,,ii  #aah? ,,congress  #b;d ,session   
,s4 #efac  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ai           
7legislative day1 ,decemb] #af71        
#bjbd,mr4 ,van ,holl5 7= himself & ,mr4 
,lujn7 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to improve ! quality1       
appropriat5ess1 & effectiv5ess (        
diagnosis 9 heal? c>e1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,improv+ ,diagnosis 9 ,m$ic9e ,act (
 #bjbb4  #b4 ,rese>* program to improve 
diagno/ic safety & quality ,"p ,b (     
title ,,ix ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bii;b et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #iah4 
,rese>* program to improve diagno/ic    
safety & quality  7a7 ,9 g5]al ,!       
,director %all e/abli% a compreh5sive   
program ( rese>* & quality improvem5t   
to-- 7#a7 assess & und]/& diagno/ic     
errors1 includ+ diagno/ic delays1 & h[  
to elim9ate common failures 9 !         

diagno/ic process t lead to significant 
pati5t h>m2 &  7#b7 id5tify1 develop1   
implem5t1 & dissem9ate evid5ce-bas$     
/rategies & be/ practices = improv+     
diagno/ic quality1 safety1 & heal? c>e  
value4  7b7 ,activities ,! program      
e/abli%$ "u subsection 7a7 %all include 
! foll[+3 7#a7 ,cont9uum ( rese>* ,a    
portfolio ( conduct$ & support$         
activities t is consi/5t ) ! g5]al1     
rese>*1 implem5tation1 & dissem9ation   
activities ( ! ,c5t] = ,quality         
,improvem5t & ,pati5t ,safety1 z        
describ$ 9 section #icc1 includ+-- 7,a7 
inve/igator-initiat$ rese>* to assess   
diagno/ic errors & id5tify improv$      
me?ods to prev5t errors & ! h>m !y      
cause2  7,b7 translation & syn!sis (    
rese>* f9d+s & developm5t ( tools =     
implem5t+ prev5tion /rategies into      
practice2  7,c7 implem5tation rese>* to 
ref9e evid5ce-bas$ tools = improv+      
diagno/ic processes & effectively       
integrate ^! solutions into practice2 & 
7,d7 dissem9ation to promote            

implem5tation ( effective me?ods1       
/rategies & tools = wide-scale          
improvem5t4  7#b7 ,rese>* c5t]s (       
diagno/ic excell5ce ,consi/5t ) section 
#iaa7;b71 su* ,c5t]s %all l9k rese>*    
directly ) cl9ical practice 9           
geographically div]se locations ?r\gh\t 
! ,unit$ ,/ates1 & may include-- 7,a7   
academic m$ical & in/itutional rese>*   
c5t]s t comb9e demon/rat$               
multidiscipl9>y exp]tise 9 diagno/ic    
outcomes or quality improvem5t rese>* ) 
l9kages directly or ?r\gh national1 /ate
 or local /akehold] p>tn] organizations 
to relevant sites ( c>e2  7,b7          
provid]-bas$ rese>* networks1 includ+   
plan1 facility1 or deliv]y sy/em sites (
 c>e 7especially prim>y c>e71 t c       
evaluate outcomes & evaluate & promote  
quality improvem5t approa*es4  7#c7     
,f9ancial assi/ance ,! ,director may    
provide f9ancial assi/ance to assi/ 9   
meet+ ! co/s ( plann+ & e/abli%+ new    
c5t]s1 z well z op]at+ exi/+ & new      
c5t]s1 pursuant to section #ijb7;c74    

7#d7 ,/akehold] engagem5t ,! ,director  
%all id5tify & ent] into a support+     
agreem5t 7grant or contract7 ) a        
nonpr(it entity t conv5es a coalition ( 
div]se heal? c>e /akehold]s = ! purpose 
(-- 7,a7 rais+ att5tion to diagno/ic    
safety & quality conc]ns2  7,b7         
facilitat+ le>n+1 adoption & spread (   
effective quality improvem5t            
int]v5tions2 &  7,c7 catalyz+ novel     
actions by individual memb]             
organizations to r$uce h>ms f diagno/ic 
error & improve pati5t outcomes4  7c7   
,au?orization ( appropriations  7#a7 ,9 
g5]al ,to c>ry out ?is section1 !re is  
au?oriz$ to be appropriat$ #bj1jjj1jjj =
 fiscal ye> #bjbc1 #be1jjj1jjj = fiscal 
ye> #bjbd1 #cj1jjj1jjj = fiscal ye>     
#bjbe1 & #ce1jjj1jjj = ea* ( fiscal ye>s
 #bjbf & #bjbg4  7#b7 ,res]vation ,( !  
am\nt appropriat$ "u p>agraph 7#a7 = a  
fiscal ye>1 #gjj1jjj %all be allocat$ to
 c>ry+ out ! purpose describ$ 9         
subsection 7b77#d74  7#c7 ,availability 
,am\nts appropriat$ "u ?is section %all 

rema9 available until exp5d$4  4  #c4   
,fell[%ips & tra9+ grants  7a7 ,ru?     
,kirs*/e9 aw>ds ,section #dhg7;a7 ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhh7;a77 is am5d$ by add+ at 
! end ! foll[+3  7#e7 ,= purposes ( !   
program "u ?is subsection1 biom$ical &  
behavioral rese>* includes diagno/ic    
safety & quality rese>*4  4  7b7 ,,ahrq 
programs ,section #ijb7;b77#a7 ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bii;a7b77#a77 is am5d$-- 7#a7
 by ins]t+ & diagno/ic safety & quality 
aft] subsection 7a72 &  7#b7 by /rik+ "u
 section #dhg7;d77#c7 & ins]t+ =        
purposes ( c>ry+ out section #dhg4  #d4 
,quality measure developm5t ,section    
#ica7;c77#b7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bii;b-#ca7;c77#b77 
is am5d$-- 7#a7 by r$esignat+           
subp>agraphs 7,b7 ?r\gh 7,j7 z          
subp>agraphs 7,c7 ?r\gh 7,k71           
respectively2 &  7#b7 by ins]t+ aft]    
subp>agraph 7,a7 ! foll[+3  7,b7        
diagno/ic safety & quality2  4  #e4     

,data = rese>* & improvem5t ,section    
#icg7;f7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bii;b-#cg7;f77 is      
am5d$-- 7#a7 by /rik+ ,! ,secret>y &    
ins]t+ ! foll[+3  7#a7 ,9 g5]al ,!      
,secret>y  2 &  7#b7 add+ at ! end !    
foll[+3  7#b7 ,consultation ) exp]t     
panel ,9 c>ry+ out p>agraph 7#a71 !     
,secret>y1 9 coord9ation ) ! ,director1 
! ,director ( ! ,c5t]s = ,m$ic>e        
,m$icaid ,s]vices1 ! ,national          
,coord9ator = ,heal? ,in=mation         
,te*nology1 & ! ,national ,libr>y (     
,m$ic9e1 %all conv5e an exp]t panel to  
consid] & make recomm5dations reg>d+ !  
types1 s\rces1 & availability ( data    
ne$$ to accel]ate diagno/ic safety &    
quality rese>*1 tra9+1 & measure        
developm5t z specifi$ 9 section #iah1   
includ+ data relat$ to racial1 e?nic1 & 
language attributes2 g5d]1 age1         
geography1 & socioeconomic conditions2 !
 specificity1 int]op]ability1 &         
socio-te*nical aspects ( electronic     
vocabul>ies & ontologies relat$ to      

pres5t+ symptoms & diagno/ic c]ta9ty2 & 
! developm5t & use ( symptom-bas$       
cl9ical regi/ries4 ,su* panel %all      
consid] enhanc$ data capabilities t are 
necess>y to support bo? rese>* &        
improvem5t ( diagno/ic safety & quality4
  4  #f4 ,int]ag5cy ,c\ncil on ,improv+ 
,diagnosis 9 ,heal? ,c>e  7a7           
,e/abli%m5t ,! ,secret>y ( ,heal? &     
,human ,s]vices 79 ?is section ref]r$ to
 z ! ,secret>y7 %all e/abli% )9 ! ,(fice
 ( ! ,secret>y an int]ag5cy c\ncil to be
 kn[n z ! ,int]ag5cy ,c\ncil on ,improv+
 ,diagnosis 9 ,heal? ,c>e 7ref]r$ to 9  
?is section z ! ,c\ncil74  7b7          
,objectives ,! objectives ( ! ,c\ncil   
%all be ! foll[+3 7#a7 ,enhance !       
quality1 appropriat5ess1 & effectiv5ess 
( diagnosis 9 heal? c>e ?r\gh-- 7,a7 !  
e/abli%m5t & support ( a broad base (   
sci5tific rese>*2  7,b7 ! dissem9ation &
 implem5tation ( ! results ( su* rese>*2
 &  7,c7 ! promotion ( improvem5ts 9    
cl9ical & heal? sy/em practices4  7#b7  
,id5tify & elim9ate sy/emic b>ri]s to   

support+ rese>* 9 improv+ diagnosis 9   
heal? c>e4  7#c7 ,id5tify k gaps1 rese>*
 & data ne$s1 & opportunities congru5t )
 ag5cy missions to /r5g!n ! cl9ical &   
translational rese>* pipel9e to improve 
diagno/ic safety & quality1 includ+     
pot5tial collaborative rese>*           
initiatives among #b or m ag5cies1      
(fices1 in/itutes1 or c5t]s )9 !        
,dep>tm5t ( ,heal? & ,human ,s]vices or 
o!r ,f$]al ag5cies or (fices4  7c7      
,memb]%ip  7#a7 ,*airp]son ,! ,director 
( ! ,ag5cy = ,heal?c>e ,rese>* &        
,quality 7or ! ,director's designee7    
%all be ! ,*airp]son ( ! ,c\ncil4  7#b7 
,memb]s  7,a7 ,9 g5]al ,9 addition to ! 
,*airp]son1 ! ,c\ncil %all be compris$ (
 ! foll[+3 7i7 ,at lea/ #a designee f   
ea* ( ! foll[+1 appo9t$ by ! head ( !   
applicable dep>tm5t or ag5cy3 7,i7 ,!   
,c5t]s = ,disease ,control & ,prev5tion4
  7,,ii7 ,! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices4  7,,iii7 ,! ,dep>tm5t (       
,vet]ans ,affairs4  7,,iv7 ,!           
,congressionally ,direct$ ,m$ical       

,rese>* ,program ( ! ,dep>tm5t (        
,def5se4  7,v7 ,! ,(fice ( ! ,national  
,coord9ator = ,heal? ,in=mation         
,te*nology4  7ii7 ,designees f !        
,national ,in/itutes ( ,heal?1 includ+ a
 lea/ #a designee f ea* ( ! foll[+3 7,i7
 ,! ,national ,canc] ,in/itute4  7,,ii7 
,! ,national ,c5t] = ,advanc+           
,translational ,sci5ces4  7,,iii7 ,!    
,national ,in/itute ( ,all]gy &         
,infecti\s ,diseases4  7,,iv7 ,!        
,national ,he>t1 ,lung1 & ,blood        
,in/itute4  7,v7 ,! ,national ,in/itute 
( ,neurological ,disord]s & ,/roke4     
7,,vi7 ,! ,national ,libr>y ( ,m$ic9e4  
7,,vii7 ,! ,national ,in/itute on       
,m9ority ,heal? & ,heal? ,disp>ities4   
7,,viii7 ,! ,national ,in/itute ( ,nurs+
 ,rese>*4  7,,ix7 ,! ,eunice ,k5n$y     
,%riv] ,national ,in/itute ( ,*ild      
,heal? & ,human ,developm5t4  7iii7     
,designees f su* o!r national rese>*    
in/itutes & national c5t]s z may be     
appropriate1 z det]m9$ by ! ,director ( 
! ,national ,in/itutes ( ,heal?4  7,b7  

,additional memb]s ,9 addition to !     
designees "u subp>agraph 7,a71 ! ,c\ncil
 may include su* o!r designees f ,f$]al 
dep>tm5ts or ag5cies z ! ,*airp]son ( ! 
,c\ncil deems appropriate4  7,c7        
,designation ,a p]son appo9t$ to !      
,c\ncil z a designee %all be a s5ior    
(ficial or employee ( ! dep>tm5t or     
ag5cy ^: responsibilities & subject     
matt] exp]tise are relevant to !        
,c\ncil's objectives li/$ 9 subsection  
7b71 z det]m9$ by ! designat+ (ficial4  
7d7 ,/rategic plan2 reports  7#a7       
,/rategic ,f$]al ,plan to ,improve      
,diagnosis 9 ,heal? ,c>e ,n lat] ?an #ah
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 ! ,c\ncil %all develop1 submit to 
! ,secret>y & ,congress1 & make publicly
 available a /rategic plan1 to be kn[n z
 ! ,/rategic ,f$]al ,plan to ,improve   
,diagnosis1 t1 consi/5t ) ! objectives  
li/$ 9 subsection 7b7-- 7,a7 id5tifies  
coord9at$ opportunities to enhance      
sci5tific rese>* & r$uce sy/emic b>ri]s 
9 ord] to improve diagnosis 9 heal? c>e2

 &  7,b7 includes legislative &         
adm9i/rative policy recomm5dations1     
includ+ opportunities to remove b>ri]s  
to1 & enhance1 int]-ag5cy coord9ation 9 
! plann+1 conduct1 & fund+ (1 su*       
rese>*4  7#b7 ,reports to ,congress ,n  
lat] ?an ,july #ca ( e odd-numb]$ ye>   
beg9n+ ) ! fir/ su* ye> aft] ! date (   
submission ( ! fir/ ,/rategic ,f$]al    
,plan to ,improve ,diagnosis "u p>agraph
 7#a71 ! ,c\ncil %all prep>e1 submit to 
! ,secret>y & ,congress1 & make publicly
 available an updat$ ,/rategic ,f$]al   
,plan to ,improve ,diagnosis t          
includes-- 7,a7 su* updates z ! ,c\ncil 
det]m9es to be appropriate2  7,b7       
in=mation on ! ov]all progress ( !      
,f$]al ,gov]nm5t 9 r$uc+ b>ri]s to      
rese>* on1 & support+ projects to       
improve1 diagnosis 9 heal? c>e2 &  7,c7 
legislative & adm9i/rative policy       
recomm5dations1 includ+ address+ any    
ne$s = great] legislative au?ority to   
meet ! objectives li/$ 9 subsection 7b74
  7e7 ,au?orization ( appropriations ,to

 c>ry out ?is section1 !re are au?oriz$ 
to be appropriat$ #a1ejj1jjj = ea* (    
fiscal ye>s #bjbc ?r\gh #bjbg4  #g4     
,national academies report  7a7 ,9 g5]al
 ,! ,director ( ! ,ag5cy = ,heal?c>e    
,rese>* & ,quality %all seek to ent]    
into a contract ) ! ,national ,academies
 ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e "u :i* 
su* ,national ,academies conducts a /udy
 & issues a report on disp>ities 9      
diagno/ic safety & quality t-- 7#a7     
id5tifies :at is kn[n ab\t ! burd5 &    
causes ( su* disp>ities1 includ+ racial1
 e?nic1 socioeconomic1 age1 g5d]1       
geography1 language pr(ici5cy1 &        
int]sectional int]actions2 &  7#b7      
includes recomm5dations on specific     
actions t policymak]s1 rese>*]s1        
cl9icians1 & o!r /akehold]s c take to   
elim9ate su* burd5s4  7b7 ,au?orization 
( appropriations ,to c>ry out ?is       
section1 !re is au?oriz$ to be          
appropriat$ #a1ejj1jjj = fiscal ye>     
#bjbc1 to rema9 available until exp5d$4