,,ib  ,union ,cal5d> ,no4 #ead  #aac?   
,,congress  #b;d ,session  ,h4 ,r4 #ebad
  ,report ,no4 #aac-fhc  ,,9 ,,! ,,h\se 
,,( ,,repres5tatives  ,july #bh1 #bjad  
,mr4 ,olson introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,decemb] #bb1 #bjad ,report$ )
 an am5dm5t1 committ$ to ! ,committee ( 
! ,:ole ,h\se on ! ,/ate ( ! ,union1 &  
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      
italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,july #bh1   
#bjad  ,a ,,bill  ,to require !         
,secret>y ( ,heal? & ,human ,s]vices to 
provide = recomm5dations = ! developm5t 
& use ( cl9ical data regi/ries = !      
improvem5t ( pati5t c>e4  #a4           
,recomm5dations = developm5t & use (    
cl9ical data regi/ries  7a7 ,9 g5]al ,n 
lat] ?an "o ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all make recomm5dations
 = ! developm5t & use1 :5 appropriate1 (
 cl9ical data regi/ries t are integrat$ 

) cl9ical practice guidel9es & be/      
practices or /&>ds ( c>e1 includ+       
recomm5dations design$ to m9imize       
duplication & burd5 on ^? op]at+ or     
report+ to su* regi/ries1 = ! improvem5t
 ( pati5t c>e4 ,! ,secret>y %all make   
su* recomm5dations available to ! public
 by po/+ !m on a public ,website ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7b7 ,specific recomm5dations ,su*       
recomm5dations1 ) respect to su*        
regi/ries1 %all include ! foll[+3  7#a7 
,recomm5dations = a set ( /&>ds t1 if   
adopt$ by su* regi/ries1 w\ld all[ = !  
bidirectional1 int]op]able ex*ange (    
in=mation betwe5 ! electronic heal?     
records ( ! report+ cl9icians & su*     
regi/ries4  7#b7 ,recomm5dations on h[  
cl9ical regi/ries1 includ+ outcomes-bas$
 regi/ries1 may be develop$ & !n us$ to 
evaluate v>i\s c>e models & me?ods1     
includ+ improv$ cl9ical c>e coord9ation1
 & ! impact ( su* models & me?ods on !  
managem5t ( diseases z measur$ by       
appropriate c>e p>amet]s bas$ on cl9ical

 practice guidel9es & be/ practices 7su*
 z ,a#a;,c1 blood pressure1 & *ole/]ol  
levels 9 ! case ( diabetes74  7#c7      
,recomm5dations on h[ su* regi/ries %\ld
 be /ructur$ to facilitate-- 7,a7 !     
record+ & report+ ( po/-m>ket data = !  
purposes ( monitor+ safety & efficacy ( 
,,fda-approv$ devices & drugs2  7,b7 !  
report+ ( relevant cl9ical data to      
satisfy atte/ation requirem5ts = cov]age
 ( prescrib$ devices2 &  7,c7 cov]age ) 
evid5ce developm5t policies = devices "u
 ! ,m$ic>e program 7su* z improv+ pati5t
 access to safe & effective glucose     
monitor+ sy/ems74  7#d7 ,recomm5dations 
on h[ data f su* regi/ries may be us$ to
 in=m physicians & o!r heal? c>e        
pr(essionals reg>d+ cl9ical practices = 
! prev5tion ( diseases 7su* z diabetes &
 ! precursor conditions ( diabetes7 &   
appropriate me?ods = ! dissem9ation (   
cl9ical practice support tools & o!r    
educational res\rces t may be d]iv$ f   
regi/ry data4  7#e7 ,recomm5dations = h[
 regi/ries c be us$ to promote prev5tive

 heal? b5efits su* z scre5+s & ! ,m$ic>e
 annual wellness visits t may r$uce !   
risk ( *ronic diseases 7su* z obesity1  
o/eoporosis1 c>diovascul> disease1      
canc]1 diabetes & _! complications74    
7c7 ,consultation ) cl9ical exp]ts ,!   
,secret>y %all consult ) national m$ical
 specialty societies1 pati5t gr\ps1     
te*nology v5dors1 & develop]s &         
manufactur]s ( drugs & m$ical devices 9 
! developm5t ( su* recomm5dations z !y  
relate to ! diseases t memb]s ( su*     
societies manage & treat 7su* z )       
endocr9ologi/s ) respect to             
recomm5dations relat+ to diabetes &     
pre-diabetes conditions74  7d7 ,rule (  
con/ruction ,no?+ 9 ?is section may be  
con/ru$ z--  7#a7 au?oriz+ ! ,secret>y (
 ,heal? & ,human ,s]vices to take any   
action ) reg>d to ! recomm5dations made 
"u ?is section 7o!r ?an mak+ su*        
recomm5dations available to ! public 9 !
 mann] describ$ 9 subsection 7a772  7#b7
 limit+ or int]f]+ ) ! au?ority ( a     
heal? c>e practition] to practice m$ic9e

 or to prescribe or adm9i/] a drug or   
device to an individual = a condition or
 disease2 or  7#c7 provid+ ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices ) au?ority to
 limit 7or to enc\rage o!r individuals  
or entities to limit7 cov]age "u !      
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act = an item or     
s]vice furni%$ to an individual on      
acc\nt ( ! p>ticipation1 or lack (      
p>ticipation1 ( ! individual 9 a regi/ry
 or o!r data collection sy/em4  ,decemb]
 #bb1 #bjad ,report$ ) an am5dm5t1      
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$