,,ii  #aai? ,,congress  #b;d ,session   
,s4 #eebj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1         
#bjbf,mr4 ,grassley 7= himself & ,ms4   
,hassan7 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 ! ,national     
,coord9ator = ,heal? ,in=mation         
,te*nology to e/abli% a national        
computable-guidel9e framework = canc]   
scre5+ recomm5dations1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,/&>diz+ ,canc] ,recomm5dations =   
,e>li] ,evaluation & ,navigation (      
,scre5+s ,act or ! ,,scre5s ,act4  #b4  
,national computable-guidel9e framework 
= canc] scre5+ recomm5dations  7a7 ,9   
g5]al ,subtitle ,a ( title ,,xxx ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;jj-#aa et seq47 is am5d$ 
by add+ at ! end ! foll[+3  #cjji;,b4   
,national computable-guidel9e framework 
= canc] scre5+ recomm5dations  7a7 ,9   

g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ! ,/&>diz+ ,canc]            
,recomm5dations = ,e>li] ,evaluation &  
,navigation ( ,scre5+s ,act1 ! ,national
 ,coord9ator1 9 consultation ) !        
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality1 ! ,unit$ ,/ates ,prev5tive 
,s]vices ,task ,=ce1 ! ,director ( !    
,national ,canc] ,in/itute1 ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 & key oncology /akehold]s1  
%all e/abli% a national                 
computable-guidel9e framework = canc]   
scre5+ recomm5dations bas$ on data &    
c]ta9 /ati/ics1 su* z age1 sex1 &       
high-risk factors1 e/abli%$ 9 !         
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce & !      
,national ,canc] ,in/itute4 ,su*        
framework %all be updat$ annually4  7b7 
,requirem5t  7#a7 ,9 g5]al ,!           
recomm5dations conta9$ 9 ! framework "u 
subsection 7a7 %all be publicly         
available 9 ma*9e-readable scre5+ logic1
 s t int]op]ability & heal? in=mation   

te*nology c use su* recomm5dations to   
e/abli% pati5t-=w>d te*nologies = !     
purpose ( mak+ su* recomm5dations m     
accessible & consum]-focus$4  7#b7      
,ma*9e-readable scre5+ logic            
int]op]ability requirem5t ,!            
ma*9e-readable scre5+ logic requir$ "u  
p>agraph 7#a7 %all be int]op]able )--   
7,a7 ! ,m9imal ,common ,oncology ,data  
,elem5ts 7m,c,o,d,e7 dataset2 or  7,b7 !
 ,unit$ ,/ates ,core ,data =            
,int]op]ability 7,,uscdi74  7c7 ,privacy
 protections ,! ,national ,coord9ator   
%all ensure t all activities conduct$   
pursuant ?is section comply ) applicable
 privacy laws1 includ+ ! regulations    
promulgat$ "u section #bfd7;c7 ( !      
,heal? ,insurance ,portability &        
,acc\ntability ,act ( #aiif4  7d7       
,effect ,no?+ 9 ?is ,act p]mits !       
unau?oriz$ use1 disclosure1 or          
re-id5tification ( individually         
id5tifiable heal? in=mation4  4  7b7    
,condition ( c]tification ,section      
#cjja7;c77#e7 ( ! ,public ,heal? ,s]vice

 ,act 7#db ,u4,s4,c4                    
#cjj;jj-#aa7;c77#e77 is am5d$-- 7#a7 by 
r$esignat+ subp>agraph 7,e7 z           
subp>agraph 7,f72  7#b7 by ins]t+ aft]  
subp>agraph 7,d7 ! foll[+3  7,e7        
,condition ( c]tification relat+ to     
canc] scre5+ recomm5dations  7i7 ,9     
g5]al ,n lat] ?an #e ye>s aft] ! date ( 
enactm5t ( ! ,/&>diz+ ,canc]            
,recomm5dations = ,e>li] ,evaluation &  
,navigation ( ,scre5+s ,act1 !          
,secret>y1 ?r\gh notice & comm5t        
rulemak+1 %all require1 z a condition ( 
c]tification & ma9t5ance ( c]tification 
= programs ma9ta9$ or recogniz$ "u ?is  
p>agraph1 consi/5t ) o!r conditions &   
requirem5ts "u ?is title1 t ! heal?     
in=mation te*nology w include           
functionality t op]ationalizes ! canc]  
scre5+ recomm5dations includ$ 9 !       
national computable-guidel9e framework  
e/abli%$ "u section #cjji;,b7a7 s t !   
/atus ( an individual pati5t ) respect  
to completion ( recomm5d$ canc] scre5+s 
may be det]m9$4  7ii7 ,privacy          

protections ,! functionality requir$ "u 
clause 7i7 %all-- 7,i7 use only ! m9imum
 necess>y pati5t data1 includ+ age1 sex1
 & high risk factors1 requir$ to det]m9e
 an individual's /atus ) respect to     
recomm5d$ canc] scre5+s2  7,,ii7 provide
 pati5ts ) cle> & accessible in=mation  
reg>d+ h[ _! data is us$ 9 g5]at+ canc] 
scre5+ recomm5dations2 &  7,,iii7       
support me*anisms = pati5ts to access1  
review1 & reque/ *anges to _! heal?     
in=mation1 9 accordance ) applicable    
privacy laws4  2 &  7#c7 9 subp>agraph  
7,f7 7z s r$esignat$71 by /rik+         
subp>agraph 7,d7 & ins]t+ subp>agraphs  
7,d7 & 7,e74  #c4 ,guidance relat+ to   
integration ( computable-guidel9e canc] 
scre5+ recomm5dations into heal? plans  
7a7 ,9 g5]al ,n lat] ?an #b ye>s aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices %all issue   
guidance to enc\rage heal? plans-- 7#a7 
to integrate te*nology t op]ationalizes 
! canc] scre5+ recomm5dations includ$ 9 
! national computable-guidel9e framework

 e/abli%$ "u section #cjji;,b7a7 ( !    
,public ,heal? ,s]vice ,act 7z add$ by  
section #b7;a772 &  7#b7 to enable      
consum]s to opt-into c]tifi$ ,,ehr      
te*nology 7z def9$ 9 section #cjjj ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;jj77 t includes !        
functionality = canc] scre5+            
recomm5dations describ$ 9 subp>agraph   
7,e7 ( section #cjja7;c77#e7 ( su* ,act 
7#db ,u4,s4,c4 #cjj;jj-#aa7;c77#e774    
7b7 ,def9ition ( heal? plan ,9 ?is      
section1 ! t]m heal? plan means-- 7#a7 a
 m$icaid manag$ c>e organization 7z     
def9$ 9 section #aijc7m77#a77;,a7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7m77#a77;,a777 or o!r specifi$   
entity 7z def9$ 9 section               
#aijc7m77#i77;,d7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#acif;b7m77#i77;,d7772  7#b7 a ,m$ic>e  
,advantage plan "u "p ,c ( title ,,xviii
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #aciew-#ba et seq472 or  7#c7 
a qualifi$ heal? plan (f]$ ?r\gh !      

,am]ican ,heal? ,b5efit ,ex*anges       
e/abli%$ "u sections #acaa & #acba ( !  
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjca1 #ahjda74    
#d4 ,pati5t-,c5t]$ ,outcomes ,rese>*    
,in/itute rese>*1 pilot projects1       
implem5tation activities1 & dissem9ation
 ef=ts ,section #aaha7;d77#a7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;e7d77#a77 is am5d$ by add+ at !   
end ! foll[+ new subp>agraph3  7,c7     
,rese>*1 pilot projects1 implem5tation  
activities1 & dissem9ation ef=ts ,!     
,in/itute may support rese>*1 pilot     
projects1 implem5tation activities1 &   
dissem9ation ef=ts t advance ! use (    
int]op]able heal? in=mation te*nology to
 improve pati5t-c5t]$ outcomes ?r\gh !  
translation ( evid5ce-bas$ prev5tive c>e
 recomm5dations into cl9ical practice4  
,su* activities may include !           
developm5t1 te/+1 evaluation1 &         
implem5tation ( computable cl9ical      
guidel9es1 cl9ical decision support     
tools1 pati5t-fac+ decision aids1 &     

int]op]able te*nologies t facilitate    
evid5ce-bas$ canc] scre5+               
recomm5dations1 %>$ decision-mak+1 &    
id5tification ( individuals :o may be   
eligible = prev5tive s]vices or cl9ical 
rese>*4  4