,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dihi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ae1 #bjbf,mr4   
,van ,holl5 7= himself & ,mr4 ,lujn7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to improve ! quality1       
appropriat5ess1 & effectiv5ess (        
diagnosis 9 heal? c>e1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,sav+ ,lives & ,r$uc+ ,heal? ,c>e   
,wa/e by ,improv+ ,diagnosis 9 ,m$ic9e  
,act4  #b4 ,f9d+s & purpose ,congress   
f9ds t diagno/ic error is a lead+ cause 
( prev5table h>m & wa/e 9 ! ,unit$      
,/ates heal? sy/em1 & ! mod]nization (  
diagno/ic safety & quality              
infra/ructure1 ?r\gh appli$ rese>*1 data
 sci5ce1 pati5t engagem5t1 & sy/ems     
le>n+1 is necess>y to improve outcomes &
 r$uce co/s4  #c4 ,rese>* & quality     
improvem5t program ,"p ,b ( title ,,ix (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bii;b et seq47 is am5d$ by   

add+ at ! end ! foll[+3  #iah4 ,rese>* &
 quality improvem5t program  7a7 ,9     
g5]al ,! ,director %all e/abli% a       
compreh5sive program ( pati5t-c5t]$     
rese>* & quality improvem5t to-- 7#a7   
assess & und]/& diagno/ic errors1       
includ+ diagno/ic delays1 & h[ to       
elim9ate common failures 9 ! diagno/ic  
process t lead to significant pati5t    
h>m2 &  7#b7 id5tify1 develop1 implem5t1
 & dissem9ate evid5ce-bas$ /rategies &  
be/ practices = improv+ diagno/ic       
quality1 safety1 timel9ess1 & elim9at+ &
 heal? c>e wa/e result+ f diagno/ic     
errors & delays4  7b7 ,activities ,!    
program e/abli%$ "u subsection 7a7 %all 
include ! foll[+3 7#a7 ,cont9uum (      
rese>* ,a portfolio ( conduct$ &        
support$ activities t is consi/5t ) !   
rese>*1 implem5tation1 & dissem9ation   
activities ( ! ,c5t] = ,quality         
,improvem5t & ,pati5t ,safety ( ! ,ag5cy
 = ,heal?c>e ,rese>* & ,quality1        
includ+-- 7,a7 rese>* to assess         
diagno/ic errors & id5tify improv$      

me?ods to prev5t errors & ! h>m errors  
cause2  7,b7 translation & syn!sis (    
rese>* f9d+s & developm5t ( tools =     
implem5t+ prev5tion /rategies into      
practice2  7,c7 implem5tation rese>* to 
ref9e evid5ce-bas$ tools = improv+      
diagno/ic processes & effectively       
integrate ^! solutions into practice2 & 
7,d7 collaboration ) /akehold]s across !
 heal? c>e community to dissem9ate &    
promote implem5tation ( effective       
me?ods1 /rategies1 & tools = wide-scale 
improvem5t1 includ+ id5tify+ :]e        
digital- & artificial intellig5ce-enabl$
 tools c\ld be b5eficial1 measure &     
assess diagno/ic safety1 accuracy1 &    
timel9ess1 & assess ! impact (          
improvem5t on wa/eful sp5d+4  7#b7      
,rese>* c5t]s ( diagno/ic excell5ce     
,consi/5t ) section #iaa7;b71 ! heal?   
c>e improvem5t rese>* c5t]s describ$ 9  
su* section %all l9k rese>* directly )  
cl9ical practice 9 geographically div]se
 locations ?r\gh\t ! ,unit$ ,/ates1 &   
may include-- 7,a7 academic m$ical &    

in/itutional rese>* c5t]s t comb9e      
demon/rat$ multidiscipl9>y exp]tise 9   
diagno/ic outcomes or quality improvem5t
 rese>* ) l9kages directly or ?r\gh     
national1 ,/ate1 or local /akehold]     
p>tn] organizations to relevant sites ( 
c>e2 &  7,b7 provid]-bas$ rese>*        
networks1 includ+ plan1 facility1 or    
deliv]y sy/em sites ( c>e 7especially   
prim>y c>e71 t c evaluate outcomes &    
evaluate & promote quality improvem5t   
approa*es4  7#c7 ,f9ancial assi/ance ,! 
,director may provide f9ancial assi/ance
 to assi/ 9 meet+ ! co/s ( plann+ &     
e/abli%+ new c5t]s1 z well z op]at+     
exi/+ & new c5t]s1 pursuant to section  
#ijb7;c74  7#d7 ,advisory committee     
7,a7 ,e/abli%m5t ,! ,director %all      
e/abli% a multi-/akehold] advisory      
committee1 ) memb]s t include pati5ts1  
family memb]s ) liv$ exp]i5ce1 & !      
pati5t or consum] advocacy organizations
 t repres5t su* pati5ts & family memb]s1
 to support ! ,director 9 ! plann+1     
implem5tation1 & evaluation ( ! program 

"u ?is section4  7,b7 ,purpose ,!       
committee e/abli%$ "u subp>agraph 7,a7  
%all ensure t ! program "u ?is section  
improves pati5t outcomes by-- 7i7       
incorporat+ advances 9 data sci5ce1     
artificial intellig5ce1 & heal?         
in=mation te*nology to emp[] pati5ts &  
families & /r5g!n sy/ems-bas$ approa*es 
to improv+ diagnosis2  7ii7 integrat+ ! 
liv$ exp]i5ce & ! outcomes t matt] mo/  
to pati5ts & families z well z          
p]spectives ( cl9icians & heal? sy/ems1 
to ensure relevance & uptake 9 practice2
 &  7iii7 ma9ta9s a balanc$ rese>*      
portfolio t emphasizes sci5tific rigor1 
pati5t-c5t]$ness1 & real _w             
applicability4  7c7 ,au?orization (     
appropriations  7#a7 ,9 g5]al ,to c>ry  
out ?is section1 !re are au?oriz$ to be 
appropriat$ #de1jjj1jjj = ea* ( fiscal  
ye>s #bjbg ?r\gh #bjca4  7#b7           
,availability ,am\nts appropriat$ "u ?is
 section %all rema9 available until     
exp5d$4  4  #d4 ,pati5t safety report+ &
 le>n+ infra/ructure  7a7 ,9 g5]al ,n   

lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 ! ,director ( ! ,ag5cy =     
,heal?c>e ,rese>* & ,quality %all       
develop & submit to ,congress a /rategic
 plan to mod]nize ,f$]al approa*es &    
e/abli% me*anisms t enable pati5ts1     
families1 & c>egiv]s to volunt>ily      
report _! exp]i5ces ( diagno/ic error 7z
 def9$ by ! ,national ,academy ( ,m$ic9e
 9 ! cons5sus /udy report titl$ ,improv+
 ,diagnosis 9 ,heal? ,c>e #bjae7 & o!r  
pati5t-safety adv]se ev5ts & ne> misses 
7z def9$ 9 ! ,pati5t ,safety ,network   
prim] titl$ ,adv]se ,ev5ts1 ,ne>        
,misses1 & ,errors1 publi%$ on ,decemb] 
#ae1 #bjbd7 to a sy/em t meets !        
requirem5ts e/abli%$ 9 subsection 7c74  
7b7 ,re/rictions on ! use ( reports     
7#a7 ,9 g5]al ,not)/&+ any o!r provision
 ( law1 reports collect$ "u subsection  
7a7 %all n be admissible 9 civil or     
crim9al proce$+s1 & %all be us$ solely =
 public heal?1 improvem5t1 & le>n+      
purposes4  7#b7 ,cl>ification ,report+  
"u subsection 7a7 %all n preclude or    

affect ! legal rights ( pati5ts or      
family memb]s or c>egiv]s ( pati5ts or  
rem$ies available to su* p>ties4  7c7   
,purposes ,! /rategic plan requir$ "u   
subsection 7a7 %all-- 7#a7 mod]nize     
,f$]al approa*es to captur+ & us+       
pati5t-report$ safety in=mation1 9 a    
mann] t-- 7,a7 safegu>ds pati5t privacy2
  7,b7 facilitates integration1 z       
appropriate1 ) exi/+ data & le>n+ sy/ems
 )9 ! ,dep>tm5t ( ,heal? & ,human       
,s]vices1 includ+ ! ,ag5cy = ,heal?c>e  
,rese>* & ,quality1 ! ,c5t]s = ,m$ic>e  
,m$icaid ,s]vices1 ! ,national          
,in/itutes ( ,heal?1 & ! ,advanc$       
,rese>* ,projects ,ag5cy = ,heal?2  7,c7
 consid]s ! use ( mod]n data-sci5ce     
me?ods1 includ+ natural-language        
process+ & artificial intellig5ce1 to   
enable detection ( diagno/ic & o!r      
safety signals f pati5t-report$ data &  
n>rative2 &  7,d7 id5tifies             
opportunities to align su* report+      
me*anisms ) exi/+ ,f$]al pati5t-exp]i5ce
 7su* z ,consum] ,assessm5t ( ,heal?c>e 

,provid]s & ,sy/ems71                   
quality-measurem5t1 & safety programs to
 m9imize burd5 & maximize le>n+2 &  7#b7
 recomm5d a coord9at$ ,f$]al approa* =  
pilot+1 evaluat+1 & scal+ su* report+   
me*anisms to support cont9u\s improvem5t
 9 diagno/ic safety & quality4  7d7     
,consultation ,9 develop+ ! /rategic    
plan "u subsection 7a71 ! ,director ( ! 
,ag5cy = ,heal?c>e ,rese>* & ,quality   
%all consult ) ! ,adm9i/rator ( ! ,c5t]s
 = ,m$ic>e  ,m$icaid ,s]vices1 !        
,national ,coord9ator = ,heal?          
,in=mation ,te*nology1 ! ,*ief ,data    
,(fic] ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 & ! ,*ief ,artificial         
,intellig5ce ,(fic] ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices4  7e7          
,au?orization ( appropriations  7#a7 ,9 
g5]al ,to c>ry out ?is section1 !re are 
au?oriz$ to be appropriat$ #bj1jjj1jjj =
 ea* ( fiscal ye>s #bjbg ?r\gh #bjcj4   
7#b7 ,availability ,am\nts appropriat$  
"u ?is section %all rema9 available     
until exp5d$4  #e4 ,fell[%ips & tra9+   

grants  7a7 ,ru? ,kirs*/e9 aw>ds        
,section #dhg7;a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bhh7;a77 is
 am5d$ by add+ at ! end ! foll[+3  7#e7 
,= purposes ( ! program "u ?is          
subsection1 biom$ical & behavioral      
rese>* includes diagno/ic safety &      
quality rese>*4  4  7b7 ,,ahrq programs 
,section #ijb7;b77#a7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bii;a7b77#a77 is am5d$-- 7#a7 by ins]t+
 & diagno/ic safety & quality aft]      
subsection 7a72 &  7#b7 by /rik+ "u     
section #dhg7;d77#c7 & ins]t+ = purposes
 ( c>ry+ out section #dhg4  #f4 ,quality
 measure developm5t ,section            
#ica7;c77#b7 ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bii;b-#ca7;c77#b77 
is am5d$-- 7#a7 by r$esignat+           
subp>agraphs 7,b7 ?r\gh 7,j7 z          
subp>agraphs 7,c7 ?r\gh 7,k71           
respectively2 &  7#b7 by ins]t+ aft]    
subp>agraph 7,a7 ! foll[+3  7,b7        
diagno/ic safety & quality2  4  #g4     
,/&>diz$ data = diagnosis rese>* &      

improvem5t  7a7 ,9 g5]al ,! ,secret>y ( 
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y7 %all         
coord9ate ) relevant dep>tm5tal         
compon5ts to promote ! /&>dization1     
int]op]ability1 & responsible use ( key 
data elem5ts to support diagno/ic safety
 & quality rese>* & improvem5t4  7b7    
,consultation ) exp]t panel ,9 c>ry+ out
 subsection 7a71 ! ,secret>y1 9         
coord9ation ) ! ,director ( ! ,ag5cy =  
,heal?c>e ,rese>* & ,quality1 !         
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       
,m$icaid ,s]vices1 ! ,director ( !      
,national ,libr>y ( ,m$ic9e1 ! ,*ief    
,data ,(fic] ( ! ,dep>tm5t ( ,heal? &   
,human ,s]vices1 & ! ,*ief ,artificial  
,intellig5ce ,(fic] ( ! ,dep>tm5t (     
,heal? & ,human ,s]vices1 %all conv5e an
 exp]t panel to consid] & make          
recomm5dations to ! ,national           
,coord9ator = ,heal? ,in=mation         
,te*nology reg>d+ ! specific ,unit$     
,/ates ,core ,data = ,int]op]ability    
data elem5ts & classes ne$$ to accel]ate

 diagno/ic safety & quality rese>*1     
tra9+1 & quality improvem5t includ+--   
7#a7 ! fidelity1 int]op]ability1        
auditability1 & socio-te*nical aspects (
 electronic vocabul>ies & ontologies    
relat$ to pres5t+ symptoms z /at$ by    
pati5ts1 *ief compla9ts ( pati5ts1 & !  
/atus ( diagnosis 7su* z t5tative1      
work+1 or confirm$72  7#b7 ! developm5t 
& use ( symptom-bas$ cl9ical regi/ries2 
&  7#c7 enhanc$ data capabilities t are 
necess>y to support bo? rese>* &        
improvem5t ( diagno/ic safety & quality4
  7c7 ,report ,! ,secret>y %all make    
available a summ>y ( ! panel's          
recomm5dations & plann$ actions to      
advance ! integration ( su* recomm5d$   
elem5ts into ! le>n+ infra/ructure =    
diagno/ic safety & quality4  7d7        
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re are au?oriz$ to be 
appropriat$ su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbg ?r\gh #bjbi1 to
 rema9 available until exp5d$4  #h4     
,int]ag5cy ,c\ncil on ,improv+          

,diagnosis 9 ,heal? ,c>e  7a7           
,e/abli%m5t ,! ,secret>y ( ,heal? &     
,human ,s]vices 7ref]r$ to 9 ?is section
 z ! ,secret>y7 %all e/abli% )9 ! ,(fice
 ( ! ,secret>y an int]ag5cy c\ncil to be
 kn[n z ! ,int]ag5cy ,c\ncil on ,improv+
 ,diagnosis 9 ,heal? ,c>e 7ref]r$ to 9  
?is section z ! ,c\ncil74  7b7          
,objectives ,! objectives ( ! ,c\ncil   
%all be ! foll[+3 7#a7 ,enhance !       
quality1 appropriat5ess1 & effectiv5ess 
( diagnosis 9 heal? c>e ?r\gh-- 7,a7 !  
e/abli%m5t & support ( a broad base (   
sci5tific rese>*2  7,b7 ! dissem9ation &
 implem5tation ( ! results ( su* rese>*2
 &  7,c7 ! promotion ( improvem5ts 9    
cl9ical & heal? sy/em practices4  7#b7  
,id5tify & elim9ate sy/emic b>ri]s to   
support+ rese>* 9 improv+ diagnosis 9   
heal? c>e4  7#c7 ,id5tify k gaps1 rese>*
 & data ne$s1 & opportunities congru5t )
 ag5cy missions to /r5g!n ! cl9ical &   
translational rese>* pipel9e to improve 
diagno/ic safety & quality1 includ+     
pot5tial collaborative rese>*           

initiatives among #b or m ag5cies1      
(fices1 in/itutes1 or c5t]s )9 !        
,dep>tm5t ( ,heal? & ,human ,s]vices or 
o!r ,f$]al ag5cies or (fices4  7c7      
,memb]%ip  7#a7 ,*air ,! ,director ( !  
,ag5cy = ,heal?c>e ,rese>* & ,quality   
7or ! ,director's designee7 %all be !   
,*air ( ! ,c\ncil4  7#b7 ,memb]s  7,a7  
,9 g5]al ,9 addition to ! ,*air1 !      
,c\ncil %all be compris$ ( ! foll[+3 7i7
 ,at lea/ #a designee f ea* ( ! foll[+1 
appo9t$ by ! head ( ! applicable        
dep>tm5t or ag5cy3 7,i7 ,! ,c5t]s =     
,disease ,control & ,prev5tion4  7,,ii7 
,! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4 
7,,iii7 ,! ,dep>tm5t ( ,vet]ans         
,affairs4  7,,iv7 ,! ,congressionally   
,direct$ ,m$ical ,rese>* ,program ( !   
,dep>tm5t ( ,def5se4  7,v7 ,! ,(fice ( !
 ,national ,coord9ator = ,heal?         
,in=mation ,te*nology4  7,,vi7 ,! ,(fice
 ( ! ,*ief ,data ,(fic] ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices4  7,,vii7 ,!   
,(fice ( ! ,*ief ,artificial            
,intellig5ce ,(fic] ( ! ,dep>tm5t (     

,heal? & ,human ,s]vices4  7,,viii7 ,!  
,c5t] = ,devices & ,radiological ,heal? 
( ! ,food & ,drug ,adm9i/ration4  7ii7  
,designees f ! ,national ,in/itutes (   
,heal?1 includ+ a lea/ #a designee f ea*
 ( ! foll[+3 7,i7 ,! ,national ,canc]   
,in/itute4  7,,ii7 ,! ,national ,c5t] = 
,advanc+ ,translational ,sci5ces4       
7,,iii7 ,! ,national ,in/itute ( ,all]gy
 & ,infecti\s ,diseases4  7,,iv7 ,!     
,national ,he>t1 ,lung1 & ,blood        
,in/itute4  7,v7 ,! ,national ,in/itute 
( ,neurological ,disord]s & ,/roke4     
7,,vi7 ,! ,national ,libr>y ( ,m$ic9e4  
7,,vii7 ,! ,national ,in/itute on       
,m9ority ,heal? & ,heal? ,disp>ities4   
7,,viii7 ,! ,national ,in/itute ( ,nurs+
 ,rese>*4  7,,ix7 ,! ,eunice ,k5n$y     
,%riv] ,national ,in/itute ( ,*ild      
,heal? & ,human ,developm5t4  7iii7     
,designees f su* o!r national rese>*    
in/itutes & national c5t]s z may be     
appropriate1 z det]m9$ by ! ,director ( 
! ,national ,in/itutes ( ,heal?4  7,b7  
,additional memb]s ,9 addition to !     

designees "u subp>agraph 7,a71 ! ,c\ncil
 may include su* o!r designees f ,f$]al 
dep>tm5ts or ag5cies z ! ,*air ( !      
,c\ncil det]m9es appropriate4  7,c7     
,designation ,a p]son appo9t$ to !      
,c\ncil z a designee %all be a s5ior    
(ficial or employee ( ! dep>tm5t or     
ag5cy ^: responsibilities & subject     
matt] exp]tise are relevant to !        
,c\ncil's objectives li/$ 9 subsection  
7b71 z det]m9$ by ! designat+ (ficial4  
7d7 ,/rategic plan2 reports  7#a7       
,/rategic ,f$]al ,plan to ,improve      
,diagnosis 9 ,heal? ,c>e ,n lat] ?an #ah
 mon?s aft] ! date ( enactm5t ( ?is     
,act1 ! ,c\ncil %all develop1 submit to 
! ,secret>y & ,congress1 & make publicly
 available a /rategic plan1 to be kn[n z
 ! ,/rategic ,f$]al ,plan to ,improve   
,diagnosis1 t1 consi/5t ) ! objectives  
li/$ 9 subsection 7b7-- 7,a7 id5tifies  
coord9at$ opportunities to enhance      
sci5tific rese>* & r$uce sy/emic b>ri]s 
9 ord] to improve diagnosis 9 heal? c>e2
 &  7,b7 includes legislative &         

adm9i/rative policy recomm5dations1     
includ+ opportunities to remove b>ri]s  
to1 & enhance1 int]-ag5cy coord9ation 9 
! plann+1 conduct1 & fund+ (1 su*       
rese>*4  7#b7 ,reports to ,congress ,n  
lat] ?an ,july #ca ( e odd-numb]$ ye>   
beg9n+ ) ! fir/ su* ye> aft] ! date (   
submission ( ! fir/ ,/rategic ,f$]al    
,plan to ,improve ,diagnosis "u p>agraph
 7#a71 ! ,c\ncil %all prep>e1 submit to 
! ,secret>y & ,congress1 & make publicly
 available an updat$ ,/rategic ,f$]al   
,plan to ,improve ,diagnosis t          
includes-- 7,a7 su* updates z ! ,c\ncil 
det]m9es to be appropriate2  7,b7       
in=mation on ! ov]all progress ( !      
,f$]al ,gov]nm5t 9 r$uc+ b>ri]s to      
rese>* on1 & support+ projects to       
improve1 diagnosis 9 heal? c>e2 &  7,c7 
legislative & adm9i/rative policy       
recomm5dations1 includ+ address+ any    
ne$s = great] legislative au?ority to   
meet ! objectives li/$ 9 subsection 7b74
  7e7 ,au?orization ( appropriations ,to
 c>ry out ?is section1 !re are au?oriz$ 

to be appropriat$ #a1ejj1jjj = ea* (    
fiscal ye>s #bjbg ?r\gh #bjcj4