,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #dcca  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #aj1 #bjbe,mr4  
,joyce ( ,p5nsylvania 7= himself & ,ms4 
,s*ri]7 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 require !       
,secret>y ( ,heal? & ,human ,s]vices to 
e/abli% a process to exp& access to     
claims data "u c]ta9 ,f$]al heal? plans 
9 ord] to facilitate rese>* & quality   
improvem5t4  #a4 ,%ort title ,?is ,act  
may be cit$ z ! ,access to ,claims ,data
 ,act4  #b4 ,exp&$ access to claims data
 to facilitate rese>* & quality         
improvem5t  7a7 ,9 g5]al ,n lat] ?an    
,janu>y #a1 #bjbf1 ! ,secret>y ( ,heal? 
& ,human ,s]vices %all e/abli% a process
 to all[ a qualifi$ cl9ical data regi/ry
 "u section #ahdh7m77#c77;,e7 ( !       

,social ,security ,act 7#db ,u4,s4,c4   
#aciew-#d7m77#c77;,e77 or a cl9ician-l$ 
cl9ical data regi/ry "u section #djje ( 
! #ba/ ,c5tury ,cures ,act 7,p4,l4      
#aad-bee7 to reque/ claims data describ$
 9 subsection 7b7 79 a =m & mann]       
det]m9$ to be appropriate by !          
,secret>y7 = ! purposes (--  7#a7 l9k+  
su* data ) cl9ical outcomes data2  7#b7 
conduct+ quality assessm5ts & quality   
improvem5t activities ( provid]s (      
s]vices 7z def9$ 9 subsection 7u7 (     
section #ahfa ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciex7 & suppli]s 7z   
def9$ 9 subsection 7d7 ( su* section771 
report+ ! results ( su* assessm5ts &    
activities to su* provid]s & suppli]s1 &
 p]=m+ risk-adju/$1 sci5tifically valid 
analyses & rese>* to support quality    
improvem5t or pati5t safety2 &  7#c7    
publi%+ rese>* & quality improvem5t     
analyses1 :i* may include deid5tifi$    
comb9$ claims & cl9ical outcomes data4  
7b7 ,claims data describ$ ,= purposes ( 
subsection 7a71 ! claims data describ$ 9

 ?is subsection--  7#a7 are-- 7,a7      
claims data "u ! ,m$ic>e program "u     
title ,,xviii ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acie et seq472 &  7,b7 
if ! ,secret>y det]m9es appropriate1    
claims data "u ! ,m$icaid program "u    
title ,,xix ( su* ,act 7#db ,u4,s4,c4   
#acif et seq47 & ! ,/ate ,*ildr5's      
,heal? ,insurance ,program "u title     
,,xxi ( su* ,act 7#db ,u4,s4,c4 #acig;aa
 et seq472 &  7#b7 may include          
provid]-specific claims data1 cl9ical   
specialty-specific claims data1         
,/ate-specific claims data1 or          
nationwide claims data4  7c7 ,treatm5t (
 qualifi$ cl9ical data regi/ries &      
cl9ician-,l$ cl9ical data regi/ries ,= !
 purposes ( ?is section1 qualifi$       
cl9ical data regi/ries & cl9ician-l$    
cl9ical data regi/ries %all n be requir$
 to be qualifi$ entities1 z def9$ 9     
section #ahgd7;e77#b7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciekk7e77#b771 or quasi-qualifi$      
entities1 to access claims data pursuant

 to subsection 7a74  7d7 ,fee ,data     
describ$ 9 subsection 7b7 %all be made  
available to a qualifi$ cl9ical data    
regi/ry or cl9ician-l$ cl9ical data     
regi/ry "u ?is section at a reasonable  
fee equal to ! co/ ( mak+ su* data      
available4 ,any fee collect$ pursuant to
 ! prec$+ s5t5ce %all be deposit$ into !
 ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices    
,program ,managem5t ,acc\nt4