,i #aaf? ,,congress #b;d ,session ,h4 ,r4 #hjhj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,augu/ #ba1 #bjbj,mr4 ,pet]s 7= himself1 ,ms4 ,e%oo1 ,mrs4 ,mc,bath1 & ,mr4 ,fitzpatrick7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to enc\rage ! developm5t ( c]ta9 public heal? data /&>ds1 au?orize epidemiological surveillance grants1 & au?orize a data l9kage demon/ration project1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,heal? ,/&>ds ,to ,advance ,transp>5cy1 ,integrity1 ,sci5ce1 ,te*nology ,infra/ructure1 & ,confid5tial ,/ati/ics ,act ( #bjbj or ! ,heal? ,,/ati/ics ,act ( #bjbj4 #b4 ,improv+ public heal? data ,title ,,xxxi ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjkk7 is am5d$-- 7#a7 by ins]t+ be=e section #caja ! foll[+ subtitle designation & head+3 ,a ,9 g5]al 2 & 7#b7 by add+ at ! end ! foll[+ new subtitle3 ,b ,public heal? common data /&>ds #caaa4 ,treatm5t ( public heal? data 7a7 ,/&>diz$ report+ 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all-- 7,a7 adopt & update z necess>y uni=m /&>ds = ,/ate & local heal? dep>tm5ts to report data to ! ,c5t]s2 & 7,b7 9 adopt+ & updat+ /&>ds "u ?is subsection1 give def]5ce to-- 7i7 correspond+ /&>ds develop$ by /&>ds developm5t organizations & volunt>y cons5sus-bas$ /&>ds bodies2 & 7ii7 ! recomm5dations ( ! work+ gr\p e/abli%$ "u p>agraph 7#c74 7#b7 ,requirem5ts ,! /&>ds "u p>agraph 7#a7 %all-- 7,a7 be consi/5t )-- 7i7 /&>ds = ! int]op]ability ( heal? in=mation te*nology "u subtitle ,a2 7ii7 ,(fice ( ,managem5t & ,budget ,circul> ,a-#aai 7or any successor !reto72 7iii7 ,(fice ( ,managem5t & ,budget /&>ds = race & e?nicity & o!r relevant measures2 & 7,b7 provide = ! use ( int]op]able sy/ems1 consi/5t ) ! application programm+ int]face /&>ds & associat$ implem5tation specifications "u section #agj4bae ( title #de 7or any successor regulations74 7#c7 ,work+ gr\p 7,a7 ,e/abli%m5t ,! ,secret>y %all e/abli% a p]man5t te*nical work+ gr\p 79 ?is p>agraph ref]r$ to z ! work+ gr\p7 to make recomm5dations on an ongo+ basis & z ne$$ to e/abli% m compreh5sive common /&>ds across appropriate heal? c>e1 public heal?1 environm5tal1 & public assi/ance data sy/ems4 7,b7 ,duties ,9 mak+ ! recomm5dations requir$ by subp>agraph 7,a71 ! work+ gr\p %all-- 7i7 coord9ate1 & consult ) ! ,int]ag5cy ,c\ncil on ,/ati/ical ,policy e/abli%$ "u section #cejd ( title #dd1 ,unit$ ,/ates ,code1 & any o!r relevant int]ag5cy or intra-ag5cy committee2 7ii7 include recomm5dations =-- 7,i7 effici5cies to r$uce r$undancy & ! public report+ burd5 9 ,f$]al heal? data report+ requirem5ts & data collections2 & 7,,ii7 me?ods to facilitate evid5ce-build+ ?r\gh /&>diz$ local & ,/ate report+ & cross-ag5cy1 l9kable data %>+ betwe5 & among local1 ,/ate1 & ,f$]al ag5cies to collect1 acquire1 & compile complete /ati/ics2 & 7iii7 build on exi/+ ef=ts ( public multi/akehold] initiatives seek+ to /&>dize key data elem5ts necess>y = docum5t+ cl9ical & o!r activities relat$ to ! social det]m9ants ( heal? 9 ord] to improve int]op]ability1 ex*ange1 & use ( social det]m9ants ( heal? data across ! heal? & human s]vices sectors4 7,c7 ,additional consultation ,! work+ gr\p may consult ) outside exp]ts1 includ+ ,/ate1 local1 ,tribal1 & t]ritorial public heal? (ficials1 public heal? rese>*]s1 & heal? c>e provid]s repres5t+ communities mo/ affect$ by heal? disp>ities4 7,d7 ,tim+ ,n lat] ?an #f mon?s aft] ! date ( enactm5t ( ?is subtitle1 ! work+ gr\p %all provide initial recomm5dations "u subsection 7a7 to ! ,secret>y & ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 7,e7 ,composition 7i7 ,9 g5]al ,! work+ gr\p %all1 at a m9imum1 include repres5tation f-- 7,i7 all relevant ,dep>tm5t ( ,heal? & ,human ,s]vices units1 includ+-- 7aa7 ! ,national ,c5t] = ,heal? ,/ati/ics2 7bb7 ! ,c5t]s = ,disease ,control & ,prev5tion2 7cc7 ! ,(fice ( ! ,*ief ,te*nology ,(fic] 9 ! ,(fice ( ! ,secret>y2 7dd7 ! ,(fice ( ! ,national ,coord9ator = ,heal? ,in=mation ,te*nology2 & 7ee7 ! ,heal? & ,human ,s]vices ,data ,c\ncil2 7,,ii7 ! ,(fice ( ,in=mation & ,regulatory ,affairs ( ! ,(fice ( ,managem5t & ,budget2 7,,iii7 ! ,national ,in/itute ( ,/&>ds & ,te*nology2 7,,iv7 ! ,vet]ans ,heal? ,adm9i/ration2 7,v7 ! ,milit>y ,heal? ,sy/em2 & 7,,vi7 ! ,indian ,heal? ,s]vice4 7ii7 ,*air ,! *air ( ! work+ gr\p %all be ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics 7or ! ,director's designee74 7b7 ,increas+ effici5cy & advanc+ evid5ce build+ ,consi/5t ) ! /&>ds 9 effect "u subsection 7a71 ! ,*ief ,/ati/ician ( ! ,unit$ ,/ates 9 ! ,(fice ( ,managem5t & ,budget1 9 accordance ) section #cejd7;e7 ( title #dd1 ,unit$ ,/ates ,code1 %all issue & update on an ongo+ basis z ne$$1 directives guid+ ,f$]al heal? data in=mation collection to r$uce public report+ burd51 ensure in=mation quality1 improve use ( det]m9ants ( heal? data1 & enhance access to heal? data = evid5ce-build+ activities4 7c7 ,,covid-#ai high-,priority /&>ds ,n lat] ?an #cj days aft] ! date ( enactm5t ( ?is subtitle1 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 & 9 consultation ) ! ,director ( ! ,national ,in/itutes ( ,heal?1 %all-- 7#a7 e/abli% /&>ds "u subsection 7a7 ) respect to ,,covid-#ai1 includ+ = !rapeutic int]v5tions1 treatm5t sett+s1 & associat$ outcomes2 & 7#b7 9 c>ry+ out p>agraph 7#a71 adopt or build ^u exi/+ /&>ds4 7d7 ,%>+ data relat$ to ,,covid-#ai ,subject to applicable law on ! privacy & confid5tiality ( individually id5tifiable in=mation1 ! ,secret>y %all-- 7#a7 %>e up-to-date data relat$ to ,,covid-#ai data collect$ by ! ,dep>tm5t ( ,heal? & ,human ,s]vices )-- 7,a7 ! ,c5t]s = ,disease ,control & ,prev5tion2 & 7,b7 ,f$]al1 ,/ate1 & local public heal? ag5cies outside ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7#b7 make su* data 7includ+ metadata z def9$ 9 section #cejb ( title #dd1 ,unit$ ,/ates ,code7 publicly available us+ /&>diz$1 ma*9e-readable =mats-- 7,a7 on ! website ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices2 & 7,b7 9 ! ,f$]al data catalogue ma9ta9$ "u section #ceaa7;c7 ( title #dd1 ,unit$ ,/ates ,code4 #caab4 ,epidemiological surveillance grants 7a7 ,grant au?ority ,! ,secret>y1 9 consultation ) ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics1 may aw>d grants or coop]ative agreem5ts to public heal? report+ entities-- 7#a7 to e/abli% protocols & acquire te*nologies to implem5t ! /&>ds "u section #caaa = report+1 directly or indirectly1 to ! ,f$]al ,gov]nm5t1 includ+ by-- 7,a7 support+ expansion & mod]nization ( electronic case report+1 laboratory report+1 & mortality report+2 7,b7 mak+ data %>+ ) ! ,national ,c5t] = ,heal? ,/ati/ics bidirectional2 7,c7 improv+ int]op]ability /&>ds & implem5tation specifications = indu/ry use to fulfill specific cl9ical heal? in=mation te*nology int]op]ability ne$s2 7,d7 develop+ & implem5t+ protections requir$ by subsection 7b72 & 7,e7 conduct+ real-_w te/+ ( data %>+ to ensure viability1 scalability1 & adaptability ( data collection & report+ activities2 & 7#b7 to c>ry out su* report+ us+ su* protocols & te*nologies4 7b7 ,adoption ( /&>ds & data protections ,! ,secret>y may n aw>d a grant or coop]ative agreem5t "u subsection 7a7 unless ! applicant develops an implem5tation plan to develop & implem5t policies1 practices1 proc$ures1 & controls relat$ to-- 7#a7 improv+ data quality & report+ timel9ess2 7#b7 data security1 9 accordance ) ! mo/ rec5t v]sions ( ! ,cyb]security ,framework & ,privacy ,framework 7or successor frameworks7 ( ! ,national ,in/itute ( ,/&>ds & ,te*nology2 & 7#c7 confid5tiality & privacy ( any in=mation t p]ta9s to an individual & f :i*1 ei!r alone or 9 comb9ation ) o!r reasonably available in=mation1 ! individual's id5tity c be det]m9$1 includ+ policies1 practices1 proc$ures1 & controls =-- 7,a7 m9imiz+ collection1 process+1 ma9t5ance1 ret5tion1 & disclosure ( su* in=mation to :at is necess>y1 proportionate1 & limit$ = a good fai? public heal? purpose t is cle>ly describ$ & limit$ 9 an agreem5t betwe5 ! ,f$]al ,gov]nm5t & ! recipi5t2 7,b7 prohibit+ disclosure ( su* in=mation to p]sons1 includ+ gov]nm5t entities1 abs5t legal safegu>ds includ$ 9 ,f$]al or ,/ate laws or regulations1 = protect+ ! security & privacy ( su* in=mation2 & 7,c7 mak+ ! data available to ! ,national ,c5t] = ,heal? ,/ati/ics = /ati/ical purposes "u sub*apt] ,,iii ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code4 7c7 ,,covid-#ai report+ ,! ,secret>y may n aw>d a grant or coop]ative agreem5t "u subsection 7a7 unless ! applicant agrees-- 7#a7 to use ! grant = activities "u subsection 7a7 ) respect to ,,covid-#ai1 includ+ ) respect to-- 7,a7 te/+ results data2 7,b7 te/+ results turn>\nd "t2 7,c7 hospitalization & int5sive c>e unit data2 7,d7 new infections among heal? c>e work]s2 7,e7 new cases among qu>ant9$ contacts2 & 7,f7 long-t]m c>e facilities1 prisons1 & o!r congregate sett+s2 & 7#b7 9 c>ry+ out su* activities1 to disaggregate data by age1 sex1 race1 e?nicity1 & ,,zip ,code1 z appropriate & to ! ext5t possible4 7d7 ,application ,a public heal? report+ entity 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 7e7 ,def9ition ,9 ?is section1 ! t]m public heal? report+ entity means any entity t reports data to ! ,c5t]s = ,disease ,control & ,prev5tion or ano!r public heal? au?ority1 includ+ a ,/ate or local public heal? dep>tm5t1 a public heal? laboratory1 & a heal? c>e provid]4 #caac4 ,evid5ce-build+ demon/ration program 7a7 ,9 g5]al ,! ,secret>y act+ ?r\gh ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics 79 ?is section ref]r$ to z ! ,secret>y7 %all exp& ! data l9kage program ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices consi/+ ( ,f$]al /ati/ical & programmatic datasets f specifi$ ,f$]al entities1 z au?oriz$ by sub*apt] ,,iii ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 = ! purpose ( facilitat+ /ati/ical public heal? rese>* on tr5ds & patt]ns across specifically def9$1 /ati/ically relevant populations1 ) a p>ticul> focus on l9k+ social det]m9ants ( heal? data1 includ+ ) respect to-- 7#a7 food insecurity2 7#b7 h\s+ in/ability2 7#c7 transportation access2 7#d7 safety2 7#e7 social connection & isolation2 7#f7 f9ancial res\rce /ra92 & 7#g7 /ress4 7b7 ,activities ,! activities ( ! demon/ration program "u ?is section %all include3 7#a7 ,assess+ ! availability ( id5tifi$ & deid5tifi$ data sets held by ,f$]al1 ,/ate1 local1 & non-,f$]al entities t may be useful = rese>* describ$ 9 subsection 7a74 7#b7 ,us+ exi/+ au?orities & l9kages ( data 9 accordance ) sub*apt] ,,iii ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code1 :5 relevant to reque/ ! submission ( datasets to ! ,national ,c5t] = ,heal? ,/ati/ics = l9k+4 7c7 ,limitation ,! ,secret>y %all limit access to data "u ! demon/ration program "u ?is section-- 7#a7 to ,f$]al /ati/ical ag5cies & qualifi$ public & private rese>*]s1 z det]m9$ by ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics2 7#b7 = a p]iod to be specifi$ by ! ,secret>y2 & 7#c7 exclusively = ! purpose describ$ 9 subsection 7a74 7d7 ,process = mak+ data available 7#a7 ,9 g5]al ,consi/5t ) p>agraph 7#b71 ! ,secret>y %all e/abli% a rigor\s process = mak+ data available & usable pursuant to ! demon/ration program "u ?is section4 7#b7 ,requirem5ts ,be=e any data is made available pursuant to ! demon/ration program "u ?is section by an entity describ$ 9 subsection 7b77#a7 to ano!r entity describ$ 9 subsection 7b77#a7-- 7,a7 ! receiv+ entity %all submit to ! ,director ( ! ,national ,c5t] = ,heal? ,/ati/ics an application = data = ! purpose describ$ 9 subsection 7a72 & 7,b7 ! ,director %all approve or d5y su* reque/ 9 writ+1 includ+ 9 ! case ( a d5ial an explanation ( ! reasons = ! d5ial4 7e7 ,rulemak+ 7#a7 ,no delay on implem5tation ,! ,secret>y-- 7,a7 %all beg9 implem5tation ( ! demon/ration program "u ?is section ^u ! date ( enactm5t ( ?is subtitle2 & 7,b7 %all n delay su* implem5tation = purposes ( promulgat+ ! regulations requir$ by p>agraph 7#b74 7#b7 ,promulgation ,! ,secret>y %all-- 7,a7 issue regulations = c>ry+ out ?is section2 & 7,b7 specify 9 su* regulations ! all[$ & disall[$ purposes = %>+ & l9k+ data ?r\gh ! program1 includ+ areas ( pot5tial rese>*4 7f7 ,website ,! ,secret>y %all ma9ta9 a publicly accessible website-- 7#a7 provid+ in=mation ab\t demon/ration program "u ?is section2 7#b7 facilitat+ /akehold] p>ticipation 9 su* demon/ration program2 7#c7 facilitat+ ov]sight ( su* demon/ration program2 7#d7 provid+ li/s ( datasets f ,f$]al & nonf$]al entities2 7#e7 provid+ li/s ( id5tifi$ & deid5tifi$ datasets2 7#f7 id5tify+ l9k$ datasets2 7#g7 del9eat+ a process to protect privacy & confid5tiality2 7#h7 id5tify+ s\rces ( ! datasets2 & 7#i7 del9eat+ categories ( p]sonal data4 7g7 ,program requirem5ts ,! demon/ration program "u ?is section %all be design$ to-- 7#a7 support data mat*+ s]vices = ag5cies & rese>*]s us+ ! ,national ,dea? ,index2 & 7#b7 facilitate collaboration ) ,/ates & private entities to exam9e1 update1 & mod]nize ! fee /ructure ( ! ,national ,dea? ,index to support a broad range ( data qu]ies4 7h7 ,contract$ entities 7#a7 ,9 g5]al ,subject to ! availability ( appropriations1 ! ,secret>y may ent] into contracts ) eligible entities1 z appropriate1 = infra/ructure & support s]vices 9 c>ry+ out ! demon/ration program "u ?is section4 7#b7 ,eligibility ,to be eligible = a contract "u p>agraph 7#a71 an entity %all-- 7,a7 demon/rate core capabilities = data %>+1 data l9kage1 & compliance ) sub*apt] ,,iii ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code2 & 7,b7 adh]e to security /&>ds 9 accordance ) ! ,f$]al ,risk & ,au?orization ,managem5t ,program 7or any successor program74 7i7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to au?orize ! availability or use ( data =-- 7#a7 law en=cem5t2 or 7#b7 any det]m9ation ( ! eligibility ( an individual = any direct or indirect paym5t1 b5efit1 or s]vice4 7j7 ,report to ,congress ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & annually !reaft]1 ! ,secret>y %all submit a report to ! ,congress on ! implem5tation ( ?is section1 includ+-- 7#a7 id5tification ( be/ ,/ates practices =-- 7,a7 %>+ data )1 & report+ data to1 ! ,national ,dea? ,index2 & 7,b7 ensur+ ! quality ( su* data2 & 7#b7 recomm5dations to improve-- 7,a7 su* %>+ & report+2 & 7,b7 access to ! ,national ,dea? ,index by rese>*]s4 #caad4 ,build+ /ati/ical public heal? rese>* capacity 7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all provide f9ancial assi/ance to rese>* entities & public heal? dep>tm5ts to e/abli%1 exp&1 or enhance capacity = conduct+ /ati/ical public heal? rese>*-- 7#a7 9 connection ) ! programs & activities "u ?is subtitle2 & 7#b7 9 accordance ) sub*apt] ,,iii ( *apt] #ce ( title #dd1 ,unit$ ,/ates ,code4 7b7 ,capacity = %>+ & l9k+ ,! capacity ref]r$ to 9 subsection 7a7 may include %>+ & l9k+ in=mation & access+ & utiliz+ l9k$ heal? data files 9 accordance ) e/abli%$ data use agreem5ts ) data hold]s 7includ+ electronic case report+1 electronic heal? records1 & electronic te/ ord]s & results7 ) public heal? ag5cies & relat$ sy/ems1 includ+ ! ,national ,dea? ,index1 immunization in=mation sy/ems1 syndromic surveillance sy/ems1 laboratory in=mation managem5t sy/ems1 electronic case report+ sy/ems1 m$ical exam9] case managem5t sy/ems1 & ,pati5t ,unifi$ ,look-up ,sy/ems = ,em]g5cies4 #caae4 ,rule ( con/ruction ,no?+ 9 ?is subtitle %all be con/ru$ to sup]s$e ! au?ority ( ! ,director ( ! ,(fice ( ,managem5t & ,budget "u title #dd1 ,unit$ ,/ates ,code1 to det]m9e & issue relevant /&>ds = in=mation managem5t4 #caaf4 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$-- 7#a7 to c>ry out ?is subtitle 7o!r ?an section #caac71 #dej1jjj1jjj1 to rema9 available until exp5d$2 & 7#b7 to c>ry out section #caac1 #ajj1jjj1jjj = ! p]iod ( fiscal ye>s #bjbj ?r\gh #bjbe4 4