[Congressional Record Volume 170, Number 115 (Thursday, July 11, 2024)]
[Senate]
[Pages S5011-S5012]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 2714. Mr. ROUNDS submitted an amendment intended to be proposed by
him to the bill S. 4638, to authorize appropriations for fiscal year
2025 for military activities of the Department of Defense, for military
construction, and for defense activities of the Department of Energy,
to prescribe military personnel strengths for such fiscal year, and for
other purposes; which was ordered to lie on the table; as follows:
At the end of subtitle H of title X, add the following:
SEC. 1095. GOVERNING ETHICAL AI USE AND INNOVATION FOR HEALTH
CARE DEVELOPMENT AND EQUITY.
(a) National Institutes of Health.--Part A of title IV of
the Public Health Service Act is amended by inserting after
section 403D (42 U.S.C. 283a-3) the following:
``SEC. 403E. ARTIFICIAL INTELLIGENCE.
``(a) In General.--The Director of NIH shall--
``(1) develop computational resources and datasets
necessary to use artificial intelligence approaches for
health and health care research;
``(2) provide expertise in biomedical research and the use
of artificial intelligence;
``(3) develop and maintain federated resources that provide
unified access to data from fundamental biomedical research
and the clinical care environment;
``(4) provide education and ongoing support to a nationwide
user community to foster scientifically sound, ethical, and
inclusive
[[Page S5012]]
research using artificial intelligence that addresses the
health needs of all individuals; and
``(5) extend the clinical research capabilities of the
National Institutes of Health to address significant gaps in
evidence to guide clinical care and to serve the needs of
every community.
``(b) Authorization of Appropriations.--There is authorized
to be appropriated to the Director of NIH to carry out this
section $400,000,000 for fiscal year 2025.''.
(b) Office of the National Coordinator for Health
Information Technology.--Subtitle C of title XXX of the
Public Health Service Act (42 U.S.C. 300jj-51 et seq.) is
amended by adding at the end the following:
``SEC. 3023. ARTIFICIAL INTELLIGENCE.
``(a) In General.--The National Coordinator shall--
``(1) carry out activities to engage in health research
by--
``(A) utilizing the electronic health record as a data
collection tool; and
``(B) requiring that individuals are offered an opportunity
to direct the use of their health data for research; and
``(2) establish data and interoperability standards for
access, exchange, and use of clinical and administrative data
from the clinical care environment through a National
Artificial Intelligence Research Resource, in alignment
with--
``(A) the United States Core Data for Interoperability;
``(B) the Fast Health Interoperability Resources; and
``(C) the Trusted Exchange Framework and Common Agreement.
``(b) Authorization of Appropriations.--There are
authorized to be appropriated to the National Coordinator for
fiscal year 2025--
``(1) $10,000,000 to carry out subsection (a)(1); and
``(2) $50,000,000 to carry out subsection (a)(2).''.
(c) Medicare Requirement for Hospitals Relating to Use of
Electronic Health Records Data for Research Purposes.--
Section 1866(a)(1) of the Social Security Act (42 U.S.C.
1395cc(a)(1)) is amended--
(1) by moving the indentation of subparagraph (W) 2 ems to
the left;
(2) in subparagraph (X)--
(A) by moving the indentation 2 ems to the left; and
(B) by striking ``and'' at the end;
(3) in subparagraph (Y), by striking the period at the end
and inserting ``; and''; and
(4) by inserting after subparagraph (Y) the following new
subparagraph:
``(Z) in the case of a hospital, with respect to each
individual who is admitted to the hospital on or after the
date that is 1 year after the date of enactment of this
subparagraph, to--
``(i) request permission of the individual to share the
health data of the individual for research purposes in
accordance with section 3023(a)(1) of the Public Health
Service Act; and
``(ii) in the case where the individual grants permissions
to the sharing of such data, share the electronic health
record of the individual for such purposes in accordance with
such section.''.
(d) Sense of the Senate.--It is the sense of the Senate
that any steering subcommittee (or similar entity) for a
National Artificial Intelligence Research Resource
established in the Interagency Committee established under
section 5103 of the William M. (Mac) Thornberry National
Defense Authorization Act for Fiscal Year 2021 (15 U.S.C.
9413) shall include an officer or employee of the National
Institutes of Health.
(e) National Library of Medicine.--
(1) In general.--Section 465(b) of the Public Health
Service Act (42 U.S.C. 286(b)) is amended--
(A) in paragraph (7), by striking ``and'' after the
semicolon;
(B) by redesignating paragraph (8) as paragraph (10); and
(C) by inserting after paragraph (7) the following:
``(8) establish facilities so that the Library serves as
the central exchange center of federated data sharing;
``(9) establish a core data science program to guide and
enable a diverse and comprehensive community of research data
users; and''.
(2) Authorization of appropriations.--Subpart 1 of part D
of title IV of the Public Health Service Act (42 U.S.C. 286
et seq.) is amended by adding at the end the following:
``SEC. 468. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to the Secretary
for fiscal year 2025--
``(1) $100,000,000 to carry out section 465(b)(8); and
``(2) $100,000,000 to carry out section 465(b)(9).''.
(f) Offset of Costs Using Unobligated Amounts From the
Inflation Reduction Act of 2022.--Of the unobligated balances
of amounts appropriated or otherwise made available for
activities of the Internal Revenue Service by section 10301
of Public Law 117-169 (commonly known as the ``Inflation
Reduction Act of 2022'') as of the date of the enactment of
this Act, $660,000,000 are hereby rescinded.
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