,,ii #aafth ,,congress #ast ,session ,s4 #acbc ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #f1 #bjai ,mr4 ,portman 7for himself and ,mr4 ,casey7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend titles ,,xviii and ,,xix of the ,social ,security ,act to collect information under ,medicare1 ,medicaid1 and the ,children's ,health ,insurance ,program related to social determinants of health1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,utilizing ,national ,data1 ,effectively ,reforming ,standards and ,tools1 to ,address ,negative ,determinates of ,health ,act or the ,,understand ,act4 #b4 ,collection of information related to social determinants of the health of ,medicare beneficiaries 7a7 ,reporting of information ,section #ahji of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;b-#aj7 is amended by adding at the end the following3 7d7 ,collection of information related to social determinants of health 7#a7 ,proposed rule 7,a7 ,in general ,not later than ,october #a1 #bjbj1 the ,secretary shall issue a proposed rule so as to allow for the collection of information related to social determinants that may factor into the health of beneficiaries under this title4 ,the proposed rule shall allow for the collection of such information from licensed health professionals 7as defined in section #ahai7;b77#e77;,g77 and community health workers 7as defined in section #baac7;f77#d774 7,b7 ,phased-in implementation2 public availability of information ,the ,secretary shall-- 7i7 phase-in implementation of the collection of information in accordance with subparagraph 7,a7 over a #c-year period1 in such manner as the ,secretary determines appropriate in order to minimize any adverse impact on the licensed health professionals providing such information2 and 7ii7 make such information collected available to the public and updated at least annually during the phase-in period4 7#b7 ,social determinants of health ,the information collected in accordance with paragraph 7#a7 shall include 7but is not limited to7 the following possible social determinants of health1 as identified in the ,,icd-#aj diagnostic codes ,z#ee through ,z#fe 7or any such successor diagnostic codes73 7,a7 ,problems related to education and literacy4 7,b7 ,employment and unemployment4 7,c7 ,occupations exposure risk factors4 7,d7 ,problems related to housing and economic circumstances4 7,e7 ,problems related to social environments4 7,f7 ,problems related to upbringing4 7,g7 ,problems related to family circumstances1 including primary support groups4 7,h7 ,psychosocial circumstances resulting from pregnancy4 7,i7 ,conviction in civil or criminal proceedings4 4 7b7 ,report on data analyses ,section #ahji7;b77#b7 of such ,act 7#db ,u4,s4,c4 #acie;b-#aj7;b77#b77 is amended-- 7#a7 by striking ,not later than and inserting the following3 7,a7 ,initial reports ,not later than 2 and 7#b7 by adding at the end the following3 7,b7 ,reports on collection of information related to social determinants of health ,not later than #e years after the date of the enactment of this subparagraph1 the ,secretary shall submit to ,congress a report that includes aggregate findings and trends across respective beneficiary populations for improving the identification of health care disparities for beneficiaries under this title based on analyses of the data collected under subsection 7d74 4 #c4 ,collection of information related to social determinants of the health of ,medicaid and ,,chip beneficiaries 7a7 ,reporting of information ,section #aidf of the ,social ,security ,act 7#db ,u4,s4,c4 #acifw-#e7 is amended by adding at the end the following3 7d7 ,collection of information related to social determinants of health 7#a7 ,development of model uniform reporting field 7,a7 ,in general ,not later than ,october #a1 #bjbj1 the ,secretary shall1 in consultation with the ,states1 develop and make available to the ,states a model uniform reporting field that ,states may use for purposes of reporting to the ,secretary through the ,transformed ,medicaid ,statistical ,information ,system 7,t-,,msis7 7or a successor system7 information related to social determinants that may factor into the health of beneficiaries under this title and beneficiaries under title ,,xxi and be collected from licensed health professionals 7as defined in section #aiai7;b77#e77;,g77 and community health workers 7as defined in section #baac7;f77#d774 7,b7 ,phased-in implementation2 public availability of information ,the ,secretary shall-- 7i7 phase-in implementation of the collection of information in accordance with subparagraph 7,a7 over a #c-year period1 in such manner as the ,secretary determines appropriate in order to minimize any adverse impact on the licensed health professionals and community health workers providing such information2 and 7ii7 make such information collected available to the public and updated at least annually during the phase-in period4 7#b7 ,social determinants of health ,the information collected in accordance with paragraph 7#a7 shall include 7but is not limited to7 the following possible social determinants of health1 as identified in the ,,icd-#aj diagnostic codes ,z#ee through ,z#fe 7or any such successor diagnostic codes73 7,a7 ,problems related to education and literacy4 7,b7 ,employment and unemployment4 7,c7 ,occupations exposure risk factors4 7,d7 ,problems related to housing and economic circumstances4 7,e7 ,problems related to social environments4 7,f7 ,problems related to upbringing and family circumstances including primary support groups4 7,g7 ,psychosocial circumstances resulting from pregnancy4 7,h7 ,conviction in civil or criminal proceedings4 4 7b7 ,report on data analyses ,section #aidf7;b77#b7 of such ,act 7#db ,u4,s4,c4 #acifw-#e7;b77#b77 is amended-- 7#a7 by striking ,not later than and inserting the following3 7,a7 ,initial reports ,not later than 2 and 7#b7 by adding at the end the following3 7,b7 ,reports on collection of information related to social determinants of health ,not later than #e years after the date of the enactment of this subparagraph1 the ,secretary shall submit to ,congress a report that includes aggregate findings and trends across respective beneficiary populations for improving the identification of health care disparities for beneficiaries under this title and beneficiaries under title ,,xxi based on analyses of the data collected under subsection 7d74 4 #d4 ,collection of information related to social determinants of the health of individuals receiving care through health centers ,part ,a of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bda et seq47 is amended by adding at the end the following3 #caj;,b4 ,collection of information related to social determinants of health 7a7 ,in general 7#a7 ,in general ,not later than ,october #a1 #bjbj1 the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 shall promulgate regulations to allow for the collection of information related to social determinants that may factor into the health of individuals receiving services at federally qualified health centers 7as defined in section #ahfa7;aa77#d7 of the ,social ,security ,act74 ,such regulations shall allow for the collection of such information from licensed health professionals 7as defined in section #aiai7;b77#e77;,g7 of the ,social ,security ,act7 and community health workers 7as defined in section #baac7;f77#d7 of the ,social ,security ,act7 providing services at such health centers4 7#b7 ,phased-in implementation2 public availability of information ,the ,secretary shall-- 7,a7 phase-in implementation of the collection of information in accordance with paragraph 7#a7 over a #c-year period1 in such manner as the ,secretary determines appropriate in order to minimize any adverse impact on the licensed health professionals and community health workers providing such information2 and 7,b7 make such information collected available to the public and updated at least annually during the phase-in period4 7b7 ,social determinants of health ,the information collected in accordance with subsection 7a7 shall include 7but is not limited to7 the following possible social determinants of health1 as identified in the ,,icd-#aj diagnostic codes ,z#ee through ,z#fe 7or any such successor diagnostic codes73 7#a7 ,problems related to education and literacy4 7#b7 ,employment and unemployment4 7#c7 ,occupations exposure risk factors4 7#d7 ,problems related to housing and economic circumstances4 7#e7 ,problems related to social environments4 7#f7 ,problems related to upbringing4 7#g7 ,problems related to family circumstances1 including primary support groups4 7#h7 ,psychosocial circumstances resulting from pregnancy4 7#i7 ,conviction in civil or criminal proceedings4 7c7 ,reports on collection of information related to social determinants of health ,not later than #e years after the date of the enactment of this section1 the ,secretary shall submit to ,congress a report that includes aggregate findings and trends across respective patient populations for improving the identification of health care disparities for individuals receiving health services at federally qualified health centers based on analyses of the data collected under subsection 7a74 4