,,ii  #aad? ,,congress  #b;d ,session   
,s4 #bdfg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,janu>y #bg1 #bjaf ,mr4
 ,:iteh\se introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to r$uce heal? c>e-associat$
 infections & improve antibiotic        
/ew>d%ip ?r\gh enhanc$ data collection &
 report+1 ! implem5tation ( ,/ate-bas$  
quality improvem5t ef=ts1 & improvem5ts 
9 provid] education 9 pati5t safety1 & =
 o!r purposes4  #a4 ,%ort title  ,?is   
,act may be cit$ z ! ,pati5t ,safety    
,improvem5t ,act ( #bjaf4  #b4 ,f9d+s   
,congress f9ds ! foll[+3 7#a7 ,a #bjad  
preval5ce survey publi%$ 9 ! ,new ,engl&
 ,j\rnal ( ,m$ic9e f\nd t approximately 
#a 9 #be hospital pati5ts 9 ! ,unit$    
,/ates has at lea/ "o heal?             
c>e-associat$ infection1 add+ up to an  
e/imat$ #gbb1jjj heal? c>e-associat$    
infections 9 acute c>e hospitals 9      
#bjaa4 ,ab\t #ge1jjj hospital pati5ts ) 
heal? c>e-associat$ infections di$ dur+ 

_! hospitalizations4  7#b7 ,antibiotics 
are among ! mo/ commonly prescrib$ drugs
 us$ 9 human m$ic9e4 ,/udies indicate t 
up to #cj to #ej p]c5t ( antibiotics    
prescrib$ = pati5ts are n ne$$ or n     
optimally prescrib$4 ,?is is contribut+ 
to ! gr[? 9 ! preval5ce ( dang]\s       
antibiotic-resi/ant bact]ia4  7#c7 ,a   
#bjac ?reat report by ! ,c5t]s =        
,disease ,control & ,prev5tion e/imat$ t
 ea* ye> at lea/ #b1jjj1jjj p 9 ! ,unit$
 ,/ates are infect$ by                  
antibiotic-resi/ant bact]ia1 &          
approximately #bc1jjj die z a result4   
7#d7 ,e/imates ( ! annual impact (      
antibiotic-resi/ant infections on !     
,unit$ ,/ates economy v>y b range f     
#bj1jjj1jjj1jjj to #ce1jjj1jjj1jjj 9    
excess heal? c>e co/s1 & z mu* z        
#ce1jjj1jjj1jjj 9 lo/ productivity f    
hospitalizations & sick days4  7#e7 ,!  
preval5ce ( heal? c>e-associat$         
infections & ! rise ( antibiotic        
resi/ance are s]i\s ?reats to human     
heal? & contribute to escalat+ heal? c>e

 co/s4 ,/rategies to r$uce pati5t h>m & 
pres]ve ! effectiv5ess ( exi/+          
antibiotics are ne$$ to combat ! rise ( 
antibiotic resi/ance t is ?reat5+ !     
heal? ( ,am]icans & p ar\nd ! _w4  #c4  
,improv+ data reliability & surveillance
  7a7 ,r$uc+ ! incid5ce ( heal?         
c>e-,associat$ infections & improv+     
antibiotic /ew>d%ip  7#a7 ,9 g5]al      
,subp>t ,,ii ( "p ,d ( title ,,ix ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bii;b-#cc et seq47 is am5d$  
by add+ at ! end ! foll[+3  #ich4 ,heal?
 c>e-associat$ infections & antibiotic  
use  7a7 ,,gao /udy on data validation  
/rategies  7#a7 ,9 g5]al ,n lat] ?an #a 
ye> aft] ! date ( enactm5t ( ?is        
section1 ! ,comptroll] ,g5]al ( ! ,unit$
 ,/ates %all conduct an indep5d5t       
evaluation1 & submit to ! appropriate   
committees ( ,congress a report1 conc]n+
 ! action t ! ,c5t]s = ,disease ,control
 & ,prev5tion & ,/ate & local dep>tm5ts 
( heal? h tak5 to improve ! complet5ess 
& accuracy ( hospital-report$ ,national 

,heal?c>e ,safety ,network surveillance 
data4  7#b7 ,cont5t ,! report submitt$  
"u p>agraph 7#a7 %all review & assess-- 
7,a7 ! types ( ext]nal & int]nal data   
validation /rategies t are conduct$ by !
 ,c5t]s = ,disease ,control &           
,prev5tion1 ,/ate & local dep>tm5ts (   
heal?1 & hospitals2  7,b7 ! frequ5cy )  
:i* ! ,c5t]s = ,disease ,control &      
,prev5tion1 ,/ate & local dep>tm5ts (   
heal?1 & hospitals audit data submitt$  
to ! ,national ,heal?c>e ,safety        
,network2 &  7,c7 id5tify additional    
actions t ! ,f$]al ,gov]nm5t c take to  
support ,/ate & local dep>tm5ts ( heal? 
& hospitals ) su* validation ef=ts &    
improvem5ts to ! quality ( data submitt$
 to ! ,national ,heal?c>e ,safety       
,network4  7b7 ,data reliability        
framework  7#a7 ,9 g5]al ,foll[+ !      
submission ( ! report "u subsection 7a71
 ! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion1 9 collaboration )
 ! ,adm9i/rator ( ! ,ag5cy = ,heal?c>e  
,rese>* & ,quality & relevant           

/akehold]s1 %all develop a framework to 
improve ! consi/5cy & reliability (     
hospital data on heal? c>e-associat$    
infections t is submitt$ to ! ,national 
,heal?c>e ,safety ,network4  7#b7       
,requirem5ts ,! framework develop$ "u   
p>agraph 7#a7 %all-- 7,a7 address issues
 id5tifi$ 9 ! f9d+s ( ! /udy conduct$ "u
 subsection 7a72  7,b7 propose data     
validation & reliability me?odologies2 &
  7,c7 assess ! effectiv5ess & ! co/ to 
implem5t propos$ me?odologies4  7c7     
,data collection pilot program  7#a7 ,9 
g5]al ,! ,adm9i/rator ( ! ,ag5cy =      
,heal?c>e ,rese>* & ,quality1 9         
collaboration ) ! ,director ( ! ,c5t]s =
 ,disease ,control & ,prev5tion1 %all   
conv5e a meet+ ) relevant /akehold]s to 
id5tify be/ practices & approa*es = !   
collection & report+ ( data on !        
incid5ce ( heal? c>e-associat$          
infections to ! ,national ,heal?c>e     
,safety ,network by long-t]m c>e        
facilities1 ambulatory surgical c5t]s1 &
 dialysis facilities4  7#b7 ,pilot      

program ,aft] conduct+ ! meet+ "u       
p>agraph 7#a71 ! ,adm9i/rator ( ! ,ag5cy
 %all e/abli% & implem5t a pilot program
 to te/ be/ practices & approa*es = !   
collection & report+ ( data on !        
incid5ce ( heal? c>e-associat$          
infections by long-t]m c>e facilities1  
ambulatory surgical c5t]s1 & dialysis   
facilities4 ,su* pilot program %\ld     
incorporate applicable data validation  
me?odologies & o!r recomm5dations       
describ$ 9 ! framework develop$ "u      
subsection 7b74  7#c7 ,report ,n lat]   
?an #a ye> aft] ! completion ( ! pilot  
program "u p>agraph 7#b71 ! ,adm9i/rator
 %all submit to ! ,secret>y & !         
appropriate committees ( ,congress a    
report on ! be/ practices id5tifi$ ?r\gh
 ! pilot program "u p>agraph 7#a71      
includ+ ! lessons le>n$ & *all5ges      
enc\nt]$ ) respect to data collection & 
report+ 9 long-t]m c>e sett+s1          
ambulatory surgical c5t]s1 & dialysis   
facilities z well z recomm5d$ data      
validation me?ods = ^? sett+s4  7#d7    

,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$1 su* sums z  
may be necess>y to c>ry out ?is         
subsection4 ,am\nts appropriat$ "u !    
prec$+ s5t5ce may be us$ = ! pur*ase (  
s(tw>e & te*nology t supports data      
collection & report+4  4  #d4 ,align+   
quality measures ,n lat] ?an #a ye> aft]
 ! date ( enactm5t ( ?is ,act1 !        
,secret>y ( ,heal? & ,human ,s]vices    
%all solicit input f ! ,adm9i/rator ( ! 
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 an entity ) ! contract "u
 section #ahij7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;aaa71 &      
relevant /akehold]s 7includ+            
accr$itation bodies7 conc]n+ :i*        
def9itions = heal? c>e-associat$        
infections measures us$ 9 ,f$]al & ,/ate
 quality report+ & paym5t programs =    
hospitals1 long-t]m c>e facilities1     
ambulatory surgical c5t]s1 & dialysis   
c5t]s %\ld be align$4 ,us+ su* input1 ! 
,secret>y %all submit a report to       

,congress t id5tifies ! foll[+3  7#a7   
,priorities = measure alignm5t4  7#b7   
,programs 9 :i* ! priority measures     
id5tifi$ "u p>agraph 7#a7 are utiliz$4  
7#c7 ,recomm5dations on h[ to implem5t !
 alignm5t ( su* measures4  #e4 ,r$uc+ ! 
incid5ce ( heal? c>e-associat$          
infections  7a7 ,9 g5]al ,"p ,b ( title 
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bdc et seq47 is am5d$ by
 add+ at ! end ! foll[+3  #cbj;,b4      
,ef=ts to r$uce heal? c>e-associat$     
infections  7a7 ,grant program ,to r$uce
 heal? c>e-,associat$ infections  7#a7  
,9 g5]al ,! ,secret>y %all aw>d         
competitive grants to eligible entities 
to support ,/ate-bas$ collaboratives 9  
implem5t+ evid5ce-bas$1 regional        
approa*es to infection prev5tion1       
control1 & surveillance4  7#b7 ,purpose 
,am\nts aw>d$ "u grants "u p>agraph 7#a7
 may be us$ to support ! foll[+         
activities3 7,a7 ,int]-pr(essional &    
int]-facility le>n+ activities4  7,b7   
,build+ ,/atewide le>n+ collaboratives4 

7,c7 ,assi/+ ) ! implem5tation ( !      
transition-(-c>e docum5tation requir$ 9 
section #e ( ! ,pati5t ,safety          
,improvem5t ,act ( #bjaf4  7,d7         
,conduct+ a ne$s assessm5t to id5tify   
gaps 9 heal? c>e-associat$ infection    
prev5tion & report+ 9 a ,/ate or region4
  7,e7 ,o!r activities det]m9$          
appropriate by ! ,secret>y4  7#c7       
,eligibility ,to be eligible to receive 
a grant "u ?is subsection1 an entity    
%all be a public or private nonpr(it    
entity t submits to ! ,secret>y an      
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+--  7,a7 a description (
 ! activities to be c>ri$ out "u !      
grant1 includ+ ! p>ticipants 9 any      
collaborative e/abli%$ to c>ry out su*  
activities2  7,b7 goals = ! r$uction 9  
regional or ,/atewide rates ( heal?     
c>e-associat$ infections2  7,c7 an      
assurance t ! entity w publicly report  
p]=mance on a set ( quality & outcomes  
measures det]m9$ by ! ,secret>y2 &  7,d7

 any o!r in=mation det]m9$ appropriate  
by ! ,secret>y4  7#d7 ,priority ,9 aw>d+
 grants "u ?is subsection1 ! ,secret>y  
%all prioritize applicants t collaborate
 ) multiple /akehold]s across a region  
or ,/ate4  7#e7 ,au?orization (         
appropriations ,!re is au?oriz$ to be   
appropriat$1 su* sums z may be necess>y 
to c>ry out ?is subsection4  4  7b7     
,improv+ communication ( pati5t         
infections 9 ,m$ic>e & ,m$icaid  7#a7   
,m$ic>e ,section #ahff7;a7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           
#acie;cc7a77 is am5d$--  7,a7 9 p>agraph
 7#a7-- 7i7 9 subp>agraph 7,x71 by /rik+
 & at ! end2  7ii7 9 subp>agraph 7,y71  
by /rik+ ! p]iod at ! end & ins]t+ 1 &2 
&  7iii7 by ins]t+ aft] subp>agraph 7,y7
 ! foll[+ new subp>agraph3  7,z7 to     
comply ) ! requirem5t ( p>agraph 7#d7   
7relat+ to ! transmission ( in=mation   
reg>d+ infections74  2 &  7,b7 by add+  
at ! end ! foll[+ new p>agraph3  7#d7   
7,a7 ,= purposes ( p>agraph 7#a77,z71 ! 
requirem5t ( ?is p>agraph is t a        

hospital transmit in=mation ab\t        
infections or colonizations t pres5t 9  
an individual receiv+ treatm5t n lat]   
?an #bd h\rs ^u receipt ( ! culture to--
  7i7 ! individual2  7ii7 9 ! case ( an 
individual :o is be+ transf]r$ to ano!r 
provid]1 ! receiv+ provid]2 &  7iii7 !  
individual's prim>y c>e provid]1 if     
id5tifi$4  7,b7 ,! in=mation describ$ 9 
subp>agraph 7,a7 %all conta9 ! in=mation
 fields includ$ 9 ! ,c5t]s = ,disease   
,control & ,prev5tion's ,int]-facility  
,infection ,control ,transf] ,=m & any  
o!r in=mation ! ,secret>y det]m9es      
appropriate4  7,c7 ,:5 transmitt+       
in=mation to a receiv+ provid] "u       
subp>agraph 7,a77ii71 a provid] %all1   
:]e practical1 transmit su* in=mation   
electronically4  4  7#b7 ,m$icaid       
,section #aijb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;a7a77 is     
am5d$-- 7,a7 9 p>agraph 7#hj71 by /rik+ 
& at ! end2  7,b7 9 p>agraph 7#ha71 by  
/rik+ ! p]iod at ! end & ins]t+ 2 &2 &  
7,c7 by ins]t+ aft] p>agraph 7#ha7 !    

foll[+ new p>agraph3  7#hb7 9 ! case (  
any hospital 7z def9$ 9 section         
#ahfa7;e77 t is a p>ticipat+ provid] "u 
! ,/ate plan1 provide t su* hospital    
meet ! requirem5ts ( subp>agraph 7,z7 ( 
section #ahff7;a77#a74  4  7c7 ,/&>diz$ 
=m ,n lat] ?an #f mon?s aft] ! date ( ! 
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all issue a /&>diz$     
electronic v]sion ( ! =m = use by       
provid]s 9 transmitt+ in=mation z       
requir$ by ! am5dm5ts made by subsection
 7b74  7d7 ,effective date  7#a7 ,m$ic>e
 ,9 ! case ( ! requirem5ts impos$ by !  
am5dm5ts made by subsection 7b77#a71 su*
 requirem5ts %all apply to agreem5ts    
ent]$ into or r5ew$ on or aft] ! date t 
is #ahj days aft] ! date ( ! issuance ( 
! guidance describ$ 9 subsection 7c74   
7#b7 ,m$icaid  7,a7 ,9 g5]al ,except z  
provid$ 9 subp>agraph 7,b71 !           
requirem5ts impos$ by ! am5dm5ts made by
 subsection 7b77#b7 %all take effect on 

! date t is #ahj days aft] ! date ( !   
issuance ( ! guidance describ$ 9        
subsection 7c74  7,b7 ,delay p]mitt$ if 
/ate legislation requir$ ,9 ! case ( a  
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by subsection        
7b77#b71 ! ,/ate plan %all n be reg>d$ z
 fail+ to comply ) ! requirem5ts ( su*  
title solely on ! basis ( its failure to
 meet ^! additional requirem5ts be=e !  
fir/ day ( ! fir/ cal5d> qu>t] beg9n+   
aft] ! close ( ! fir/ regul> session ( !
 ,/ate legislature t beg9s aft] ! date  
describ$ 9 clause 7i74 ,= purposes ( !  
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  #f4 ,/r5g!n+ antibiotic   
/ew>d%ip  7a7 ,9 g5]al ,section #cbj;,b 

( ! ,public ,heal? ,s]vice ,act1 z add$ 
by section #e7;a71 is am5d$ by add+ at !
 end ! foll[+3  7b7 ,grant program =    
,/ate antibiotic /ew>d%ip action plans  
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion1 %all aw>d grants 
to ,/ates = ! developm5t ( ,/ate plans  
to promote antibiotic /ew>d%ip & prev5t 
! spread ( antimicrobial-resi/ant       
bact]ia across heal? c>e sett+s4  7#b7  
,eligibility ,to be eligible to receive 
a grant "u ?is subsection1 a ,/ate %all 
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require1    
includ+--  7,a7 an assurance t          
developm5t ( ! plan "u ! grant w be l$  
by an infecti\s-disease tra9$ physician 
or a ph>maci/ ) exp]tise 9 infecti\s    
disease2 &  7,b7 an assurance t ! plan w
 focus on collaboration across acute &  
ambulatory c>e sett+s & include a summ>y
 ( res\rce gaps & *all5ges4  7#c7       
,au?orization ( appropriations ,!re is  

au?oriz$ to be appropriat$1 su* sums z  
may be necess>y to c>ry out ?is         
subsection4  4  7b7 ,advanc+ hospital   
report+ on antibiotic use &             
antimicrobial resi/ance ,n lat] ?an     
,janu>y #a1 #bjah1 ! ,adm9i/rator ( !   
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices %all
 require t acute c>e hospitals report   
antibiotic use & antimicrobial resi/ance
 us+ ! ,national ,heal?c>e ,safety      
,network's ,antimicrobial ,use &        
,resi/ance ,module z "p ( ! ,hospital   
,inpati5t ,quality ,report+ ,program4   
7c7 ,in=mation ,relat$ to ,antibiotic   
,use & ,antimicrobial ,resi/ance        
,section #cbj;,b ( ! ,public ,heal?     
,s]vice ,act1 z add$ by section #e7;a7 &
 am5d$ by subsection 7a71 is fur!r am5d$
 by add+ at ! end ! foll[+3  7c7        
,in=mation ,relat$ to ,antibiotic ,use &
 ,antimicrobial ,resi/ance  7#a7 ,9     
g5]al ,! ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion %all annually    
prep>e & issue a report conc]n+ !       
aggregate national & regional tr5ds (   

antibiotic use & bact]ial resi/ance 9   
humans to antibact]ial drugs1 includ+ ! 
id5tity ( ! #aj ,/ates ) ! highe/ numb] 
( prescriptions = antibiotics4  7#b7    
,/ew>d%ip work%ops  7,a7 ,9 g5]al       
,beg9n+ on ,janu>y #a1 #bjai1 & annually
 !reaft]1 ! ,director ( ! ,c5t]s =      
,disease ,control & ,prev5tion %all     
conduct at lea/ "o antibiotic /ew>d%ip  
work%op 9 a ,/ate id5tifi$ 9 ! report "u
 p>agraph 7#a74  7,b7 ,requirem5ts ,!   
work%op "u subp>agraph 7,a7 %all id5tify
 regional /rategies to support          
collaboration across ! c>e cont9uum to  
promote antibiotic /ew>d%ip4 ,9         
implem5t+ su* work%op1 ! ,director ( !  
,c5t]s = ,disease ,control & ,prev5tion 
%\ld seek p>ticipation f relevant public
 & private /akehold]s ) exp]tise 9      
infection control1 quality improvem5t1 &
 consum] engagem5t4  7#c7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$1 su* sums z may be necess>y 
to c>ry out ?is subsection4  4  #g4 ,o!r
 improvem5ts  7a7 ,9 g5]al ,section     

#cbj;,b ( ! ,public ,heal? ,s]vice ,act1
 z add$ by section #e7;a7 & am5d$ by    
section #f7;c71 is fur!r am5d$ by add+  
at ! end ! foll[+3  7d7 ,cont9u+        
education on infection control & pati5t 
safety  7#a7 ,9 g5]al ,! ,secret>y %all 
e/abli% a program to provide inc5tives  
79 ! =m ( grants or o!r assi/ance7 to   
,/ate m$ical bo>ds t require heal? c>e  
pr(essionals 7z def9$ by ! m$ical bo>d7 
to complete accr$it$ c\rsework or tra9+ 
9 infection control1 antibiotic         
/ew>d%ip1 or o!r pati5t safety topics z 
a condition ( receiv+ a r5ew$ lic5se to 
practice 9 ! ,/ate4  7#b7 ,exemption ,a 
,/ate m$ical bo>d t receives assi/ance  
"u p>agraph 7#a7 may provide an         
exemption f ! c\rsework or tra9+        
requirem5t "u su* p>agraph = ^? heal?   
c>e pr(essionals :o h specializ$ tra9+ 9
 infection control 7su* z an infecti\s  
disease speciali/ or c]tifi$ infection  
control practition]71 :o are n actively 
practic+ 9 ! ,/ate1 or :o d n provide   
direct pati5t c>e4  7#c7 ,au?orization (

 appropriations ,!re is au?oriz$ to be  
appropriat$1 su* sums z may be necess>y 
to c>ry out ?is subsection4  4  7b7     
,engag+ hospital lead]%ip 9 pati5t      
safety 9 ,m$ic>e & ,m$icaid  7#a7       
,m$ic>e ,section #ahff7;a77#a7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc7a77#a771 z am5d$ by section    
#d7;a77#a71 is am5d$--  7,a7 9          
subp>agraph 7,y71 by /rik+ & at ! end2  
7,b7 9 subp>agraph 7,z71 by /rik+ !     
p]iod & ins]t+ 1 &2 &  7,c7 by add+ at !
 end ! foll[+ new subp>agraph3  7,,aa7 9
 ! case ( hospitals1 includ+ critical   
access hospitals1 to require t new      
memb]s ( ! bo>d ( su* hospital1 n lat]  
?an #f mon?s aft] jo9+ ! bo>d1 receive  
tra9+ 79 accordance ) crit]ia e/abli%$  
by ! ,secret>y7 on pati5t safety topics 
t are relevant to a hospital 7or        
critical access hospital1 z ! case may  
be7 sett+1 su* z infection prev5tion1   
c>e transitions1 pati5t safety & quality
 ( c>e measurem5t1 & /aff communication4
  4  7#b7 ,m$icaid ,section             

#aijb7;a77#hb7 ( ! ,social ,security    
,act1 z add$ by section                 
7#e77;a77#b77;,c71 is am5d$ by /rik+    
subp>agraph 7,z7 & ins]t+ subp>agraphs  
7,z7 & 7,,aa7 be=e ! p]iod4  7#c7       
,crit]ia ,n lat] ?an #f mon?s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all propose & f9alize crit]ia1 ?r\gh   
notice & comm5t rulemak+1 specify+ !    
numb] ( h\rs & type ( tra9+ t %all      
satisfy ! tra9+ requirem5ts impos$ by ! 
am5dm5ts made by p>agraphs 7#a7 & 7#b74 
,su* crit]ia %all be publi%$ on !       
,int]net website ( ! ,c5t]s = ,m$ic>e   
,m$icaid ,s]vices4  7#d7 ,effective date
  7,a7 ,m$ic>e ,9 ! case ( ! requirem5t 
impos$ by ! am5dm5ts made by p>agraph   
7#a71 su* requirem5t %all apply to      
agreem5ts ent]$ into or r5ew$ on or aft]
 ! date t is #cj days aft] ! date ( !   
publication ( ! crit]ia describ$ 9      
p>agraph 7#c74  7,b7 ,m$icaid  7i7 ,9   
g5]al ,except z provid$ 9 clause 7ii71 !
 requirem5t impos$ by ! am5dm5t made by 

p>agraph 7#b7 %all take effect on ! date
 t is #cj days aft] ! date ( !          
publication ( ! crit]ia describ$ 9      
p>agraph 7#c74  7ii7 ,delay p]mitt$ if  
/ate legislation requir$ ,9 ! case ( a  
,/ate plan = m$ical assi/ance "u title  
,,xix ( ! ,social ,security ,act :i* !  
,secret>y ( ,heal? & ,human ,s]vices    
det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5t impos$ by p>agraph 7#b71 !   
,/ate plan %all n be reg>d$ z fail+ to  
comply ) ! requirem5ts ( su* title      
solely on ! basis ( its failure to meet 
?is additional requirem5t be=e ! fir/   
day ( ! fir/ cal5d> qu>t] beg9n+ aft] ! 
close ( ! fir/ regul> session ( ! ,/ate 
legislature t beg9s aft] ! date describ$
 9 clause 7i74 ,= purposes ( ! previ\s  
s5t5ce1 9 ! case ( a ,/ate t has a      
#b-ye> legislative session1 ea* ye> (   
su* session %all be deem$ to be a       
sep>ate regul> session ( ! ,/ate        
legislature4  7c7 ,improvem5ts to !     

,pati5t ,safety & ,quality ,improvem5t  
,act ( #bjje ,section #ibc ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bii;b-#bc7 is am5d$ by add+ at ! end ! 
foll[+3  7d7 ,au?ority = direct report+ 
by pati5ts  7#a7 ,9 g5]al ,a pati5t     
safety organization may collect         
in=mation report$ directly by pati5ts on
 pati5t safety incid5ts & unsafe        
conditions4 ,su* in=mation %all n be    
deem$ to be id5tifiable pati5t safety "w
 product4  7#b7 ,requirem5ts ,9 collect+
 pati5t safety in=mation 7includ+       
in=mation submitt$ by pati5ts "u ?is    
subsection71 a pati5t safety            
organization %all--  7,a7 ensure t all  
su* in=mation 7includ+ any o!r pati5t   
safety "w product receiv$ by !          
organization7 is submitt$ to ! network (
 pati5t safety databases2 &  7,b7 ensure
 t su* in=mation is de-id5tifi$ prior to
 submitt+ ! in=mation to ! network (    
pati5t safety databases4  7#c7          
,developm5t ( be/ practices ,! ,director
 ( ! ,ag5cy %all conduct rese>* on be/  

practices = enabl+ pati5t safety        
organizations to engage pati5ts 9       
report+ on pati5t safety incid5ts & = ! 
collection by su* organizations ( su*   
pati5t-report$ in=mation1 includ+ a     
/&>diz$ =mat = ! submission ( su* data  
by pati5ts4 ,! ,director %all dissem9ate
 su* be/ practices = use by pati5t      
safety organizations4  7#d7             
,accessibility ,! ,director ( ! ,ag5cy  
%all e/abli% a s+le access po9t on !    
,int]net website ( ! ,ag5cy t may be    
access$ by ! public to obta9 pati5t     
safety data f ! data t has be5 aggregat$
 by ! network ( pati5t safety databases4
  7#e7 ,au?orization ( appropriations   
,!re is au?oriz$ to be appropriat$1 su* 
sums z may be necess>y to c>ry out ?is  
subsection4  4