,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cede  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ad1 #bjbc,mr4
 ,ka9e 7= himself1 ,mr4 ,murphy1 & ,ms4 
,smi?7 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$ by add+ at
 ! end ! foll[+3  7,d7 ,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 
uses z ! ,secret>y det]m9es appropriate4
  7,e7 ,consid]ations ,/&>ds designat$  
"u ?is p>agraph %all include /&>ds &    
implem5tation specifications necess>y to
 ensure ! appropriate capture1 ex*ange1 
access1 & use ( 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
 ,improv+ in=mation %>+ & availability (
 public heal? data ,section #caj;,b ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bdbu7 is am5d$ to read z     
foll[s3  #caj;,b4 ,improv+ in=mation %>+
 & availability ( public heal? data  7a7
 ,9 g5]al ,! ,secret>y act+ ?r\gh !     

,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 79 ?is section ref]r$ to z
 ! ,secret>y7 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 o!r entities1 z
 det]m9$ appropriate by ! ,secret>y4    
7b7 ,cont5t1 =m1 mann]1 & frequ5cy  7#a7
 ,collaboration ,! ,secret>y %all       
collaborate ) repres5tatives ( ,/ate1   
local1 & ,tribal heal? dep>tm5ts & o!r  
entities on det]m9+ ! cont5t1 =m1 mann]1
 & frequ5cy ( ! report+ ( public heal? &
 heal? c>e data & in=mation requir$     
pursuant to subsection 7a74  7#b7       
,simultane\s report+ ,9 det]m9+ !       
cont5t1 =m1 mann]1 & frequ5cy ( !       
report+ ( public heal? & heal? c>e data 
& in=mation pursuant to subsection 7a71 
:]e a disease1 condition1 or relat$ ev5t

 is reportable "u applicable ,/ate or   
local law1 ! ,secret>y %all require !   
data & in=mation to be report$ fir/ or  
simultane\sly to ! appropriate ,/ate or 
local jurisdiction4  7#c7 ,alignm5t )   
/&>ds & implem5tation specifications ,! 
cont5t1 =m1 mann]1 & frequ5cy           
requirem5ts requir$ pursuant to ?is     
section %all align ) ! /&>ds &          
implem5tation specifications adopt$ by !
 ,secret>y "u section #cjjd1 :]e        
applicable4  7#d7 ,reasonable ef=ts to  
limit report+ ,! ,secret>y %all make    
reasonable ef=ts to limit ! public heal?
 & heal? c>e data & in=mation requir$ to
 be report$ "u ?is section to ! m9imum  
necess>y to accompli% ! int5d$ public   
heal? purpose4  7#e7 ,implem5tation &   
regulations ,! ,secret>y-- 7,a7 may     
promulgate by regulation ! cont5t1 =m1  
mann]1 & frequ5cy 9 :i* public heal? &  
heal? c>e data & in=mation is requir$ to
 be report$ "u ?is section2 &  7,b7 9 ! 
ev5t ( a public heal? em]g5cy decl>$ "u 
section #cai1 or :]e ! ,secret>y        

det]m9es !re is a significant pot5tial =
 su* an em]g5cy to exi/1 may issue su*  
requirem5ts-- 7i7 by guidance 9         
accordance ) ?is section2 &  7ii7 )\t   
reg>d to ! proc$ures o!rwise requir$ by 
section #eec ( title #e1 ,unit$ ,/ates  
,code4  7c7 ,ensur+ t data is accessible
 9 a timely mann] to ,/ate1 local1 &    
,tribal heal? au?orities  7#a7          
,collaboration ,! ,secret>y %all        
collaborate ) repres5tatives ( ,/ate1   
local1 & ,tribal heal? dep>tm5ts1 &     
entities repres5t+ su* dep>tm5ts1 to    
ensure t data & in=mation t is collect$ 
by ! ,c5t]s = ,disease ,control &       
,prev5tion pursuant to ?is section are  
accessible1 z appropriate1 9 a timely   
mann]1 to ,/ate1 local1 & ,tribal heal? 
au?orities4  7#b7 ,rules ( con/ruction  
,no?+ 9 ?is section %all be con/ru$--   
7,a7 to prev5t any ,f$]al ag5cy1 ,/ate1 
local1 or ,tribal heal? dep>tm5t1 or o!r
 entity f collect+ data or in=mation "u 
o!r applicable law2 or  7,b7 to limit ! 
au?ority ( ! ,c5t]s = ,disease ,control 

& ,prev5tion to %>e public heal?        
surveillance data ) ,/ate1 local1 or    
,tribal heal? au?orities4  7#c7         
,reasonable ef=ts to r$uce report+      
burd5s & pot5tial duplication ,!        
,secret>y %all make reasonable ef=ts to 
collaborate ) repres5tatives ( ,f$]al   
ag5cies & ,/ate1 local1 & ,tribal heal? 
dep>tm5ts to r$uce report+ burd5s &     
pot5tial duplication ( report+          
requirem5ts4 ,su* ef=ts may include     
ensur+ simultane\s %>+ ( data &         
in=mation describ$ 9 subsection 7b7 )   
,/ate1 local1 & ,tribal public heal?    
au?orities4  7d7 ,confid5tiality &      
protection ( data ,any id5tifiable1     
s5sitive in=mation report$ to ! ,c5t]s =
 ,disease ,control & ,prev5tion pursuant
 to ?is section %all n be fur!r disclos$
 or provid$ to any o!r individual or    
p>ty1 includ+ any p>ty involv$ 9 civil1 
crim9al1 or adm9i/rative litigation1    
except-- 7#a7 z necess>y = public heal? 
purposes1 includ+ ) relevant ,f$]al1    
,/ate1 local1 or tribal public heal?    

au?orities2  7#b7 z requir$ "u section  
#eeb;a7d77#a7 ( title #e1 ,unit$ ,/ates 
,code2  7#c7 z requir$ by applicable    
,f$]al laws1 exclud+ in/ances (         
disclosure 9 any ,f$]al1 ,/ate1 or local
 civil1 crim9al1 adm9i/rative1          
legislative1 or o!r proce$+2 or  7#d7 ) 
! cons5t ( ea* individual to :om !      
in=mation p]ta9s4  7e7 ,exemption (     
c]ta9 public heal? data f disclosure ,! 
,secret>y may exempt f disclosure "u    
section #eeb7;b77#c7 ( title #e1 ,unit$ 
,/ates ,code1 public heal? & heal? c>e  
data & in=mation collect$ by ! ,c5t]s = 
,disease ,control & ,prev5tion pursuant 
to ?is section or any o!r au?ority "u   
:i* ! ,c5t]s collects public heal? or   
heal? c>e data & in=mation if-- 7#a7 an 
individual is id5tifi$ ?r\gh su* data or
 in=mation2 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 ( ! data or in=mation1 
! reque/ = disclosure "u su* section    
#eeb7;b77#c71 & o!r available data      

s\rces or ! application ( te*nology c\ld
 be us$ to d$uce ! id5tity ( !          
individuals to :i* su* data or in=mation
 p]ta9s4  4  7c7 ,public ,heal?         
,in=mation ,%>+ & ,availability         
,advisory ,committee ,"p ,a ( title     
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bda et seq47 is am5d$ by
 add+ at ! end ! foll[+3  #caj;,c4      
,public ,heal? ,in=mation ,%>+ &        
,availability ,advisory ,committee  7a7 
,e/abli%m5t ,! ,secret>y1 act+ ?r\gh !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all e/abli% an advisory 
committee1 to be kn[n z ! ,public ,heal?
 ,in=mation ,%>+ & ,availability        
,advisory ,committee1 to advise1 & make 
recomm5dations to1 ! ,director ) respect
 to ! implem5tation ( public heal? &    
heal? c>e data & in=mation report+ & %>+
 "u section #caj;,b4  7b7 ,memb]%ip ,!  
memb]%ip ( ! advisory committee e/abli%$
 pursuant to ?is section %all include-- 
7#a7 individuals ) subject matt]        
exp]tise or exp]i5ce 9 ! foll[+ areas ( 

public heal? & heal? c>e data &         
in=mation1 includ+-- 7,a7 ,/ate1        
t]ritorial1 local1 & ,tribal heal?      
dep>tm5t data sy/ems or practices2 &    
7,b7 heal? c>e data2  7#b7 ex (ficio    
memb]s1 includ+ f relevant ,f$]al       
ag5cies su* z ! ,(fice ( ! ,national    
,coord9ator = ,heal? ,in=mation         
,te*nology1 ! ,c5t]s = ,m$ic>e  ,m$icaid
 ,s]vices1 ! ,c5t]s = ,disease ,control 
& ,prev5tion1 & ! ,(fice ( ! ,assi/ant  
,secret>y = ,heal?2  7#c7 repres5tatives
 ( national organizations1 includ+ !    
,c\ncil ( ,/ate & ,t]ritorial           
,epidemiologi/s1 ! ,association (       
,public ,heal? ,laboratories1 !         
,association ( ,/ate & ,t]ritorial      
,heal? ,(ficials1 ! ,national           
,association ( ,c\nty & ,city ,heal?    
,(ficials1 & ! ,big ,cities ,heal?      
,coalition2 &  7#d7 su* additional      
memb]s z ! ,secret>y det]m9es           
appropriate4  7c7 ,,faca applicability  
,! advisory committee e/abli%$ pursuant 
to ?is section is deem$ to be an        

advisory committee subject to ! ,f$]al  
,advisory ,committee ,act4  4  7d7      
,improv+ public heal? data collection   
7#a7 ,9 g5]al ,! ,secret>y ( ,heal? &   
,human ,s]vices 7ref]r$ 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-- 7,a7 to improve !      
quality & complet5ess ( data1 includ+   
demographic data1 collect$1 access$1 or 
us$ = public heal? purposes2 &  7,b7 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 %all1 at a m9imum1 include-- 
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$uce heal?      
disp>ities4  7#e7 ,nonduplication (     
ef=ts ,! ,secret>y %all ensure t !      
activities & programs c>ri$ out "u ?is  
subsection are free ( unnecess>y        
duplication ( ef=t4  7#f7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ #aj1jjj1jjj = ea* ( fiscal  
ye>s #bjbd ?r\gh #bjbf to c>ry out ?is  
subsection4  7e7 ,in=mation collection  
,section #cai;,d7a7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;d-#d7;a77 is am5d$ by add+ at ! end
 ! foll[+3  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? purposes "u any 
available au?ority4  4