Union Calendar No. 128
117th CONGRESS 1st Session |
[Report No. 117–178]
To amend the Public Health Service Act with respect to immunization system data modernization and expansion, and for other purposes.
January 28, 2021
Ms. Kuster (for herself and Mr. Bucshon) introduced the following bill; which was referred to the Committee on Energy and Commerce
November 30, 2021
Additional sponsors: Mr. Baird, Ms. Williams of Georgia, Mrs. Demings, Ms. Lois Frankel of Florida, Mr. Bera, Ms. Underwood, Mr. Levin of California, Ms. Sewell, Ms. Schrier, Mr. McKinley, Mr. Fitzpatrick, Mr. Ruiz, and Ms. Castor of Florida
November 30, 2021
Reported with an amendment; committed to the Committee of the Whole House on the State of the Union and ordered to be printed
[Strike out all after the enacting clause and insert the part printed in italic]
[For text of introduced bill, see copy of bill as introduced on January 28, 2021]
To amend the Public Health Service Act with respect to immunization system data modernization and expansion, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
This Act may be cited as the “Immunization Infrastructure Modernization Act of 2021”.
SEC. 2. Immunization information system data modernization and expansion.
Subtitle C of title XXVIII of the Public Health Service Act (42 U.S.C. 300hh–31 et seq.) is amended by adding at the end the following:
“SEC. 2824. Immunization information system data modernization and expansion.
“(a) Expanding CDC and public health department capabilities.—
“(1) IN GENERAL.—The Secretary shall—
“(A) conduct activities (including with respect to interoperability, population reporting, and bidirectional reporting) to expand, enhance, and improve immunization information systems that are administered by health departments or other agencies of State, local, Tribal, and territorial governments and used by health care providers; and
“(B) award grants or cooperative agreements to the health departments, or such other governmental entities as administer immunization information systems, of State, local, Tribal, and territorial governments, for the expansion, enhancement, and improvement of immunization information systems to assist public health departments in—
“(i) assessing current data infrastructure capabilities and gaps among health care providers to improve and increase consistency in patient matching, data collection, reporting, bidirectional exchange, and analysis of immunization-related information;
“(ii) providing for technical assistance and the efficient enrollment and training of health care providers, including at pharmacies and other settings where immunizations are being provided, such as long-term care facilities, specialty health care providers, community health centers, Federally qualified health centers, rural health centers, organizations serving adults 65 and older, and organizations serving homeless and incarcerated populations;
“(iii) improving secure data collection, transmission, bidirectional exchange, maintenance, and analysis of immunization information;
“(iv) improving the secure bidirectional exchange of immunization record data among Federal, State, local, Tribal, and territorial governmental entities and non-governmental entities, including by—
“(v) supporting the standardization of immunization information systems to accelerate interoperability with health information technology, including with health information technology certified under section 3001(c)(5) or with health information networks;
“(vi) supporting adoption of the immunization information system functional standards of the Centers for Disease Control and Prevention and the maintenance of security standards to protect individually identifiable health information;
“(vii) supporting and training immunization information system, data science, and informatics personnel;
“(viii) supporting real-time immunization record data exchange and reporting, to support rapid identification of immunization coverage gaps;
“(ix) improving completeness of data by facilitating the capability of immunization information systems to exchange data, directly or indirectly, with immunization information systems in other jurisdictions;
“(x) enhancing the capabilities of immunization information systems to evaluate, forecast, and operationalize clinical decision support tools in alignment with the recommendations of the Advisory Committee on Immunization Practices as approved by the Director of the Centers for Disease Control and Prevention;
“(xi) supporting the development and implementation of policies that facilitate complete population-level capture, consolidation, and access to accurate immunization information;
“(xii) supporting the procurement and implementation of updated software, hardware, and cloud storage to adequately manage information volume and capabilities;
“(xiii) supporting expansion of capabilities within immunization information systems for outbreak response;
“(xiv) supporting activities within the applicable jurisdiction related to the management, distribution, and storage of vaccine doses and ancillary supplies;
“(2) DATA STANDARDS.—In carrying out paragraph (1), the Secretary shall—
“(b) Requirements.—
“(1) HEALTH INFORMATION TECHNOLOGY STANDARDS.—The Secretary may not award a grant or cooperative agreement under subsection (a)(1)(B) unless the applicant uses and agrees to use standards adopted by the Secretary under section 3004.
“(2) WAIVER.—The Secretary may waive the requirement under paragraph (1) with respect to an applicant if the Secretary determines that the activities under subsection (a)(1)(B) cannot otherwise be carried out within the applicable jurisdiction.
“(3) APPLICATION.—A State, local, Tribal, or territorial health department applying for a grant or cooperative agreement under subsection (a)(1)(B) shall submit an application to the Secretary at such time and in such manner as the Secretary may require. Such application shall include information describing—
“(c) Strategy and implementation plan.—Not later than 90 days after the date of enactment of this section, the Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate a coordinated strategy and an accompanying implementation plan that identifies and demonstrates the measures the Secretary will utilize to—
“(d) Consultation; technical assistance.—
“(1) CONSULTATION.—In developing the strategy and implementation plan under subsection (c), the Secretary shall consult with—
“(A) health departments, or such other governmental entities as administer immunization information systems, of State, local, Tribal, and territorial governments;
“(B) professional medical, associations, public health associations, and associations representing pharmacists and pharmacies;
“(2) TECHNICAL ASSISTANCE.—In connection with consultation under paragraph (1), the Secretary may—
“(e) Report to Congress.—Not later than 1 year after the date of enactment of this section, the Secretary shall submit a report to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives that includes—
Union Calendar No. 128 | |||||
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[Report No. 117–178] | |||||
A BILL | |||||
To amend the Public Health Service Act with respect to immunization system data modernization and expansion, and for other purposes. | |||||
November 30, 2021 | |||||
Reported with an amendment; committed to the Committee of the Whole House on the State of the Union and ordered to be printed |