,,ii  #aag? ,,congress  #b;d ,session   
,s4 #dhbg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ac1         
#bjbb,mr4 ,cassidy 7= himself & ,mr4    
,casey7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to au?orize ! ,secret>y (   
,heal? & ,human ,s]vices to e/abli% a   
national sepsis data tru/1 & to fund    
,/ate-bas$ pilots & programs to e/abli% 
int]op]able ,/ate-bas$ sepsis data      
tru/s4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,national ,sepsis ,data ,tru/1
 ,outcomes1 & ,innovation ,act or       
,lu,lu's ,law4  #b4 ,treat+ & elim9at+ !
 burd5 ( sepsis ,"p ,p ( title ,,iii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,v-#g4     
,treat+ & elim9at+ ! burd5 ( sepsis  7a7
 ,def9ition2 designation  7#a7          
,def9ition ( sepsis ,n lat] ?an #abj    
days aft] ! date ( enactm5t ( !         
,national ,sepsis ,data ,tru/1          

,outcomes1 & ,innovation ,act1 !        
,secret>y %all issue a rule specify+ a  
def9ition ( sepsis4 ,su* def9ition may  
specify t sepsis is a life-?reat5+ organ
 dysfunction caus$ by a dysregulat$ ho/ 
response to infection4 ,su* def9ition   
%all be /&>diz$ across dep>tm5ts1       
ag5cies1 & o!r entities )9 ! ,dep>tm5t (
 ,heal? ( ,human ,s]vices4  7#b7        
,nationally notifiable disease ,!       
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all take su* /eps z may be necess>y to
 include sepsis on ! li/ ( nationally   
notifiable diseases publi%$ by ! ,c5t]s 
= ,disease ,control & ,prev5tion4  7b7  
,national /rategy  7#a7 ,9 g5]al ,!     
,secret>y %all develop a national       
/rategy-- 7,a7 to treat & elim9ate !    
burd5 ( sepsis1 ) ! specific goals (1 ) 
respect to sepsis-- 7i7 coord9at+ data  
7includ+ ?r\gh ! data tru/ e/abli%$ "u  
subsection 7d772  7ii7 spurr+ rese>*2 & 
7iii7 develop+ diagno/ic tools &        
treatm5ts2  7,b7 to decrease in/ances ( 

sepsis & mitigate long-t]m heal? effects
 ( sepsis2 &  7,c7 t includes specific  
actions to be tak5 to treat & elim9ate !
 burd5 ( sepsis among at-risk           
populations id5tifi$ pursuant to        
p>agraph 7#c74  7#b7 ,coord9ation ,9    
develop+ ! /rategy "u p>agraph 7#a71 !  
,secret>y may coord9ate among ag5cies )9
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices 
& o!r ,f$]al ag5cies1 academic          
in/itutions1 & non-pr(it organizations4 
7#c7 ,at-risk populations ,! ,secret>y  
%all id5tify population gr\ps !         
,secret>y det]m9es to be at a high] risk
 = contract+ sepsis1 :i* %all include-- 
7,a7 *ildr52  7,b7 pregnant wom5 or wom5
 9 ! "o ye> po/p>tum p]iod2  7,c7 active
 memb]s ( ! ,arm$ ,=ces & vet]ans2  7,d7
 disabl$ & eld]ly individuals2  7,e7    
individuals resid+ on f$]ally-recogniz$ 
,tribal l&s2 &  7,f7 su* o!r gr\ps z !  
,secret>y det]m9es to be at high] risk =
 contract+ sepsis4  7c7 ,/ate-,bas$     
sepsis data tru/ pilot programs  7#a7 ,9
 g5]al ,subject to ! availability (     

appropriations1 ! ,secret>y %all aw>d   
grants to n m ?an #e ,/ates to e/abli%  
pilot programs-- 7,a7 to collect into   
,/ate-bas$ sepsis data tru/s t use      
/&>diz$ data =mats & cod+ 7z det]m9$ by 
! ,secret>y7 de-id5tifi$ pati5t data    
conc]n+-- 7i7 demographic in=mation ab\t
 ea* case ( sepsis 9 ea* su* ,/ate2     
7ii7 adm9i/rative in=mation ) respect to
 ea* su* case1 includ+ ! date (         
diagnosis & ! s\rce ( in=mation2  7iii7 
pa?ological & g5etic mat]ial *>act]iz+  
ea* su* case 7includ+ deoxyribonucleic  
acids 7,,dna71 ribonucleic acids        
7,,rna71 s+le cell ,,rna1 g5es1         
*romosomes1 g5otype1 alleles1 epig5etic 
alt]ation or modifications to ,,dna or  
,,rna1 s+le nucleotide polymorphisms    
7,s,n,ps71 un9t]pret$ data t results f  
analysis ( a biological sample f a      
diagnos$ sepsis pati5t or o!r s\rce1 &  
any in=mation extrapolat$1 d]iv$1 or    
inf]r$ !refrom72  7iv7 cl9ical          
in=mation1 includ+ relevant diagnoses1  
treatm5t1 & pati5t-report$ outcomes ( ! 

individuals ) sepsis & sepsis survivors2
  7v7 ) respect to ea* case ( sepsis 9  
ea* su* ,/ate1 ! numb] ( /aff work+ 9 ! 
relevant unit ( ! heal? c>e provid]     
involv$2  7vi7 provid] paym5ts t result 
f a sepsis diagnosis2 &  7vii7 o!r      
elem5ts det]m9$ appropriate by !        
,secret>y2 &  7,b7 to comb9e & connect  
data s collect$ among su* ,/ates4  7#b7 
,data tru/ guidel9es  7,a7 ,9 g5]al ,!  
,secret>y %all e/abli% gov]nance        
guidel9es1 data access requirem5ts1     
privacy & security protocols1 & o!r su* 
/&>ds z may be requir$ to support !     
e/abli%m5t ( int]op]able ,/ate-bas$     
sepsis data tru/s = purposes ( !        
national sepsis data tru/ to be e/abli%$
 "u subsection 7d74  7,b7 ,data %>+ ,!  
guidel9es e/abli%$ "u subp>agraph 7,a7  
%all specify t-- 7i7 no entity          
p>ticipat+ 9 ! data tru/ may %>e pati5t 
data ) any entity n p>ticipat+ 9 ! data 
tru/2 &  7ii7 an entity %all agree1 z a 
condition on p>ticipation 9 ! data tru/ 
to n %>e any pati5t data ) any entity n 

p>ticipat+ 9 ! data tru/4  7#c7         
,selection crit]ia ,9 review+           
applications submitt$ by ,/ates = grants
 "u ?is section1 ! ,secret>y %all       
consid] :e!r ! ,/ates submitt+ su*      
applications demon/rate e/abli%$        
p>tn]%ips ) a range ( public & private  
/akehold]s4 ,( ! ,/ates t demon/rate su*
 p>tn]%ips1 ! ,secret>y %all select--   
7,a7 at lea/ "o ,/ate t has a dea? rate 
f septicemia ( great] ?an #ae p p]      
#ajj1jjj p p] ye> & #a1ejj dea?s p] ye> 
= ! #e cal5d> ye>s prec$+ ! decl>ation (
 ! public heal? em]g5cy ) respect to    
,,covid-#ai2  7,b7 at lea/ "o rural     
,/ate ) above av]age sepsis mortality   
rate2  7,c7 a selection ( o!r ,/ates 9  
su* a mann] z to ensure div]sity (      
population d5sity1 geographic location1 
& g5]al heal? c>e access &              
infra/ructure2 &  7,d7 o!r ,/ates 9 su* 
a matt] z to ensure geographic &        
population div]sity4  7#d7 ,alt]native  
crit]ia ,if no ,/ate meet+ ! crit]ia    
specifi$ 9 p>agraph 7#c7 e/abli%es a    

pilot program 9 coord9ation ) !         
,secret>y )9 #c ye>s ( ! date ( enactm5t
 ( ! ,national ,sepsis ,data ,tru/1     
,outcomes1 & ,innovation ,act1 !        
,secret>y may id5tify alt]native        
requirem5ts = su* ,/ates4  7#e7 ,report+
 ,n lat] ?an #ah mon?s aft] ! date on   
:i* a ,/ate successfully 7z det]m9$ by !
 ,secret>y7 e/abli%es a ,/ate-bas$      
sepsis data tru/ us+ funds receiv$ ?r\gh
 a grant "u ?is subsection1 ! ,/ate %all
 submit to ! ,secret>y a report4 ,su*   
report %all include1 ) respect to !     
,/ate-bas$ sepsis data tru/ involv$--   
7,a7 ! process by :i* ! ,/ate e/abli%$ !
 data tru/1 includ+ gov]nance & data    
access rules2  7,b7 ! process by :i*    
data 0 collect$1 de-id5tifi$1 & /&>diz$ 
across multiple data sy/ems2  7,c7      
implem5tation b>ri]s exp]i5c$ & ! c\rse 
( corrective action tak5 to address ^!  
b>ri]s2 &  7,d7 lessons le>n$ ?r\gh !   
e/abli%m5t ( ! data tru/4  7#f7         
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ to c>ry out  

?is subsection #e1jjj1jjj = ea* ( fiscal
 ye>s #bjbc ?r\gh #bjbh4  7d7 ,national 
,sepsis ,data ,tru/  7#a7 ,9 g5]al ,!   
,secret>y %all e/abli% a national sepsis
 data tru/ to improve rese>*1 outcomes1 
& innovation 9 support ( ! national     
/rategy develop$ "u subsection 7b7      
7includ+ ! actions to be tak5 pursuant  
to p>agraph 7#a77;,c7 ( su* subsection74
 ,su* national sepsis data tru/ %all--  
7,a7 accel]ate innovation t seeks to    
improve sepsis prev5tion1 diagnosis1    
treatm5t1 outcomes1 & survivor support1 
includ+ ?r\gh-- 7i7 advanc+ ! pace (    
academic rese>*2 &  7ii7 catalyz+ m     
inve/m5t 9 me*anisms t provide promise 9
 ! e>ly recognition & exp$iti\s treatm5t
 ( sepsis2  7,b7 support public heal?   
ef=ts to improve sepsis c>e1 p>ticul>ly 
9 und]s]v$ geographic areas & among     
at-risk & und]s]v$ communities2  7,c7   
improve ! t>get+ ( antimicrobial drugs &
 o!r sub/ances = ! treatm5t ( sepsis1   
promot+ bo? bett] c>e & improv$         
antimicrobial /ew>d%ip2  7,d7 coord9ate 

& integrate ! developm5t ( ,/ate-bas$   
sepsis data tru/s1 includ+ by def9+ data
 elem5ts to be includ$ 9 ,/ate-bas$     
sepsis data tru/s1 includ+ self-report$ 
data on age1 race1 e?nicity1 prim>y     
language1 memb]%ip 9 a f$]ally-recogniz$
 ,tribe1 /atus z a memb] ( ! ,arm$      
,=ces1 /atus z a vet]an1 /atus z        
pregnant or rec5tly pregnant1 & any o!r 
data ! ,secret>y det]m9es appropriate2  
7,e7 provide = appropriate privacy &    
security ( de-id5tifi$ data 9 ! data    
tru/ by-- 7i7 prohibit+ any entity      
p>ticipat+ 9 ! data tru/ f %>+ pati5t   
data ) any entity n p>ticipat+ 9 ! data 
tru/2 &  7ii7 ensur+ t an entity agrees1
 z a condition on p>ticipation 9 ! data 
tru/ to n %>e any pati5t data ) any     
entity n p>ticipat+ 9 ! data tru/2 &    
7,f7 all[ access to data de-id5tifi$    
data 9 ! data tru/ by heal? c>e provid]s
 & o!r entities p>ticipat+ 9 ! data     
tru/4  7#b7 ,/ate grants & contracts    
7,a7 ,9 g5]al ,9 addition to aw>d+      
grants "u subsection 7c71 ! ,secret>y   

may aw>d grants directly to ,/ates to   
support ! developm5t & op]ation (       
,/ate-bas$ sepsis data tru/s 7or aw>d   
grants or contracts to academic or      
nonpr(it organizations designat$ by a   
,/ate to op]ate ! ,/ate-bas$ sepsis data
 tru/ involv$7 to comb9e & connect data 
collect$ by ! ,/ate conc]n+-- 7i7       
demographic in=mation ab\t ea* case (   
sepsis 9 ea* su* ,/ate2  7ii7           
adm9i/rative in=mation ) respect to ea* 
su* case1 includ+ ! date ( diagnosis & !
 s\rce ( in=mation2  7iii7 pa?ological &
 g5etic data *>act]iz+ ea* su* case2    
7iv7 cl9ical in=mation1 includ+ relevant
 diagnoses1 treatm5t1 & pati5t-report$  
outcomes ( ! individuals ) sepsis &     
sepsis survivors2 &  7v7 o!r elem5ts1 z 
! ,secret>y det]m9es appropriate4  7,b7 
,mat*+ funds ,! ,secret>y may aw>d a    
grant or contract "u p>agraph 7#b7 only 
if ! ,/ate involv$ 7or ! academic or    
nonpr(it private organization designat$ 
by a ,/ate to op]ate ! ,/ate-bas$ sepsis
 data tru/ involv$7 agrees1 ) respect to

 ! co/s ( ! program to be fund$ ?r\gh ! 
aw>d1 to make available 7directly or    
?r\gh donations f public or private     
entities7 non-,f$]al contributions t[>d 
su* co/s 9 an am\nt t is n less ?an #be 
p]c5t ( su* co/s4  7,c7 ,data tru/      
guidel9es ,! guidel9es develop$ "u      
subsection 7c77#b7 %all apply ) respect 
to ,/ate-bas$ sepsis data tru/s e/abli%$
 "u ?is p>agraph 9 ! same mann] & to !  
same ext5t z su* guidel9es apply )      
respect to ,/ate-bas$ sepsis data tru/s 
e/abli%$ "u subsection 7c7 7includ+ !   
data %>+ limitations specifi$ 9 p>agraph
 7#b77;,b7 ( su* subsection74  7#c7     
,report on gov]nm5t sepsis data         
activities & res\rces ,n lat] ?an #ahj  
days aft] ! date ( enactm5t ( !         
,national ,sepsis ,data ,tru/1          
,outcomes1 & ,innovation ,act1 !        
,secret>y %all submit to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
( ! ,s5ate & ! ,committee on ,en]gy &   
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report conta9+ ! foll[+3 7,a7 ,an outl9e

 ( exi/+ ,f$]al ef=ts to collect & make 
available data on sepsis & its associat$
 conditions1 includ+ exi/+ ,f$]al       
repositories ( sepsis-relevant          
de-id5tifi$ pati5t data4  7,b7 ,a summ>y
 ( ! use ( ^! sepsis data by ?ird       
p>ties1 includ+ public heal?            
pr(essionals1 physicians & nurses1 &    
rese>*]s4  7,c7 ,a description ( ,f$]al 
ef=ts to improve c>e relat$ to sepsis & 
infection 9 und]s]v$ populations &      
communities t exp]i5ce                  
disproportionately poor heal? outcomes4 
7e7 ,def9itions ,9 ?is section3 7#a7    
,de-id5tifi$ ,! t]m de-id5tifi$ means1 )
 respect to data 9 a data tru/ e/abli%$ 
"u or pursuant to ?is section1 in=mation
 t has be5 de-id5tifi$ 7& rema9s        
de-id5tifi$7 9 accordance ) ! applicable
 requirem5ts ( section #afd4ead ( title 
#de1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  7#b7 ,national 
sepsis data tru/ ,! t]m national sepsis 
data tru/ means an int]op]able1         
de-id5tifi$1 privacy-protect$           

collection1 curation1 & /orage sy/em t  
conta9s de-id5tifi$ data f a v>iety (   
s\rces e/abli%$ by individual ,/ates1 ) 
data made available to entities &       
individuals approv$ by ! ,secret>y4  4