,,ib ,union ,calendar ,no4 #abh #aagth ,,congress #ast ,session ,h4 ,r4 #eej ,report ,no4 #aag-agh ,,in ,,the ,,house ,,of ,,representatives ,january #bh1 #bjba ,ms4 ,kuster 7for herself and ,mr4 ,bucshon7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,november #cj1 #bjba ,additional sponsors3 ,mr4 ,baird1 ,ms4 ,williams of ,georgia1 ,mrs4 ,demings1 ,ms4 ,lois ,frankel of ,florida1 ,mr4 ,bera1 ,ms4 ,underwood1 ,mr4 ,levin of ,california1 ,ms4 ,sewell1 ,ms4 ,schrier1 ,mr4 ,mc,kinley1 ,mr4 ,fitzpatrick1 ,mr4 ,ruiz1 and ,ms4 ,castor of ,florida ,november #cj1 #bjba ,reported with an amendment2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed ,strike out all after the enacting clause and insert the part printed in italic ,for text of introduced bill1 see copy of bill as introduced on ,january #bh1 #bjba ,a ,,bill ,to amend the ,public ,health ,service ,act with respect to immunization system data modernization and expansion1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,immunization ,infrastructure ,modernization ,act of #bjba4 #b4 ,immunization information system data modernization and expansion ,subtitle ,c of title ,,xxviii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#ca et seq47 is amended by adding at the end the following3 #bhbd4 ,immunization information system data modernization and expansion 7a7 ,expanding ,,cdc and public health department capabilities 7#a7 ,in general ,the ,secretary shall-- 7,a7 conduct activities 7including with respect to interoperability1 population reporting1 and bidirectional reporting7 to expand1 enhance1 and improve immunization information systems that are administered by health departments or other agencies of ,state1 local1 ,tribal1 and territorial governments and used by health care providers2 and 7,b7 award grants or cooperative agreements to the health departments1 or such other governmental entities as administer immunization information systems1 of ,state1 local1 ,tribal1 and territorial governments1 for the expansion1 enhancement1 and improvement of immunization information systems to assist public health departments in-- 7i7 assessing current data infrastructure capabilities and gaps among health care providers to improve and increase consistency in patient matching1 data collection1 reporting1 bidirectional exchange1 and analysis of immunization-related information2 7ii7 providing for technical assistance and the efficient enrollment and training of health care providers1 including at pharmacies and other settings where immunizations are being provided1 such as long-term care facilities1 specialty health care providers1 community health centers1 ,federally qualified health centers1 rural health centers1 organizations serving adults #fe and older1 and organizations serving homeless and incarcerated populations2 7iii7 improving secure data collection1 transmission1 bidirectional exchange1 maintenance1 and analysis of immunization information2 7iv7 improving the secure bidirectional exchange of immunization record data among ,federal1 ,state1 local1 ,tribal1 and territorial governmental entities and non-governmental entities1 including by-- 7,i7 improving such exchange among public health officials in multiple jurisdictions within a ,state1 as appropriate2 and 7,,ii7 by simplifying and supporting electronic reporting by any health care provider2 7v7 supporting the standardization of immunization information systems to accelerate interoperability with health information technology1 including with health information technology certified under section #cjja7;c77#e7 or with health information networks2 7vi7 supporting adoption of the immunization information system functional standards of the ,centers for ,disease ,control and ,prevention and the maintenance of security standards to protect individually identifiable health information2 7vii7 supporting and training immunization information system1 data science1 and informatics personnel2 7viii7 supporting real-time immunization record data exchange and reporting1 to support rapid identification of immunization coverage gaps2 7ix7 improving completeness of data by facilitating the capability of immunization information systems to exchange data1 directly or indirectly1 with immunization information systems in other jurisdictions2 7x7 enhancing the capabilities of immunization information systems to evaluate1 forecast1 and operationalize clinical decision support tools in alignment with the recommendations of the ,advisory ,committee on ,immunization ,practices as approved by the ,director of the ,centers for ,disease ,control and ,prevention2 7xi7 supporting the development and implementation of policies that facilitate complete population-level capture1 consolidation1 and access to accurate immunization information2 7xii7 supporting the procurement and implementation of updated software1 hardware1 and cloud storage to adequately manage information volume and capabilities2 7xiii7 supporting expansion of capabilities within immunization information systems for outbreak response2 7xiv7 supporting activities within the applicable jurisdiction related to the management1 distribution1 and storage of vaccine doses and ancillary supplies2 7xv7 developing information related to the use and importance of immunization record data and disseminating such information to health care providers and other persons authorized under ,state law to access such information1 including payors and health care facilities2 or 7xvi7 supporting activities to improve the scheduling and administration of vaccinations4 7#b7 ,data standards ,in carrying out paragraph 7#a71 the ,secretary shall-- 7,a7 designate data and technology standards that must be followed by governmental entities with respect to use of immunization information systems as a condition of receiving an award under this section1 with priority given to standards developed by-- 7i7 consensus-based organizations with input from the public2 and 7ii7 voluntary consensus-based standards bodies2 and 7,b7 support a means of independent verification of the standards used in carrying out paragraph 7#a74 7#c7 ,public-private partnerships ,in carrying out paragraph 7#a71 the ,secretary may develop and utilize contracts and cooperative agreements for technical assistance1 training1 and related implementation support4 7b7 ,requirements 7#a7 ,health information technology standards ,the ,secretary may not award a grant or cooperative agreement under subsection 7a77#a77;,b7 unless the applicant uses and agrees to use standards adopted by the ,secretary under section #cjjd4 7#b7 ,waiver ,the ,secretary may waive the requirement under paragraph 7#a7 with respect to an applicant if the ,secretary determines that the activities under subsection 7a77#a77;,b7 cannot otherwise be carried out within the applicable jurisdiction4 7#c7 ,application ,a ,state1 local1 ,tribal1 or territorial health department applying for a grant or cooperative agreement under subsection 7a77#a77;,b7 shall submit an application to the ,secretary at such time and in such manner as the ,secretary may require4 ,such application shall include information describing-- 7,a7 the activities that will be supported by the grant or cooperative agreement2 and 7,b7 how the modernization of the immunization information systems involved will support or impact the public health infrastructure of the health department1 including a description of remaining gaps1 if any1 and the actions needed to address such gaps4 7c7 ,strategy and implementation plan ,not later than #ij days after the date of enactment of this section1 the ,secretary shall submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate a coordinated strategy and an accompanying implementation plan that identifies and demonstrates the measures the ,secretary will utilize to-- 7#a7 update and improve immunization information systems supported by the ,centers for ,disease ,control and ,prevention2 and 7#b7 carry out the activities described in this section to support the expansion1 enhancement1 and improvement of ,state1 local1 ,tribal1 and territorial immunization information systems4 7d7 ,consultation2 technical assistance 7#a7 ,consultation ,in developing the strategy and implementation plan under subsection 7c71 the ,secretary shall consult with-- 7,a7 health departments1 or such other governmental entities as administer immunization information systems1 of ,state1 local1 ,tribal1 and territorial governments2 7,b7 professional medical1 associations1 public health associations1 and associations representing pharmacists and pharmacies2 7,c7 community health centers1 long-term care facilities1 and other appropriate entities that provide immunizations2 7,d7 health information technology experts2 and 7,e7 other public or private entities1 as appropriate4 7#b7 ,technical assistance ,in connection with consultation under paragraph 7#a71 the ,secretary may-- 7,a7 provide technical assistance1 certification1 and training related to the exchange of information by immunization information systems used by health care and public health entities at the local1 ,state1 ,federal1 ,tribal1 and territorial levels2 and 7,b7 develop and utilize public-private partnerships for implementation support applicable to this section4 7e7 ,report to ,congress ,not later than #a year after the date of enactment of this section1 the ,secretary shall submit a report to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives that includes-- 7#a7 a description of any barriers to-- 7,a7 public health authorities implementing interoperable immunization information systems2 7,b7 the exchange of information pursuant to immunization records2 or 7,c7 reporting by any health care professional authorized under ,state law1 using such immunization information systems1 as appropriate1 and pursuant to ,state law2 or 7#b7 a description of barriers that hinder the effective establishment of a network to support immunization reporting and monitoring1 including a list of recommendations to address such barriers2 and 7#c7 an assessment of immunization coverage and access to immunizations services and any disparities and gaps in such coverage and access for medically underserved1 rural1 and frontier areas4 7f7 ,definition ,in this section1 the term immunization information system means a confidential1 population-based1 computerized database that records immunization doses administered by any health care provider to persons within the geographic area covered by that database4 7g7 ,authorization of appropriations ,to carry out this section1 there is authorized to be appropriated #djj1jjj1jjj1 to remain available until expended4 4 ,november #cj1 #bjba ,reported with an amendment2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed