,,ii  #aag? ,,congress  #b;d ,session   
,s4 #ciac  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #bd1 #bjbb,mr4    
,ka9e 7= himself1 ,ms4 ,baldw91 ,ms4    
,smi?1 & ,mr4 ,murphy7 introduc$ !      
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act ) respect 
to public heal? data accessibility1 & = 
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,improv+ ,data         
,accessibility ,?r\gh ,advancem5ts 9    
,public ,heal? ,act or ! ,improv+ ,,data
 9 ,public ,heal? ,act4  #b4 ,support+  
public heal? data availability & access 
7a7 ,designation ( public heal? data    
/&>ds ,section #bhbc7;a77#b7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;hh-#cc7;a77#b77 is am5d$-- 7#a7 by 
/rik+ ,9 c>ry+ out & ins]t+ ! foll[+3   
7,a7 ,9 g5]al ,9 c>ry+ out  2  7#b7 by  
/rik+ %all1 z appropriate & & ins]t+    
%all1 n lat] ?an #b ye>s aft] ! date (  
enactm5t ( ! ,improv+ ,,data 9 ,public  

,heal? ,act12 &  7#c7 by add+ at ! end !
 foll[+3  7,b7 ,selection ( data &      
te*nology /&>ds ,! /&>ds designat$ z    
describ$ 9 subp>agraph 7,a7 may include 
/&>ds to improve-- 7i7 ! ex*ange (      
electronic heal? in=mation =-- 7,i7     
electronic case report+2  7,,ii7        
syndromic surveillance2  7,,iii7 report+
 ( vital /ati/ics2 &  7,,iv7 report+ te/
 ord]s & results electronically1 includ+
 f laboratories2  7ii7 automat$         
electronic report+ to relevant public   
heal? data sy/ems ( ! ,c5t]s = ,disease 
,control & ,prev5tion2 &  7iii7 su* o!r 
use cases z ! ,secret>y det]m9es        
appropriate4  7,c7 ,no duplicative ef=ts
  7i7 ,9 g5]al ,9 c>ry+ out !           
requirem5ts ( ?is p>agraph1 ! ,secret>y1
 9 consultation ) ! ,(fice ( ! ,national
 ,coord9ator = ,heal? ,in=mation        
,te*nology1 may use input ga!r$ 7includ+
 input & recomm5dations ga!r$ f ! ,heal?
 ,in=mation ,te*nology ,advisory        
,committee71 & mat]ials develop$1 prior 
to ! date ( enactm5t ( ! ,improv+ ,,data

 9 ,public ,heal? ,act4  7ii7           
,designation ( /&>ds ,consi/5t )        
sections #acaaa & #acaab ( ! ,,hite*    
,act1 ! data & te*nology /&>ds designat$
 pursuant to ?is p>agraph %all align ) !
 /&>ds & implem5tation specifications   
previ\sly adopt$ by ! ,secret>y pursuant
 to section #cjjd1 z applicable4  7,d7  
,privacy & security ,no?+ 9 ?is p>agraph
 %all be con/ru$ z modify+ applicable   
,f$]al or ,/ate in=mation privacy or    
security law4  7,e7 ,consid]ations      
,/&>ds designat$ "u ?is p>agraph %all   
include /&>ds & implem5tation           
specifications necess>y to ensure !     
appropriate capture1 ex*ange1 access1 & 
use1 ( in=mation reg>d+ race1 e?nicity1 
sex 7includ+ sexual ori5tation & g5d]   
id5tity71 disability /atus1 vet]an      
/atus1 h\s+ /atus1 age1 functional      
/atus1 & o!r elem5ts4  4  7b7 ,/udy on  
laboratory in=mation /&>ds  7#a7 ,9     
g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! ,(fice ( !       
,national ,coord9ator = ,heal?          

,in=mation ,te*nology %all conduct a    
/udy to review ! use ( /&>ds =          
electronic ord]+ & report+ ( laboratory 
te/ results4  7#b7 ,areas ( conc5tration
 ,9 conduct+ ! /udy "u p>agraph 7#a71 ! 
,(fice ( ! ,national ,coord9ator =      
,heal? ,in=mation ,te*nology %all-- 7,a7
 det]m9e ! ext5t to :i* cl9ical         
laboratories are us+ /&>ds = electronic 
ord]+ & report+ ( laboratory te/        
results2  7,b7 assess tr5ds 9 laboratory
 compliance ) /&>ds = ord]+ & report+   
laboratory te/ results & ! effect ( su* 
tr5ds on ! int]op]ability ( laboratory  
data ) public heal? data sy/ems2  7,c7  
id5tify *all5ges relat$ to collection & 
report+ ( demographic & o!r data elem5ts
 ) respect to laboratory te/ results2   
7,d7 id5tify any *all5ges associat$ )   
us+ or comply+ ) /&>ds & report+        
laboratory te/ results ) data elem5ts   
id5tifi$ 9 /&>ds = electronic ord]+ &   
report+ ( su* results2 &  7,e7 review   
o!r relevant areas det]m9$ appropriate  
by ! ,(fice ( ! ,national ,coord9ator = 

,heal? ,in=mation ,te*nology4  7#c7     
,report ,n lat] ?an #b ye>s aft] ! date 
( enactm5t ( ?is ,act1 ! ,(fice ( !     
,national ,coord9ator = ,heal?          
,in=mation ,te*nology %all submit to !  
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report conc]n+
 ! f9d+s ( ! /udy conduct$ "u p>agraph  
7#a74  7c7 ,support+ in=mation %>+ ?r\gh
 data use agreem5ts  7#a7 ,int]ag5cy    
data use agreem5ts )9 ! ,dep>tm5t (     
,heal? & ,human ,s]vices = public heal? 
em]g5cies  7,a7 ,9 g5]al ,! ,secret>y ( 
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is subsection z ! ,secret>y7 %all1 z   
appropriate1 facilitate ! developm5t (1 
or updates to1 memor&a ( und]/&+1 data  
use agreem5ts1 or o!r applicable        
int]ag5cy agreem5ts reg>d+ appropriate  
access1 ex*ange1 & use ( public heal?   
data betwe5 ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,(fice ( ! ,assi/ant   
,secret>y = ,prep>$ness & ,response1 o!r

 relevant ag5cies or (fices )9 !        
,dep>tm5t ( ,heal? & ,human ,s]vices1 & 
o!r relevant ,f$]al ag5cies1 9 ord] to  
prep>e =1 id5tify1 monitor1 & respond to
 decl>$ or pot5tial public heal?        
em]g5cies4  7,b7 ,requirem5ts ,9 c>ry+  
out activities pursuant to subp>agraph  
7,a71 ! ,secret>y %all-- 7i7 ensure t ! 
agreem5ts & memor&a ( und]/&+ describ$ 9
 su* subp>agraph-- 7,i7 address ! me?ods
 ( grant+ access to data held by "o     
ag5cy or (fice ) ano!r to support !     
respective missions ( su* ag5cies or    
(fices2  7,,ii7 consid] m9imum necess>y 
pr9ciples ( data %>+ = appropriate use2 
7,,iii7 include appropriate privacy &   
cyb]security protections2 &  7,,iv7 are 
subject to regul> updates1 z            
appropriate2  7ii7 collaborate ) !      
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,(fice ( ! ,assi/ant ,secret>y =     
,prep>$ness & ,response1 ! ,(fice ( !   
,*ief ,in=mation ,(fic]1 &1 z           
appropriate1 ! ,(fice ( ! ,national     
,coord9ator = ,heal? ,in=mation         

,te*nology1 & o!r entities )9 !         
,dep>tm5t ( ,heal? & ,human ,s]vices2 & 
7iii7 consid] ! t]ms & conditions ( any 
exi/+ data use agreem5ts ) o!r public or
 private entities & any ne$ = updates to
 su* exi/+ agreem5ts1 consi/5t )        
p>agraph 7#b74  7#b7 ,data use agreem5ts
 ) ext]nal entities ,! ,secret>y1 act+  
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion & ! ,assi/ant     
,secret>y = ,prep>$ness & ,response1 may
 update memor&a ( und]/&+1 data use     
agreem5ts1 or o!r applicable agreem5ts &
 contracts to improve appropriate       
access1 ex*ange1 & use ( public heal?   
data betwe5 ! ,c5t]s = ,disease ,control
 & ,prev5tion & ! ,(fice ( ! ,assi/ant  
,secret>y = ,prep>$ness & ,response &   
ext]nal entities1 includ+ ,/ate1        
,tribal1 & t]ritorial heal? dep>tm5ts1  
laboratories1 hospitals & o!r heal? c>e 
provid]s1 electronic heal? records      
v5dors1 & o!r entities1 z applicable &  
appropriate1 9 ord] to prep>e =1        
id5tify1 monitor1 & respond to decl>$ or

 pot5tial public heal? em]g5cies4  7#c7 
,report ,n lat] ?an #ij days aft] ! date
 ( enactm5t ( ?is ,act1 ! ,secret>y %all
 report to ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives on 
! /atus ( ! agreem5ts "u ?is subsection4
  7d7 ,improv+ in=mation %>+ &          
availability ( public heal? data ,"p ,a 
( title ,,iii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bda et seq47 is   
am5d$ by add+ at ! end ! foll[+3        
#caj;,b4 ,improv+ in=mation %>+ &       
availability ( public heal? data  7a7 ,9
 g5]al ,! ,secret>y1 act+ ?r\gh !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 may require ! report+ (  
public heal? & heal? c>e data &         
in=mation to ! ,c5t]s = ,disease        
,control & ,prev5tion by-- 7#a7 heal?   
c>e provid]s & facilities1 includ+      
ph>macies2  7#b7 public heal?1 cl9ical1 
& o!r laboratories & diagno/ic te/+     
entities2  7#c7 ,/ate1 local1 & ,tribal 

heal? dep>tm5ts2  7#d7 heal? in=mation  
ex*anges & heal? in=mation networks2 &  
7#e7 o!r entities1 z det]m9$ by !       
,secret>y4  7b7 ,cont5t1 =m1 & mann] ,! 
,secret>y %all prescribe ! cont5t1 =m1  
mann]1 & frequ5cy ( ! report+ ( public  
heal? & heal? c>e data & in=mation      
requir$ by subsection 7a71 includ+      
necess>y demographic data or o!r data   
elem5ts t ! ,secret>y det]m9es is       
necess>y = public heal? surveillance "u 
?is section4 ,! ,secret>y may           
collaborate ) repres5tatives ( ,/ate1   
local1 & ,tribal heal? dep>tm5ts & o!r  
entities1 9 develop+ ! cont5t1 =m1      
mann]1 & frequ5cy requirem5t "u ?is     
subsection4 ,su* requirem5ts %all align 
) ! /&>ds & implem5tation specifications
 adopt$ by ! ,secret>y "u section #cjjd1
 z applicable4  7c7 ,decreas$ burd5 ,!  
,secret>y %all make reasonable ef=ts to 
limit public heal? & heal? c>e data &   
in=mation report$ "u ?is section to !   
m9imum necess>y in=mation ne$$ to       
accompli% ! int5d$ public heal? purpose4

  7d7 ,access by relevant public heal?  
au?orities ,! ,secret>y %all collaborate
 ) repres5tatives ( ,/ate1 local1 &     
,tribal heal? dep>tm5ts1 & entities     
repres5t+ su* dep>tm5ts to ensure data  
collect$ "u ?is section is accessible1 z
 appropriate1 to ,/ate1 local1 or       
,tribal heal? au?orities4 ,no?+ 9 ?is   
section %all be con/ru$ to limit !      
au?ority to %>e public heal?            
surveillance data ) ,/ate1 local1 or    
,tribal heal? au?orities4  7e7          
,exemption ( c]ta9 public heal? data f  
disclosure ,! ,secret>y1 act+ ?r\gh !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 may exempt f disclosure  
"u section #eeb7;b77#c7 ( title #e1     
,unit$ ,/ates ,code1 public heal? data t
 are collect$ by ! ,c5t]s = ,disease    
,control & ,prev5tion1 if-- 7#a7 an     
individual is id5tifi$ ?r\gh su* data2  
or  7#b7 !re is at lea/ a v small risk1 
z det]m9$ by curr5t sci5tific practices 
or /ati/ical me?ods1 t "s comb9ation ( !
 in=mation1 ! reque/1 & o!r available   

data s\rces or ! application ( te*nology
 c\ld be us$ to d$uce ! id5tity ( an    
individual4  4  7e7 ,improv+ public     
heal? data collection  7#a7 ,9 g5]al ,! 
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is subsection z !         
,secret>y7 %all aw>d grants1 contracts1 
or coop]ative agreem5ts to eligible     
entities = purposes ( id5tify+1         
develop+1 or dissem9at+ be/ practices 9 
! collection ( electronic heal?         
in=mation & ! use ( designat$ data /&>ds
 & implem5tation specifications to      
improve ! quality & complet5ess ( data1 
includ+ demographic data1 collect$1     
access$1 or us$ = public heal? purposes 
& to address heal? disp>ities & relat$  
heal? outcomes4  7#b7 ,eligible entities
 ,to be eligible to receive an aw>d "u  
?is subsection an entity %all-- 7,a7 be 
a heal? c>e provid]1 academic m$ical    
c5t]1 community-bas$ organization1      
,/ate1 local gov]nm5tal entity1 ,indian 
,tribe or ,tribal organization 7z su*   
t]ms are def9$ 9 section #d ( ! ,indian 

,self ,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
urban ,indian organization 7z def9$ 9   
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc771
 or o!r appropriate public or private   
nonpr(it entity1 or a consortia ( any   
su* entities2 &  7,b7 submit an         
application to ! ,secret>y at su* "t1 9 
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,activities
 ,entities receiv+ aw>ds "u ?is         
subsection %all use su* aw>d to develop 
& te/ be/ practices = tra9+ heal? c>e   
provid]s to use /&>ds & implem5tation   
specifications t assi/ 9 ! capture1     
access1 ex*ange1 & use ( electronic     
heal? in=mation1 includ+ demographic    
in=mation1 disability /atus1 vet]an     
/atus1 h\s+ /atus1 functional /atus1 &  
o!r data elem5ts4 ,su* activities %all  
include1 at a m9imum-- 7,a7 improv+1    
und]/&+1 & us+ data /&>ds &             
implem5tation specifications2  7,b7     
develop+ or id5tify+ me?ods to improve  

communication ) pati5ts 9 a culturally &
 l+ui/ically appropriate mann]1 includ+ 
to bett] capture in=mation relat$ to    
demographics ( su* individuals2  7,c7   
develop+ me?ods = accurately categoriz+ 
& record+ pati5t responses us+ available
 data /&>ds2  7,d7 educat+ provid]s     
reg>d+ ! utility ( su* in=mation =      
public heal? purposes & ! importance (  
accurate collection & record+ ( su*     
data2 &  7,e7 o!r activities1 z !       
,secret>y det]m9es appropriate4  7#d7   
,report+  7,a7 ,report+ by aw>d         
recipi5ts ,ea* recipi5t ( an aw>d "u ?is
 subsection %all submit to ! ,secret>y a
 report on ! results ( be/ practices    
id5tifi$1 develop$1 or dissem9at$ ?r\gh 
su* aw>d4  7,b7 ,report to congress ,n  
lat] ?an #a ye> aft] ! completion ( !   
program "u ?is subsection1 ! ,secret>y  
%all submit a report to ,congress on !  
success ( be/ practices develop$ "u su* 
program1 opportunities = fur!r          
dissem9ation ( su* be/ practices1 &     
recomm5dations = improv+ ! capture1     

access1 ex*ange1 & use ( in=mation to   
improve public heal? & r$uce heal?      
disp>ities4  7#e7 ,non-duplication (    
ef=ts ,! ,secret>y %all ensure t !      
activities & programs c>ri$ out "u ?is  
subsection are free ( unnecess>y        
duplication ( ef=t4  7#f7 ,au?orization 
( appropriations ,!re are au?oriz$ to be
 appropriat$ #aj1jjj1jjj = ea* ( fiscal 
ye>s #bjbc ?r\gh #bjbe to c>ry out ?is  
subsection4  7f7 ,in=mation collection  
,section #cai;,d7a7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;d-#d7;a77 is am5d$ by add+ ! foll[+
 new p>agraph3  7#e7 ,in=mation         
collection ,sub*apt] ,i ( *apt] #ce (   
title #dd1 ,unit$ ,/ates ,code1 %all n  
apply to in=mation collection by !      
,c5t]s = ,disease ,control & ,prev5tion1
 includ+ ! ,ag5cy = ,toxic ,sub/ances & 
,disease ,regi/ry1 t are "p (           
inve/igations1 rese>*1 surveillance1 or 
evaluations und]tak5 = public heal?     
purposes4  4