,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bedi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ba1 #bjae ,mrs4 
,mc,morris ,rodg]s introduc$ ! foll[+   
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,,hite* ,act ) respect to access+1 %>+1
 & us+ heal? data = rese>* purposes4    
#a4 ,access+1 %>+1 & us+ heal? data =   
rese>* purposes  7a7 ,9 g5]al ,! ,,hite*
 ,act 7title ,,xiii ( division ,a (     
,public ,law #aaa-e7 is am5d$ by add+ at
 ! end ( subtitle ,d ( su* ,act 7#db    
,u4,s4,c4 #agiba et seq47 ! foll[+3  #d 
,access+1 %>+1 & us+ heal? data = rese>*
 purposes  #acdda4 ,ref]5ces ,9 ?is "p3 
7a7 ,! ,rule ,ref]5ces to ! ,rule ref]  
to "p #afj or "p #afd1 z appropriate1 ( 
title #de1 ,code ( ,f$]al ,regulations  
7or any successor regulation74  7b7 ,"p 
#afd ,ref]5ces to a specifi$ section (  
"p #afd1 ref] to su* specifi$ section ( 
"p #afd ( title #de1 ,code ( ,f$]al     
,regulations 7or any successor section74
  #acddb4 ,def9+ heal? data rese>* z "p 

( heal? c>e op]ations  7a7 ,9 g5]al     
,subject to subsection 7b71 ! ,secret>y 
%all revise or cl>ify ! rule to all[ !  
use & disclosure ( protect$ heal?       
in=mation by a cov]$ entity = rese>*    
purposes1 includ+ /udies ^: purpose is  
to obta9 g5]alizable k1 to be treat$ z !
 use & disclosure ( su* in=mation =     
heal? c>e op]ations describ$ 9          
subp>agraph 7#a7 ( ! def9ition ( heal?  
c>e op]ations 9 section #afd4eja ( "p   
#afd4  7b7 ,modifications to rules =    
disclosures = heal? c>e op]ations ,9    
apply+ section #afd4ejf ( "p #afd to !  
disclosure ( protect$ heal? in=mation   
describ$ 9 subsection 7a7--  7#a7 !     
,secret>y %all revise or cl>ify ! ,rule 
s t ! disclosure may be made by ! cov]$ 
entity to only--  7,a7 ano!r cov]$      
entity = heal? c>e op]ations 7z def9$ 9 
su* section #afd4eja ( "p #afd72  7,b7 a
 bus9ess associate t has ent]$ into a   
contract "u section #afd4ejd7;e7 ( "p   
#afd ) a disclos+ cov]$ entity to p]=m  
heal? c>e op]ations2 or  7,c7 a bus9ess 

associate t has ent]$ into a contract "u
 section #afd4ejd7;e7 ( "p #afd = !     
purpose ( data aggregation 7z def9$ 9   
su* section #afd4eja ( "p #afd72 &  7#b7
 ! ,secret>y %all fur!r revise or cl>ify
 ! ,rule s t ! limitation specifi$ by   
section #afd4ejf7;c77#d7 ( "p #afd does 
n apply to disclosures t are describ$ by
 subsection 7a74  7c7 ,rule (           
con/ruction ,?is section %all n be      
con/ru$ z prohibit+ or re/rict+ a use or
 disclosure ( protect$ heal? in=mation =
 rese>* purposes t is o!rwise p]mitt$ "u
 "p #afd4  #acddc4 ,treat+ disclosures (
 protect$ heal? in=mation = rese>*      
simil>ly to disclosures ( su* in=mation 
= public heal? purposes  7a7            
,remun]ation ,! ,secret>y %all revise or
 cl>ify ! ,rule s t disclosures (       
protect$ heal? in=mation = rese>*       
purposes are n subject to ! limitation  
on remun]ation describ$ 9 section       
#afd4ejb7;a77#e77;ii77,b77#b77;ii7 ( "p 
#afd4  7b7 ,p]mitt$ uses & disclosures  
,! ,secret>y %all revise or cl>ify !    

,rule s t rese>* activities1 includ+    
comp>ative rese>* activities1 relat$ to 
! quality1 safety1 or effectiv5ess ( a  
product or activity t is regulat$ by !  
,food & ,drug ,adm9i/ration are includ$ 
z public heal? activities = purposes (  
:i* a cov]$ entity may disclose protect$
 heal? in=mation to a p]son describ$ 9  
section #afd4eab7;b77#a77;iii7 ( "p     
#afd4  #acddd4 ,p]mitt+ remote access to
 protect$ heal? in=mation by rese>*]s ,!
 ,secret>y %all revise or cl>ify ! ,rule
 s t subp>agraph 7,b7 ( section         
#afd4eab7;i77#a77;ii7 ( "p #afd         
7prohibit+ ! removal ( protect$ heal?   
in=mation by a rese>*]7 %all n prohibit 
remote access to heal? in=mation by a   
rese>*] s long z--  7#a7 appropriate    
security & privacy safegu>ds are ma9ta9$
 by ! cov]$ entity & ! rese>*]2 &  7#b7 
! protect$ heal? in=mation is n copi$ or
 o!rwise reta9$ by ! rese>*]4  #acdde4  
,all[+ "o-"t au?orization ( use &       
disclosure ( protect$ heal? in=mation = 
rese>* purposes  7a7 ,9 g5]al ,!        

,secret>y %all revise or cl>ify ! ,rule 
to specify t an au?orization = ! use or 
disclosure ( protect$ heal? in=mation1 )
 respect to an individual1 = future     
rese>* purposes %all be deem$ to conta9 
a suffici5t description ( ! purpose ( ! 
use or disclosure if ! au?orization--   
7#a7 suffici5tly describes ! purposes   
su* t x w\ld be reasonable = !          
individual to expect t ! protect$ heal? 
in=mation c\ld be us$ or disclos$ = su* 
future rese>*2  7#b7 ei!r-- 7,a7 /ates t
 ! au?orization w expire on a p>ticul>  
date or on ! occurr5ce ( a p>ticul>     
ev5t2 or  7,b7 /ates t ! au?orization w 
rema9 valid unless & until x is revok$  
by ! individual2 &  7#c7 provides       
in/ruction to ! individual on h[ to     
revoke su* au?orization at any "t4  7b7 
,revocation ( au?orization ,! ,secret>y 
%all revise or cl>ify ! ,rule to specify
 t1 if an individual revokes an         
au?orization = future rese>* purposes   
su* z is describ$ by subsection 7a71 !  
cov]$ entity may n make any fur!r uses  

or disclosures bas$ on t au?orization1  
except1 z provid$ 9 p>agraph 7b77#e7 (  
section #afd4ejh ( "p #afd1 to ! ext5t t
 ! cov]$ entity has tak5 action 9       
reliance on ! au?orization4  4  7b7     
,revision ( regulations ,n lat] ?an #ab 
mon?s aft] ! date ( ! enactm5t ( ?is    
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all revise & cl>ify !         
provisions ( title #de1 ,code ( ,f$]al  
,regulations1 = consi/5cy ) "p #d (     
subtitle ,d ( ! ,,hite* ,act1 z add$ by 
subsection 7a74