[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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