,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #gbgb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #ab1         
#bjah,mrs4 ,brooks ( ,indiana 7= h]self 
& ,ms4 ,cl>ke ( ,new ,york7 introduc$ ! 
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d titles ,,xviii & ,,xix
 ( ! ,social ,security ,act to promote !
 ability ( individuals entitl$ to       
b5efits "u "p ,a or enroll$ "u "p ,b ( !
 ,m$ic>e program & individuals enroll$  
"u a ,/ate plan "u ! ,m$icaid program to
 access _! p]sonal m$ical claim data1   
includ+ _! provid]s1 prescriptions1     
te/s1 & diagnoses1 ?r\gh a mobile heal? 
record application ( ! individual's     
*oos+1 & = o!r purposes4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,mobile 
,heal? ,record ,act ( #bjah4  #b4       

,f9d+s2 s5se ( ,congress  7a7 ,f9d+s    
,congress f9ds ! foll[+3  7#a7 ,! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices' 7,,cms7  
,blue ,button #b4j ,program 0 ann\nc$ 9 
,april #bjah to build ^u ,,cms's ,blue  
,button ,program4  7#b7 ,! ,blue ,button
 #b4j ,program provides #d ye>s (       
,m$ic>e "p ,a1 ,b1 & ,d data = #ec      
million ,m$ic>e b5efici>ies ?r\gh an    
,application ,programm+ ,int]face       
7,,api74 ,! data conta9s a v>iety (     
in=mation includ+1 b n limit$ to1 a li/ 
( a pati5t's provid]s1 prescriptions1   
te/s1 & diagnoses4 ,! ,blue ,button #b4j
 ,program requires ! use ( ,,cms-approv$
 applications to all[ b5efici>ies to    
d[nload cod$ data4  7#c7 ,mobile        
applications curr5tly exi/ t h ! p[] to 
decode ! ,m$ic>e ,blue ,button data &   
pres5t x 9 a us]-fri5dly1 easy-to-read &
 und]/& =mat4 ,prior to ,blue ,button   
#b4j1 ! ,blue ,button ,program all[$    
b5efici>ies to d[nload su* data1 b !    
in=mation 0 n decod$ into ! easy-to-read
 & und]/& =mat t a mobile application   

provides4  7#d7 ,! ,blue ,button #b4j   
,program 0 creat$ to emp[] pati5ts ) !  
use ( ^! applications1 b additional /eps
 ne$ to be tak5 9 ord] to ensure !      
program rea*es its int5d$ purpose (     
provid+ pati5ts ) _! p]sonal m$ical     
claim in=mation to prev5t h>mful m$ical 
errors & r$uc+ r$undant sp5d+4  7#e7    
,accord+ to a /udy publi%$ by ,johns    
,hopk9s ,univ]sity 9 #bjaf1 m ?an       
#bej1jjj dea?s p] ye> are due to m$ical 
error1 mak+ x ! #crd lead+ cause ( dea? 
9 ! ,unit$ ,/ates4 ,fur!r1 millions (   
doll>s are wa/$ on duplicative or       
unnecess>y te/s & proc$ures4  7b7 ,s5se 
( ,congress ,x is ! s5se ( ,congress t !
 ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices'   
,blue ,button #b4j ,program has !       
pot5tial to positively influ5ce pati5t  
behavior1 improve pati5t safety & heal? 
outcomes1 & help r$uce unnecess>y heal? 
c>e exp5ditures1 b action ne$s to be    
tak5 to help ! initiative meet !        
program's goals4  #c4 ,promot+ pati5t   
access to p]sonal m$ical claim          

in=mation1 includ+ a pati5t's provid]s1 
prescriptions1 te/s1 & diagnoses1 ?r\gh 
! use ( mobile heal? record applications
  7a7 ,m$ic>e ,title ,,xviii ( ! ,social
 ,security ,act 7#db ,u4,s4,c4 #acie et 
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #ahii;,c4 ,mobile ,access
 to ,p]sonal ,m$ical ,in=mation ,program
  7a7 ,e/abli%m5t  7#a7 ,9 g5]al ,n lat]
 ?an ,janu>y #a1 #bjbj1 ! ,secret>y %all
 e/abli% a program to be kn[n z !       
,mobile ,access to ,p]sonal ,m$ical     
,in=mation ,program 79 ?is section      
ref]r$ to z ! ,program7 = purposes (    
creat+ a develop]-fri5dly1 /&>ds-bas$   
,,api t enables individuals entitl$ to  
b5efits "u "p ,a or enroll$ "u "p ,b to 
connect _! claims data to !             
applications1 s]vices1 & rese>* programs
 !y tru/ :ile all[+ su* individuals to  
reta9 full control ov] h[ ! copy ( !    
data !y receive c be us$ & by :om4 ,!   
,program %all provide su* an individual 
access to ! p]sonal m$ical claim        
in=mation ( ! individual ?r\gh a mobile 

heal? record application ( !            
individual's *oice approv$ by !         
,secret>y "u subsection 7b74 ,su*       
in=mation %all be made available ?r\gh  
su* application 9 a mann] simil> to h[  
su* in=mation is made available "u !    
,blue ,button #b4j program 7or a        
successor program74  7#b7 ,enc\rag+ use 
( program ,9 c>ry+ out ! ,program1 !    
,secret>y %all consid] e/abli%+ me?ods =
 enc\rag+ individuals describ$ 9        
p>agraph 7#a7 to access _! p]sonal      
m$ical claim in=mation "u ! ,program4   
,su* me?ods may include--  7,a7 provid+ 
individuals describ$ 9 p>agraph 7#a7    
access to a "o-"t f9ancial inc5tive to  
d[nload = free or at a disc\nt$ price a 
,,cms-approv$ mobile heal? record       
application ( _! *oice t c be us$ to    
access _! p]sonal m$ical claim in=mation
 "u ! ,program2  7,b7 pay+ a reasonable 
fee p] d[nload to ! application develop]
 to be capp$ at a fair m>ket value2 or  
7,c7 o!r me?ods det]m9$ appropriate by !
 ,secret>y4  ,= purposes ( ! previ\s    

s5t5ce1 ! ,secret>y %all consult )      
application develop]s1 insur]s1 & o!r   
appropriate entities det]m9$ by !       
,secret>y1 to e/abli% appropriate me?ods
 ( f9ancial inc5tive paym5t =           
applications approv$ to p>ticipate 9 !  
program4  7b7 ,mobile heal? record      
applications  7#a7 ,approval ,!         
,secret>y %all e/abli% a process "u :i* 
! ,secret>y1 9 consultation ) /aff )    
appropriate te*nical exp]tise1 approves 
mobile heal? record applications = use  
"u ! ,program4 ,su* process %all include
 requirem5ts provid+ t su* application--
  7,a7 demon/rates ! capacity to provide
 ! p]sonal m$ical claim in=mation ( an  
individual describ$ 9 subsection 7a7 to 
su* individual 9 an easily accessible   
=mat2  7,b7 utilizes a ma*9e-readable1  
/ructur$1 cod$ =mat con=m+ to a data    
cont5t /&>d approv$ by ! ,secret>y2     
7,c7 has ! ability to aggregate data f  
multiple s\rces2  7,d7 is encrypt$ 7or  
conta9s o!r data security safegu>ds     
det]m9$ appropriate by ! ,secret>y7 &   

con=ms to o!r cyb]security /&>ds & be/  
practices det]m9$ appropriate by !      
,secret>y2  7,e7 provides = a me*anism  
?r\gh :i* ! ,secret>y may track ! numb] 
( times & frequ5cy ) :i* su* individual 
accesses ! p]sonal m$ical claim         
in=mation ( su* individual2  7,f7 does n
 use a ?ird-p>ty s]vice = ad rev5ue or =
 any o!r means2 &  7,g7 meets su* o!r   
requirem5ts z may be specifi$ by !      
,secret>y4  7#b7 ,annual review (       
approval ,! ,secret>y %all1 n less ?an  
annually & 9 consultation ) /aff )      
appropriate te*nical exp]tise1 review   
ea* mobile heal? record application     
approv$ "u p>agraph 7#a7 to det]m9e :e!r
 su* application cont9ues to meet !     
requirem5ts specifi$ 9 su* p>agraph4 ,! 
,secret>y %all revoke ! approval ( any  
su* application t fails to meet su*     
requirem5ts4  7c7 ,in=mation on ,program
 ,! ,secret>y %all1 ?r\gh ! public      
website ( ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices1 mail$ notices1 ?r\gh a notice 
at ! "t ( enrollm5t ( an individual 9 "p

 ,a or "p ,b1 public aw>5ess campaigns1 
! notice describ$ 9 section #ahjd7;a71 !
 provision ( p]sonaliz$ prev5tion plan  
s]vices 7z def9$ 9 section #ahfa7;hhh771
 or o!rwise 7z det]m9$ appropriate by ! 
,secret>y71 ensure t individuals        
describ$ 9 subsection 7a7 receive       
in=mation n less ?an twice ea* ye>      
reg>d+ ! ,program1 includ+ a li/ (      
mobile heal? record applications approv$
 "u subsection 7b77#a74  7d7            
,cyb]security & data privacy  7#a7      
,consultation ,9 c>ry+ out ! ,program1 !
 ,secret>y %all consult ) ! ,national   
,coord9ator = ,heal? ,in=mation         
,te*nology & o!r ,f$]al ag5cies det]m9$ 
appropriate by ! ,secret>y to ensure !  
compliance ( entities p>ticipat+ 9 !    
,program ) all applicable provisions ( !
 regulations promulgat$ by ! ,secret>y  
"u "p ,c ( title ,,xi & section #bfd ( !
 ,heal? ,insurance ,portability &       
,acc\ntability ,act ( #aiif4  7#b7      
,additional cyb]security protections ,9 
c>ry+ out ! ,program1 ! ,secret>y %all  

consult ) appropriate ,f$]al ag5cies1   
includ+ ! ,national ,in/itute = ,/&>ds &
 ,te*nology1 & appropriate              
public-private p>tn]%ips 7su* z !       
,sector ,coord9at+ ,c\ncils71 includ+ ! 
,heal?c>e & ,public ,heal? ,sector      
,coord9at+ ,c\ncil1 to ensure t relevant
 & applicable cyb]security guidel9es are
 foll[$ :5 e/abli%+ ! ,program 7includ+ 
:5 e/abli%+ /&>ds & be/ practices "u    
subsection 7b77#a77;,d7 & /&>ds &       
crit]ia "u subsection 7e77#a77;,c774    
7e7 ,def9itions ,9 ?is section3 7#a7    
,mobile heal? record application ,! t]m 
mobile heal? record application means a 
s(tw>e application t--  7,a7 runs on a  
mobile device 7su* z a mobile phone or  
h&held comput+ plat=m72  7,b7 all[s an  
individual to access ! individual's     
p]sonal m$ical claim in=mation2 &  7,c7 
meets su* cyb]security & data security  
/&>ds & crit]ia z ! ,secret>y may       
specify1 :i* may be simil> to su* /&>ds 
& crit]ia us$ "u ! ,blue ,button #b4j   
program 7or a successor program74  7#b7 

,p]sonal m$ical claim in=mation ,! t]m  
p]sonal m$ical claim in=mation means1 ) 
respect to an individual-- 7,a7 a li/ ( 
claims = items & s]vices furni%$ to su* 
individual payable "u "p ,a or "p ,b1   
includ+ any prescriptions or te/s2  7,b7
 a li/ ( provid]s & suppli]s :o furni%$ 
su* items & s]vices2  7,c7 any diagnoses
 made by su* provid]s & suppli]s2  7,d7 
,m$ic>e ,advantage enc\nt] data f an    
,,ma or ,,ma-,,pd plan "u "p ,c2 &  7,e7
 prescription drug ev5t data4  4  7b7   
,m$icaid ,section #aijc ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif;b7  
is am5d$ by add+ at ! end ! foll[+ new  
subsection3  7aa7 ,paym5ts = mobile     
access to p]sonal m$ical claim in=mation
  7#a7 ,paym5ts ,9 addition to paym5ts  
o!rwise provid$ "u subsection 7a71 9 !  
case ( a ,/ate t elects to develop1 or  
pur*ase f a private entity1 a mobile    
heal? record application ?r\gh :i* an   
individual enroll$ "u ! ,/ate plan 7or a
 waiv] ( su* plan7 may access ! p]sonal 
m$ical claim in=mation ( su* individual1

 ! ,secret>y %all pay to su* ,/ate1 =   
ea* qu>t] beg9n+ on or aft] ! date ( !  
enactm5t ( ! ,mobile ,heal? ,record ,act
 ( #bjah1 an am\nt equal to #ij p]c5t ( 
s mu* ( ! sums exp5d$ dur+ su* qu>t] z  
are attributable to ! developm5t1 or    
pur*ase1 ( su* mobile heal? record      
application4  7#b7 ,def9itions ,9 ?is   
subsection3 7,a7 ,mobile heal? record   
application ,! t]m mobile heal? record  
application has ! mean+ giv5 su* t]m 9  
section #ahii;,c7e74  7,b7 ,p]sonal     
m$ical claim in=mation ,! t]m p]sonal   
m$ical claim in=mation means1 ) respect 
to a ,/ate & an individual enroll$ "u ! 
,/ate plan 7or a waiv] ( su* plan7--    
7i7 a li/ ( claims = items & s]vices    
furni%$ to su* individual "u ! ,/ate    
plan 7or waiv]71 includ+ any            
prescriptions or te/s2  7ii7 a li/ (    
provid]s & suppli]s :o furni%$ su* items
 & s]vices2 &  7iii7 any diagnoses made 
by su* provid]s & suppli]s4  4