,,ii  #aai? ,,congress  #b;d ,session   
,s4 #ddii  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ab1 #bjbf,mr4    
,tillis 7= himself & ,mr4 ,hick5loop]7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to require ! ,secret>y (   
,heal? & ,human ,s]vices to exp& &      
enhance ! ,national ,heal?c>e ,safety   
,network to e/abli% real-"t infecti\s   
disease & public heal? surveillance     
capabilities across nurs+ homes 9 !     
,unit$ ,/ates1 & = o!r purposes4  #a4   
,%ort title ,?is ,act may be cit$ z !   
,advanc$ ,long-t]m c>e ,e>ly ,response  
,te*nology ,act ( #bjbf or ! ,,al]t ,act
 ( #bjbf4  #b4 ,national network (      
real-"t infecti\s disease & public heal?
 surveillance 9 nurs+ homes ,"p ,b (    
title ,,iii ( ! ,public ,heal? ,s]vice  
,act is am5d$ by ins]t+ aft] section    
#cai,m 7#db ,u4,s4,c4 #bdg;d-f7 !       
foll[+3  #cai,n4 ,enhancem5t ( ,national

 ,heal?c>e ,safety ,network = real-"t   
surveillance 9 nurs+ homes  7a7 ,9 g5]al
 ,n lat] ?an #ahj days aft] ! date (    
enactm5t ( ! ,advanc$ ,long-t]m c>e     
,e>ly ,response ,te*nology ,act ( #bjbf1
 ! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,c5t]s = ,disease ,control & ,prev5tion
 7ref]r$ to 9 ?is section z !           
,secret>y71 %all c>ry out a #e-ye>      
program to exp& & enhance ! ,national   
,heal?c>e ,safety ,network 7ref]r$ to 9 
?is section z ! ,,nhsn7 to e/abli%      
real-"t infecti\s disease & public heal?
 surveillance capabilities across nurs+ 
homes 9 ! ,unit$ ,/ates4  7b7           
,contract+ au?ority  7#a7  ,9 g5]al  ,! 
,secret>y may ent] into "o or m         
contracts ) an eligible entity to       
develop1 implem5t1 & op]ate !           
te*nological & analytic infra/ructure   
necess>y to provide real-"t surveillance
 & rapid notification capabilities "u ! 
,,nhsn4  7#b7  ,eligibility  ,to be     
eligible to ent] into a contract ) !    
,secret>y "u p>agraph 7#a71 an entity-- 

7,a7 %all be locat$ 91 or %all be a     
subsidi>y ( an entity t is locat$ 91 !  
,unit$ ,/ates2  7,b7 %all h1 & %all     
ma9ta9 = ! p]iod ( ! contract1 ,,hitru/ 
r#b c]tification 7or a successor        
c]tification72  7,c7 %all n be an       
electronic m$ical records company2 &    
7,d7 %all demon/rate exp]i5ce 9 e/abli%+
 & op]at+ a public heal? surveillance   
network t monitors infecti\s diseases or
 o!r public heal? ?reats at ! ,/ate or  
local level4  7c7  ,requir$ capabilities
  ,any contract ent]$ into "u subsection
 7b7 %all-- 7#a7 ensure t !             
infra/ructure develop$ pursuant to !    
contract is capable (--  7,a7 provid+   
real-"t monitor+ ( em]g+ infecti\s      
diseases & o!r public heal? ?reats among
 nurs+ homes nationwide2  7,b7 integrat+
 )1 & enhanc+1 ! report+ sy/ems ( !     
,,nhsn2  7,c7 e/abli%+ a c5tral hub (   
epidemiologi/s & o!r public heal?       
pr(essionals to support rapid           
id5tification ( outbreaks2  7,d7 provid+
 = imm$iate notification to appropriate 

,f$]al1 ,/ate1 & local heal? au?orities2
 &  7,e7 support+ ! implem5tation ( a   
/aff$ c>e managem5t program t skill$    
nurs+ facilities may opt into2  7#b7    
ensure appropriate privacy protections =
 individual pati5t data2 &  7#c7        
prohibit ! use ( data collect$ or g5]at$
 "u ! contract = regulatory compliance  
or en=cem5t purposes unless expressly   
au?oriz$ by law4  7d7  ,,hipaa & data   
protections  ,! entity aw>d$ a contract 
"u subsection 7b7-- 7#a7 %all be treat$ 
z a cov]$ entity 7z def9$ 9 section     
#afj4ajc ( title #de1 ,code ( ,f$]al    
,regulations 7or successor regulations77
 = purposes ( ! privacy regulations     
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif2 &  7#b7    
%all comply ) all applicable ,f$]al     
privacy & security requirem5ts4  7e7    
,/udy & report  ,at ! end ( ! p]iod ( ! 
program describ$ 9 subsection 7a71 !    
,secret>y %all conduct1 & submit to     
,congress a report t describes ! results

 (1 a /udy on--  7#a7 ! effectiv5ess ( !
 enhanc$ ,,nhsn sy/em 9 monitor+        
infecti\s diseases & public heal? ?reats
 9 nurs+ homes2  7#b7 ! impact ( !      
enhanc$ ,,nhsn sy/em on hospitalization 
rates & pati5t outcomes2 &  7#c7        
recomm5dations reg>d+ cont9uation or    
expansion ( ! program "u ?is section4   
7f7  ,au?orization ( appropriations  ,to
 c>ry out ?is section1 !re is au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = ea* ( fiscal ye>s #bjbg ?r\gh
 #bjca4  4  #c4 ,support+ ( real-"t     
infections disease & public heal?       
surveillance network = nurs+ homes      
,section #aaae;,a7b77#b77;,b7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acae;a7b77#b77;,b77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7xxviii7   
,support+ ! adoption by ! ,national     
,heal?c>e ,safety ,network ( te*nology  
to improve infecti\s disease            
surveillance 9 nurs+ homes t-- 7,i7 has 
capabilities = imm$iate detection &     
report+ ( infecti\s disease outbreaks2  

7,,ii7 facilitates coord9at$ responses )
 local1 ,/ate1 & ,f$]al public heal?    
au?orities2 &  7,,iii7 enables nurs+    
homes to p>ticipate 9 a /aff$ c>e       
managem5t program to improve resid5t    
heal? outcomes4  4