,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #cdig  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bg1 #bjag,mrs4
 ,mc,morris ,rodgers 7for herself and   
,mr4 ,moulton7 introduced the following 
bill2 which was referred to the         
,committee on ,veterans' ,affairs  ,a   
,,bill  ,to direct the ,secretary of    
,veterans ,affairs to carry out a pilot 
program establishing a secure1          
patient-centered1 portable medical      
records system1 that would allow        
veterans to have access to their        
,personal ,health ,information1 and for 
other purposes4  #a4 ,short title ,this 
,act may be cited as the ,modernization 
of ,medical ,records ,access for        
,veterans ,act of #bjag4  #b4           
,department of ,veterans ,affairs pilot 
program on secure1 patient-centered1    
portable medical records storage system 
7a7 ,pilot program ,not later than #ahj 
days after the date of the enactment of 
this ,act1 the ,secretary of ,veterans  
,affairs shall commence a pilot program 

under which veterans who are enrolled in
 the patient enrollment system under    
section #agje of title #ch1 ,united     
,states ,code1 use a portable medical   
records storage system described in     
subsection 7e7 to store and share with  
,department of ,veterans ,affairs health
 care providers and community health    
care providers1 records of their        
individual medical history4  7b7        
,selection of locations ,the ,secretary 
shall select not less than one ,veterans
 ,integrated ,services ,network in which
 to carry out the pilot program under   
subsection 7a74  7c7 ,contracts  7#a7   
,authority ,the ,secretary shall seek to
 enter into a contract using competitive
 procedures with an appropriate entity  
for the provision of the medical records
 storage system described in subsection 
7e74  7#b7 ,notice of competition ,not  
later than #fj days after the date of   
the enactment of this ,act1 the         
,secretary shall issue a request for    
proposals for the contract described in 

paragraph 7#a74 ,such request shall be  
full and open to any contractor that has
 an existing commercially available     
medical records storage capability      
described in subsection 7e74  7#c7      
,selection ,not later than #abj days    
after the date of the enactment of this 
,act1 the ,secretary shall award a      
contract to an offeror pursuant to the  
request for proposals under paragraph   
7#b7 if at least one acceptable offer is
 submitted4  7d7 ,duration of pilot     
program ,the ,secretary shall carry out 
a pilot program under this section for a
 period of at least #ab months4 ,after  
carrying out such program for #ab       
months1 the ,secretary may terminate the
 program1 continue the program1 expand  
the program to include additional       
locations1 or implement the use of      
portable medical records storage systems
 on a national basis4  7e7 ,requirements
 of portable medical records storage    
system ,a medical records storage system
 described in this subsection is a      

physical device that meets the following
 requirements3  7#a7 ,capability to     
store not less than four gigabytes of   
electronic health records on a physical 
device1 which is not larger than the    
dimensions of a credit card1 issued to  
each veteran enrolled in the pilot      
program4  7#b7 ,capability to be used by
 substantially all electronic health    
records systems certified by the ,office
 of the ,national ,coordinator for      
,health ,,it on or before ,january #a1  
#bjag4  7#c7 ,capability to limit access
 to electronic health records stored on 
each device to the patient and health   
care providers4  7#d7 ,capability for   
health care providers to securely       
access1 annotate1 and add electronic    
health records to the physical device1  
including in instances where the health 
care provider is not in possession of   
the physical storage device4  7#e7      
,requirement that all electronic health 
records transferred from a health care  
provider over the internet to the       

physical storage device be encrypted4   
7#f7 ,requirement that the portable     
medical records system can operate      
without persistent storage of any       
electronic health records on the        
internet or within a cloud computing    
repository4  7#g7 ,capability to provide
 a replacement device containing an     
up-to-date electronic health record1 if 
the original physical storage device has
 been removed from the owner's          
possession or otherwise rendered        
inoperable4  7f7 ,definitions ,in this  
section3 7#a7 ,the term dimensions of a 
credit card means three and             
three-eighths inches in width1 two and  
one-eighth inches in length1 and        
five-one hundred twenty-eighth of one   
inch in depth4  7#b7 ,the term          
electronic health records means         
electronic documentation of physicians' 
notes1 electronic viewing of lab test   
results1 diagnostic images and video1   
clinical decision support1 and          
interoperability with other systems4    

7g7 ,prohibition on new appropriations  
,no additional funds are authorized to  
be appropriated to carry out the        
requirements of this ,act4 ,such        
requirements shall be carried out using 
amounts otherwise authorized to be      
appropriated for the ,department of     
,veterans ,affairs4