,i #aae? ,,congress #a/ ,session ,h4 ,r4 #cdig ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #bg1 #bjag,mrs4 ,mc,morris ,rodg]s 7= h]self & ,mr4 ,m\lton7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,vet]ans' ,affairs ,a ,,bill ,to direct ! ,secret>y ( ,vet]ans ,affairs to c>ry out a pilot program e/abli%+ a secure1 pati5t-c5t]$1 portable m$ical records sy/em1 t w\ld all[ vet]ans to h access to _! ,p]sonal ,heal? ,in=mation1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,mod]nization ( ,m$ical ,records ,access = ,vet]ans ,act ( #bjag4 #b4 ,dep>tm5t ( ,vet]ans ,affairs pilot program on secure1 pati5t-c5t]$1 portable m$ical records /orage sy/em 7a7 ,pilot program ,n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,vet]ans ,affairs %all comm5ce a pilot program "u :i* vet]ans :o are enroll$ 9 ! pati5t enrollm5t sy/em "u section #agje ( title #ch1 ,unit$ ,/ates ,code1 use a portable m$ical records /orage sy/em describ$ 9 subsection 7e7 to /ore & %>e ) ,dep>tm5t ( ,vet]ans ,affairs heal? c>e provid]s & community heal? c>e provid]s1 records ( _! individual m$ical hi/ory4 7b7 ,selection ( locations ,! ,secret>y %all select n less ?an "o ,vet]ans ,integrat$ ,s]vices ,network 9 :i* to c>ry out ! pilot program "u subsection 7a74 7c7 ,contracts 7#a7 ,au?ority ,! ,secret>y %all seek to ent] into a contract us+ competitive proc$ures ) an appropriate entity = ! provision ( ! m$ical records /orage sy/em describ$ 9 subsection 7e74 7#b7 ,notice ( competition ,n lat] ?an #fj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all issue a reque/ = proposals = ! contract describ$ 9 p>agraph 7#a74 ,su* reque/ %all be full & op5 to any contractor t has an exi/+ comm]cially available m$ical records /orage capability describ$ 9 subsection 7e74 7#c7 ,selection ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y %all aw>d a contract to an (f]or pursuant to ! reque/ = proposals "u p>agraph 7#b7 if at lea/ "o acceptable (f] is submitt$4 7d7 ,duration ( pilot program ,! ,secret>y %all c>ry out a pilot program "u ?is section = a p]iod ( at lea/ #ab mon?s4 ,aft] c>ry+ out su* program = #ab mon?s1 ! ,secret>y may t]m9ate ! program1 cont9ue ! program1 exp& ! program to include additional locations1 or implem5t ! use ( portable m$ical records /orage sy/ems on a national basis4 7e7 ,requirem5ts ( portable m$ical records /orage sy/em ,a m$ical records /orage sy/em describ$ 9 ?is subsection is a physical device t meets ! foll[+ requirem5ts3 7#a7 ,capability to /ore n less ?an f\r gigabytes ( electronic heal? records on a physical device1 :i* is n l>g] ?an ! dim5sions ( a cr$it c>d1 issu$ to ea* vet]an enroll$ 9 ! pilot program4 7#b7 ,capability to be us$ by sub/antially all electronic heal? records sy/ems c]tifi$ by ! ,(fice ( ! ,national ,coord9ator = ,heal? ,,x on or be=e ,janu>y #a1 #bjag4 7#c7 ,capability to limit access to electronic heal? records /or$ on ea* device to ! pati5t & heal? c>e provid]s4 7#d7 ,capability = heal? c>e provid]s to securely access1 annotate1 & add electronic heal? records to ! physical device1 includ+ 9 in/ances :]e ! heal? c>e provid] is n 9 possession ( ! physical /orage device4 7#e7 ,requirem5t t all electronic heal? records transf]r$ f a heal? c>e provid] ov] ! int]net to ! physical /orage device be encrypt$4 7#f7 ,requirem5t t ! portable m$ical records sy/em c op]ate )\t p]si/5t /orage ( any electronic heal? records on ! int]net or )9 a cl\d comput+ repository4 7#g7 ,capability to provide a replacem5t device conta9+ an up-to-date electronic heal? record1 if ! orig9al physical /orage device has be5 remov$ f ! own]'s possession or o!rwise r5d]$ inop]able4 7f7 ,def9itions ,9 ?is section3 7#a7 ,! t]m dim5sions ( a cr$it c>d means ?ree & ?ree-eigh?s in*es 9 wid?1 two & "o-eigh? in*es 9 l5g?1 & five-"o hundr$ tw5ty-eigh? ( "o in* 9 dep?4 7#b7 ,! t]m electronic heal? records means electronic docum5tation ( physicians' notes1 electronic view+ ( lab te/ results1 diagno/ic images & video1 cl9ical decision support1 & int]op]ability ) o!r sy/ems4 7g7 ,prohibition on new appropriations ,no additional funds are au?oriz$ to be appropriat$ to c>ry out ! requirem5ts ( ?is ,act4 ,su* requirem5ts %all be c>ri$ out us+ am\nts o!rwise au?oriz$ to be appropriat$ = ! ,dep>tm5t ( ,vet]ans ,affairs4