PUBLIC HEALTH SERVICE ACT
112–240
Statute Compilation
United States House of Representatives
Office of the Legislative Counsel
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EN
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Public Health Service Act-TITLE XXXI (Data Collection, Analysis, and Quality)
Public Health Service Act
9280
78
1944-07-01
PUBLIC HEALTH SERVICE ACT
[As Amended Through P.L. 112–240, Enacted January 2, 2013]
[Currency: This publication is a compilation of the text of title XXXI of Chapter 373 of the 78th Congress. It was last amended by the public law listed in the As Amended Through note above and below at the bottom of each page of the pdf version and reflects current law through the date of the enactment of the public law listed at https://www.govinfo.gov/app/collection/comps/]
[Note: While this publication does not represent an official version of any Federal statute, substantial efforts have been made to ensure the accuracy of its contents. The official version of Federal law is found in the United States Statutes at Large and in the United States Code. The legal effect to be given to the Statutes at Large and the United States Code is established by statute (1 U.S.C. 112, 204).]
[References in brackets[] are to title 42, United States Code]
<num style="-uslm-dtd:enum" value="XXXI">TITLE XXXI—</num><heading style="-uslm-dtd:header">DATA COLLECTION, ANALYSIS, AND QUALITY </heading>
<section style="-uslm-dtd:section" identifier="/us/sComp/78/373/tXXXI/s3101" styleType="OLC">
<num style="-uslm-dtd:enum" value="3101">SEC. 3101. </num><editorialNote style="-uslm-dtd:usc-reference" role="uscRef"><b>[</b>300kk<b>]</b> </editorialNote><heading style="-uslm-dtd:header">DATA COLLECTION, ANALYSIS, AND QUALITY. </heading>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/a" styleType="OLC">
<num style="-uslm-dtd:enum" value="a">(a) </num><heading style="-uslm-dtd:header">Data Collection.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall ensure that, by not later than 2 years after the date of enactment of this title, any federally conducted or supported health care or public health program, activity or survey (including Current Population Surveys and American Community Surveys conducted by the Bureau of Labor Statistics and the Bureau of the Census) collects and reports, to the extent practicable—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/1/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">data on race, ethnicity, sex, primary language, and disability status for applicants, recipients, or participants;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/1/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">data at the smallest geographic level such as State, local, or institutional levels if such data can be aggregated;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/1/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">sufficient data to generate statistically reliable estimates by racial, ethnic, sex, primary language, and disability status subgroups for applicants, recipients or participants using, if needed, statistical oversamples of these subpopulations; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/1/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">any other demographic data as deemed appropriate by the Secretary regarding health disparities.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Collection standards.—</heading><chapeau style="-uslm-dtd:text">In collecting data described in paragraph (1), the Secretary or designee shall—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">use Office of Management and Budget standards, at a minimum, for race and ethnicity measures;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">develop standards for the measurement of sex, primary language, and disability status;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><chapeau style="-uslm-dtd:text">develop standards for the collection of data described in paragraph (1) that, at a minimum—</chapeau>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/C/i" styleType="OLC">
<num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">collects self-reported data by the applicant, recipient, or participant; and</content>
</clause>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/C/ii" styleType="OLC">
<num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">collects data from a parent or legal guardian if the applicant, recipient, or participant is a minor or legally incapacitated;</content>
</clause>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><chapeau style="-uslm-dtd:text">survey health care providers and establish other procedures in order to assess access to care and treatment for individuals with disabilities and to identify—</chapeau>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/D/i" styleType="OLC">
<num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">locations where individuals with disabilities access primary, acute (including intensive), and long-term care;</content>
</clause>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/D/ii" styleType="OLC">
<num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">the number of providers with accessible facilities and equipment to meet the needs of the individuals with disabilities, including medical diagnostic equipment that meets the minimum technical criteria set forth in section 510 of the Rehabilitation Act of 1973; and</content>
</clause>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/D/iii" styleType="OLC">
<num style="-uslm-dtd:enum" value="iii">(iii) </num><content style="-uslm-dtd:text">the number of employees of health care providers trained in disability awareness and patient care of individuals with disabilities; and</content>
</clause>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/2/E" styleType="OLC">
<num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">require that any reporting requirement imposed for purposes of measuring quality under any ongoing or federally conducted or supported health care or public health program, activity, or survey includes requirements for the collection of data on individuals receiving health care items or services under such programs activities by race, ethnicity, sex, primary language, and disability status.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Data management.—</heading><chapeau style="-uslm-dtd:text">In collecting data described in paragraph (1), the Secretary, acting through the National Coordinator for Health Information Technology shall—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/3/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">develop national standards for the management of data collected; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/a/3/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">develop interoperability and security systems for data management.</content>
</subparagraph>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/b" styleType="OLC">
<num style="-uslm-dtd:enum" value="b">(b)<ref style="-uslm-dtd:footnote-ref" idref="ID0F70D10441254E32AB47FDF67FF32B8D" class="footnoteRef">1</ref> </num><heading style="-uslm-dtd:header">Data Analysis.—</heading><footnote id="ID0F70D10441254E32AB47FDF67FF32B8D" style="-uslm-dtd:footnote"><sup style="-uslm-dtd:superscript">1</sup><p style="-uslm-dtd:para; margin-left:1em">So in law. Subsection (b) includes a paragraph (1) but there are no subsequent paragraphs.</p></footnote>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/b/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><content style="-uslm-dtd:text">For each federally conducted or supported health care or public health program or activity, the Secretary shall analyze data collected under paragraph (a) to detect and monitor trends in health disparities (as defined for purposes of section 485E) at the Federal and State levels.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/c" styleType="OLC">
<num style="-uslm-dtd:enum" value="c">(c) </num><heading style="-uslm-dtd:header">Data Reporting and Dissemination.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">In general.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall make the analyses described in (b) available to—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">the Office of Minority Health;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">the National Center on Minority Health and Health Disparities;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/C" styleType="OLC">
<num style="-uslm-dtd:enum" value="C">(C) </num><content style="-uslm-dtd:text">the Agency for Healthcare Research and Quality;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/D" styleType="OLC">
<num style="-uslm-dtd:enum" value="D">(D) </num><content style="-uslm-dtd:text">the Centers for Disease Control and Prevention;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/E" styleType="OLC">
<num style="-uslm-dtd:enum" value="E">(E) </num><content style="-uslm-dtd:text">the Centers for Medicare & Medicaid Services;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/F" styleType="OLC">
<num style="-uslm-dtd:enum" value="F">(F) </num><content style="-uslm-dtd:text">the Indian Health Service and epidemiology centers funded under the Indian Health Care Improvement Act;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/G" styleType="OLC">
<num style="-uslm-dtd:enum" value="G">(G) </num><content style="-uslm-dtd:text">the Office of Rural health;</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/H" styleType="OLC">
<num style="-uslm-dtd:enum" value="H">(H) </num><content style="-uslm-dtd:text">other agencies within the Department of Health and Human Services; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/1/I" styleType="OLC">
<num style="-uslm-dtd:enum" value="I">(I) </num><content style="-uslm-dtd:text">other entities as determined appropriate by the Secretary.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Reporting of data.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall report data and analyses described in (a) and (b) through—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/2/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><content style="-uslm-dtd:text">public postings on the Internet websites of the Department of Health and Human Services; and</content>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/2/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">any other reporting or dissemination mechanisms determined appropriate by the Secretary.</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/c/3" styleType="OLC">
<num style="-uslm-dtd:enum" value="3">(3) </num><heading style="-uslm-dtd:header">Availability of data.—</heading><content style="-uslm-dtd:text">The Secretary may make data described in (a) and (b) available for additional research, analyses, and dissemination to other Federal agencies, non-governmental entities, and the public, in accordance with any Federal agency's data user agreements.</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/d" styleType="OLC">
<num style="-uslm-dtd:enum" value="d">(d) </num><heading style="-uslm-dtd:header">Limitations on Use of Data.—</heading><content style="-uslm-dtd:text">Nothing in this section shall be construed to permit the use of information collected under this section in a manner that would adversely affect any individual.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/e" styleType="OLC">
<num style="-uslm-dtd:enum" value="e">(e) </num><heading style="-uslm-dtd:header">Protection and Sharing of Data.—</heading>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/e/1" styleType="OLC">
<num style="-uslm-dtd:enum" value="1">(1) </num><heading style="-uslm-dtd:header">Privacy and other safeguards.—</heading><chapeau style="-uslm-dtd:text">The Secretary shall ensure (through the promulgation of regulations or otherwise) that—</chapeau>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/e/1/A" styleType="OLC">
<num style="-uslm-dtd:enum" value="A">(A) </num><chapeau style="-uslm-dtd:text">all data collected pursuant to subsection (a) is protected—</chapeau>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/e/1/A/i" styleType="OLC">
<num style="-uslm-dtd:enum" value="i">(i) </num><content style="-uslm-dtd:text">under privacy protections that are at least as broad as those that the Secretary applies to other health data under the regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act of 1996 (Public Law 104–191; 110 Stat. 2033); and</content>
</clause>
<clause style="-uslm-dtd:clause" identifier="/us/sComp/78/373/tXXXI/s3101/e/1/A/ii" styleType="OLC">
<num style="-uslm-dtd:enum" value="ii">(ii) </num><content style="-uslm-dtd:text">from all inappropriate internal use by any entity that collects, stores, or receives the data, including use of such data in determinations of eligibility (or continued eligibility) in health plans, and from other inappropriate uses, as defined by the Secretary; and</content>
</clause>
</subparagraph>
<subparagraph style="-uslm-dtd:subparagraph" identifier="/us/sComp/78/373/tXXXI/s3101/e/1/B" styleType="OLC">
<num style="-uslm-dtd:enum" value="B">(B) </num><content style="-uslm-dtd:text">all appropriate information security safeguards are used in the collection, analysis, and sharing of data collected pursuant to subsection (a).</content>
</subparagraph>
</paragraph>
<paragraph style="-uslm-dtd:paragraph" identifier="/us/sComp/78/373/tXXXI/s3101/e/2" styleType="OLC">
<num style="-uslm-dtd:enum" value="2">(2) </num><heading style="-uslm-dtd:header">Data sharing.—</heading><content style="-uslm-dtd:text">The Secretary shall establish procedures for sharing data collected pursuant to subsection (a), measures relating to such data, and analyses of such data, with other relevant Federal and State agencies including the agencies, centers, and entities within the Department of Health and Human Services specified in subsection (c)(1)..</content>
</paragraph>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/f" styleType="OLC">
<num style="-uslm-dtd:enum" value="f">(f) </num><heading style="-uslm-dtd:header">Data on Rural Underserved Populations.—</heading><content style="-uslm-dtd:text">The Secretary shall ensure that any data collected in accordance with this section regarding racial and ethnic minority groups are also collected regarding underserved rural and frontier populations.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/g" styleType="OLC">
<num style="-uslm-dtd:enum" value="g">(g) </num><heading style="-uslm-dtd:header">Authorization of Appropriations.—</heading><content style="-uslm-dtd:text">For the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2010 through 2014.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/h" styleType="OLC">
<num style="-uslm-dtd:enum" value="h">(h) </num><heading style="-uslm-dtd:header">Requirement for Implementation.—</heading><content style="-uslm-dtd:text">Notwithstanding any other provision of this section, data may not be collected under this section unless funds are directly appropriated for such purpose in an appropriations Act.</content>
</subsection>
<subsection style="-uslm-dtd:subsection" identifier="/us/sComp/78/373/tXXXI/s3101/i" styleType="OLC">
<num style="-uslm-dtd:enum" value="i">(i) </num><heading style="-uslm-dtd:header">Consultation.—</heading><content style="-uslm-dtd:text">The Secretary shall consult with the Director of the Office of Personnel Management, the Secretary of Defense, the Secretary of Veterans Affairs, the Director of the Bureau of the Census, the Commissioner of Social Security, and the head of other appropriate Federal agencies in carrying out this section.</content>
</subsection>
</section>