,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bjjb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #aj1 #bjbe,mr4   
,kelly ( ,p5nsylvania 7= himself1 ,mr4  
,fo/]1 & ,mr4 ,m\lton7 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xxx ( !       
,public ,heal? ,s]vice ,act to e/abli%  
/&>ds & protocols to improve pati5t     
mat*+4  #a4 ,%ort title ,?is ,act may be
 cit$ z ! ,pati5t ,mat*+ ,& ,transp>5cy 
9 ,c]tifi$ ,heal? ,,x ,act ( #bjbe or ! 
,,mat* ,,x ,act ( #bjbe4  #b4 ,f9d+s    
,congress f9ds ! foll[+3 7#a7 ,ensur+   
accurate pati5t id5tification & mat*+ is
 key to a*iev+ ! int]op]ability )9 !    
heal? c>e sy/em call$ = by ,congress 9 !
 #ba/ ,c5tury ,cures ,act & ! ,heal?    
,in=mation ,te*nology = ,economic &     

,cl9ical ,heal? 7,,hite*7 ,act4  7#b7   
,!re is curr5tly no national /rategy to 
ensure pati5ts are accurately mat*$ ) _!
 m$ical records4  7#c7 ,!re is no /&>d  
def9ition across ! heal? c>e sy/em (    
pati5t mat* rate to ensure ! ability to 
accurately measure pati5t mat*es &      
pati5t misid5tification4  7#d7 ,! pati5t
 mat* rates t are available c v>y       
widely1 ) an e/imate f ,,*ime not+ t    
mat*+ )9 facilities c be z l[ z #hj     
p]c5t--mean+ t "o out ( e five pati5ts  
may n be mat*$ to all 8 or h] records4  
7#e7 ,pati5t misid5tification )9 !      
,unit$ ,/ates heal? c>e sy/em is a ?reat
 to pati5t safety1 pati5t privacy1 & a  
driv] ( unnecess>y co/s to pati5ts &    
provid]s4  7#f7 ,! inability ( cl9icians
 to ensure pati5ts are accurately mat*$ 
) _! m$ical record has caus$ m$ical     
errors1 & ev5 lives lo/4 ,pati5t        
misid5tification has be5 nam$ a recurr5t
 pati5t safety *all5ge 9 multiple ye>s  
by ,,ecri4  7#g7 ,pati5ts mu/ und]go    
unnecess>y repeat$ m$ical te/s because (

 ! inability to ensure accurate mat*es  
to _! m$ical record4  7#h7 ,! exp5se (  
repeat$ m$ical c>e due to duplicate     
records co/s an av]age ( #a1iej p]      
pati5t inpati5t /ay1 & m ?an #a1gjj p]  
em]g5cy dep>tm5t visit4 ,?irty-five     
p]c5t ( all d5i$ claims result f        
inaccurate pati5t id5tification1 co/+ ! 
av]age hospital #b4e million & ! ,unit$ 
,/ates heal? c>e sy/em m ?an #f4g       
billion annually4  7#i7 ,ov]laid        
records1 caus$ by m]g+ multiple pati5ts'
 data into "o m$ical record1 may result 
9 unau?oriz$ disclosures "u ! ,heal?    
,insurance ,portability & ,acc\ntability
 ,act 7,,hipaa71 z well z ! risk ( a    
pati5t receiv+ treatm5t = ano!r pati5t's
 condition4  7#aj7 ,?is ,act w\ld       
decrease ! preval5ce ( pati5t           
misid5tification by fur!r promot+       
int]op]ability1 !reby protect+ pati5ts &
 address+ high co/s driv5 by ?is issue4 
#c4 ,/&>ds & protocols to improve pati5t
 mat*+  7a7 ,9 g5]al ,subtitle ,c (     
title ,,xxx ( ! ,public ,heal? ,s]vice  

,act 7#db ,u4,s4,c4 #cjj;jj-#ea et seq47
 is am5d$ by add+ at ! end ! foll[+ new 
section3  #cjbc4 ,/&>ds & protocols to  
improve pati5t mat*+  7a7 ,e/abli%+ a   
uni=m def9ition = pati5t mat* rate  7#a7
 ,9 g5]al ,n lat] ?an #ahj days aft] !  
date ( enactm5t ( ?is section1 !        
,secret>y %all1 9 consultation ) heal?  
c>e provid]s1 v5dors ( electronic heal? 
records & heal? in=mation te*nology1    
pati5t gr\ps1 & o!r relevant /akehold]s1
 develop a def9ition & /&>ds = accurate 
& precise pati5t mat*+ to track pati5t  
mat* rates & docum5t improvem5ts (      
pati5t mat*+ ov] "t4 ,! ,secret>y %all  
ensure t su* def9ition & /&>ds = pati5t 
mat* rate acc\nt =-- 7,a7 duplicate     
records2  7,b7 ov]laid records2  7,c7   
in/ances ( multiple mat*es f\nd2 &  7,d7
 mismat* rates )9 ! same heal?c>e       
organizations & provid] sy/ems4  7#b7   
,review & update ,9 consultation ) heal?
 c>e provid]s1 v5dors ( electronic heal?
 records & heal? in=mation te*nology1   
pati5t gr\ps1 & o!r relevant /akehold]s1

 ! ,secret>y %all review & update !     
def9ition & /&>ds develop$ "u p>agraph  
7#a71 z appropriate1 n less frequ5tly   
?an once e #c ye>s to ensure t su*      
def9ition & /&>ds are consi/5t ) updates
 & improvem5ts 9 te*nologies &          
processes4  7b7 ,developm5t ( a /&>d    
data set ,to improve pati5t mat*+  7#a7 
,9 g5]al ,n lat] ?an #ahj days aft] !   
date ( enactm5t ( ?is section1 subject  
to p>agraph 7#b71 ! ,national           
,coord9ator %all review ! curr5t data   
set 9 ! ,unit$ ,/ates ,core ,data =     
,int]op]ability & id5tify1 def9e1 &     
adopt ! m9imum data set ne$$ to support 
! adoption ( pati5t mat*+ by entities1  
includ+ heal? c>e provid]s1 develop]s ( 
heal? c>e in=mation te*nology or c]tifi$
 heal? ,,x1 or heal? in=mation networks 
( ex*ange1 at a rate ( #ii4i p]c5t4 ,!  
,national ,coord9ator %all include su*  
m9imum data set 9 ! ,unit$ ,/ates ,core 
,data = ,int]op]ability4  7#b7          
,developm5t ( data /&>ds 9 ,unit$ ,/ates
 core data = int]op]ability ,= purposes 

( improv+ int]op]able heal? ex*ange1 n  
lat] ?an #a ye> aft] def9+ ! m9imum data
 set describ$ 9 p>agraph 7#a71 !        
,national ,coord9ator %all create1      
update1 or adopt data /&>ds = ! data    
elem5ts id5tifi$ 9 ! m9imum data set &  
incorporate su* /&>ds into ! ,unit$     
,/ates ,core ,data = ,int]op]ability4   
7#c7 ,consultation requir$ ,9 id5tify+ &
 def9+ ! m9imum data set describ$ 9     
p>agraph 7#a7 & creat+1 updat+1 or      
adopt+ data /&>ds describ$ 9 p>agraph   
7#b71 ! ,national ,coord9ator %all      
consult )-- 7,a7 heal? c>e provid]s2    
7,b7 v5dors ( electronic heal? records2 
7,c7 v5dors ( heal? in=mation te*nology2
  7,d7 pati5t gr\ps2  7,e7 ,f$]al       
ag5cies1 includ+ ! ,national ,in/itute (
 ,/&>ds & ,te*nology1 ! ,c5t]s =        
,disease ,control & ,prev5tion1 !       
,dep>tm5t ( ,def5se1 ! ,national        
,in/itutes ( ,heal?1 ! ,dep>tm5t (      
,vet]ans ,affairs1 ! ,social ,security  
,adm9i/ration1 ! ,indian ,heal? ,s]vice1
 & ! ,(fice = ,civil ,rights2  7,f7     

public heal? au?orities )9 ,/ate1 local1
 t]ritorial1 & ,tribal2 &  7,g7 any o!r 
/akehold]s ! ,secret>y det]m9es         
appropriate4  7#d7 ,rule ( con/ruction  
,no?+ 9 ?is subsection %all be con/ru$  
to require an entity to meet a m9imum   
pati5t mat* rate ( #ii4i p]c5t4  4  7b7 
,incorporat+ ! m9imum data set = pati5t 
mat*+ into c]tification requirem5ts     
,section #cjjd7;b7 ( subtitle ,b ( title
 ,,xxx ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #cjj;jj-#ad7;b77 is am5d$
 by add+ at ! end ! foll[+ new          
subp>agraph3  7#d7 ,special rule  7,a7  
,incorporation ( m9imum data set into   
heal? x c]tification requirem5ts        
,not)/&+ p>agraph 7#c71 ! ,secret>y %all
 incorporate & adopt ! m9imum data set =
 pati5t mat*+ e/abli%$ "u section #cjbc 
into ! c]tification crit]ia adopt$ "u   
?is section n lat] ?an #ahj days aft]   
su* data set is f9aliz$4  7,b7          
,incorporation ( m9imum data set into   
,m$ic>e int]op]ability program          
requirem5ts ,n lat] ?an #bd mon?s aft] !

 incorporation ( ! m9imum data set =    
pati5t mat*+ into ! c]tification crit]ia
 z requir$ 9 subp>agraph 7,a71 !        
,secret>y %all incorporate & adopt su*  
m9imum data set = pati5t mat*+ e/abli%$ 
"u section #cjbc into program           
requirem5ts to promote ! int]op]ability 
( c]tifi$ ,,ehr te*nology = entities    
p>ticipat+ 9 ! ,m$ic>e program "u title 
,,xviii ( ! ,social ,security ,act4  4  
7c7 ,additional inc5tives ,to promote   
int]op]ability  7#a7 ,9 g5]al ,n lat]   
?an #bd mon?s aft] ! incorporation &    
adoption ( ! m9imum data set = pati5t   
mat*+ into ! program requirem5ts to     
promote ! int]op]ability ( c]tifi$ ,,ehr
 te*nology = entities p>ticipat+ "u !   
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act z requir$ 9      
subp>agraph 7,b7 ( section #cjjd7;b77#d7
 ( title ,,xxx ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;jj-#ad7;b771 ! ,adm9i/rator ( !    
,c5t]s = ,m$ic>e & ,m$icaid ,s]vices    
%all1 ?r\gh rulemak+1 e/abli% a volunt>y

 bonus measure )9 ! ,m$ic>e ,promot+    
,int]op]ability ,program = eligible     
provid]s :o meet an accurate pati5t mat*
 rate 7z def9$ "u section #cjbc (       
subtitle ,c ( title ,,xxx ( ! ,public   
,heal? ,s]vice ,act7 ( at lea/ #ij p]c5t
 or ! rate det]m9$ "u p>agraph 7#d7 to  
volunt>y atte/ to & receive a paym5t    
adju/m5t = meet+ su* measure4  7#b7     
,special rule ,9 e/abli%+ ! volunt>y    
bonus measure describ$ 9 p>agraph 7#a71 
! ,adm9i/rator %all-- 7,a7 ensure t !   
total score = inc5tive paym5ts or /atus 
z an eligible provid] w n be negatively 
impact$ if ! eligible provid] does n    
atte/ to an accurate pati5t mat* rate2 &
  7,b7 ensure t ! volunt>y atte/ations  
reg>d+ pati5t mat*+ rates %all n be     
publicly disclos$4  7#c7 ,volunt>y      
report+ program ,! ,national            
,coord9ator1 along ) ! ,c5t]s = ,m$ic>e 
& ,m$icaid ,s]vices & o!r ,f$]al ag5cies
 det]m9$ appropriate by ! ,secret>y1    
%all develop a volunt>y report+ program 
= eligible provid]s to anonym\sly submit

 pati5t mat*+ accuracy data to !        
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7#d7 ,annual review ( pati5t mat* rate  
7,a7 ,9 g5]al ,utiliz+ ! pati5t mat*+   
accuracy data describ$ 9 p>agraph 7#b7 &
 any additional data s\rces available1 !
 ,adm9i/rator ( ! ,c5t]s ( ,m$ic>e &    
,m$icaid ,s]vices %all review & evaluate
 ! pati5t mat* atte/ation rates annually
 to det]m9e if su* rate %\ld be adju/$4 
7,b7 ,adju/m5t ,! ,adm9i/rator may adju/
 ! pati5t mat* rate describ$ 9 p>agraph 
7#a7 if ! ,adm9i/rator det]m9es t !     
pati5t mat* atte/ation rate %\ld be     
adju/$ to fur!r inc5tivize ! volunt>y   
report+ ( accurate pati5t mat* rates4