,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #ifdd  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,decemb] #ba1         
#bjbb,mr4 ,bey] introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on ,en]gy 
& ,comm]ce1 & 9 addition to !           
,committees on ,ways & ,means1 ,ov]sight
 & ,re=m1 ,education & ,labor1 & ,arm$  
,s]vices1 = 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 require ! ,secret>y (      
,heal? & ,human ,s]vices to aw>d a      
contract to an eligible nonpr(it entity 
to e/abli% & ma9ta9 a heal? c>e claims  
database = purposes ( l[]+ ,am]icans'   
heal? c>e co/s1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,national ,all-,pay] ,claims ,database  
,act ( #bjbb4  #b4 ,e/abli%m5t &        
ma9t5ance ( heal? c>e claims database to
 l[] heal? c>e co/s  7a7 ,9 g5]al ,n    
lat] ?an ! date t is #ahj days aft] !   
date ( ! enactm5t ( ?is ,act1 !         

,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y71
 act+ ?r\gh ! ,director ( ! ,ag5cy =    
,heal?c>e ,rese>* & ,quality & 9        
consultation ) ! ,secret>y ( ,labor & ! 
,assi/ant ,secret>y = ,plann+ & ,labor (
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1
 %all aw>d a contract 9 accordance )    
subsection 7b7 to an eligible nonpr(it  
entity describ$ 9 su* subsection =      
purposes ( c>ry+ out ! requirem5ts ( su*
 entity "u ?is section4  7b7 ,contract )
 eligible nonpr(it entity  7#a7         
,competitive proc$ures ,! ,secret>y %all
 aw>d ! contract describ$ 9 subsection  
7a7 to an eligible nonpr(it entity      
describ$ 9 p>agraph 7#b7 us+ full & op5 
competition proc$ures pursuant to *apt] 
#cc ( title #da1 ,unit$ ,/ates ,code4   
7#b7 ,eligible nonpr(it entity ,an      
eligible nonpr(it entity describ$ 9 ?is 
p>agraph is a nonpr(it entity t-- 7,a7  
is gov]n$ by a bo>d t includes-- 7i7    
repres5tatives ( ! academic rese>*      
community2 &  7ii7 individuals )        

exp]tise 9 public & employ]-sponsor$    
insurance1 rese>* us+ heal? c>e claims  
data1 & actu>ial analysis2 &  7,b7      
conducts its bus9ess 9 an op5 &         
transp>5t mann] t provides ! opportunity
 = public comm5t on its activities4     
7#c7 ,consid]ations ,9 aw>d+ a contract 
to an eligible nonpr(it entity "u ?is   
section1 ! ,secret>y %all consid] !     
exp]i5ce ( ea* eligible nonpr(it entity 
9-- 7,a7 collect+ & aggregat+ heal? c>e 
claims data & ensur+ quality assurance &
 privacy & security ( su* claims data2  
7,b7 support+ academic1 private1 &      
pur*as] rese>* on heal? c>e co/s1 sp5d+1
 & utilization = & by privately or      
publicly insur$ pati5ts2  7,c7 work+ )  
l>ge heal? insurance issu]s1 gr\p heal? 
plans1 & ?ird-p>ty adm9i/rators ( gr\p  
heal? plans to assemble a heal? c>e     
claims database2  7,d7 effectively      
collaborat+ ) & engag+ /akehold]s to    
develop reports2  7,e7 meet+ budgets &  
timel9es1 includ+ ) respect to develop+ 
reports2 &  7,f7 facilitat+ ! creation  

(1 or support+1 ,/ate all-pay] claims   
databases4  7#d7 ,p]iod ( contract  7,a7
 ,9 g5]al ,a contract aw>d$ "u ?is      
section %all be = a p]iod ( #e ye>s 7or1
 9 ! case ( ! fir/ su* contract aw>d$ "u
 ?is section1 = a p]iod ( #aj ye>s7 &   
may be r5ew$1 subject to ! full & op5   
competition proc$ures describ$ 9        
p>agraph 7#a74  7,b7 ,transition (      
contract ,9 ! case t a contract is n    
r5ew$ = a subsequ5t #e-ye> p]iod "u     
subp>agraph 7,a7 aft] ! use ( ! full &  
op5 competition proc$ures describ$ 9    
p>agraph 7#a71 ! ,secret>y %all require 
! entity ^: contract is expir+ to       
transf] all data ma9ta9$ by ! heal? c>e 
claims database describ$ 9 p>agraph     
7#e77;,a7 to ! entity to :om ! ,secret>y
 has aw>d$ a contract = ! subsequ5t     
#e-ye> p]iod4 ,! entity ^: contract is  
expir+ may n disclose su* data to any   
o!r entity or keep su* data aft] !      
expiration ( su* contract4  7#e7        
,requirem5ts ( contract ,ea* contract   
aw>d$ "u ?is section %all require !     

entity aw>d$ su* contract to c>ry out   
ea* ( ! foll[+3 7,a7 ,e/abli% & ma9ta9 a
 heal? c>e claims database 9 accordance 
) ! requirem5ts ( ! ,,hipaa privacy     
regulation & o!r /&>ds prescrib$ by !   
advisory committee "u subsection 7e74   
7,b7 ,ensure t su* heal? c>e claims     
database makes available data submitt$  
"u subsection 7d7 9 accordance ) !      
requirem5ts ( subsection 7c74  7,c7 ,9 !
 case t ! contract is n r5ew$ aft] ! end
 ( ! #e-ye> p]iod ( ! contract1 c>ry out
 ! transf] ( data requir$ pursuant to   
p>agraph 7#d77;,b7 dur+ ! #ah-mon? p]iod
 end+ on ! day ( ! expiration ( su*     
contract 9 accordance ) a s*$ule &      
process det]m9$ by ! ,secret>y4  7,d7   
,comply ) ! ,,hipaa privacy regulation 9
 ! same mann] & to ! same ext5t z su*   
regulation applies to a cov]$ entity 7z 
def9$ pursuant to su* regulation74  7,e7
 ,/rictly limit /aff access to su* heal?
 c>e claims database to /aff )          
appropriate tra9+1 cle>ance1 & backgr\nd
 *ecks1 & require su* /aff to und]go    

regul> privacy & security tra9+4  7,f7  
,ma9ta9 effective security /&>ds =      
transf]r+ data f su* heal? c>e claims   
database & mak+ su* data available to   
all individuals & entities :o are       
au?oriz$ us]s pursuant to subsection    
7c77#b74  7,g7 ,adh]e to be/ security   
practices ) respect to ! managem5t & use
 ( su* data = heal? s]vices rese>*1 9   
accordance ) applicable ,f$]al privacy  
law4  7,h7 ,develop cross-,/ate &       
regional report+ us+ data submitt$ to   
su* database to support ,f$]al & ,/ate  
analyses ( heal? c>e access1            
utilization1 & co/s4  7,i7 ,develop     
da%bo>ds & o!r tools 9 su* database to  
all[ entities au?oriz$ to use su*       
database to view subsets ( nationally   
aggregat$ data4  7,j7 ,respond to ,/ate1
 ,f$]al1 & ,congressional reque/s relat+
 to data ma9ta9$ 9 su* database4  7,k7  
,e/abli% a committee t includes         
repres5tatives f ,f$]al & ,/ate         
gov]nm5ts & heal? c>e consum]s to ensure
 op]ations transp>5cy & acc\ntability = 

! actions ( ! entity4  7c7 ,availability
 ( data f heal? c>e claims database     
7#a7 ,9 g5]al ,subject to p>agraph 7#b71
 ! entity ma9ta9+ ! heal? c>e claims    
database describ$ 9 subsection          
7b77#e77;,a7 %all make available ! data 
submitt$ "u subsection 7d7 79 accordance
 ) privacy & security policies e/abli%$ 
by ! committee describ$ 9 subsection    
7b77#e77,k771 at co/ 7tak+ into acc\nt  
any co/ associat$ ) ! acquisition &     
process+ su* data & o!r adm9i/ration    
co/s ( ! entity7 or1 9 ! case ( a ,f$]al
 or ,/ate ag5cy or ,/ate all-pay] claims
 database %>+ data ) ! entity1 at no    
co/1 n lat] ?an #f mon?s aft] su* data  
is s submitt$-- 7,a7 to pati5ts2  7,b7  
to heal? c>e provid]s & hospitals2  7,c7
 to gr\p heal? plans & heal? insurance  
issu]s (f]+ individual or gr\p heal?    
insurance cov]age2  7,d7 to ,/ates2     
7,e7 to any ,/ate all-pay] claims       
database & regional heal? c>e claims    
database op]at$ pursuant to !           
au?orization ( ea* ,/ate cov]$ by su*   

regional heal? c>e claims database t    
%>es data ) ! entity2  7,f7 to any      
individual or entity conduct+ rese>*2   
7,g7 to ! ,secret>y ( ,def5se = purposes
 ( c>ry+ out ! ,,tric>e program "u *apt]
 #ee ( title #aj1 ,unit$ ,/ates ,code2  
7,h7 to ! ,secret>y ( ,vet]ans ,affairs 
= purposes ( c>ry+ out ! ,,va heal? c>e 
program2  7,i7 to ! ,director ( ! ,(fice
 ( ,p]sonnel ,managem5t = purposes (    
c>ry+ out ! ,f$]al ,employees ,heal?    
,b5efits ,program e/abli%$ "u *apt] #hi 
( title #e1 ,unit$ ,/ates ,code2 &  7,j7
 to ! ,director ( ! ,congressional      
,budget ,(fice1 ! ,comptroll] ,g5]al ( !
 ,unit$ ,/ates1 ! ,adm9i/rator ( !      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1 !  
,executive ,director ( ! ,m$ic>e ,paym5t
 ,advisory ,commission1 & ! ,executive  
,director ( ! ,m$icaid & ,,*ip ,paym5t  
,advisory ,commission4  7#b7            
,au?orization = access to data  7,a7 ,9 
g5]al ,! entity ma9ta9+ ! heal? c>e     
claims database describ$ 9 subsection   
7b77#e77;,a7 may only make available !  

data describ$ 9 p>agraph 7#a7 to an     
individual or entity describ$ 9 any (   
subp>agraphs 7,a7 ?r\gh 7,j7 ( su*      
p>agraph if su* individual or entity    
submits an application to su* entity    
reque/+ au?orization = access to su*    
database 9 accordance ) ?is p>agraph4   
7,b7 ,application ,an application "u ?is
 p>agraph %all be submitt$ at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require & %all include--  
7i7 9 ! case ( an individual or entity  
reque/+ access to ! heal? c>e claims    
database describ$ 9 subsection          
7b77#e77;,a7 = rese>* purposes-- 7,i7 a 
description ( ! uses & me?odologies =   
evaluat+ heal? sy/em p]=mance us+ ! data
 f su* database2 &  7,,ii7 docum5tation 
( approval ( su* rese>* purposes by an  
in/itutional review bo>d1 if applicable 
= a p>ticul> plan ( rese>*2 &  7ii7 9 ! 
case ( a gr\p heal? plan1 heal?         
insurance issu]1 ?ird-p>ty adm9i/rator (
 a gr\p heal? plan1 or heal? c>e provid]
 reque/+ access to su* heal? c>e claims 

database = ! purpose ( quality          
improvem5t or co/-conta9m5t1 a          
description ( ! int5d$ uses = ! data f  
su* database4  7,c7 ,data use &         
confid5tiality agreem5t ,^u approval (  
an application "u subp>agraph 7,b71 !   
au?oriz$ us] %all ent] into a data use &
 confid5tiality agreem5t ) ! entity t   
approv$ su* application1 :i* %all       
include a prohibition on attempts to    
reid5tify & disclose protect$ heal?     
in=mation & propriet>y f9ancial         
in=mation4 ,9 ! case ( an approval ( an 
application = quality improvem5t or     
co/-conta9m5t purposes "u subp>agraph   
7,b77ii71 access to data f ! heal? c>e  
claims database describ$ 9 subsection   
7b77#e77;,a7 %all be provid$ 9 a =m &   
mann] su* t ! au?oriz$ us] may n obta9  
individually id5tifiable price in=mation
 ) respect to direct competitors4  7#c7 
,availability ( reports & analyses bas$ 
on data  7,a7 ,9 g5]al ,subject to      
subp>agraph 7,b71 ! entity ma9ta9+ !    
heal? c>e claims database describ$ 9    

subsection 7b77#e77;,a71 9 accordance ) 
policies & proc$ures e/abli%$ by !      
committee describ$ 9 subsection         
7b77#e77,k71 %all make available reports
 or analyses bas$ on data f su*         
database1 includ+ aggregate data sets1  
free ( *>ge4 ,9 ! case ( any su* us] :o 
accesses su* data = rese>* purposes1 su*
 entity %all require su* us]1 z a       
condition ( access+ su* data1 t su* us] 
make any rese>* aris+ f su* data        
available on su* database free ( *>ge4  
7,b7 ,cu/omiz$ reports ,gr\p heal? plans
 & heal? c>e provid]s may reque/        
cu/omiz$ reports f ! entity ma9ta9+ !   
heal? c>e claims database describ$ 9    
subsection 7b77#e77;,a71 at co/1 b      
subject to ! requirem5ts ( ! ,,hipaa    
privacy regulation4  7d7 ,submission (  
data to heal? c>e claims database  7#a7 
,9 g5]al ,subject to p>agraphs 7#b7 &   
7#c71 a gr\p heal? plan 7?r\gh its      
sponsor1 ?ird-p>ty adm9i/rator1 ph>macy 
b5efit manag]1 or o!r entity designat$  
by ! gr\p heal? plan7 or a heal?        

insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all            
electronically submit to ! heal? c>e    
claims database ma9ta9$ "u ?is section  
all claims data 7includ+ claims )       
respect to treatm5t ( sub/ance use      
disord]s & prescription drug claims7 )  
respect to ! plan or gr\p or individual 
heal? insurance cov]age1 respectively4  
,! prec$+ s5t5ce %all n apply ) respect 
to claims data submitt$ to an all-pay]  
claims database e/abli%$ by a ,/ate if  
su* database %>es complete data ) !     
database ma9ta9$ "u ?is section4  7#b7  
,scope ( in=mation & =mat ( submission  
,! entity ma9ta9+ ! heal? c>e claims    
database "u ?is section1 9 consultation 
) & approval f ! committee conv5$ "u    
subsection 7e71 %all-- 7,a7 specify !   
data elem5ts requir$ to be submitt$ "u  
p>agraph 7#a7 7& update su* elem5ts z ! 
entity det]m9es necess>y on an annual   
basis71 :i* %all include all data relat$
 to transactions describ$ 9 subp>agraphs
 7,a7 & 7,e7 ( section #aagc7;a77#b7 ( !

 ,social ,security ,act 7#db ,u4,s4,c4  
#acbj;d-#b7;a77#b771 includ+ all data   
elem5ts normally pres5t 9 su*           
transactions :5 adjudicat$1 & enrollm5t 
in=mation2  7,b7 on an annual basis1    
specify ! =m & mann] = submissions "u   
?is subsection & ! hi/orical p]iod to be
 includ$ 9 ! initial submission2  7,c7  
review su* submissions = alignm5t )     
national data /&>ds1 int]nal consi/5cy1 
cohesiv5ess 7su* z cross-file l9kage71  
complet5ess1 quality assurance1         
accuracy1 & reasonabl5ess1 tak+ into    
acc\nt input f gr\p heal? plans & heal? 
insurance issu]s2  7,d7 (f] an automat$ 
submission option to m9imize            
adm9i/rative burd5s relat+ to !         
submission ( data "u ?is subsection2    
7,e7 develop a data collection /&>d =   
use by ,/ate all-pay] claims databases  
receiv+ ,f$]al funds pursuant to        
subsection 7h72  7,f7 curate & normalize
 cross-,/ate & cross-pay] data to       
support comp>ability & analytic use2 &  
7,g7 ensure t ,/ates submitt+ data to ! 

entity & us+ su* database h access to   
claims data f ,f$]al heal? c>e programs 
& self-insur$ gr\p heal? plans at times 
& 9 a mann] agre$ to by ! entity & !    
,/ates4  7#c7 ,de-id5tification ( data  
,! entity ma9ta9+ ! heal? c>e claims    
database "u ?is section1 9 consultation 
) ! committee conv5$ "u subsection 7e71 
%all-- 7,a7 e/abli% a process "u :i*    
data is de-id5tifi$ 9 accordance )      
section #afd4ead7;a7 ( title #de1 ,code 
( ,f$]al ,regulations 7or any successor 
regulations71 prior to release :ile     
reta9+ ! ability to l9k data            
longitud9ally = ! purposes ( rese>* on  
co/ & quality & ! ability to complete   
risk adju/m5t & geographic analysis2    
7,b7 ensure t any ?ird-p>ty             
subcontractors :o p]=m !                
de-id5tification process describ$ 9     
subp>agraph 7,a7 reta9 ! m9imum necess>y
 in=mation to p]=m su* process & adh]e  
to effective security & encryption      
practices 9 data /orage & transmission2 
7,c7 release claims & o!r data collect$ 

"u ?is subsection only 9 de-id5tifi$ =m1
 9 accordance ) section #afd4ead7;a7 (  
title #de1 ,code ( ,f$]al ,regulations  
7or any successor regulations71 unless  
o!rwise det]m9$ appropriate by !        
committee conv5$ "u subsection 7e72 &   
7,d7 ensure t data is encrypt$1 9       
accordance ) ! ,,hipaa privacy          
regulation4  7#d7 ,o!r data  7,a7       
,m$icaid & ,m$ic>e data ,! ,adm9i/rator 
( ! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices 
%all submit all heal? c>e claims data ) 
respect to ! ,m$ic>e program "u title   
,,xviii ( ! ,social ,security ,act 7#db 
,u4,s4,c4 #acie et seq471 includ+ claims
 data ) respect to items & s]vices      
furni%$ "u "p ,c or ,d ( su* title1 & ! 
,m$icaid program "u title ,,xix ( su*   
,act 7#db ,u4,s4,c4 #acif et seq47 9    
accordance ) scope1 =mat1 &             
de-id5tification requirem5ts applicable 
pursuant to p>agraphs 7#b7 & 7#c74  7,b7
 ,,tric>e ,! ,secret>y ( ,def5se %all   
submit all heal? c>e claims data )      
respect to ! ,,tric>e program "u *apt]  

#ee ( title #aj1 ,unit$ ,/ates ,code1 9 
accordance ) scope1 =mat1 &             
de-id5tification requirem5ts applicable 
pursuant to p>agraphs 7#b7 & 7#c74  7,c7
 ,,fehb ,! ,director ( ! ,(fice (       
,p]sonnel ,managem5t %all submit all    
heal? c>e claims data ) respect to !    
,f$]al ,employee ,heal? ,b5efits program
 9 accordance ) scope1 =mat1 &          
de-id5tification requirem5ts applicable 
pursuant to p>agraphs 7#b7 & 7#c74  7,d7
 ,/ate data ,! entity ma9ta9+ ! heal?   
c>e claims database "u ?is section may  
collect data f ,/ate all-pay] claims    
databases t seek access to su* heal? c>e
 claims database4 ,a ,/ate receiv+ funds
 "u subsection 7h7 may require heal?    
insurance issu]s & o!r pay]s to submit  
claims data 7includ+ data f self-insur$ 
gr\p heal? plans7 to a ,/ate-m&at$      
all-pay] claims database1 provid$ t su* 
data is submitt$ 9 accordance ) ! /&>d  
describ$ 9 p>agraph 7#a7 ( su*          
subsection4  7#e7 ,prohibition ,any     
individual or entity requir$ to submit  

data "u ?is subsection may n place any  
re/rictions on ! use ( su* data by      
au?oriz$ us]s "u subsection 7c77#b74    
7e7 ,gov]nance committee  7#a7 ,9 g5]al 
,n lat] ?an ! date t is #ahj days aft] !
 date ( ! enactm5t ( ?is ,act1 !        
,secret>y %all conv5e a gov]nance       
committee 7ref]r$ to 9 ?is subsection z 
! ,committee7 to advise ! ,secret>y1 any
 entity aw>d$ a contract "u subsection  
7b71 & ,congress on ! e/abli%m5t1       
op]ations1 & use ( ! heal? c>e claims   
database e/abli%$ & ma9ta9$ "u ?is      
section & o!r activities c>ri$ out by ! 
entity ) a contract 9 effect "u ?is     
section4  7#b7 ,memb]%ip  7,a7          
,appo9tm5t ,9 accordance ) clause 7ii71 
! ,secret>y1 9 consultation ) !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates1   
%all appo9t memb]s to ! ,committee :o h 
di/+ui%$ !mselves 9 ! fields ( heal?    
s]vices rese>*1 heal? economics1 heal?  
in=matics1 or ! gov]nance ( ,/ate       
all-pay] claims databases1 or :o        
repres5t organizations likely to submit 

data to or use ! heal? c>e claims       
database e/abli%$ & ma9ta9$ "u ?is      
section1 includ+ pati5ts4  7,b7         
,composition ,= purposes ( clause 7i7-- 
7i7 ! ,secret>y %all appo9t to !        
,committee-- 7,i7 "o memb] to s]ve z !  
*air ( ! ,committee1 :o may n be a      
repres5tatives ( ! ,f$]al ,gov]nm5t or  
any ,/ate gov]nm5t2  7,,ii7 "o          
repres5tative f ! ,assi/ant ,secret>y = 
,plann+ & ,evaluation ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices2  7,,iii7 "o   
repres5tative f ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices2  7,,iv7 "o           
repres5tative f ! ,ag5cy = ,heal?       
,rese>* & ,quality2  7,v7 "o            
repres5tative f ! ,(fice = ,civil       
,rights ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices ) exp]tise 9 data privacy &    
security2  7,,vi7 "o repres5tative f !  
,(fice ( ! ,national ,coord9ator =      
,heal? ,in=mation ,te*nology2  7,,vii7  
"o repres5tative ( ! ,national ,c5t] =  
,heal? ,/ati/ics2 &  7,,viii7 sev5      
repres5tatives f ,/ate all-pay] claims  

databases elect+ to submit data to !    
national database e/abli%$ by ! entity )
 a contract 9 effect "u ?is section2 &  
7ii7 ! ,comptroll] ,g5]al ( ! ,unit$    
,/ates %all appo9t to ! ,committee--    
7,i7 "o repres5tative f an employ] t    
sponsors a gr\p heal? plan2  7,,ii7 "o  
repres5tative f an employee organization
 t sponsors a gr\p heal? plan or heal?  
c>e pur*as] association2  7,,iii7 two   
rese>*]s ) exp]tise 9 heal? economics or
 heal? s]vices rese>*2  7,,iv7 two      
pati5t advocates2  7,v7 "o heal? data   
privacy & security exp]t2  7,,vi7 "o    
repres5tative ) exp]tise 9 ! gov]nance (
 ,/ate all-pay] claims databases2       
7,,vii7 "o repres5tative f ! ,employee  
,b5efits ,security ,adm9i/ration ( !    
,dep>tm5t ( ,labor2 &  7,,viii7 ?ree    
additional memb]s1 at ! discretion ( !  
,comptroll] ,g5]al4  7,c7 ,t]ms &       
vacancies ,memb]s ( ! ,committee %all   
s]ve ?ree-ye> t]ms on a /agg]$ basis4 ,a
 vacancy on ! ,committee %all be fill$  
by appo9tm5t 9 a mann] consi/5t ) !     

requirem5ts ( ?is subsection n lat] ?an 
#ij days aft] ! vacancy arises4  7#c7   
,duties ,! ,committee %all 7directly or 
?r\gh ! use ( contractors7-- 7,a7 assi/ 
& advise ! ,secret>y on ! aw>d+ &       
managem5t ( contracts aw>d$ "u          
subsection 7b72  7,b7 assi/ & advise    
entities aw>d$ su* contracts 9          
e/abli%+-- 7i7 ! appropriate uses ( data
 by all individuals & entities :o are   
au?oriz$ us]s pursuant to subsection    
7c77#b71 includ+ develop+ /&>ds = !     
approval ( applications submitt$        
pursuant to su* subsection2  7ii7 !     
appropriate =mats1 me?ods1 & ?re%olds = 
collect+ data "u ! national database2 & 
7iii7 ! appropriate =mats & me?ods =    
mak+ available to ! public reports &    
analyses bas$ on ! heal? c>e claims     
database ma9ta9$ "u ?is section2  7,c7  
conduct an annual review ( :e!r data f  
su* heal? c>e claims database 0 us$     
accord+ to ! appropriate uses describ$ 9
 subp>agraph 7,b77ii72  7,d7 report1 z  
appropriate1 to ! ,secret>y & ,congress 

on ! op]ations ( su* heal? c>e claims   
database & opportunities to bett] a*ieve
 ! objectives ( ?is section2  7,e7      
e/abli% additional re/rictions on       
rese>*]s :o receive comp5sation f       
entities specifi$ by ! ,committee 9 ord]
 to protect propriet>y f9ancial         
in=mation2  7,f7 e/abli% objectives =   
rese>* & public report+1 includ+ sett+  
/rategic1 report+1 & data release       
objectives & priorities1 & includ+      
advis+ on ! developm5t & implem5tation (
 a /rategic & op]at+ plan = ! entities  
aw>d$ contracts "u subsection 7b72  7,g7
 solicit & consid] public comm5ts 9     
und]tak+ any duty specifi$ 9 a prec$+   
subp>agraph2 &  7,h7 e/abli% m9imum     
,/ate heal? data collection1 ex*ange1   
use1 privacy1 security1 & release /&>ds 
= ,/ate all-pay] claims databases       
receiv+ ,f$]al funds "u subsection 7h74 
7f7 ,fund+ ,!re are appropriat$1 out (  
monies 9 ! ,treasury n o!rwise          
appropriat$1 #ej1jjj1jjj = ea* fiscal   
ye> 7beg9n+ ) fiscal ye> #bjbc71 = !    

implem5tation ( ! initial contract &    
e/abli%m5t ( ! database "u ?is section4 
7g7 ,annual report ,n lat] ?an #b ye>s  
aft] a contract is fir/ aw>d$ to an     
entity "u ?is section1 & ,may #a ( ea*  
ye> !reaft]1 ! entity ) a contract 9    
effect "u subsection 7b7 %all submit to 
,congress & ! ,secret>y1 & make publicly
 available on an int]net website1 a     
report conta9+ a description (-- 7#a7   
tr5ds 9 national & regional heal? s]vice
 prices1 cov]age & s]vice co/s1 access  
gaps1 behavioral & sub/ance use disord] 
treatm5t heal? ne$s1 teleheal? adoption1
 & heal? c>e utilization1 includ+ a     
geographic analysis ( diff]5ces 9 su*   
tr5ds2  7#b7 limitations 9 ! data set2  
7#c7 progress t[>ds ! objectives ( ?is  
section2  7#d7 ! p]=mance by ! entity ( 
! duties requir$ "u su* contract2 &     
7#e7 security me?ods employ$ by ! entity
 to protect data submitt$ to ! entity4  
7h7 ,grants to ,/ates  7#a7 ,9 g5]al ,! 
,secret>y may aw>d grants to ,/ates = ! 
purpose ( ma9ta9+1 e/abli%+1 or utiliz+ 

,/ate all-pay] claims databases t       
improve transp>5cy ( ! heal? c>e sy/em  
7includ+ by updat+ /&>ds or data        
submission requirem5ts7 or = ! purpose (
 exp&+ ! capacity ( an exi/+ ,/ate-all  
pay] claims database 7includ+           
integration ) o!r data res\rces74 ,a    
,/ate %all be eligible = a grant "u !   
prec$+ s5t5ce only if su* ,/ate agrees  
to report claims data collect$ "u su*   
,/ate all-pay] claims database to !     
national database e/abli%$ by ! entity )
 a contract 9 effect "u subsection 7b7 9
 a "t & mann] specifi$ by ! entity & to 
ensure t su* database complies ) ! /&>d 
describ$ 9 subsection 7d77#b77;,e74 ,no 
,/ate may receive an aggregate ( m ?an  
#aj1jjj1jjj ) respect to all grants     
aw>d$ to su* ,/ate "u ?is subsection1   
except t su* limit %all n apply to      
grants aw>d$ jo9tly to multiple ,/ates =
 ! purposes ( e/abli%+ regional all-pay]
 claims databases4  7#b7 ,"o-"t heal?   
data innovation grants ,! ,secret>y may 
aw>d ea* ,/ate a "o-"t heal? data       

innovation grant to all[ su* ,/ate to   
und]take activities relat+ to heal? data
 innovation t ! ,secret>y det]m9es to be
 ( pot5tial national int]e/4  7#c7      
,fund+ ,!re is au?oriz$ to be           
appropriat$ #dj1jjj1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbh = ! purpose (    
aw>d+ grants to ,/ates "u ?is           
subsection4 ,( am\nts appropriat$ "u !  
prec$+ s5t5ce1 n less ?an #aj p]c5t (   
su* am\nts %all be made available =     
grants describ$ 9 p>agraph 7#b74  7i7   
,exemption f public disclosure  7#a7 ,9 
g5]al ,data submitt$ to ! heal? c>e     
claims database "u subsection 7d7 %all n
 be consid]$ public records & %all be   
exempt f any ,f$]al law relat+ to public
 disclosure requirem5ts4  7#b7          
,re/rictions on uses = c]ta9 proce$+s   
,su* data may n be subject to discov]y  
or admission z public in=mation or      
evid5ce 9 judicial or adm9i/rative      
proce$+s )\t ! cons5t ( ! affect$       
p>ties4  7j7 ,def9itions ,9 ?is section3
 7#a7 ,,hipaa privacy regulation ,! t]m 

,,hipaa privacy regulation has ! mean+  
giv5 su* t]m 9 section #aahj7;b77#c7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acbj;d-#i7;b77#c774  7#b7 ,,phsa       
def9itions ,! t]ms gr\p heal? plan1 gr\p
 heal? insurance cov]age1 heal?         
insurance issu]1 & individual heal?     
insurance cov]age h ! mean+s giv5 su*   
t]ms 9 section #bgia ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#ia74  7#c7 ,protect$ heal?     
in=mation ,! t]m protect$ heal?         
in=mation has ! mean+ giv5 su* t]m 9    
section #afj4ajc ( title #de1 ,code (   
,f$]al ,regulations 7or any successor   
regulations74  7#d7 ,propriet>y f9ancial
 in=mation ,! t]m propriet>y f9ancial   
in=mation-- 7,a7 means data t w\ld      
disclose ! t]ms ( a specific contract   
betwe5 an individual heal? c>e provid]  
or facility & a specific gr\p heal?     
plan1 ,m$icaid manag$ c>e organization  
or o!r manag$ c>e entity1 or heal?      
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age2 &  7,b7 does n 

include any bill+ or paym5t in=mation f 
claims betwe5 su* a provid] or facility 
& su* a heal? plan1 manag$ c>e          
organization or o!r manag$ c>e entity1  
or heal? insurance issu]4  7k7 ,con=m+  
am5dm5ts  7#a7 ,,phsa ,subp>t ,,ii ( "p 
,a ( title ,,xxvii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa 
et seq47 is am5d$ by add+ at ! end !    
foll[+ new section3  #bgcj4 ,heal? c>e  
claims database report+ requirem5t ,a   
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all comply ) !       
provisions ( section #a7;d7 ( !         
,national ,all-,pay] ,claims ,database  
,act ( #bjbb4  4  7#b7 ,,erisa  7,a7 ,9 
g5]al ,subp>t ,b ( "p #g ( subtitle ,b (
 title ,i ( ! ,employee ,retirem5t      
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+ new section3     
#gaf4 ,heal? c>e claims database report+
 requirem5t ,a gr\p heal? plan & a heal?
 insurance issu] (f]+ gr\p heal?        

insurance cov]age %all comply ) !       
provisions ( section #a7;d7 ( !         
,national ,all-,pay] ,claims ,database  
,act ( #bjbb4  4  7,b7 ,cl]ical am5dm5t 
,! table ( cont5ts 9 section #a ( su*   
,act is am5d$ by ins]t+ aft] ! item     
relat+ to section #gae ! foll[+ new     
item3  ,sec4 #gaf4 ,heal? c>e claims    
database report+ requirem5t4  4  7#c7   
,,irc  7,a7 ,9 g5]al ,sub*apt] ,b (     
*apt] #ajj ( ! ,int]nal ,rev5ue ,code ( 
#aihf is am5d$ by add+ at ! end ! foll[+
 new section3  #ihaf4 ,heal? c>e claims 
database report+ requirem5t ,a gr\p     
heal? plan %all comply ) ! provisions ( 
section #a7;d7 ( ! ,national ,all-,pay] 
,claims ,database ,act ( #bjbb4  4  7,b7
 ,cl]ical am5dm5t ,! table ( sections = 
su* sub*apt] is am5d$ by add+ at ! end !
 foll[+ new item3  ,sec4 #ihaf4 ,heal?  
c>e claims database report+ requirem5t4 
4  #c4 ,/udy & reports by ,comptroll]   
,g5]al  7a7 ,/udy ,! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates %all conduct a /udy   
on-- 7#a7 ! p]=mance ( ea* entity aw>d$ 

a contract "u subsection 7b7 ( section  
#a2  7#b7 ! privacy & security ( any    
data submitt$ to su* entity "u          
subsection 7d7 ( su* section2  7#c7 !   
co/s incurr$ by su* entity 9 p]=m+      
duties "u su* a contract2  7#d7 any     
b>ri]s prev5t+ ,/ates f access+ heal?   
claims data f ,f$]al heal? c>e programs 
or self-insur$ gr\p heal? plans t is    
necess>y to effectively ov]see ,/ate    
m>kets2  7#e7 ! ext5t to :i* ! ,f$]al   
,gov]nm5t has access to heal? claims    
data2 &  7#f7 ! ext5t to :i* heal?      
claims data is effici5tly submitt$ to ! 
national database e/abli%$ by su* entity
 & effici5tly di/ribut$ by su* entity to
 au?oriz$ us]s ( su* database4  7b7     
,reports ,n lat] ?an two ye>s aft] !    
effective date ( ! fir/ contract aw>d$  
"u section #a7;b71 & aga9 n lat] ?an f\r
 ye>s aft] su* effective date1 !        
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress a report       
conta9+ ! results ( ! /udy conduct$ "u  
subsection 7a71 toge!r ) recomm5dations 

= su* legislation & adm9i/rative action 
z ! ,comptroll] ,g5]al det]m9es         
appropriate4