,,ii  #aah? ,,congress  #b;d ,session   
,s4 #eahb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #be1         
#bjbd,mr4 ,sullivan 7= himself & ,ms4   
,cortez ,ma/o7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xix ( ! ,social ,security  
,act to require ! collection ( in=mation
 reg>d+ social det]m9ants ( heal?1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,utiliz+ ,national     
,data1 ,effectively ,re=m+ ,/&>ds &     
,tools1 to ,address ,negative           
,det]m9ates ( ,heal? ,act or ! ,,und]/& 
,act4  #b4 ,collection ( in=mation      
relat$ to social det]m9ants ( ! heal? ( 
,m$icaid & ,,*ip b5efici>ies  7a7       
,report+ ( in=mation ,section #aidf ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#acifw-#e7 is am5d$ by add+ at ! end !  
foll[+3  7d7 ,collection ( in=mation    
relat$ to social det]m9ants ( heal?     
7#a7 ,developm5t ( uni=m report+ field  
7,a7 ,9 g5]al ,n lat] ?an #ah mon?s aft]

 ! date ( enactm5t ( ?is subsection1 !  
,secret>y1 9 consultation ) ! ,/ates1   
%all develop a model uni=m report+ field
 ?r\gh ! trans=m$ ,m$icaid ,/ati/ical   
,in=mation ,sy/em 7,t-,,msis71 z approv$
 by ! ,secret>y1 = collect+ /&>diz$ &   
aggregat$ ,/ate-level in=mation relat$  
to social det]m9ants t may factor into !
 heal? ( b5efici>ies "u ?is title :o are
 eligible = m$ical assi/ance = :i*      
,f$]al f9ancial p>ticipation is         
available & b5efici>ies "u title ,,xxi  
:o are eligible = *ild heal? assi/ance =
 :i* ,f$]al f9ancial p>ticipation is    
available :i* ! ,/ates1 not)/&+ section 
#aijb7;a77#g7 & z a condition = meet+ ! 
requirem5ts ( section #aijb7;a77#f7 &   
section #bajg7;b77#a71 %all use to      
annually report su* in=mation4  7,b7    
,implem5tation ,9 c>ry+ out !           
requirem5ts ( subp>agraph 7,a71 !       
,secret>y %all-- 7i7 det]m9e !          
appropriate provid]s & frequ5cy ) :i*   
su* provid]s may submit /&>diz$         
in=mation to ,/ates to be us$ to        

complete ! uni=m report+ field develop$ 
"u su* subp>agraph2  7ii7 issue guidance
 = ensur+ compliance ) applicable laws  
reg>d+ b5efici>y in=m$ cons5t1 privacy1 
& anonymity ) respect to ! in=mation    
collect$ ?r\gh ! uni=m report+ field2   
7iii7 ) respect to ! collection (       
in=mation relat+ to b5efici>ies :o are  
*ildr51 issue guidance on ! collection (
 su* in=mation f a p>5t1 legal gu>dian1 
or any o!r p]son :o is legally au?oriz$ 
to %>e su* in=mation on behalf ( ! *ild 
:5 ! direct collection ( su* in=mation f
 *ildr5 may n o!rwise be feasible or    
appropriate2 &  7iv7 issue guidance on  
h[ to r$uce duplicative scre5+s (       
b5efici>ies1 or to ensure t in=mation   
collect$ f a scre5+ is ent]$ into a     
b5efici>y's heal? record s t o!r        
provid]s :o treat t b5efici>y c see t a 
scre5+ has be5 conduct$ = t b5efici>y4  
7#b7 ,social det]m9ants ( heal? def9$   
7,a7 ,9 g5]al ,= purposes ( ?is title & 
title ,,xxi1 ! t]m social det]m9ants (  
heal? means ! /&>diz$ def9itions        

develop$ 9 accordance ) p>agraph 7#a7 = 
id5tify+ social det]m9ants ( heal? ne$s 
id5tifi$ 9 ! ,,icd-#aj diagno/ic codes  
,z#ee ?r\gh ,z#fc1 ,z#fe1 & ,z#ge 7z 9  
effect on ! date ( enactm5t ( ?is       
subsection74  7,b7 ,incorporation       
measures ( relative sev]ity ,! ,secret>y
 %all issue guidance relat+ to          
incorporat+ measures = quantify+1 )     
respect to an individual1 ! relative    
sev]ity ( a social det]m9ant ( heal? ne$
 ( ! individual z id5tifi$ by a         
diagno/ic code ref]r$ to 9 subp>agraph  
7,a74  7#c7 ,rules ( con/ruction  7,a7  
,f$]al privacy requirem5ts ,no?+ 9 ?is  
subsection %all be con/ru$ to sup]s$e   
any ,f$]al privacy or confid5tiality    
requirem5t1 includ+ ! regulations       
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif & section   
#edc ( ! ,public ,heal? ,s]vice ,act &  
any regulations promulgat$ !reund]4     
7,b7 ,no requirem5t = ! provision (     
m$ical assi/ance ,no?+ 9 ?is subsection 

%all be con/ru$ z all[+ = m$ical        
assi/ance = items & s]vices = :i* ,f$]al
 f9ancial p>ticipation is n p]mitt$ "u  
?is title4  7#d7 ,/ate requirem5t to    
collect in=mation f provid]s ,z a       
condition = meet+ ! requirem5ts (       
section #aijb7;a77#f7 & section         
#bajg7;b77#a71 a ,/ate %all ensure t !  
provid]s id5tifi$ by ! ,secret>y "u     
p>agraph 7#a77;,b77i7 are conduct+      
scre5+s = social ne$s & submitt+ /&>diz$
 in=mation ) appropriate frequ5cy 7z    
id5tifi$ by ! ,secret>y "u su*          
p>agraph74  7#e7 ,application to        
t]ritories  7,a7 ,9 g5]al ,to ! ext5t t 
! ,secret>y det]m9es t x is n           
practicable = a ,/ate specifi$ 9        
subp>agraph 7,b7 to report in=mation 9  
accordance ) ! uni=m report+ field made 
available "u p>agraph 7#a71 ?is         
subsection %all n apply ) respect to su*
 ,/ate4  7,b7 ,t]ritories specifi$ ,!   
,/ates specifi$ 9 ?is subp>agraph are   
,pu]to ,rico1 ! ,virg9 ,isl&s1 ,guam1   
,am]ican ,samoa1 & ! ,nor!rn ,m>iana    

,isl&s4  4  7b7 ,report ,section        
#aidf7;b77#b7 ( su* ,act 7#db ,u4,s4,c4 
#acifw-#e7;b77#b77 is am5d$-- 7#a7 by   
/rik+ ,n lat] ?an & ins]t+ ! foll[+3    
7,a7 ,initial reports ,n lat] ?an  2 &  
7#b7 by add+ at ! end ! foll[+3  7,b7   
,report on collection ( in=mation relat$
 to social det]m9ants ( heal? ,n lat]   
?an #d ye>s aft] ! date ( ! enactm5t (  
?is subp>agraph1 ! ,secret>y %all submit
 to ,congress a report t includes       
aggregate f9d+s & tr5ds across          
respective b5efici>y populations =      
improv+ ! id5tification ( social        
det]m9ants ( heal? = b5efici>ies "u ?is 
title :o are eligible = m$ical assi/ance
 = :i* ,f$]al f9ancial p>ticipation is  
available & b5efici>ies "u title ,,xxi  
:o are eligible = *ild heal? assi/ance =
 :i* ,f$]al f9ancial p>ticipation is    
available bas$ on analyses ( ! data     
collect$ "u subsection 7d74  4