,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ddgj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #af1 #bjbe,ms4  
,van ,duyne 7= h]self1 ,ms4 ,del,bene1  
,mrs4 ,mill] ( ,we/ ,virg9ia1 & ,mr4    
,co/a7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 ,,xi 
( ! ,social ,security ,act to require   
hospitals p>ticipat+ 9 ! ,m$ic>e &      
,m$icaid programs to e/abli% c]ta9      
notification proc$ures ) respect to     
organ procurem5t ag5cies4  #a4 ,%ort    
title  ,?is ,act may be cit$ z ! ,remov+
 ,burd5s ,f ,organ ,donation ,act4  #b4 
,notify+ organ procurem5t ag5cies )     
respect to pot5tial organ donors  7a7 ,9
 g5]al ,section #aach7;a7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#h7;a77 is am5d$-- 7#a7 9       

p>agraph 7#a77;,a77iii7--  7,a7 by add+ 
& at ! end2  7,b7 by /rik+ t su* &      
ins]t+  t-- 7,i7 su*  2 &  7,c7 by add+ 
at ! end ! foll[+ new subclause3  7,,ii7
 subject to p>agraph 7#d71 beg9n+ on !  
date t is #b ye>s aft] ! date ( !       
enactm5t ( ! ,remov+ ,burd5s ,f ,organ  
,donation ,act1 ) respect to su* a      
pot5tial organ donor1 su* hospital's    
designat$ organ procurem5t ag5cy is     
issu$ an automat$ electronic            
notification & is provid$ electronic &  
remote access to ! electronic heal?     
records ( su* pot5tial organ donor :5   
su* electronic heal? records are updat$ 
to indicate t su* pot5tial organ donor  
is deceas$ or t ! dea? ( su* pot5tial   
organ donor is imm95t1 z det]m9$ 9      
accordance ) ! protocol describ$ 9      
section #dhb4de7;a77#a7 ( title #db1    
,code ( ,f$]al ,regulations 7or any     
successor regulation72  2 &  7#b7 by    
add+ at ! end ! foll[+ new p>agraph3    
7#d7 ,exemptions f automat$ ,,ehr access
 requirem5t  7,a7 ,exemptions  7i7 ,9   

g5]al ,! ,secret>y may exempt a hospital
 or critical access hospital f !        
automat$ electronic notification &      
remote access requirem5t "u p>agraph    
7#a77;,a77iii77,,ii7 = a p]iod ( #c ye>s
 if ! ,secret>y det]m9es t meet+ su*    
requirem5t w\ld result 9 a significant  
h>d%ip1 su* z 9 ! case ( a hospital or  
critical access hospital locat$ 9 a     
rural area )\t suffici5t ,int]net       
access1 or o!r exceptional circum/ances 
demon/rat$ by ! hospital4  7ii7         
,automatic exemption ,! ,secret>y %all  
grant an exemption describ$ 9 clause 7i7
 to a hospital or critical access       
hospital = a p]iod ( #a ye> if !        
,secret>y det]m9es t su* hospital is    
affect$ by a cyb]security attack 7z     
def9$ 9 subp>agraph 7,c771 or is locat$ 
9 an area affect$ by a major disa/] 7z  
def9$ 9 section #eabb7b7 ( title #db1   
,unit$ ,/ates ,code7 or any o!r natural 
or man-made disa/]1 & %all notify su*   
hospital or critical access hospital (  
su* exemption4  7iii7 ,ext5sion ,!      

,secret>y may ext5d an exemption grant$ 
"u clause 7i7 or 7ii7 if ! hospital or  
critical access hospital demon/rates to 
! satisfaction ( ! ,secret>y t su* an   
ext5sion is necess>y4  7,b7 ,report ,n  
lat] ?an #b ye>s aft] ! date ( !        
enactm5t ( ! ,remov+ ,burd5s ,f ,organ  
,donation ,act1 & n less frequ5tly ?an  
annually !reaft]1 ! ,secret>y %all      
submit to ! ,committee on ,ways & ,means
 & ! ,committee on ,en]gy & ,comm]ce ( !
 ,h\se ( ,repres5tatives1 & to !        
,committee on ,f9ance & ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 a report on ! numb] (        
exemptions grant$ "u subp>agraph 7,a7   
dur+ ! previ\s ye> & ! reason = grant+  
ea* su* exemption4  7,c7 ,cyb]security  
attack def9$ ,= purposes ( subp>agraph  
7,a71 ! t]m cyb]security attack means1 )
 respect to a hospital or a critical    
access hospital1 any k9d ( malici\s     
activity t--  7i7 attempts to collect1  
modify1 disrupt1 d5y1 degrade1 or de/roy
 in=mation sy/em res\rces ( ! hospital1 

includ+ ! in=mation itself2  7ii7       
affects ! confid5tiality1 integrity or  
availability ( data1 in=mation1 or      
op]ational te*nology sy/em res\rces ( ! 
hospital2 or  7iii7 poses any o!r ?reat 
to ! in=mation1 in=mation sy/ems1       
te*nology1 or te*nological capabilities 
( ! hospital1 z det]m9$ by ! ,secret>y4 
4  7b7 ,guidance on be/ practices  7#a7 
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,heal? & ,human ,s]vices %all issue     
guidance to hospitals1 critical access  
hospitals1 organ procurem5t ag5cies1 &  
electronic heal? record companies reg>d+
 be/ practices = comply+ ) ! automat$   
electronic notification & remote access 
requirem5t "u subclause 7,,ii7 ( section
 #aach7;a77#a77;,a77iii7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#h7;a77#a77;,a77iii771 z add$ by
 subsection 7a74 ,su* guidance %all be  
bas$ ^u ! exp]i5ces ( entities t h      
previ\s exp]i5ce ) ! implem5tation (    
simil> automat$ electronic notifications

 & remote access1 & %all provide        
insights on :at work$ well & :at did n4 
7#b7 ,explanation ( *anges to donors &  
family memb]s ,n lat] ?an #a ye> aft] ! 
date ( ! enactm5t ( ?is ,act1 !         
,secret>y ( ,heal? & ,human ,s]vices    
%all issue guidance to ,/ate heal?      
ag5cies 7or su* o!r ,/ate ag5cy1        
dep>tm5t1 or au?ority z ! ,gov]nor ( ea*
 ,/ate may det]m9e appropriate7 reg>d+  
be/ practices = expla9+ ! automat$      
electronic notification & remote access 
requirem5t "u subclause 7,,ii7 ( section
 #aach7;a77#a77;,a77iii7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#h7;a77#a77;,a77iii771 z add$ by
 subsection 7a71 to organ donors1       
pot5tial organ donors1 & ! family memb]s
 ( su* donors & pot5tial donors4  7c7   
,,gao report & /udy ,! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates 79 ?is         
subsection ref]r$ to z ! ,comptroll]    
,g5]al7 %all--  7#a7 c>ry out a /udy on 
! implem5tation ( ! automat$ electronic 
notification & remote access requirem5t 

"u subclause 7,,ii7 ( section           
#aach7;a77#a77;,a77iii7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#h7;a77#a77;,a77iii771 z add$ by
 subsection 7a71 t takes into acc\nt--  
7,a7 ! co/ ( implem5t+ ! automat$       
electronic notification & remote access 
requirem5t describ$ 9 su* p>agraph2     
7,b7 ! impact ( hospital location on !  
implem5tation ( su* requirem5t1 includ+ 
! impact ( limit$ broadb& access 9 rural
 areas1 & improvem5ts t c\ld be made to 
facilitate su* implem5tation2 &  7,c7 ! 
reports submitt$ by ! ,secret>y pursuant
 to p>agraph 7#d77;,b7 ( section        
#aach7;a7 ( su* ,act 7#db ,u4,s4,c4     
#acbj;b-#h7;a771 z add$ by subsection   
7a72 &  7#b7 n lat] ?an #c ye>s aft] !  
date ( ! enactm5t ( ! ,remov+ ,burd5s f 
,organ ,donation ,act1 submit to        
,congress a report on ! results ( ! /udy
 c>ri$ out "u p>agraph 7#a7 t includes--
 7,a7 an analysis ( data ma9ta9$ by !   
,dep>tm5t ( ,heal? & ,human ,s]vices    
relat$ to ! outcomes ( organ transplants

 p]=m$ aft] ! enactm5t ( ! ,remov+      
,burd5s f ,organ ,donation ,act2  7,b7 a
 review ( issues relat$ to secur+ pati5t
 data & ! roles ( ! ,c5t]s = ,m$ic>e    
,m$icaid ,s]vices & ! ,heal? ,res\rces &
 ,s]vices ,adm9i/ration ) respect to ^? 
issues2 &  7,c7 any recomm5dations =    
fur!r action1 z appropriate4