,,ii  #aaith ,,congress  #ast ,session  
,s4 #aibi  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #c1 #bjbe
 ,mr4 ,schumer 7for himself1 ,ms4       
,collins1 and ,mr4 ,kim7 introduced the 
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to establish programs to reduce
 rates of sepsis4  #a4  ,short title    
,this ,act may be cited as the ,securing
 ,enhanced ,programs1 ,systems1 and     
,initiatives for ,sepsis ,act or the    
,,sepsis ,act4  #b4  ,findings          
,congress finds as follows3 7#a7        
#a1gjj1jjj individuals in the ,united   
,states are diagnosed with sepsis       
annually and #cej1jjj individuals in the
 ,united ,states are killed by sepsis   
each year4  7#b7 ,there is a need for   
increased ,federal investment in        
research related to sepsis to build on  
research supported by the ,national     
,institutes of ,health1 including       
research with a pediatric focus         

supported by the ,eunice ,kennedy       
,shriver ,national ,institute of ,child 
,health and ,human ,development4  7#c7  
,the infectious disease workforce1 which
 plays a key role in reducing the burden
 of sepsis1 needs additional support to 
recruit and retain health care          
professionals engaged in infection      
prevention and related patient care4    
7#d7 ,sepsis is one of the most         
expensive conditions to treat in        
hospitals in the ,united ,states1 with  
high spending compounded by frequent    
hospital re-admissions1 including #a in 
#e patient re-admissions within #cj days
 of discharge and #a in #c patient      
re-admissions within #ahj days of       
discharge4  7#e7 ,according to the      
,centers for ,disease ,control and      
,prevention1 #hj percent of sepsis cases
 begin outside of the hospital4  7#f7   
,most sepsis fatalities are preventable 
with early recognition1 diagnosis1 and  
treatment4  7#g7 ,the sepsis protocols  
for hospitals in ,new ,york ,state1     

called ,rory's ,regulations for ,rory   
,staunton who died from preventable1    
treatable sepsis at #ab years of age1   
have been proven to save lives through  
rapid identification and treatment of   
sepsis4  7#h7 ,providers and public     
health experts should study and learn   
from ,rory's ,regulations to find ways  
to end preventable deaths from sepsis on
 a national scale4  #c4  ,sepsis        
programs  ,title ,,iii of the ,public   
,health ,service ,act 7#db ,u4,s4,c4    
#bda et seq47 is amended by inserting   
after section #cag,v the following3     
#cag,w4  ,sepsis programs  7a7  ,in     
general  ,the ,secretary1 acting through
 the ,director of the ,centers for      
,disease ,control and ,prevention       
7referred to in this section as the     
,director71 shall maintain a sepsis team
 for purposes of--  7#a7 leading an     
education campaign on best practices for
 addressing sepsis in hospitals1 such as
 the practices outlined in the ,hospital
 ,sepsis ,program ,core ,elements set   

forth by the ,centers for ,disease      
,control and ,prevention2  7#b7         
improving data collection on pediatric  
sepsis2  7#c7 sharing information with  
the ,administrator of the ,centers for  
,medicare  ,medicaid ,services to inform
 the development and implementation of  
sepsis quality measures to improve      
outcomes for patients2  7#d7 updating   
data elements with respect to sepsis    
used by the ,united ,states ,core ,data 
for ,interoperability1 in coordination  
with the heads of other relevant        
agencies and offices of the ,department 
of ,health and ,human ,services1        
including the ,national ,coordinator for
 ,health ,information ,technology and   
the ,director of the ,office of ,public 
,health ,data1 ,surveillance1 and       
,technology2  7#e7 facilitating efforts 
across the ,department of ,health and   
,human ,services to develop outcome     
measures with respect to sepsis2 and    
7#f7 carrying out other activities      
related to sepsis1 as the ,director     

determines appropriate4  7b7  ,report on
 development of outcome measures  ,not  
later than #a year after the date of    
enactment of the ,securing ,enhanced    
,programs1 ,systems1 and ,initiatives   
for ,sepsis ,act1 the ,director shall   
submit to the ,committee on ,health1    
,education1 ,labor1 and ,pensions of the
 ,senate and the ,committee on ,energy  
and ,commerce of the ,house of          
,representatives a report on the        
development and implementation of       
outcome measures for sepsis1 for both   
adult and pediatric populations1 that   
take into consideration the social and  
clinical factors that affect the        
likelihood a patient will develop       
sepsis4  7c7  ,annual briefing on sepsis
 activities  ,not later than #a year    
after the date of enactment of the      
,securing ,enhanced ,programs1 ,systems1
 and ,initiatives for ,sepsis ,act1 and 
annually thereafter1 the ,director shall
 present to the ,committee on ,health1  
,education1 ,labor1 and ,pensions of the

 ,senate and the ,committee on ,energy  
and ,commerce of the ,house of          
,representatives a briefing on--  7#a7  
aggregate data on the adoption by       
hospitals of sepsis best practices1     
including the ,hospital ,sepsis ,program
 ,core ,elements1 as reported by        
hospitals to the ,director1 using the   
hospital sepsis program assessment tool 
of the ,centers for ,disease ,control   
and ,prevention and ,state sepsis       
reporting requirements2  7#b7 rates of  
pediatric sepsis and efforts to reduce  
cases of pediatric sepsis1 including how
 the ,hospital ,sepsis ,program ,core   
,elements can be effective at supporting
 efforts to reduce cases of pediatric   
sepsis2  7#c7 the coordination of sepsis
 reduction efforts across the           
,department of ,health and ,human       
,services2  7#d7 in partnership with the
 ,director of the ,agency for           
,healthcare ,research and ,quality1 an  
evaluation of the impact of the         
,hospital ,sepsis ,program ,core        

,elements on quality of care for        
patients2  7#e7 data sharing from the   
,national ,healthcare ,safety ,network  
with other agencies and offices of the  
,department of ,health and ,human       
,services with respect to sepsis2 and   
7#f7 a report on the latest datasets on 
sepsis1 as provided to the ,director by 
the ,director of the ,agency for        
,healthcare ,research and ,quality4  7d7
  ,honor roll program  7#a7  ,in general
  ,the ,secretary may establish a       
voluntary program for recognizing       
hospitals that maintain effective sepsis
 programs or improve their sepsis       
programs over time1 including in the    
areas of early detection1 effective     
treatment1 and overall progress in the  
reduction of the burden of sepsis4  7#b7
  ,applications2 selection  ,in carrying
 out paragraph 7#a71 the ,secretary     
shall--  7,a7 solicit applications from 
hospitals2 and  7,b7 establish public   
benchmarks by which the ,secretary will 
select hospitals for recognition under  

such paragraph1 including with respect  
to each area described in such          
paragraph4  7e7  ,authorization of      
appropriations  ,to carry out this      
section1 there are authorized to be     
appropriated #bj1jjj1jjj for each of    
fiscal years #bjbf through #bjcj4  4