,i #aah? ,,congress #b;d ,session ,h4 ,r4 #hjgh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ah1 #bjbd,ms4 ,%]rill 7= h]self & ,mr4 ,buc%on7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to au?orize ,f$]al support ( ,/ates 9 pilot+ int]op]able ,/ate-bas$ repositories ( sepsis cases1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,sepsis ,h>m & ,co/ ,r$uction ,act or ! ,lu,lu's ,law4 #b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,sepsis affects #a4g million p 9 ! ,unit$ ,/ates ea* ye>1 & results 9 #cej1jjj adult dea?s annually4 7#b7 ,sepsis is a lead+ cause ( mat]nal mortality 9 ! ,unit$ ,/ates4 7#c7 ,sepsis is a lead+ cause ( ris+ newborn mortality 9 ! ,unit$ ,/ates4 7#d7 ,ne>ly #g1jjj *ildr5 die f sepsis annually 9 ! ,unit$ ,/ates4 7#e7 ,_m survivors face life-long aft]-effects ( sepsis1 includ+ #ad1jjj annually :o receive amputations4 7#f7 ,ea* h\r a septic pati5t goes untreat$ increases ! risk ( dea? by z mu* z #h p]c5t4 7#g7 ,sepsis is ! lead+ cause ( dea? 9 ,unit$ ,/ates hospitals1 & ! lead+ cause ( hospital readmissions4 7#h7 ,sepsis hospitalizations co/ ,m$ic>e #da4h billion 9 #bjai4 7#i7 ,sepsis is responsible = #fb billion 9 hospitalization co/s annually4 7#aj7 ,additional in=mation ab\t sepsis c\ld help improve timely diagnosis & treatm5t1 r$uc+ loss ( life1 h>m & co/s due to sepsis4 #c4 ,r$uc+ ! burd5 ( sepsis ,"p ,p ( title ,,iii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et seq47 is am5d$ by add+ at ! end ! foll[+3 #cii,v-#h4 ,r$uc+ ! burd5 ( sepsis 7a7 ,def9ition ( sepsis ,n lat] ?an #abj days aft] ! date ( ! enactm5t ( ! ,sepsis ,h>m & ,co/ ,r$uction ,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 7b7 ,/ate-bas$ sepsis repository pilot programs 7#a7 ,9 g5]al ,subject to ! availability ( appropriations = a fiscal ye>1 ! ,secret>y %all aw>d grants to n m ?an #e ,/ates ea* fiscal ye> to e/abli% pilot /atewide sepsis repositories4 7#b7 ,application ,a ,/ate seek+ a grant "u p>agraph 7#a7 %all submit to ! ,secret>y an application at su* "t1 9 su* mann]1 & conta9+-- 7,a7 a c]tification t ! ,/ate has e/abli%$ a sepsis advisory committee1 9 accordance ) p>agraph 7#c72 & 7,b7 su* o!r in=mation z ! ,secret>y may require4 7#c7 ,sepsis ,advisory ,committee 7,a7 ,duties ,a ,/ate sepsis advisory committee ref]r$ to 9 p>agraph 7#b77;,a7 %all-- 7i7 advise ! ,/ate 9 ! design1 developm5t1 & op]ation ( ! /atewide sepsis repository2 7ii7 ensure t all in=mation includ$ 9 ! sepsis repository is de-id5tifi$ & privacy protect$2 & 7iii7 assi/ 9 secur+ volunt>y p>ticipation 91 & contributions ( in=mation to1 ! sepsis repository by organizations & entities 9 ! ,/ate4 7,b7 ,composition ,a ,/ate sepsis advisory committee ref]r$ to 9 p>agraph 7#b77;,a7 %all be compos$ ( multidiscipl9>y & div]se memb]%ip t repres5ts a v>iety ( /akehold]s1 includ+ cl9ical specialties1 public heal? (ficials1 epidemiologi/s1 /ati/icians1 data sci5ti/s1 pay]s1 pati5t safety advocates1 & individuals or organizations t repres5t sepsis survivors1 family memb]s ( sepsis pati5ts1 & populations t are mo/ affect$ by sepsis or exp]i5ce ! greate/ disp>ities 9 sepsis outcomes4 7#d7 ,selection ,crit]ia ,9 select+ ,/ates to receive a grant "u ?is subsection1 ! ,secret>y %all select1 f among ! ,/ates submitt+ an application = su* a grant t meets ! requirem5ts ( p>agraph 7#b7-- 7,a7 at lea/ #a ,/ate t has a dea? rate f sepsis ( great] ?an #ae p p] #ajj1jjj p p] ye> & #a1ejj dea?s p] ye> = ! #e cal5d> ye>s prec$+ ! decl>ation ( ! public heal? em]g5cy ) respect to ,,covid-#ai2 7,b7 at lea/ #a rural ,/ate ) an above av]age sepsis mortality rate2 7,c7 a div]se array ( o!r ,/ates 9 su* a mann] z to ensure div]sity ( population d5sity1 geographic location1 & g5]al heal?c>e access & infra/ructure2 & 7,d7 o!r ,/ates 9 su* a mann] z to ensure geographic & population div]sity4 7#e7 ,alt]native crit]ia ,if no ,/ate meet+ ! crit]ia specifi$ 9 p>agraph 7#d7 e/abli%es a pilot program 9 coord9ation ) ! ,secret>y )9 #cf mon?s aft] ! date ( enactm5t ( ?is section1 ! ,secret>y may id5tify alt]native requirem5ts = su* ,/ates4 7#f7 ,sepsis repository activities ,a ,/ate receiv+ a grant "u ?is subsection %all use funds receiv$ ?r\gh ! grant to1 9 consultation ) ! applicable ,/ate sepsis advisory committee e/abli%$ pursuant to p>agraph 7#b71 e/abli% a /atewide sepsis repository t integrates-- 7,a7 demographic in=mation ab\t ea* case ( sepsis 9 su* ,/ate2 7,b7 adm9i/rative in=mation ) respect to ea* su* case2 7,c7 *>act]izations ( ea* su* case1 includ+ pa?ological analysis & un9t]pret$ data2 7,d7 cl9ical in=mation1 includ+ relevant diagnoses1 treatm5t1 & pati5t-report$ outcomes ( ! individuals ) sepsis & sepsis survivors2 & 7,e7 provid] paym5ts t result f a sepsis diagnosis4 7#g7 ,guidel9es ,! ,secret>y %all e/abli% gov]nance guidel9es1 in=mation access requirem5ts1 privacy & security protocols1 & o!r su* /&>ds z may be necess>y to support ! e/abli%m5t ( int]op]able /atewide sepsis repositories4 7#h7 ,/ate report+ ,n lat] ?an #ah mon?s aft] ! date on :i* a ,/ate successfully e/abli%es a /atewide sepsis repository us+ funds receiv$ ?r\gh a grant "u ?is subsection1 ! ,/ate %all submit to ! ,secret>y a report4 ,su* report %all include1 ) respect to ! repository-- 7,a7 ! process by :i* ! ,/ate e/abli%$ ! repository2 7,b7 ! process by :i* in=mation reg>d+ sepsis 0 collect$1 de-id5tifi$1 & /&>diz$ across multiple contribut+ sy/ems2 7,c7 implem5tation b>ri]s exp]i5c$ & ! ,/ate's response to address su* b>ri]s2 & 7,d7 lessons le>n$ ?r\gh ! e/abli%m5t ( ! repository4 7#i7 ,be/ practices relat+ to ! implem5tation ( /atewide sepsis repositories ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all collect f ! recipi5ts ( grants aw>d$ "u ?is subsection1 & dissem9ate1 n lat] ?an #ah mon?s aft] receiv+ data f grant recipi5ts1 & at lea/ once ea* fiscal ye> !reaft]-- 7,a7 lessons le>n$ & be/ practices 9 ! design1 developm5t1 implem5tation1 & op]ation ( /atewide sepsis repositories2 & 7,b7 lessons le>n$ & be/ practices on id5tify+ & decreas+ sepsis-relat$ ev5ts ?r\gh ! implem5tation & op]ation ( /atewide sepsis repositories4 7#aj7 ,au?orization ( appropriations ,!re are au?oriz$ to be appropriat$ to c>ry out ?is subsection #e1jjj1jjj = ea* ( fiscal ye>s #bjbe ?r\gh #bjcj4 7c7 ,national sepsis repository 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all e/abli% a national sepsis repository to improve rese>*1 outcomes1 & innovation 9 support ( ! national /rategy develop$ "u subsection 7d74 ,su* national sepsis repository %all-- 7,a7 accel]ate innovation t seeks to improve sepsis prev5tion1 diagnosis1 treatm5t1 outcomes1 & survivor support1 includ+ ?r\gh advanc+ ! pace ( academic rese>* & 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 & "u-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 ) ,/ates & ,/ate sepsis advisory committees 9 ! developm5t ( /atewide sepsis repositories1 includ+ by def9+ data elem5ts to be includ$ 9 /atewide sepsis repositories2 & 7,e7 provide = appropriate privacy & security ( de-id5tifi$ in=mation 9 ! repository4 7#b7 ,rule ( con/ruction ,no?+ 9 p>agraph 7#a7 %all be con/ru$ z requir+ a ,/ate to provide data to ! national sepsis repository e/abli%$ "u su* p>agraph4 7d7 ,national sepsis action plan ,! ,secret>y %all develop a national action plan to r$uce ! incid5ce ( sepsis1 improve outcomes1 & r$uce ! cl9ical & economic burd5 ( sepsis4 7#a7 ,9 g5]al ,! ,secret>y %all create a sepsis advisory committee to advise ! ,secret>y 9 ! developm5t ( a sepsis action plan4 ,! sepsis advisory committee %all include a multidiscipl9>y & div]se memb]%ip t repres5ts a v>iety ( /akehold]s1 includ+ cl9ical specialti/s1 public heal? (ficials1 epidemiologi/s1 payors1 pati5t safety advocates1 & individuals or organizations t repres5t sepsis survivors1 family memb]s ( sepsis pati5ts1 & populations t are mo/ affect$ by sepsis or exp]i5ce ! greate/ disp>ities 9 sepsis outcomes4 7#b7 ,elem5ts ( sepsis action plan ,! sepsis action plan develop$ "u p>agraph 7#a7 may include-- 7,a7 increas+ rese>*2 7,b7 spurr+ innovation2 7,c7 inc5tiviz+ developm5t ( diagno/ic tools & treatm5ts2 7,d7 coord9at+ among ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices & o!r ,f$]al ag5cies1 academic in/itutions1 & non-pr(it organizations2 7,e7 coord9at+ in=mation assembl$ ?r\gh ! /atewide sepsis repositories2 7,f7 id5tify+ populations t are at high] risk = contract+ sepsis or = disp>ate sepsis outcomes2 & 7,g7 detail+ specific actions to be tak5 to address & elim9ate ! burd5 ( sepsis1 includ+ among at-risk populations4 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 ,sepsis ,repository ,! t]m sepsis repository means an int]op]able1 de-id5tifi$1 privacy-protect$ collection sy/em t conta9s de-id5tifi$ data f a v>iety ( s\rces e/abli%$ by individual ,/ates4 4