,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ecba  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #e1          
#bjai,mrs4 ,mc,bath 7= h]self & ,mr4    
,c>t] ( ,georgia7 introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to exp&1   
enhance1 & improve public heal? data    
sy/ems1 & = o!r purposes4  #a4 ,%ort    
title ,?is ,act may be cit$ z ! ,public 
,heal? ,infra/ructure ,mod]nization ,act
 ( #bjai4  #b4 ,public heal? data sy/em 
trans=mation ,subtitle ,c ( title       
,,xxviii ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #cjj;hh-#ca et seq47 is 
am5d$ by add+ at ! end ! foll[+3  #bhbb4
 ,public heal? data sy/em trans=mation  
7a7 ,exp&+ ,,cdc & public heal? dep>tm5t
 capabilities  7#a7 ,9 g5]al ,!         
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all--  7,a7 conduct activities to     
exp&1 enhance1 & improve public heal?   
data sy/ems us$ by ! ,c5t]s = ,disease  

,control & ,prev5tion1 relat$ to !      
int]op]ability & improvem5t ( su* sy/ems
 7includ+ ) respect to prep>$ness =1    
prev5tion & detection (1 & response to  
public heal? em]g5cies72 &  7,b7 aw>d   
grants or coop]ative agreem5ts to ,/ate1
 local1 ,tribal1 or t]ritorial public   
heal? dep>tm5ts = ! expansion &         
mod]nization ( public heal? data sy/ems1
 to assi/ public heal? dep>tm5ts 9--    
7i7 assess+ curr5t data infra/ructure   
capabilities & gaps to improve consi/5cy
 9 data collection1 /orage1 & analysis1 
& z appropriate to improve dissem9ation 
( public heal?-relat$ in=mation2  7ii7  
improv+ secure public heal? data        
collection1 transmission1 ex*ange1      
ma9t5ance1 & analysis2  7iii7 improv+ ! 
secure ex*ange ( data betwe5 ! ,c5t]s = 
,disease ,control & ,prev5tion1 ,/ate1  
local1 ,tribal1 & t]ritorial public     
heal? dep>tm5ts1 public heal?           
organizations1 & heal? c>e provid]s1    
includ+--  7,i7 betwe5 public heal?     
(ficials 9 multiple jurisdictions )9 a  

,/ate2 &  7,,ii7 by simplify+ & support+
 report+ by heal? c>e provid]s pursuant 
to ,/ate law1 includ+ ?r\gh ! use (     
heal? in=mation te*nology2  7iv7 enhanc+
 ! int]op]ability ( public heal? data   
sy/ems 7includ+ sy/ems creat$ or access$
 by public heal? dep>tm5ts7 ) heal?     
in=mation te*nology1 includ+ ) heal?    
in=mation te*nology c]tifi$ "u section  
#cjja7;c77#e72  7v7 support+ & tra9+    
public heal? data sy/ems1 data sci5ce1 &
 in=matics p]sonnel2  7vi7 support+     
e>li] disease & heal? condition         
detection1 su* z ?r\gh ne> real-"t data 
monitor+1 to support rapid public heal? 
responses2  7vii7 support+ activities )9
 ! applicable jurisdiction relat$ to !  
expansion & mod]nization ( electronic   
case report+2 &  7viii7 develop+ &      
dissem9at+ in=mation relat$ to ! use &  
importance ( public heal? data4  7#b7   
,data /&>ds ,9 c>ry+ out p>agraph 7#a71 
! ,secret>y1 act+ ?r\gh ! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion1
 %all1 z appropriate & 9 coord9ation ) !

 ,(fice ( ! ,national ,coord9ator =     
,heal? ,in=mation ,te*nology1 designate 
data & te*nology /&>ds 7includ+ /&>ds = 
int]op]ability7 = public heal? data     
sy/ems1 ) def]5ce giv5 to /&>ds publi%$ 
by cons5sus-bas$ /&>ds developm5t       
organizations ) public input & volunt>y 
cons5sus-bas$ /&>ds bodies4  7#c7       
,public-private p>tn]%ips ,! ,secret>y  
may develop & utilize public-private    
p>tn]%ips = te*nical assi/ance1 tra9+1 &
 relat$ implem5tation support = ,/ate1  
local1 ,tribal1 & t]ritorial public     
heal? dep>tm5ts1 & ! ,c5t]s = ,disease  
,control & ,prev5tion1 on ! expansion & 
mod]nization ( electronic case report+ &
 public heal? data sy/ems1 z applicable4
  7b7 ,requirem5ts  7#a7 ,heal?         
in=mation te*nology /&>ds ,! ,secret>y  
may n aw>d a grant or coop]ative        
agreem5t "u subsection 7a77#a77;,b7     
unless ! applicant uses or agrees to use
 /&>ds endors$ by ! ,national           
,coord9ator = ,heal? ,in=mation         
,te*nology pursuant to section          

#cjja7;c77#a7 or adopt$ by ! ,secret>y  
"u section #cjjd4  7#b7 ,waiv] ,!       
,secret>y may waive ! requirem5t "u     
p>agraph 7#a7 ) respect to an applicant 
if ! ,secret>y det]m9es t ! activities  
"u subsection 7a77#a77;,b7 _c o!rwise be
 c>ri$ out )9 ! applicable jurisdiction4
  7#c7 ,application ,a ,/ate1 local1    
,tribal1 or t]ritorial heal? dep>tm5t   
apply+ = a grant or coop]ative agreem5t 
"u ?is section %all submit an           
application to ! ,secret>y at su* "t & 9
 su* mann] z ! ,secret>y may require4   
,su* application %all include in=mation 
describ+--  7,a7 ! activities t w be    
support$ by ! grant or coop]ative       
agreem5t2 &  7,b7 h[ ! mod]nization ( ! 
public heal? data sy/ems involv$ w      
support or impact ! public heal?        
infra/ructure ( ! heal? dep>tm5t1       
includ+ a description ( rema9+ gaps1 if 
any1 & ! actions ne$$ to address su*    
gaps4  7c7 ,/rategy & implem5tation plan
 ,n lat] ?an #ahj days aft] ! date (    
enactm5t ( ?is section1 ! ,secret>y1    

act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
submit to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
coord9at$ /rategy & an accompany+       
implem5tation plan t id5tifies &        
describes ! measures ! ,secret>y w      
utilize to--  7#a7 update & improve     
public heal? data sy/ems us$ by ! ,c5t]s
 = ,disease ,control & ,prev5tion2 &    
7#b7 c>ry out ! activities describ$ 9   
?is section to support ! improvem5t (   
,/ate1 local1 ,tribal1 & t]ritorial     
public heal? data sy/ems4  7d7          
,consultation ,9 c>ry+ out ?is section1 
! ,secret>y1 act+ ?r\gh ! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion1
 %all consult ) ,/ate1 local1 ,tribal1 &
 t]ritorial public heal? dep>tm5ts1     
pr(essional m$ical & public heal?       
associations1 associations repres5t+    
hospitals or o!r heal? c>e entities1    
heal? in=mation te*nology exp]ts1 & o!r 

appropriate public or private entities4 
7e7 ,report to ,congress ,n lat] ?an #a 
ye> aft] ! date ( enactm5t ( ?is        
section1 ! ,secret>y %all submit a      
report to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives t  
includes--  7#a7 a description ( any    
b>ri]s to-- 7,a7 public heal? au?orities
 implem5t+ int]op]able public heal? data
 sy/ems & electronic case report+2  7,b7
 ! ex*ange ( in=mation pursuant to      
electronic case report+2 or  7,c7       
report+ by heal? c>e provid]s us+ su*   
public heal? data sy/ems1 z appropriate1
 & pursuant to ,/ate law2  7#b7 an      
assessm5t ( ! pot5tial public heal?     
impact ( implem5t+ electronic case      
report+ & int]op]able public heal? data 
sy/ems2 &  7#c7 a description ( !       
activities c>ri$ out pursuant to ?is    
section4  7f7 ,electronic case report+  
,9 ?is section1 ! t]m electronic case   
report+ means ! automat$ id5tification1 

g5]ation1 & bilat]al ex*ange ( reports (
 heal? ev5ts among electronic heal?     
record or heal? in=mation te*nology     
sy/ems & public heal? au?orities4  7g7  
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #ajj1jjj1jjj = ea* ( fiscal 
ye>s #bjbj ?r\gh #bjbd4  4