5 to su*   
t]m 9 section #iba ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bii;b-#ba74
  7#af7 ,punitive damages ,! t]m        
punitive damages means damages aw>d$1 = 
! purpose ( puni%m5t or det]r5ce1 & n   
solely = comp5satory purposes1 aga9/ a  
heal? c>e provid]1 heal? c>e            
organization1 or a manufactur]1         
di/ributor1 or suppli] ( a m$ical       

product4 ,punitive damages are nei!r    
economic nor economic damages4  7#ag7   
,/ate ,! t]m ,/ate means ea* ( ! sev]al 
,/ates1 ! ,di/rict ( ,columbia1 !       
,commonweal? ( ,pu]to ,rico1 ! ,virg9   
,isl&s1 ,guam1 ,am]ican ,samoa1 !       
,nor!rn ,m>iana ,isl&s1 ! ,tru/         
,t]ritory ( ! ,pacific ,isl&s1 & any o!r
 t]ritory or possession ( ! ,unit$      
,/ates1 or any political subdivision    
!re(4