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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 631 Introduced in Senate (IS)]

<DOC>

118th CONGRESS
  1st Session
                                 S. 631

 To protect the privacy of personally identifiable health and location 
                     data, and for other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             March 2, 2023

Ms. Klobuchar (for herself, Ms. Warren, and Ms. Hirono) introduced the 
 following bill; which was read twice and referred to the Committee on 
                 Commerce, Science, and Transportation

_______________________________________________________________________

                                 A BILL

 
 To protect the privacy of personally identifiable health and location 
                     data, 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 ``Upholding Protections for Health and 
Online Location Data Privacy Act of 2023'' or the ``UPHOLD Privacy Act 
of 2023''.

SEC. 2. PRIVACY OF HEALTH DATA.

    (a) Prohibition on the Use of Health Data in Commercial 
Advertising.--It shall be unlawful for any covered entity to use the 
health data of an individual that is collected from any source 
(including data volunteered by an individual, medical center-derived 
data, data from a wearable fitness tracker, data from web browsing 
history, or any other source determined appropriate by the Commission) 
for commercial advertising.
    (b) Minimization of Collecting, Retaining, Using, and Disclosing 
Health Data.--A covered entity may not collect, retain, use, or 
disclose health data except--
            (1) with the express consent of the individual to whom such 
        data relates; or
            (2) as is strictly necessary to provide a product or 
        service that the individual to whom such data relates has 
        requested from such covered entity.
    (c) Minimization of Employee Access.--A covered entity shall 
restrict access to health data by any employee or service provider of 
the covered entity to only such an employee or service provider for 
which access is necessary to provide a product or service that the 
individual to whom such data relates has requested from the covered 
entity.
    (d) Privacy Policy.--
            (1) Policy required.--A covered entity shall maintain a 
        privacy policy relating to the practices of such covered entity 
        regarding the collecting, retaining, using, and disclosing of 
        health data.
            (2) Publication required.--If a covered entity has a 
        website, such covered entity shall prominently publish the 
        privacy policy described in paragraph (1) on such website.
            (3) Contents.--The privacy policy described in paragraph 
        (1) shall be clear and conspicuous and contain, at a minimum, 
        the following:
                    (A) A description of the practices of the covered 
                entity regarding the collecting, retaining, using, and 
                disclosing of health data.
                    (B) A clear and concise statement of the categories 
                of such data collected, retained, used, or disclosed by 
                the covered entity.
                    (C) A clear and concise statement of the covered 
                entity's purposes for the collecting, retaining, using, 
                or disclosing of such data.
                    (D) A list of the specific third parties to which 
                the covered entity discloses such data, and a clear and 
                concise statement of the purposes for which the covered 
                entity discloses such data, including how the data may 
                be used by each such third party.
                    (E) A list of the specific third parties from which 
                the covered entity has collected such data, and a clear 
                and concise statement of the purposes for which the 
                covered entity collects such data.
                    (F) A clear and concise statement describing the 
                extent to which an individual may exercise control over 
                the collecting, retaining, using, and disclosing of 
                health data by the covered entity, and the steps an 
                individual must take to implement such controls.
                    (G) A clear and concise statement describing the 
                efforts of the covered entity to protect health data 
                from unauthorized disclosure.

SEC. 3. UNFAIR AND DECEPTIVE ACTS AND PRACTICES RELATING TO LOCATION 
              DATA.

    (a) Prohibition on Sale From Data Brokers.--It shall be unlawful 
for a data broker to sell, resell, license, trade, transfer, share, or 
otherwise provide or make available location data (including data 
volunteered by an individual, medical center-derived data, data from a 
wearable fitness tracker, data from web browsing history, or any other 
source determined appropriate by the Commission).
    (b) Prohibition on Sale to Data Brokers.--It shall be unlawful for 
any person to sell, resell, license, trade, transfer, share, or 
otherwise provide or make available location data (including data 
volunteered by an individual, medical center-derived data, data from a 
wearable fitness tracker, data from web browsing history, or any other 
source determined appropriate by the Commission) to a data broker.

SEC. 4. RIGHT OF ACCESS AND DELETION.

    (a) Right of Access.--
            (1) In general.--A covered entity shall make available a 
        reasonable mechanism by which an individual, upon verified 
        request, may access--
                    (A) any health data or location data relating to 
                such individual that is retained by such covered 
                entity, including--
                            (i) in the case of such data that the 
                        covered entity collected from any third party, 
                        how and from which specific third party the 
                        covered entity collected such data; and
                            (ii) such data that the covered entity 
                        inferred about the individual; and
                    (B) a list of the specific third parties to which 
                the covered entity has disclosed any health data or 
                location data relating to such individual.
            (2) Format.--A covered entity shall make the information 
        described in paragraph (1) available in both a human-readable 
        and a structured, interoperable, and machine-readable format.
    (b) Right of Deletion.--A covered entity shall make available a 
reasonable mechanism by which an individual, upon verified request, may 
request the deletion of any health data or location data relating to 
such individual that is retained by the covered entity, including any 
such information that the covered entity collected from a third party 
or inferred from other information retained by the covered entity.
    (c) Requirements for Access and Deletion.--
            (1) Timeline for complying with requests.--A covered entity 
        shall comply with a verified request received under this 
        section without undue delay, but not later than 15 days after 
        the date on which the covered entity receives such verified 
        request.
            (2) Fees prohibited.--A covered entity may not charge a fee 
        to an individual for a request made under this section.
            (3) Rules of construction.--Nothing in this section shall 
        be construed to require a covered entity to--
                    (A) take an action that would convert information 
                that is not health data or location data into health 
                data or location data;
                    (B) collect or retain health data or location data 
                that the covered entity would not otherwise collect or 
                retain; or
                    (C) retain health data or location data longer than 
                the covered entity would otherwise retain such data.
    (d) Reasonable Mechanism Defined.--In this section, the term 
``reasonable mechanism'' means, with respect to a covered entity and a 
right under this section, a mechanism that--
            (1) is equivalent in availability and ease of use to that 
        of other mechanisms for communicating or interacting with the 
        covered entity; and
            (2) includes an online means of exercising any such right.

SEC. 5. EXCEPTIONS.

    (a) Publication of Newsworthy Information of Legitimate Public 
Concern.--Nothing in this Act, or a regulation promulgated under this 
Act, shall apply with respect to health data or location data that is 
collected, retained, used, or disclosed by a covered entity for the 
publication of newsworthy information of legitimate public concern to 
the public, or to the collecting, retaining, using, or disclosing of 
such data by a covered entity for that purpose, if such covered entity 
has reasonable safeguards and processes that prevent the collecting, 
retaining, using, or disclosing of health data or location data for 
commercial purposes other than the publication of newsworthy 
information of legitimate public concern.
    (b) Public Health Campaigns.--The prohibition under section 2(a) 
shall not apply to any public health campaign directed toward 
individuals or subpopulations of individuals.
    (c) Disclosure Pursuant to Valid Authorization.--
            (1) In general.--Nothing in this Act shall be construed to 
        prohibit a disclosure of the health data or location data of an 
        individual for which the individual provides valid 
        authorization.
            (2) Valid authorization defined.--For purposes of paragraph 
        (1), the term ``valid authorization'' has the meaning given 
        such term in section 164.508 of title 45, Code of Federal 
        Regulations (or a successor regulation), subject to any such 
        adaptation the Commission shall deem necessary to apply such 
        term to the disclosure of both health data and location data.
    (d) HIPAA-Compliant Actions.--
            (1) In general.--Nothing in this Act shall be construed to 
        prohibit any action taken with respect to the health 
        information of an individual by a data broker that is a 
        business associate or covered entity that is permissible under 
        the Federal regulations concerning standards for privacy of 
        individually identifiable health information promulgated under 
        section 264(c) of the Health Insurance Portability and 
        Accountability Act of 1996 (42 U.S.C. 1320d-2 note).
            (2) Terms defined.--For purposes of paragraph (1), the 
        terms ``business associate'', ``covered entity'', and ``health 
        information'' shall have the meanings given those terms in the 
        Federal regulations specified in such section 264(c) of the 
        Health Insurance Portability and Accountability Act of 1996 (42 
        U.S.C. 1320d-2 note).

SEC. 6. EFFECTIVE DATE.

    (a) In General.--The prohibitions under sections 2 and 3 shall take 
effect on the earlier of--
            (1) the date the Commission issues the final rule under 
        subsection (b); or
            (2) 180 days after the date of enactment of this Act.
    (b) Rulemaking.--
            (1) Final rule.--Not later than 180 days after the date of 
        enactment of this Act, the Commission shall promulgate 
        regulations, pursuant to section 553 of title 5, United States 
        Code, to carry out the provisions of this Act.
            (2) Additional guidance.--The Commission may promulgate 
        further regulations, pursuant to such section 553, to update 
        and carry out the provisions of this Act, including further 
        guidance regarding the types of data described in sections 2 
        and 3.

SEC. 7. ENFORCEMENT.

    (a) Enforcement by the Federal Trade Commission.--
            (1) Unfair or deceptive acts or practices.--A violation of 
        section 2, 3, or 4 shall be treated as a violation of a rule 
        defining an unfair or a deceptive act or practice under section 
        18(a)(1)(B) of the Federal Trade Commission Act (15 U.S.C. 
        57a(a)(1)(B)).
            (2) Powers of the commission.--
                    (A) In general.--Except as provided in 
                subparagraphs (D) and (E), the Commission shall enforce 
                this Act and any regulation promulgated thereunder in 
                the same manner, by the same means, and with the same 
                jurisdiction, powers, and duties as though all 
                applicable terms and provisions of the Federal Trade 
                Commission Act (15 U.S.C. 41 et seq.) were incorporated 
                into and made a part of this Act.
                    (B) Privileges and immunities.--Subject to 
                subparagraph (F), any covered entity or data broker who 
                violates this Act or any regulation promulgated 
                thereunder shall be subject to the penalties and 
                entitled to the privileges and immunities provided in 
                the Federal Trade Commission Act (15 U.S.C. 41 et 
                seq.).
                    (C) Authority preserved.--Nothing in this Act shall 
                be construed to limit the authority of the Federal 
                Trade Commission under any other provision of law.
                    (D) Scope of jurisdiction.--Notwithstanding section 
                4, 5(a)(2), or 6 of the Federal Trade Commission Act 
                (15 U.S.C. 44, 45(a)(2), 46), or any jurisdictional 
                limitation of the Commission, the Commission shall also 
                enforce this Act and the regulations promulgated under 
                this Act, in the same manner provided in subparagraph 
                (A), with respect to--
                            (i) common carriers subject to the 
                        Communications Act of 1934 (47 U.S.C. 151 et 
                        seq.) and Acts amendatory thereof and 
                        supplementary thereto; and
                            (ii) organizations that are not organized 
                        to carry on business for their own profit or 
                        that of their members.
                    (E) Independent litigation authority.--In any case 
                in which the Commission has reason to believe that a 
                covered entity or data broker is violating or has 
                violated section 2, 3, or 4, the Commission may bring a 
                civil action, subject to subsection (c), to--
                            (i) enjoin any further such violation by 
                        such covered entity or data broker;
                            (ii) enforce compliance with this Act, 
                        including through deletion of the relevant 
                        information;
                            (iii) obtain a permanent, temporary, or 
                        preliminary injunction;
                            (iv) obtain civil penalties;
                            (v) obtain damages (whether actual, 
                        punitive, or otherwise), restitution, 
                        disgorgement of unjust enrichment, or other 
                        compensation on behalf of aggrieved persons; or
                            (vi) obtain any other appropriate equitable 
                        relief.
                    (F) Civil penalties.--In addition to any other 
                penalties as may be prescribed by law, a violation of 
                this Act shall carry a civil penalty not to exceed 15 
                percent of the revenues earned during the preceding 12-
                month period by the ultimate parent entity of the 
                covered entity or data broker that committed such 
                violation.
    (b) Private Right of Action.--
            (1) In general.--Any individual alleging a violation of 
        this Act or a regulation promulgated thereunder may bring a 
        civil action, subject to subsection (c).
            (2) Relief.--In a civil action brought under paragraph (1) 
        in which the plaintiff prevails, the court may award--
                    (A) damages in an amount equal to the greater of--
                            (i) actual damages; or
                            (ii) an amount equal to not less than $100 
                        and not more than $1,000 per violation, per 
                        day;
                    (B) punitive damages;
                    (C) restitution or other compensation;
                    (D) reasonable attorney's fees, including 
                litigation expenses, and costs; and
                    (E) any other relief determined appropriate by the 
                court, including equitable or declaratory relief.
            (3) Injury in fact.--A violation of this Act or a 
        regulation promulgated thereunder with respect to health data 
        or location data constitutes a concrete and particularized 
        injury in fact to the individual to whom such data relates.
            (4) Invalidity of pre-dispute arbitration agreements and 
        pre-dispute joint-action waivers.--
                    (A) In general.--Notwithstanding any other 
                provision of law, no pre-dispute arbitration agreement 
                or pre-dispute joint-action waiver shall be valid or 
                enforceable with respect to a dispute arising under 
                this Act.
                    (B) Applicability.--Any determination as to whether 
                or how this paragraph applies to any dispute shall be 
                made by a court, rather than an arbitrator, without 
                regard to whether such agreement purports to delegate 
                such determination to an arbitrator.
                    (C) Definitions.--For purposes of this paragraph:
                            (i) Pre-dispute arbitration agreement.--The 
                        term ``pre-dispute arbitration agreement'' 
                        means any agreement to arbitrate a dispute that 
                        has not arisen at the time of the making of the 
                        agreement.
                            (ii) Pre-dispute joint-action waiver.--The 
                        term ``pre-dispute joint-action waiver'' means 
                        an agreement that would prohibit a party from 
                        participating in a joint, class, or collective 
                        action in a judicial, arbitral, administrative, 
                        or other forum, concerning a dispute that has 
                        not yet arisen at the time of the making of the 
                        agreement.
    (c) Exclusive Jurisdiction.--
            (1) District courts.--For any action brought under this 
        Act, the following district courts shall have exclusive 
        jurisdiction:
                    (A) Commission.--For actions brought by the 
                Commission, the United States District Court for the 
                District of Columbia.
                    (B) Private actions.--For private actions brought 
                by individuals, in the court of the plaintiff's choice 
                between--
                            (i) the United States District Court for 
                        the District of Columbia; or
                            (ii) the district court of the United 
                        States for the judicial district in which the 
                        violation took place or in which any defendant 
                        resides or does business.
            (2) Court of appeals.--The United States Court of Appeals 
        for the District of Columbia Circuit shall have exclusive 
        jurisdiction of appeals from any decision under paragraph (1).
    (d) Statute of Limitations.--An action for a violation of this Act 
may be commenced not later than 6 years after the date upon which the 
plaintiff obtains actual knowledge of the facts giving rise to such 
violation.

SEC. 8. DEFINITIONS.

    (a) In General.--In this Act:
            (1) Collect.--The term ``collect'' means, with respect to 
        health data or location data, to obtain such data in any 
        manner.
            (2) Commercial advertising.--The term ``commercial 
        advertising'' means communications that promote the sale of or 
        interest in goods or services, including goods or services that 
        are published digitally, via video or audio, or in print.
            (3) Commission.--The term ``Commission'' means the Federal 
        Trade Commission.
            (4) Covered entity.--
                    (A) In general.--The term ``covered entity'' means 
                any entity that--
                            (i) is engaged in activities in or 
                        affecting commerce (as defined in section 4 of 
                        the Federal Trade Commission Act (15 U.S.C. 
                        44)); and
                            (ii) is--
                                    (I) a person, partnership, or 
                                corporation subject to the jurisdiction 
                                of the Commission under section 5(a)(2) 
                                of the Federal Trade Commission Act (15 
                                U.S.C. 45(a)(2)); or
                                    (II) notwithstanding section 4, 
                                5(a)(2), or 6 of the Federal Trade 
                                Commission Act (15 U.S.C. 44, 45(a)(2), 
                                46) or any jurisdictional limitation of 
                                the Commission--
                                            (aa) a common carrier 
                                        subject to the Communications 
                                        Act of 1934 (47 U.S.C. 151 et 
                                        seq.) and all Acts amendatory 
                                        thereof and supplementary 
                                        thereto; or
                                            (bb) an organization not 
                                        organized to carry on business 
                                        for its own profit or that of 
                                        its members.
                    (B) Exclusions.--The term ``covered entity'' does 
                not include an entity that is--
                            (i) a covered entity, as defined in section 
                        160.103 of title 45, Code of Federal 
                        Regulations (or a successor regulation), to the 
                        extent such entity is acting as a covered 
                        entity under the HIPAA privacy regulations (as 
                        defined in section 1180(b)(3) of the Social 
                        Security Act (42 U.S.C. 1320d-9(b)(3)));
                            (ii) an entity that is a business 
                        associate, as defined in section 160.103 of 
                        title 45, Code of Federal Regulations (or a 
                        successor regulation), to the extent such 
                        entity is acting as a business associate under 
                        the HIPAA privacy regulations (as defined in 
                        such section 1180(b)(3)); or
                            (iii) an entity that is subject to 
                        restrictions on disclosure of records under 
                        section 543 of the Public Health Service Act 
                        (42 U.S.C. 290dd-2), to the extent such entity 
                        is acting in a capacity subject to such 
                        restrictions.
            (5) Data broker.--The term ``data broker'' means an 
        individual or entity that--
                    (A) collects, buys, licenses, or infers data about 
                an individual; and
                    (B) sells, licenses, or trades such data.
            (6) Disclose.--The term ``disclose'' means, with respect to 
        health data or location data, for a covered entity to release, 
        transfer, sell, provide access to, license, or divulge such 
        data in any manner to a third party or government entity.
            (7) Express consent.--
                    (A) In general.--The term ``express consent'' 
                means, with respect to the collecting, retaining, 
                using, or disclosing of health data or location data, 
                the informed, opted-in, voluntary, specific, and 
                unambiguous written consent of an individual (which may 
                include written consent provided by electronic means) 
                to such collecting, retaining, using, or disclosing of 
                such data.
                    (B) Exclusions.--The term ``express consent'' does 
                not include any of the following:
                            (i) Consent secured without first providing 
                        to the individual a clear and conspicuous 
                        disclosure, apart from any privacy policy, 
                        terms of service, terms of use, general 
                        release, user agreement, or other similar 
                        document, of all information material to the 
                        provision of consent.
                            (ii) Hovering over, muting, pausing, or 
                        exiting a given piece of content.
                            (iii) Agreement obtained through the use of 
                        a user interface designed or manipulated with 
                        the substantial effect of subverting or 
                        impairing user autonomy, decision making, or 
                        choice.
            (8) Health data.--The term ``health data'' means data that 
        identifies, relates to, describes, or reveals--
                    (A) the search for, attempt to obtain, or receipt 
                of any health services;
                    (B) any past, present, or future disability, 
                physical health condition, mental health condition, or 
                health condition of an individual, including efforts to 
                research or obtain health services or supplies 
                (including location data that might indicate an attempt 
                to acquire or receive such information services or 
                supplies);
                    (C) any treatment or diagnosis of a disability or 
                condition described in subparagraph (B); or
                    (D) any information described in subparagraph (A) 
                through subparagraph (C) that is derived or 
                extrapolated from non-health information (such as 
                proxy, derivative, inferred, emergent, or algorithmic 
                data).
            (9) Location data.--
                    (A) In general.--The term ``location data'' means 
                data derived from a device or technology that reveals 
                the past or present physical location of an individual 
                or device with sufficient precision to identify street-
                level location information of the individual or device 
                within 1,850 feet or less.
                    (B) Exclusion.--The term ``location data'' does not 
                include geolocation information identifiable or derived 
                solely from the visual content of a legally obtained 
                image, including the location of the device that 
                captured such image.
            (10) Service provider.--
                    (A) In general.--The term ``service provider'' 
                means an individual or entity that--
                            (i) collects, retains, uses, or discloses 
                        health data for the sole purpose of, and only 
                        to the extent that such individual or entity 
                        is, conducting business activities on behalf 
                        of, for the benefit of, under instruction of, 
                        or under contractual agreement with a covered 
                        entity and not any other individual or entity; 
                        and
                            (ii) does not divulge health data to any 
                        individual or entity other than such covered 
                        entity or a contractor to such service provider 
                        bound to information processing terms no less 
                        restrictive than terms to which such service 
                        provider is bound.
                    (B) Limitation of application.--Such individual or 
                entity shall only be considered a service provider in 
                the course of activities described in subparagraph 
                (A)(i).
                    (C) Minimization by service providers.--For 
                purposes of section 2, a request from an individual to 
                a covered entity for a product or service, and an 
                express consent from the individual to the covered 
                entity, shall be treated as having also been provided 
                to the service provider of the covered entity.
            (11) State.--The term ``State'' means each of the several 
        States, the District of Columbia, each commonwealth, territory, 
        or possession of the United States, and each Federally 
        recognized Indian Tribe.
            (12) Third party.--The term ``third party'' means, with 
        respect to the disclosing or collecting of health data, any 
        individual or entity that is not--
                    (A) the covered entity that is disclosing or 
                collecting such information;
                    (B) the individual to whom such information 
                relates; or
                    (C) a service provider.
            (13) Ultimate parent entity.--The term ``ultimate parent 
        entity'' has the meaning given the term in section 801.1 of 
        title 16, Code of Federal Regulations (or a successor 
        regulation).
    (b) Rulemaking.--
            (1) In general.--Not later than 180 days after the date of 
        enactment of this Act, the Commission shall conduct a 
        rulemaking pursuant to section 553 of title 5, United States 
        Code, to define the terms ``public health campaign'' and 
        ``data'' for purposes of implementing and enforcing this Act.
            (2) Requirement.--For purposes of the rulemaking required 
        under paragraph (1), the term ``data'' shall include 
        information that is linked, or reasonably linkable, to--
                    (A) specific individuals; or
                    (B) specific groups of individuals who share the 
                same place of residence or internet protocol address.

SEC. 9. RELATIONSHIP TO FEDERAL AND STATE LAWS.

    (a) Federal Law Preservation.--Nothing in this Act, or a regulation 
promulgated under this Act, shall be construed to limit any other 
provision of Federal law, except as specifically provided in this Act.
    (b) State Law Preservation.--
            (1) In general.--Nothing in this Act, or a regulation 
        promulgated under this Act, shall be construed to preempt, 
        displace, or supplant any State law, except to the extent that 
        a provision of State law conflicts with a provision of this 
        Act, or a regulation promulgated under this Act, and then only 
        to the extent of the conflict.
            (2) Greater protection under state law.--For purposes of 
        this subsection, a provision of State law does not conflict 
        with a provision of this Act, or a regulation promulgated under 
        this Act, if such provision of State law provides greater 
        privacy protection than the privacy protection provided by such 
        provision of this Act or such regulation.

SEC. 10. SEVERABILITY CLAUSE.

    If any provision of this Act, or the application thereof to any 
individual, entity, or circumstance, is held invalid, the remainder of 
this Act, and the application of such provision to other persons not 
similarly situated or to other circumstances, shall not be affected by 
the invalidation.
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