,,ii #aaith ,,congress #b;d ,session ,s4 #eebj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #bd1 #bjbf,mr4 ,grassley 7for himself and ,ms4 ,hassan7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to require the ,national ,coordinator for ,health ,information ,technology to establish a national computable-guideline framework for cancer screening recommendations1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,standardizing ,cancer ,recommendations for ,earlier ,evaluation and ,navigation of ,screenings ,act or the ,,screens ,act4 #b4 ,national computable-guideline framework for cancer screening recommendations 7a7 ,in general ,subtitle ,a of title ,,xxx of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj-#aa et seq47 is amended by adding at the end the following3 #cjji;,b4 ,national computable-guideline framework for cancer screening recommendations 7a7 ,in general ,not later than #a year after the date of enactment of the ,standardizing ,cancer ,recommendations for ,earlier ,evaluation and ,navigation of ,screenings ,act1 the ,national ,coordinator1 in consultation with the ,director of the ,agency for ,healthcare ,research and ,quality1 the ,united ,states ,preventive ,services ,task ,force1 the ,director of the ,national ,cancer ,institute1 the ,director of the ,centers for ,disease ,control and ,prevention1 and key oncology stakeholders1 shall establish a national computable-guideline framework for cancer screening recommendations based on data and certain statistics1 such as age1 sex1 and high-risk factors1 established in the recommendations of the ,united ,states ,preventive ,services ,task ,force and the ,national ,cancer ,institute4 ,such framework shall be updated annually4 7b7 ,requirement 7#a7 ,in general ,the recommendations contained in the framework under subsection 7a7 shall be publicly available in machine-readable screening logic1 so that interoperability and health information technology can use such recommendations to establish patient-forward technologies for the purpose of making such recommendations more accessible and consumer-focused4 7#b7 ,machine-readable screening logic interoperability requirement ,the machine-readable screening logic required under paragraph 7#a7 shall be interoperable with-- 7,a7 the ,minimal ,common ,oncology ,data ,elements 7m,c,o,d,e7 dataset2 or 7,b7 the ,united ,states ,core ,data for ,interoperability 7,,uscdi74 7c7 ,privacy protections ,the ,national ,coordinator shall ensure that all activities conducted pursuant this section comply with applicable privacy laws1 including the regulations promulgated under section #bfd7;c7 of the ,health ,insurance ,portability and ,accountability ,act of #aiif4 7d7 ,effect ,nothing in this ,act permits the unauthorized use1 disclosure1 or re-identification of individually identifiable health information4 4 7b7 ,condition of certification ,section #cjja7;c77#e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj-#aa7;c77#e77 is amended-- 7#a7 by redesignating subparagraph 7,e7 as subparagraph 7,f72 7#b7 by inserting after subparagraph 7,d7 the following3 7,e7 ,condition of certification relating to cancer screening recommendations 7i7 ,in general ,not later than #e years after the date of enactment of the ,standardizing ,cancer ,recommendations for ,earlier ,evaluation and ,navigation of ,screenings ,act1 the ,secretary1 through notice and comment rulemaking1 shall require1 as a condition of certification and maintenance of certification for programs maintained or recognized under this paragraph1 consistent with other conditions and requirements under this title1 that the health information technology will include functionality that operationalizes the cancer screening recommendations included in the national computable-guideline framework established under section #cjji;,b7a7 so that the status of an individual patient with respect to completion of recommended cancer screenings may be determined4 7ii7 ,privacy protections ,the functionality required under clause 7i7 shall-- 7,i7 use only the minimum necessary patient data1 including age1 sex1 and high risk factors1 required to determine an individual's status with respect to recommended cancer screenings2 7,,ii7 provide patients with clear and accessible information regarding how their data is used in generating cancer screening recommendations2 and 7,,iii7 support mechanisms for patients to access1 review1 and request changes to their health information1 in accordance with applicable privacy laws4 2 and 7#c7 in subparagraph 7,f7 7as so redesignated71 by striking subparagraph 7,d7 and inserting subparagraphs 7,d7 and 7,e74 #c4 ,guidance relating to integration of computable-guideline cancer screening recommendations into health plans 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall issue guidance to encourage health plans-- 7#a7 to integrate technology that operationalizes the cancer screening recommendations included in the national computable-guideline framework established under section #cjji;,b7a7 of the ,public ,health ,service ,act 7as added by section #b7;a772 and 7#b7 to enable consumers to opt-into certified ,,ehr technology 7as defined in section #cjjj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;jj77 that includes the functionality for cancer screening recommendations described in subparagraph 7,e7 of section #cjja7;c77#e7 of such ,act 7#db ,u4,s4,c4 #cjj;jj-#aa7;c77#e774 7b7 ,definition of health plan ,in this section1 the term health plan means-- 7#a7 a medicaid managed care organization 7as defined in section #aijc7m77#a77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#a77;,a777 or other specified entity 7as defined in section #aijc7m77#i77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7m77#i77;,d7772 7#b7 a ,medicare ,advantage plan under part ,c of title ,,xviii of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ba et seq472 or 7#c7 a qualified health plan offered through the ,american ,health ,benefit ,exchanges established under sections #acaa and #acba of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjca1 #ahjda74 #d4 ,patient-,centered ,outcomes ,research ,institute research1 pilot projects1 implementation activities1 and dissemination efforts ,section #aaha7;d77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;e7d77#a77 is amended by adding at the end the following new subparagraph3 7,c7 ,research1 pilot projects1 implementation activities1 and dissemination efforts ,the ,institute may support research1 pilot projects1 implementation activities1 and dissemination efforts that advance the use of interoperable health information technology to improve patient-centered outcomes through the translation of evidence-based preventive care recommendations into clinical practice4 ,such activities may include the development1 testing1 evaluation1 and implementation of computable clinical guidelines1 clinical decision support tools1 patient-facing decision aids1 and interoperable technologies that facilitate evidence-based cancer screening recommendations1 shared decision-making1 and identification of individuals who may be eligible for preventive services or clinical research4 4