,,ii  #aac? ,,congress  #a/ ,session    
,s4 #ageh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ba1 #bjac,ms4
 ,baldw9 7= h]self & ,mr4 ,?une7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
increase access to ,m$ic>e data4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,quality ,data1 ,quality ,heal?c>e ,act 
( #bjac4  #b4 ,exp&+ ! availability (   
m$ic>e data  7a7 ,exp&+ use ( m$ic>e    
data by qualifi$ entities ,section      
#ahgd7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciekk7e77 is am5d$--   
7#a7 9 p>agraph 7#c71 9 ! fir/ s5t5ce1  
by ins]t+ or1 su* claims data 9         
suffici5t detail to id5tify co/ &       
utilization1 z appropriate be=e ! p]iod 
at ! end2 &  7#b7 by add+ at ! end !    
foll[+ new p>agraph3  7#e7 ,exp&+ use ( 
m$ic>e data by qualifi$ entities  7,a7  
,9 g5]al ,beg9n+ ,janu>y #a1 #bjad1     
not)/&+ p>agraph 7#d77;,b7 & ! second   

s5t5ce ( p>agraph 7#d77;,d71 a qualifi$ 
entity may-- 7i7 use data receiv$ by su*
 entity "u ?is section1 & in=mation     
d]iv$ f ! evaluation describ$ 9 p>agraph
 7#d77;,d71 = additional non-public     
analyses 7z det]m9$ appropriate by !    
,secret>y72 or  7ii7 subject to         
subp>agraph 7,c71 provide or sell su*   
data & analyses to entities describ$ 9  
subp>agraph 7,b7 = non-public use       
7includ+ = ! purposes ( assi/+ provid]s 
( s]vices & suppli]s to develop &       
p>ticipate 9 quality & pati5t c>e       
improvem5t activities1 includ+ develop+ 
new models ( c>e74  7,b7 ,entities      
describ$ ,! entities describ$ 9 ?is     
subp>agraph are ! foll[+3 7i7 ,a heal?  
c>e provid]4  7ii7 ,a heal? insurance   
issu] 7z def9$ 9 section #bgia ( !      
,public ,heal? ,s]vice ,act74  7iii7 ,an
 employ] 7z def9$ 9 section #c7e7 ( !   
,employee ,retirem5t ,insurance         
,security ,act ( #aigd74  7iv7 ,any     
organization affiliat$ ) or repres5t+ an
 entity describ$ 9 clause 7i71 7ii71 or 

7iii71 su* z a m$ical society4  7v7 ,a  
public heal? au?ority 7z def9$ =        
purposes ( ! ,heal? ,insurance          
,portability & ,acc\ntability ,act (    
#aiif74  7vi7 ,a ,/ate or local gov]nm5t
 ag5cy4  7vii7 ,a rese>* organization t 
c]tifies t x w only use ! data or       
analyses = ! public good & n =          
propriet>y purposes4  7viii7 ,any o!r   
entity ! ,secret>y det]m9es appropriate 
to fur!r ! goals ( ?is p>agraph4  7,c7  
,requirem5ts  7i7 ,data use agreem5t ,a 
qualifi$ entity may only provide data or
 analysis to an entity "u subp>agraph   
7,a77ii7 pursuant to a data use agreem5t
 ) ! entity4 ,"u su* agreem5t1 !        
entity-- 7,i7 may n re-sell su* data or 
analyses2 &  7,,ii7 %all comply ) !     
privacy & security policies ( ! qualifi$
 entity 9 us+ su* data or analyses4     
7ii7 ,civil money p5alty  7,i7 ,9 g5]al 
,if ! ,secret>y det]m9es t an entity    
describ$ 9 subp>agraph 7,b7 kn[+ly us$  
su* data & analyses = purposes o!r ?an z
 au?oriz$ "u ?is p>agraph1 ! entity %all

 be subject to a civil money p5alty 9 an
 am\nt det]m9$ by ! ,secret>y = ea* su* 
violation4  7,,ii7 ,proc$ures ,!        
provisions ( section #aabh;,a 7o!r ?an  
subsections 7a7 & 7b7 ( su* section7    
%all apply to a civil money p5alty "u   
subclause 7,i7 9 ! same mann] z su*     
provisions apply to a p5alty or proce$+ 
"u section #aabh;,a7a74  4  7b7 ,access 
to m$ic>e data to qualifi$ cl9ical data 
regi/ries ,to facilitate quality        
improvem5t ,section #ahdh7m77#c77;,e7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciew-#d7m77#c77;,e77 is am5d$ by add+ 
at ! end ! foll[+ new clause3  7vi7     
,access to m$ic>e data to facilitate    
quality improvem5t  7,i7 ,9 g5]al       
,consi/5t ) applicable laws &           
regulations ) respect to privacy & o!r  
relevant matt]s1 beg9n+ ,janu>y #a1     
#bjad1 ! ,secret>y %all1 subject to     
subclause 7,,ii71 provide claims data "u
 ?is title 79 a =m & mann] det]m9$ to be
 appropriate7 to qualifi$ cl9ical data  
regi/ries "u ?is subp>agraph = purposes 

( l9k+ su* data ) cl9ical outcomes data 
& pre=m+ & dissem9at+ risk-adju/$1      
sci5tifically valid rese>* to support   
quality improvem5t4  7,,ii7 ,limitation 
,a qualifi$ cl9ical data regi/ry may n  
publicly report any data made available 
"u subclause 7,i7 t individually        
id5tifies a provid] ( s]vices or suppli]
 unless ! regi/ry obta9s ! cons5t ( !   
provid] ( s]vices or suppli] prior to   
su* report+4  4