,,ii  #aad? ,,congress  #b;d ,session   
,s4 #cecj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #h1 #bjaf ,mr4
 ,cassidy introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to all[ ! use ( claims1     
eligibility1 & paym5t data to produce   
reports1 analyses1 & pres5tations to    
b5efit ,m$ic>e1 & o!r simil> heal?      
insurance programs1 entities1 rese>*]s1 
& heal? c>e provid]s1 to help develop   
co/ sav+ approa*es1 /&>ds1 & ref]5ce    
mat]ials & to support m$ical c>e &      
improv$ paym5t models4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,ensur+       
,pati5t ,access to ,heal?c>e ,records   
,act ( #bjaf4  #b4 ,promotion ( access  
to data1 via rese>* & us] fri5dly       
pres5tations & applications  7a7 ,9     
g5]al ,subtitle ,d ( ! ,heal? ,in=mation
 ,te*nology = ,economic & ,cl9ical      
,heal? ,act 7#db ,u4,s4,c4 #agiba et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #c ,heal? c>e cle>+h\ses2 data 

process+ to emp[] pati5ts & improve !   
heal? c>e sy/em  #acdea4 ,mod]niz+ !    
role ( cle>+h\ses 9 heal? c>e  7a7      
,ef=ts ,to promote access to & lev]ag+ (
 heal? in=mation  7#a7 ,9 g5]al ,!      
,secret>y %all1 ?r\gh ! updat+ ( exi/+  
policies & developm5t ( policies t      
support dynamic te*nology solutions1    
promote pati5t access to in=mation      
relat$ to _! c>e1 includ+ real _w       
outcomes & economic data 7includ+       
claims1 eligibility1 & paym5t data71 9 a
 mann] t w\ld ensure t su* in=mation is 
available 9 a =m conv5i5t = ! pati5t1 9 
a reasonable mann]1 & )\t burd5+ ! heal?
 c>e provid] involv$4  7#b7 ,requirem5t 
,activities c>ri$ out "u p>agraph 7#a7  
%all include ! developm5t ( policies to 
enable cov]$ entities ) access to heal? 
in=mation to--  7,a7 provide pati5t     
access to in=mation relat$ to _! c>e1   
includ+ real _w outcomes & economic     
data2 &  7,b7 develop pati5t engagem5t  
tools1 reports1 analyses1 & pres5tations
 bas$ on population heal?1              

epidemiological1 & heal? s]vices        
outcomes data1 t may demon/rate a fiscal
 or treatm5t b5efit to ! taxpay]4  7b7  
,treatm5t z cov]$ entity = specifi$     
functions  7#a7 ,9 g5]al ,) respect to !
 use & disclosure ( protect$ heal?      
in=mation1 ! ,secret>y %all-- 7,a7 n    
consid] heal? c>e cle>+h\ses t engage 9 
! functions describ$ 9 p>agraph 7#c7 to 
be bus9ess associates "u ,,hipaa-relat$ 
provisions 7z def9$ 9 subsection        
7j77#c77 reg>dless ( ! role ( su*       
cle>+h\ses 9 collect+ or receiv+ !      
in=mation2 &  7,b7 consid] su*          
cle>+h\ses to be cov]$ entities "u su*  
provisions ( law = all purposes4  ,su*  
cle>+h\ses %all n be consid]$ bus9ess   
associates = data translation1 analytic1
 cl\d comput+1 or any o!r purpose4  7#b7
 ,data accuracy & security requirem5t ,9
 ord] to use heal? data z au?oriz$ by   
?is section1 a cle>+h\se or o!r cov]$   
entity engag+ 9 activities au?oriz$ "u  
?is section %all be c]tifi$ to h !      
necess>y exp]tise & te*nical            

infra/ructure to ensure ! accuracy &    
security ( su* claims1 eligibility1 &   
paym5t data ?r\gh receipt ( an          
accr$itation by ! ,electronic ,heal?c>e 
,network ,accr$itation ,commission1 or  
by an equival5t accr$itation program    
det]m9$ appropriate by ! ,secret>y4     
7#c7 ,enhanc+ treatm5t1 quality         
improvem5t1 rese>*1 public heal? ef=ts &
 o!r functions  7,a7 ,equival5t au?ority
 to o!r cov]$ entities ,subject to      
p>agraph 7#b71 a heal? c>e cle>+h\se    
%all-- 7i7 9 addition to c>ry+ out      
claims process+ functions1 be p]mitt$ to
 use & disclose protect$ heal? in=mation
 9 ! same mann] z o!r cov]$ entities1   
includ+ = purposes ( treatm5t1 paym5t1  
heal? c>e op]ations z p]mitt$ by section
 #afd4ejf ( title #de1 ,code ( ,f$]al   
,regulations1 rese>*1 & public heal? z  
p]mitt$ by section #afd4eab ( title #de1
 ,code ( ,f$]al ,regulations1 & creat+  
de-id5tifi$ in=mation z p]mitt$ by      
section #afd4ejb7;d7 ( title #de1 ,code 
( ,f$]al ,regulations2 &  7ii7 use or   

disclose protect$ heal? in=mation z     
requir$ by section #afd4ejb7;a77#b7 (   
title #de1 ,code ( ,f$]al ,regulations4 
7,b7 ,additional au?ority ,subject to   
p>agraph 7#b71 a heal? c>e cle>+h\se &  
o!r cov]$ entity %all1 9 addition to    
claims process+ functions1 be p]mitt$   
to--  7i7 provide individuals ) access  
to _! own protect$ heal? in=mation z    
describ$ 9 subsection 7d72  7ii7 subject
 to subsection 7c77#b71 & on behalf (   
bo? cov]$ entities & non-cov]$ entities1
 use & disclose protect$ heal? in=mation
 = heal? c>e op]ations purposes 7z def9$
 by section #afd4eja ( title #de1 ,code 
( ,f$]al ,regulations7 )\t respect to   
:e!r ! recipi5t ( ! in=mation has or _h 
a relation%ip ) ! individual2  7iii7    
subject to subsection 7c77#b71 & ^u !   
reque/ ( a cov]$ entity1 b5*m>k !       
op]ations ( su* cov]$ entity aga9/ !    
op]ations ( "o or m o!r cov]$ entities t
 h elect$ to p>ticipate 9 su* b5*m>k+2 &
  7iv7 subject to subsection 7c77#b71   
use protect$ heal? in=mation to         

facilitate cl9ical trial recruitm5t4    
7c7 ,au?orities relat+ to data process+ 
7#a7 ,9 g5]al ,9 c>ry+ out              
,,hipaa-relat$ provisions1 ! ,secret>y  
%all p]mit a heal? c>e cle>+h\se to     
aggregate protect$ heal? in=mation t !  
cle>+h\se possesses 9 ord] to c>ry out !
 functions describ$ 9 subsection        
7b77#c74 ,subject to section            
#afd4ejb7;a77#e77;i7 ( title #de1 ,code 
( ,f$]al ,regulations1 a heal? c>e      
cle>+h\se may c>ry out ! functions      
describ$ 9 subsection 7b77#c7 )\t obta9+
 individual au?orization "u section     
#afd4ejh ( title #de1 ,code ( ,f$]al    
,regulations4  7#b7 ,privacy ,= purposes
 ( clauses 7ii7 ?r\gh 7iv7 ( subsection 
7b77#c77;,b71 ) respect to any report1  
analysis1 or pres5tation provid$ by !   
cle>+h\se to a ?ird p>ty1 su* report1   
analysis1 or pres5tation--  7,a7 %all   
include only de-id5tifi$ data2 or  7,b7 
if conta9+ protect$ heal? in=mation1    
%all include su* data t is subject to a 
qualify+ data use agreem5t 7z def9$ 9   

subsection 7j774  7#c7 ,fee p]mitt$     
,no?+ 9 ?is p>agraph %all be con/ru$ to 
prohibit an individual's "r to access   
claims & paym5t records 9 ,,hipaa /&>d  
=mat = a reasonable1 co/-bas$ fee       
pursuant to section #afd4ebd7;c77#d7 (  
title #de1 ,code ( ,f$]al ,regulations4 
,9 reque/+ access to records held by a  
heal? c>e cle>+h\se1 ! individual %all  
id5tify ! heal? c>e provid] or provid]s 
t r5d]$ c>e4  7d7 ,compreh5sive records 
at ! reque/ ( an individual  7#a7 ,9    
g5]al ,:5 a heal? c>e cle>+h\se receives
 a writt5 reque/ f an individual = !    
protect$ heal? in=mation ( ! individual1
 ! cle>+h\se %all provide to !          
individual a compreh5sive record ( su*  
in=mation 7across heal? c>e provid]s &  
heal? plans & longitud9al 9 scope71     
unless ! cle>+h\se det]m9es 9 its sole  
discretion t provid+ a compreh5sive     
record is n te*nologically feasible4    
7#b7 ,pur*ase f o!r cle>+h\ses ,9 prep>+
 a compreh5sive record = an individual  
"u p>agraph 7#a71 a heal? c>e cle>+h\se 

may1 ) ! p]mission ( ! individual1      
pur*ase ! protect$ heal? in=mation ( !  
individual f "o or m o!r heal?          
cle>+h\ses 7& ! co/ ( su* pur*ase may be
 includ$ 9 a fair-m>ket fee *>g$ to !   
individual z provid$ = "u p>agraph      
7#a774  7e7 ,situations n involv+ direct
 int]action ) individuals ,sections     
#afd4djj ?r\gh #afd4dad 7relat+ to brea*
 notification7 & sections #afd4ebj ?r\gh
 #afd4ebh 7relat+ to individual rights7 
( title #de1 ,code ( ,f$]al             
,regulations1 %all apply to a heal? c>e 
cle>+h\se t engages 9 ! functions       
describ$ 9 subsection 7b77#c7 to ! ext5t
 t su* cle>+h\se has curr5t contact     
in=mation pursuant to direct int]action 
) ! individual involv$4 ,9 ! case ( ea* 
o!r individual1 ! cle>+h\se %all provide
 notice to ! cov]$ entity ( any brea* ( 
unsecur$ protect$ heal? in=mation &     
provide a notice ( privacy practices on 
its website4  7f7 ,transition  7#a7 ,9  
g5]al ,no?+ 9 ?is section %all be       
con/ru$ to provide a heal? c>e cle>+h\se

 great] au?ority to use & disclose      
protect$ heal? in=mation ?an t provid$  
to ano!r cov]$ entity4  7#b7 ,exi/+     
agreem5ts ,) respect to agreem5ts ent]$ 
into by a heal? c>e cle>+h\se prior to !
 date ( enactm5t ( ?is section1 a       
provision ( su* an agreem5t t conflicts 
) ?is section %all n h any legal =ce or 
effect4 ,! prec$+ s5t5ce may n be       
con/ru$ z affect+ any provision ( an    
agreem5t t does n conflict ) ?is        
section4  7g7 ,safe h>bor & cl>ification
 ( liability ,9 ! case ( a heal? c>e    
cle>+h\se t engages 9 a function        
describ$ 9 subsection 7b71 only t       
cle>+h\se may be held liable = a        
violation ( a ,,hipaa-relat$ provision  
7& a cov]$ entity t provid$ data or data
 access to ! cle>+h\se %all n be liable 
= su* violations74  7h7 ,en=cem5t       
,section #acdaj7;a77#b7 %all apply to   
?is section 9 ! same mann] z su* section
 applies to p>ts #a & #b4  7i7 ,relation
 to o!r laws  7#a7 ,application (       
,,hite* rule ,section #acdba %all apply 

to ?is section 9 ! same mann] z su*     
section applies to p>ts #a & #b1 except 
to ! ext5t t su* section #acdba conc]ns 
section #aagh7;a77#b77;,b7 ( ! ,social  
,security ,act4  7#b7 ,/ate laws reg>d+ 
unfair or deceptive acts or practices   
,?is "p %all n be con/ru$ to preempt !  
law ( any ,/ate t prohibits unfair or   
deceptive acts or practices4  7j7       
,def9itions ,9 ?is "p3 7#a7 ,de-id5tifi$
 ,! t]m de-id5tifi$1 ) respect to heal? 
in=mation1 means su* in=mation t is n   
individually id5tifiable z det]m9$ 9    
accordance ) ! /&>ds "u section         
#afd4ead7;b7 ( title #de1 ,code ( ,f$]al
 ,regulations4  7#b7 ,heal? c>e         
cle>+h\se ,! t]m heal? c>e cle>+h\se has
 ! mean+ giv5 su* t]m 9 section #aaga ( 
! ,social ,security ,act4  7#c7         
,,hipaa-relat$ provision ,! t]m         
,,hipaa-relat$ provision means !        
provisions ( ea* ( ! foll[+3  7,a7 ,?is 
subtitle4  7,b7 ,"p ,c ( title ,,xi ( ! 
,social ,security ,act4  7,c7           
,regulations promulgat$ pursuant to     

sections #bfb7;a7 & #bfd7;c7 ( ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act ( #aiif or ?is subtitle4  7#d7    
,individual ,! t]m individual1 ) respect
 to protect$ heal? in=mation1 has !     
mean+ applicable "u section #afj4ajc (  
title #de1 ,code ( ,f$]al ,regulations4 
7#e7 ,qualify+ data use agreem5t ,! t]m 
qualify+ data use agreem5t means an     
agreem5t1 :i* may be electronic1 t      
e/abli%es ! p]mitt$ uses & disclosures (
 protect$ heal? in=mation by ! recipi5t 
consi/5t ) ?is p>agraph4 ,a qualify+    
data use agreem5t betwe5 ! heal? c>e    
cle>+h\se & ! data recipi5t %all--  7,a7
 e/abli% ! p]mitt$ uses & disclosures ( 
su* in=mation by ! recipi5t :i* %all be 
limit$ to ! orig9al purpose ( disclosure
 "u subsection 7b77#c77;,b72 &  7,b7    
provide t ! data recipi5t w-- 7i7 n use 
or fur!r disclose ! in=mation o!r ?an z 
p]mitt$ by ! qualify+ data use agreem5t 
or z o!rwise requir$ by law2  7ii7 use  
appropriate safegu>ds to prev5t use or  
disclosure ( ! in=mation o!r ?an z      

provid$ = by ! qualify+ data use        
agreem5t2 &  7iii7 ensure t any ag5ts to
 :om x provides ! data agree to ! same  
re/rictions & conditions t apply to !   
data recipi5t ) respect to su*          
in=mation4  4  7b7 ,regulations ,n lat] 
?an #cj days aft] ! date ( ! enactm5t ( 
?is ,act1 ! ,secret>y ( ,heal? & ,human 
,s]vices %all promulgate regulations to 
c>ry out ! am5dm5t made by subsection   
7a74  7c7 ,con=m+ am5dm5t ,section      
#aaga7b7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acbj;d7#b77 is am5d$ by     
ins]t+ be=e ! p]iod ! foll[+3 or        
receives a /&>d transaction f ano!r     
entity & processes or facilitates !     
process+ ( heal? in=mation into non/&>d 
=mat or non/&>d data cont5t = ! receiv+ 
entity4 ,su* t]m also includes an entity
 t c>ries out su* process+ functions1   
processes /&>d heal? c>e claims1        
processes heal? c>e claim paym5ts or    
provides advice on su*1 & processes     
eligibility claims relat+ to heal? plan 
transactions on behalf ( a ,,hipaa cov]$

 entity & 9 addition1 engages 9 any ( ! 
functions describ$ 9 subsection 7a7 (   
section #acdea ( ! ,heal? ,in=mation    
,te*nology = ,economic & ,cl9ical ,heal?
 ,act4