,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #dcca  ,,in ,,the ,,house ,,of  
,,representatives  ,july #aj1 #bjbe,mr4 
,joyce of ,pennsylvania 7for himself and
 ,ms4 ,schrier7 introduced the following
 bill2 which was referred to the        
,committee on ,energy and ,commerce1 and
 in addition to the ,committee on ,ways 
and ,means1 for a period to be          
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to require the ,secretary of
 ,health and ,human ,services to        
establish a process to expand access to 
claims data under certain ,federal      
health plans in order to facilitate     
research and quality improvement4  #a4  
,short title ,this ,act may be cited as 
the ,access to ,claims ,data ,act4  #b4 
,expanded access to claims data to      
facilitate research and quality         
improvement  7a7 ,in general ,not later 
than ,january #a1 #bjbf1 the ,secretary 

of ,health and ,human ,services shall   
establish a process to allow a qualified
 clinical data registry under section   
#ahdh7m77#c77;,e7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7m77#c77;,e77 or a             
clinician-led clinical data registry    
under section #djje of the #bast        
,century ,cures ,act 7,p4,l4 #aad-bee7  
to request claims data described in     
subsection 7b7 7in a form and manner    
determined to be appropriate by the     
,secretary7 for the purposes of--  7#a7 
linking such data with clinical outcomes
 data2  7#b7 conducting quality         
assessments and quality improvement     
activities of providers of services 7as 
defined in subsection 7u7 of section    
#ahfa of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciex7 and suppliers 7as    
defined in subsection 7d7 of such       
section771 reporting the results of such
 assessments and activities to such     
providers and suppliers1 and performing 
risk-adjusted1 scientifically valid     

analyses and research to support quality
 improvement or patient safety2 and     
7#c7 publishing research and quality    
improvement analyses1 which may include 
deidentified combined claims and        
clinical outcomes data4  7b7 ,claims    
data described ,for purposes of         
subsection 7a71 the claims data         
described in this subsection--  7#a7    
are-- 7,a7 claims data under the        
,medicare program under title ,,xviii of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acie et seq472 and  7,b7 if  
the ,secretary determines appropriate1  
claims data under the ,medicaid program 
under title ,,xix of such ,act 7#db     
,u4,s4,c4 #acif et seq47 and the ,state 
,children's ,health ,insurance ,program 
under title ,,xxi of such ,act 7#db     
,u4,s4,c4 #acig;aa et seq472 and  7#b7  
may include provider-specific claims    
data1 clinical specialty-specific claims
 data1 ,state-specific claims data1 or  
nationwide claims data4  7c7 ,treatment 
of qualified clinical data registries   

and clinician-,led clinical data        
registries ,for the purposes of this    
section1 qualified clinical data        
registries and clinician-led clinical   
data registries shall not be required to
 be qualified entities1 as defined in   
section #ahgd7;e77#b7 of the ,social    
,security ,act 7#db ,u4,s4,c4           
#aciekk7e77#b771 or quasi-qualified     
entities1 to access claims data pursuant
 to subsection 7a74  7d7 ,fee ,data     
described in subsection 7b7 shall be    
made available to a qualified clinical  
data registry or clinician-led clinical 
data registry under this section at a   
reasonable fee equal to the cost of     
making such data available4 ,any fee    
collected pursuant to the preceding     
sentence shall be deposited into the    
,centers for ,medicare  ,medicaid       
,services ,program ,management ,account4