,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cddg  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bg1 #bjag,ms4 
,jenkins of ,kansas 7for herself1 ,mr4  
,thompson of ,california1 ,mr4 ,harper1 
and ,mr4 ,ben ,ray ,lujn of ,new        
,mexico7 introduced the following bill2 
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide prescription  
drug plans under part ,d of the         
,medicare program with parts ,a and ,b  
,medicare claims data to promote the    
appropriate use of medications and      
improve health outcomes4  #a4 ,short    
title ,this ,act may be cited as the    
,furthering ,access to ,coordinated     
,treatment for ,seniors ,act of #bjag or

 the ,,facts ,act of #bjag4  #b4        
,providing prescription drug plans with 
parts ,a and ,b claims data to promote  
the appropriate use of medications and  
improve health outcomes ,section        
#ahfj;,d-#d7;c7 of the ,social ,security
 ,act 7#db ,u4,s4,c4 #aciew-#ajd7;c77 is
 amended by adding at the end the       
following new paragraph3  7#g7          
,providing prescription drug plans with 
parts ,a and ,b claims data to promote  
the appropriate use of medications and  
improve health outcomes  7,a7 ,process  
,subject to subparagraph 7,c71 the      
,secretary shall establish a process    
under which a ,,pdp sponsor of a        
prescription drug plan may submit a     
request for the ,secretary to provide   
the sponsor1 on a periodic basis and in 
an electronic format1 beginning in plan 
year #bjbj1 data described in           
subparagraph 7,d7 with respect to       
enrollees in such plan4 ,such data shall
 be provided without regard to whether  
such enrollees are described in clause  

7ii7 of paragraph 7#b77;,a74  7,b7      
,purposes ,a ,,pdp sponsor may use the  
data provided to the sponsor pursuant to
 subparagraph 7,a7 for any of the       
following purposes3  7i7 ,to optimize   
therapeutic outcomes through improved   
medication use1 as such phrase is used  
in clause 7i7 of paragraph 7#b77;,a74   
7ii7 ,to improve care coordination so as
 to prevent adverse health outcomes1    
such as preventable emergency department
 visits and hospital readmissions4      
7iii7 ,for any other purpose determined 
appropriate by the ,secretary4  7,c7    
,limitations on data use ,a ,,pdp       
sponsor shall not use data provided to  
the sponsor pursuant to subparagraph    
7,a7 for any of the following purposes3 
7i7 ,to inform coverage determinations  
under this part4  7ii7 ,to conduct      
retroactive reviews of medically        
accepted indications determinations4    
7iii7 ,to direct enrollment changes to a
 different prescription drug plan or an 
,,ma-,,pd plan offered by the same      

parent organization4  7iv7 ,to inform   
marketing of benefits4  7v7 ,for any    
other purpose that the ,secretary       
determines is necessary to include in   
order to protect the identity of        
individuals entitled to1 or enrolled    
for1 benefits under this title and to   
protect the security of personal health 
information4  7,d7 ,data described ,the 
data described in this subparagraph are 
standardized extracts 7as determined by 
the ,secretary7 of claims data under    
parts ,a and ,b for items and services  
furnished under such parts for time     
periods specified by the ,secretary4    
,such data shall include data as current
 as practicable4  4