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    <number>3309</number>
    <updateDate>2023-01-11T13:30:21Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:30:21Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2015-07-29</introducedDate>
    <congress>114</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 161, Number 121 (Wednesday, July 29, 2015)]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Mrs. ELLMERS of North Carolina:H.R. 3309.Congress has the power to enact this legislation pursuantto the following:The Commerce Clause: Article I, Section 8, Clause 3 of theU.S. Constitution gives Congress the power ``to regulatecommerce with foreign nations, and among the several states,and with the Indian tribes.''[Page H5771]</pre>]]></constitutionalAuthorityStatementText>
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        <text>Referred to the Subcommittee on Health.</text>
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        <text>Referred to the Subcommittee on Health.</text>
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        <actionDate>2015-07-29</actionDate>
        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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        <text>Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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    <sponsors>
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        <bioguideId>E000291</bioguideId>
        <fullName>Rep. Ellmers, Renee L. [R-NC-2]</fullName>
        <firstName>Renee</firstName>
        <lastName>Ellmers</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>L.</middleName>
        <district>2</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>H001055</bioguideId>
        <fullName>Rep. Heck, Joseph J. [R-NV-3]</fullName>
        <firstName>Joseph</firstName>
        <lastName>Heck</lastName>
        <party>R</party>
        <state>NV</state>
        <middleName>J.</middleName>
        <district>3</district>
        <sponsorshipDate>2015-09-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001250</bioguideId>
        <fullName>Rep. Bishop, Rob [R-UT-1]</fullName>
        <firstName>Rob</firstName>
        <lastName>Bishop</lastName>
        <party>R</party>
        <state>UT</state>
        <district>1</district>
        <sponsorshipDate>2015-09-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>K000387</bioguideId>
        <fullName>Rep. Knight, Stephen [R-CA-25]</fullName>
        <firstName>Stephen</firstName>
        <lastName>Knight</lastName>
        <party>R</party>
        <state>CA</state>
        <district>25</district>
        <sponsorshipDate>2015-09-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>S001192</bioguideId>
        <fullName>Rep. Stewart, Chris [R-UT-2]</fullName>
        <firstName>Chris</firstName>
        <lastName>Stewart</lastName>
        <party>R</party>
        <state>UT</state>
        <district>2</district>
        <sponsorshipDate>2015-09-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000584</bioguideId>
        <fullName>Rep. Love, Mia B. [R-UT-4]</fullName>
        <firstName>Mia</firstName>
        <lastName>Love</lastName>
        <party>R</party>
        <state>UT</state>
        <middleName>B.</middleName>
        <district>4</district>
        <sponsorshipDate>2015-09-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000373</bioguideId>
        <fullName>Rep. Ashford, Brad [D-NE-2]</fullName>
        <firstName>Brad</firstName>
        <lastName>Ashford</lastName>
        <party>D</party>
        <state>NE</state>
        <district>2</district>
        <sponsorshipDate>2015-09-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>H001056</bioguideId>
        <fullName>Rep. Herrera Beutler, Jaime [R-WA-3]</fullName>
        <firstName>Jaime</firstName>
        <lastName>Herrera Beutler</lastName>
        <party>R</party>
        <state>WA</state>
        <district>3</district>
        <sponsorshipDate>2015-09-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>Y000066</bioguideId>
        <fullName>Rep. Young, David [R-IA-3]</fullName>
        <firstName>David</firstName>
        <lastName>Young</lastName>
        <party>R</party>
        <state>IA</state>
        <district>3</district>
        <sponsorshipDate>2015-09-30</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000813</bioguideId>
        <fullName>Rep. Walorski, Jackie [R-IN-2]</fullName>
        <firstName>Jackie</firstName>
        <lastName>Walorski</lastName>
        <party>R</party>
        <state>IN</state>
        <district>2</district>
        <sponsorshipDate>2015-10-07</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>F000451</bioguideId>
        <fullName>Rep. Fitzpatrick, Michael G. [R-PA-8]</fullName>
        <firstName>Michael</firstName>
        <lastName>Fitzpatrick</lastName>
        <party>R</party>
        <state>PA</state>
        <middleName>G.</middleName>
        <district>8</district>
        <sponsorshipDate>2015-10-09</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001094</bioguideId>
        <fullName>Rep. Cook, Paul [R-CA-8]</fullName>
        <firstName>Paul</firstName>
        <lastName>Cook</lastName>
        <party>R</party>
        <state>CA</state>
        <district>8</district>
        <sponsorshipDate>2015-10-20</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>R000604</bioguideId>
        <fullName>Rep. Russell, Steve [R-OK-5]</fullName>
        <firstName>Steve</firstName>
        <lastName>Russell</lastName>
        <party>R</party>
        <state>OK</state>
        <district>5</district>
        <sponsorshipDate>2015-10-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M001195</bioguideId>
        <fullName>Rep. Mooney, Alexander X. [R-WV-2]</fullName>
        <firstName>Alexander</firstName>
        <lastName>Mooney</lastName>
        <party>R</party>
        <state>WV</state>
        <middleName>X.</middleName>
        <district>2</district>
        <sponsorshipDate>2015-11-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001105</bioguideId>
        <fullName>Rep. Comstock, Barbara [R-VA-10]</fullName>
        <firstName>Barbara</firstName>
        <lastName>Comstock</lastName>
        <party>R</party>
        <state>VA</state>
        <district>10</district>
        <sponsorshipDate>2015-12-15</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>J000255</bioguideId>
        <fullName>Rep. Jones, Walter B., Jr. [R-NC-3]</fullName>
        <firstName>WALTER</firstName>
        <lastName>JONES</lastName>
        <party>R</party>
        <state>NC</state>
        <middleName>B.</middleName>
        <district>3</district>
        <sponsorshipDate>2016-05-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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        <item>
          <name>Administrative law and regulatory procedures</name>
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          <name>Computers and information technology</name>
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          <name>Department of Health and Human Services</name>
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          <name>Health care costs and insurance</name>
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          <name>Health care quality</name>
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          <name>Health facilities and institutions</name>
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        <name>Health</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2015-07-29</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2016-08-16T18:48:35Z</updateDate>
        <text><![CDATA[ <p><b>Further Flexibility in HIT Reporting and Advancing Interoperability Act or the Flex-IT 2 Act</b></p> <p>This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify Medicare and Medicaid program requirements related to electronic health record (EHR) meaningful use programs, which establish incentives to promote EHR&nbsp;meaningful use and the adoption of health information technology (HIT).</p> <p>Specifically, the bill requires the Centers for Medicare &amp; Medicaid to establish and apply a linear scale to determine meaningful or "partial meaningful" EHR use. In accordance with this linear scale, eligible professionals and hospitals that are partial meaningful EHR users shall: (1) receive certain incentive payments currently available only to meaningful EHR users, and (2) be partially exempt from certain negative payment adjustments.</p> <p>In addition, the bill: (1) establishes three-month reporting periods for the Medicare and Medicaid EHR incentive payment programs; (2) modifies provisions regarding quality reporting on meaningful EHR use; (3) expands the hardship exception to Medicare EHR payment adjustments; and (4) limits, with respect to timing and frequency, the adoption of more stringent measures of EHR meaningful use under Medicaid and Medicare.</p> <p>The bill also amends the Public Health Service Act to: (1) require the Department of Health and Human Services (HHS) to pause rulemaking related to EHR meaningful use, unless and until specified conditions are met; and (2) prohibit HHS from proposing the adoption of certain untested standards regarding HIT.</p>]]></text>
      </summary>
    </summaries>
    <title>Flex-IT 2 Act</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Flex-IT 2 Act</title>
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        <titleType>Official Title as Introduced</titleType>
        <title>To amend titles XVIII and XIX of the Social Security Act to improve the electronic health records meaningful use programs under the Medicare and Medicaid programs, and for other purposes.</title>
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        <titleType>Short Titles as Introduced</titleType>
        <title>Flex-IT 2 Act</title>
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        <titleType>Short Titles as Introduced</titleType>
        <title>Further Flexibility in HIT Reporting and Advancing Interoperability Act</title>
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        <type>Introduced in House</type>
        <date>2015-07-29T04:00:00Z</date>
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    <latestAction>
      <actionDate>2015-08-12</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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