[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3791 Introduced in House (IH)]

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118th CONGRESS
  1st Session
                                H. R. 3791

 To amend the Public Health Service Act with respect to public health 
              data accessibility, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 1, 2023

 Ms. Underwood (for herself, Mr. Bera, Ms. Castor of Florida, and Ms. 
   DeLauro) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act with respect to public health 
              data accessibility, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Data Accessibility Through 
Advancements in Public Health Act'' or the ``Improving DATA in Public 
Health Act''.

SEC. 2. SUPPORTING PUBLIC HEALTH DATA AVAILABILITY AND ACCESS.

    (a) Designation of Public Health Data Standards.--Section 
2823(a)(2) of the Public Health Service Act (42 U.S.C. 300hh-33(a)(2)) 
is amended by adding at the end the following:
                    ``(D) Selection of data and technology standards.--
                The standards designated as described in subparagraph 
                (A) may include standards to improve--
                            ``(i) the exchange of electronic health 
                        information for--
                                    ``(I) electronic case reporting;
                                    ``(II) syndromic surveillance;
                                    ``(III) reporting of vital 
                                statistics; and
                                    ``(IV) reporting test orders and 
                                results electronically, including from 
                                laboratories;
                            ``(ii) automated electronic reporting to 
                        relevant public health data systems of the 
                        Centers for Disease Control and Prevention; and
                            ``(iii) such other uses as the Secretary 
                        determines appropriate.
                    ``(E) Considerations.--Standards designated under 
                this paragraph shall include standards and 
                implementation specifications necessary to ensure the 
                appropriate capture, exchange, access, and use of 
                information regarding race, ethnicity, sex (including 
                sexual orientation and gender identity), disability 
                status, veteran status, housing status, age, functional 
                status, and other elements.''.
    (b) Improving Information Sharing and Availability of Public Health 
Data.--Section 310B of the Public Health Service Act (42 U.S.C. 242u) 
is amended to read as follows:

``SEC. 310B. IMPROVING INFORMATION SHARING AND AVAILABILITY OF PUBLIC 
              HEALTH DATA.

    ``(a) In General.--The Secretary acting through the Director of the 
Centers for Disease Control and Prevention (in this section referred to 
as the `Secretary') may require the reporting of public health and 
health care data and information to the Centers for Disease Control and 
Prevention by--
            ``(1) health care providers and facilities, including 
        pharmacies;
            ``(2) public health, clinical, and other laboratories and 
        diagnostic testing entities;
            ``(3) State, local, and Tribal health departments; and
            ``(4) other entities, as determined appropriate by the 
        Secretary.
    ``(b) Content, Form, Manner, and Frequency.--
            ``(1) Collaboration.--The Secretary shall collaborate with 
        representatives of State, local, and Tribal health departments 
        and other entities on determining the content, form, manner, 
        and frequency of the reporting of public health and health care 
        data and information required pursuant to subsection (a).
            ``(2) Simultaneous reporting.--In determining the content, 
        form, manner, and frequency of the reporting of public health 
        and health care data and information pursuant to subsection 
        (a), where a disease, condition, or related event is reportable 
        under applicable State or local law, the Secretary shall 
        require the data and information to be reported first or 
        simultaneously to the appropriate State or local jurisdiction.
            ``(3) Alignment with standards and implementation 
        specifications.--The content, form, manner, and frequency 
        requirements required pursuant to this section shall align with 
        the standards and implementation specifications adopted by the 
        Secretary under section 3004, where applicable.
            ``(4) Reasonable efforts to limit reporting.--The Secretary 
        shall make reasonable efforts to limit the public health and 
        health care data and information required to be reported under 
        this section to the minimum necessary to accomplish the 
        intended public health purpose.
            ``(5) Implementation and regulations.--The Secretary--
                    ``(A) may promulgate by regulation the content, 
                form, manner, and frequency in which public health and 
                health care data and information is required to be 
                reported under this section; and
                    ``(B) in the event of a public health emergency 
                declared under section 319, or where the Secretary 
                determines there is a significant potential for such an 
                emergency to exist, may issue such requirements--
                            ``(i) by guidance in accordance with this 
                        section; and
                            ``(ii) without regard to the procedures 
                        otherwise required by section 553 of title 5, 
                        United States Code.
    ``(c) Ensuring That Data Is Accessible in a Timely Manner to State, 
Local, and Tribal Health Authorities.--
            ``(1) Collaboration.--The Secretary shall collaborate with 
        representatives of State, local, and Tribal health departments, 
        and entities representing such departments, to ensure that data 
        and information that is collected by the Centers for Disease 
        Control and Prevention pursuant to this section are accessible, 
        as appropriate, in a timely manner, to State, local, and Tribal 
        health authorities.
            ``(2) Rules of construction.--Nothing in this section shall 
        be construed--
                    ``(A) to prevent any Federal agency, State, local, 
                or Tribal health department, or other entity from 
                collecting data or information under other applicable 
                law; or
                    ``(B) to limit the authority of the Centers for 
                Disease Control and Prevention to share public health 
                surveillance data with State, local, or Tribal health 
                authorities.
            ``(3) Reasonable efforts to reduce reporting burdens and 
        potential duplication.--The Secretary shall make reasonable 
        efforts to collaborate with representatives of Federal agencies 
        and State, local, and Tribal health departments to reduce 
        reporting burdens and potential duplication of reporting 
        requirements. Such efforts may include ensuring simultaneous 
        sharing of data and information described in subsection (b) 
        with State, local, and Tribal public health authorities.
    ``(d) Confidentiality and Protection of Data.--Any identifiable, 
sensitive information reported to the Centers for Disease Control and 
Prevention pursuant to this section shall not be further disclosed or 
provided to any other individual or party, including any party involved 
in civil, criminal, or administrative litigation, except--
            ``(1) as necessary for public health purposes, including 
        with relevant Federal, State, local, or tribal public health 
        authorities;
            ``(2) as required under section 552a(d)(1) of title 5, 
        United States Code;
            ``(3) as required by applicable Federal laws, excluding 
        instances of disclosure in any Federal, State, or local civil, 
        criminal, administrative, legislative, or other proceeding; or
            ``(4) with the consent of each individual to whom the 
        information pertains.
    ``(e) Exemption of Certain Public Health Data From Disclosure.--The 
Secretary may exempt from disclosure under section 552(b)(3) of title 
5, United States Code, public health and health care data and 
information collected by the Centers for Disease Control and Prevention 
pursuant to this section or any other authority under which the Centers 
collects public health or health care data and information if--
            ``(1) an individual is identified through such data or 
        information; or
            ``(2) there is at least a very small risk, as determined by 
        current scientific practices or statistical methods, that some 
        combination of the data or information, the request for 
        disclosure under such section 552(b)(3), and other available 
        data sources or the application of technology could be used to 
        deduce the identity of the individuals to which such data or 
        information pertains.''.
    (c) Public Health Information Sharing and Availability Advisory 
Committee.--Part A of title III of the Public Health Service Act (42 
U.S.C. 241 et seq.) is amended by adding at the end the following:

``SEC. 310C. PUBLIC HEALTH INFORMATION SHARING AND AVAILABILITY 
              ADVISORY COMMITTEE.

    ``(a) Establishment.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall establish an 
advisory committee, to be known as the Public Health Information 
Sharing and Availability Advisory Committee, to advise, and make 
recommendations to, the Director with respect to the implementation of 
public health and health care data and information reporting and 
sharing under section 310B.
    ``(b) Membership.--The membership of the advisory committee 
established pursuant to this section shall include--
            ``(1) individuals with subject matter expertise or 
        experience in the following areas of public health and health 
        care data and information, including--
                    ``(A) State, territorial, local, and Tribal health 
                department data systems or practices; and
                    ``(B) health care data;
            ``(2) ex officio members, including from relevant Federal 
        agencies such as the Office of the National Coordinator for 
        Health Information Technology, the Centers for Medicare & 
        Medicaid Services, the Centers for Disease Control and 
        Prevention, and the Office of the Assistant Secretary for 
        Health;
            ``(3) representatives of national organizations, including 
        the Council of State and Territorial Epidemiologists, the 
        Association of Public Health Laboratories, the Association of 
        State and Territorial Health Officials, the National 
        Association of County and City Health Officials, and the Big 
        Cities Health Coalition; and
            ``(4) such additional members as the Secretary determines 
        appropriate.
    ``(c) FACA Applicability.--The advisory committee established 
pursuant to this section is deemed to be an advisory committee subject 
to the Federal Advisory Committee Act.''.
    (d) Improving Public Health Data Collection.--
            (1) In general.--The Secretary of Health and Human Services 
        (referred to in this subsection as the ``Secretary'') shall 
        award grants, contracts, or cooperative agreements to eligible 
        entities for purposes of identifying, developing, or 
        disseminating best practices in the collection of electronic 
        health information and the use of designated data standards and 
        implementation specifications--
                    (A) to improve the quality and completeness of 
                data, including demographic data, collected, accessed, 
                or used for public health purposes; and
                    (B) to address health disparities and related 
                health outcomes.
            (2) Eligible entities.--To be eligible to receive an award 
        under this subsection an entity shall--
                    (A) be a health care provider, academic medical 
                center, community-based organization, State, local 
                governmental entity, Indian Tribe or Tribal 
                organization (as such terms are defined in section 4 of 
                the Indian Self Determination and Education Assistance 
                Act (25 U.S.C. 5304)), Urban Indian organization (as 
                defined in section 4 of the Indian Health Care 
                Improvement Act (25 U.S.C. 1603)), or other appropriate 
                public or private nonprofit entity, or a consortia of 
                any such entities; and
                    (B) submit an application to the Secretary at such 
                time, in such manner, and containing such information 
                as the Secretary may require.
            (3) Activities.--Entities receiving awards under this 
        subsection shall use such award to develop and test best 
        practices for training health care providers to use standards 
        and implementation specifications that assist in the capture, 
        access, exchange, and use of electronic health information, 
        including demographic information, disability status, veteran 
        status, housing status, functional status, and other data 
        elements. Such activities shall, at a minimum, include--
                    (A) improving, understanding, and using data 
                standards and implementation specifications;
                    (B) developing or identifying methods to improve 
                communication with patients in a culturally and 
                linguistically appropriate manner, including to better 
                capture information related to demographics of such 
                individuals;
                    (C) developing methods for accurately categorizing 
                and recording patient responses using available data 
                standards;
                    (D) educating providers regarding the utility of 
                such information for public health purposes and the 
                importance of accurate collection and recording of such 
                data; and
                    (E) other activities, as the Secretary determines 
                appropriate.
            (4) Reporting.--
                    (A) Reporting by award recipients.--Each recipient 
                of an award under this subsection shall submit to the 
                Secretary a report on the results of best practices 
                identified, developed, or disseminated through such 
                award.
                    (B) Report to congress.--Not later than 1 year 
                after the completion of the program under this 
                subsection, the Secretary shall submit a report to 
                Congress on the success of the best practices developed 
                under such program, opportunities for further 
                dissemination of such best practices, and 
                recommendations for improving the capture, access, 
                exchange, and use of information to improve public 
                health and reduce health disparities.
            (5) Nonduplication of efforts.--The Secretary shall ensure 
        that the activities and programs carried out under this 
        subsection are free of unnecessary duplication of effort.
            (6) Authorization of appropriations.--There is authorized 
        to be appropriated $10,000,000 for each of fiscal years 2024 
        through 2026 to carry out this subsection.
    (e) Information Collection.--Section 319D(a) of the Public Health 
Service Act (42 U.S.C. 247d-4(a)) is amended by adding at the end the 
following:
            ``(5) Information collection.--Subchapter I of chapter 35 
        of title 44, United States Code, shall not apply to information 
        collection by the Centers for Disease Control and Prevention, 
        including the Agency for Toxic Substances and Disease Registry, 
        that are part of investigations, research, surveillance, or 
        evaluations undertaken for public health purposes under any 
        available authority.''.
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