I 

116TH CONGRESS 

2D SESSION H. R. 8967 

To require the Secretary of Health and Human Services to award a contract 

to an eligible nonprofit entity to establish and maintain a health care 

claims database for purposes of lowering Americans’ health care costs, 

and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 15, 2020 

Mr. BEYER introduced the following bill; which was referred to the Committee 

on Energy and Commerce, and in addition to the Committees on Ways 

and Means, Oversight and Reform, Armed Services, and Education and 

Labor, for a period to be subsequently determined by the Speaker, in 

each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To require the Secretary of Health and Human Services 

to award a contract to an eligible nonprofit entity to 

establish and maintain a health care claims database 

for purposes of lowering Americans’ health care costs, 

and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Federal All-Payer 

5 Claims Database Act of 2020’’. 


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1 SEC. 2. ESTABLISHMENT AND MAINTENANCE OF HEALTH 

2 CARE CLAIMS DATABASE TO LOWER HEALTH 

3 CARE COSTS. 

4 (a) IN GENERAL.—Not later than the date that is 

5 180 days after the date of the enactment of this Act, the 

6 Secretary of Health and Human Services (referred to in 

7 this section as the ‘‘Secretary’’), acting through the Ad8 ministrator of the Centers for Medicare & Medicaid Serv9 ices and in consultation with the Secretary of Labor, shall 

10 award a contract in accordance with subsection (b) to an 

11 eligible nonprofit entity described in such subsection for 

12 purposes of carrying out the requirements of such entity 

13 under this section. 

14 (b) CONTRACT WITH ELIGIBLE NONPROFIT ENTI15 TY.— 

16 (1) COMPETITIVE PROCEDURES.—The Sec17 retary shall award the contract described in sub18 section (a) to an eligible nonprofit entity described 

19 in paragraph (2) using full and open competition 

20 procedures pursuant to chapter 33 of title 41, 

21 United States Code. 

22 (2) ELIGIBLE NONPROFIT ENTITY.—An eligible 

23 nonprofit entity described in this paragraph is a 

24 nonprofit entity that— 

25 (A) is governed by a board that includes— 


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1 (i) representatives of the academic re2 search community; and 

3 (ii) individuals with expertise in em4 ployer-sponsored insurance, research using 

5 health care claims data, and actuarial 

6 analysis; and 

7 (B) conducts its business in an open and 

8 transparent manner that provides the oppor9 tunity for public comment on its activities. 

10 (3) CONSIDERATIONS.—In awarding a contract 

11 to an eligible nonprofit entity under this section, the 

12 Secretary shall consider the experience of each eligi13 ble nonprofit entity in— 

14 (A) collecting and aggregating health care 

15 claims data, ensuring quality assurance and se16 curity of such claims data, and securing such 

17 claims data; 

18 (B) supporting academic research on 

19 health care costs, spending, and utilization for 

20 and by privately insured patients; 

21 (C) working with large health insurance 

22 issuers, group health plans, and third-party ad23 ministrators of group health plans to assemble 

24 a health care claims database; 


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1 (D) effectively collaborating with and en2 gaging stakeholders to develop reports; 

3 (E) meeting budgets and timelines, includ4 ing with respect to developing reports; and 

5 (F) facilitating the creation of, or sup6 porting, State all-payer claims databases. 

7 (4) PERIOD OF CONTRACT.— 

8 (A) IN GENERAL.—A contract awarded 

9 under this section shall be for a period of 5 

10 years and may be renewed, subject to the full 

11 and open competition procedures described in 

12 paragraph (1). 

13 (B) TRANSITION OF CONTRACT.—In the 

14 case that a contract is not renewed for a subse15 quent 5-year period under subparagraph (A) 

16 after the use of the full and open competition 

17 procedures described in paragraph (1), the Sec18 retary shall require the entity whose contract is 

19 expiring to transfer all data maintained by the 

20 health care claims database described in para21 graph (5)(A) to the entity to whom the Sec22 retary has awarded a contract for the subse23 quent 5-year period. The entity whose contract 

24 is expiring may not disclose such data to any 


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1 other entity or keep such data after the expira2 tion of such contract. 

3 (5) REQUIREMENTS OF CONTRACT.—Each con4 tract awarded under this section shall require the 

5 entity awarded such contract to carry out each of 

6 the following: 

7 (A) Establish and maintain a health care 

8 claims database in accordance with the require9 ments of the HIPAA privacy regulation. 

10 (B) Ensure that such health care claims 

11 database makes available data submitted under 

12 subsection (d) in accordance with the require13 ments of subsection (c). 

14 (C) In the case that the contract is not re15 newed after the end of the 5-year period of the 

16 contract, carry out the transfer of data required 

17 pursuant to paragraph (4)(B) in accordance 

18 with a schedule and process determined by the 

19 Secretary. 

20 (D) Comply with the HIPAA privacy regu21 lation in the same manner and to the same ex22 tent as such regulation applies to a covered en23 tity (as defined pursuant to such regulation). 

24 (E) Strictly limit staff access to such 

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1 priate training, clearance, and background 

2 checks, and require such staff to undergo reg3 ular privacy and security training. 

4 (F) Maintain effective security standards 

5 for transferring data from such health care 

6 claims database and making such data available 

7 to all individuals and entities who are author8 ized users pursuant to subsection (c)(2). 

9 (G) Adhere to best security practices with 

10 respect to the management and use of such 

11 data for health services research, in accordance 

12 with applicable Federal privacy law. 

13 (H) Report on the security methods of the 

14 entity to— 

15 (i) the Secretary; 

16 (ii) the Committee on Health, Edu17 cation, Labor, and Pensions, the Com18 mittee on Finance, and the Committee on 

19 Commerce, Science, and Transportation of 

20 the Senate; and 

21 (iii) the Committee on Education and 

22 Labor, the Committee on Energy and 

23 Commerce, the Committee on the Judici24 ary, and the Committee on Ways and 

25 Means of the House of Representatives. 


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1 (c) AVAILABILITY OF DATA FROM HEALTH CARE

2 CLAIMS DATABASE.— 

3 (1) IN GENERAL.—Subject to paragraph (2), 

4 the entity maintaining the health care claims data5 base described in subsection (b)(5)(A) shall make 

6 available, at cost, the data submitted under sub7 section (d)— 

8 (A) to patients to inform such patients 

9 about the cost, quality, and value of their 

10 health care; 

11 (B) to health care providers and hos12 pitals— 

13 (i) to assist such providers and hos14 pitals in making informed choices while 

15 providing health care; and 

16 (ii) to enable such providers and hos17 pitals to improve health care services pro18 vided to patients and health care outcomes 

19 for such patients by benchmarking their 

20 performance against that of other health 

21 care providers and hospitals; 

22 (C) to group health plans and health insur23 ance issuers offering individual or group health 

24 insurance coverage to assist such group health 

25 plans and health insurance issuers in evaluating 


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1 and reducing health care costs for enrollees of 

2 such group health plans and individual or group 

3 health insurance coverage, respectively; 

4 (D) to States to facilitate State-led initia5 tives to lower health care costs and improve the 

6 quality of health care; 

7 (E) to any State all-payer claims database 

8 and regional health care claims database oper9 ated pursuant to the authorization of each 

10 State covered by such regional health care 

11 claims database; 

12 (F) to any individual or entity conducting 

13 research; 

14 (G) to the Secretary of Defense for pur15 poses of carrying out the TRICARE program 

16 under chapter 55 of title 10, United States 

17 Code; 

18 (H) to the Director of the Office of Per19 sonnel Management for purposes of carrying 

20 out the Federal Employees Health Benefits 

21 Program established under chapter 89 of title 

22 5, United States Code; and 

23 (I) to the Director of the Congressional 

24 Budget Office, the Comptroller General of the 

25 United States, the Executive Director of the 


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1 Medicare Payment Advisory Commission, and 

2 the Executive Director of the Medicaid and 

3 CHIP Payment Advisory Commission. 

4 (2) AUTHORIZATION FOR ACCESS TO DATA.— 

5 (A) IN GENERAL.—The entity maintaining 

6 the health care claims database described in 

7 subsection (b)(5)(A) may only make available 

8 the data described in paragraph (1) to an indi9 vidual or entity described in any of subpara10 graphs (A) through (F) of such paragraph if 

11 such individual or entity submits an application 

12 to such entity requesting authorization for ac13 cess to such database in accordance with this 

14 paragraph. 

15 (B) APPLICATION.—An application under 

16 this paragraph shall be submitted at such time, 

17 in such manner, and containing such informa18 tion as the Secretary may require and shall in19 clude— 

20 (i) in the case of an individual or enti21 ty requesting access to the health care 

22 claims database described in subsection 

23 (b)(5)(A) for research purposes— 

24 (I) a description of the uses and 

25 methodologies for evaluating health 


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1 system performance using the data 

2 from such database; and 

3 (II) documentation of approval of 

4 such research purposes by an institu5 tional review board, if applicable for a 

6 particular plan of research; and 

7 (ii) in the case of a group health plan, 

8 health insurance issuer, third-party admin9 istrator of a group health plan, or health 

10 care provider requesting access to such 

11 health care claims database for the pur12 pose of quality improvement or cost-con13 tainment, a description of the intended 

14 uses for the data from such database. 

15 (C) DATA USE AND CONFIDENTIALITY

16 AGREEMENT.—Upon approval of an application 

17 under subparagraph (B), the authorized user 

18 shall enter into a data use and confidentiality 

19 agreement with the entity that approved such 

20 application, which shall include a prohibition on 

21 attempts to reidentify and disclose protected 

22 health information and proprietary financial in23 formation. In the case of an approval of an ap24 plication for quality improvement or cost-con25 tainment purposes under subparagraph (B)(ii), 


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1 access to data from the health care claims data2 base described in subsection (b)(5)(A) shall be 

3 provided in a form and manner such that the 

4 authorized user may not obtain individually 

5 identifiable price information with respect to di6 rect competitors. 

7 (3) AVAILABILITY OF REPORTS AND ANALYSES

8 BASED ON DATA.— 

9 (A) IN GENERAL.—Subject to subpara10 graph (B), the entity maintaining the health 

11 care claims database described in subsection 

12 (b)(5)(A), in consultation with the advisory 

13 committee convened under subsection (e), shall 

14 make available to all individuals and entities 

15 who are authorized users pursuant to para16 graph (2) any report or analysis based on data 

17 from such database, including aggregate data 

18 sets, free of charge. 

19 (B) CUSTOMIZED REPORTS.—Group health 

20 plans may request customized reports from the 

21 entity maintaining the health care claims data22 base described in subsection (b)(5)(A), at cost, 

23 but subject to the requirements of the HIPPA 

24 privacy regulation. 


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1 (d) SUBMISSION OF DATA TO HEALTH CARE CLAIMS

2 DATABASE.— 

3 (1) IN GENERAL.—Subject to paragraphs (2) 

4 and (3), a group health plan (through its sponsor, 

5 third-party administrator, pharmacy benefit man6 ager, or other entity designated by the group health 

7 plan) or a health insurance issuer offering group or 

8 individual health insurance coverage shall electroni9 cally submit to the health care claims database 

10 maintained under this section all claims data (in11 cluding claims with respect to treatment of sub12 stance use disorders and prescription drug claims) 

13 with respect to the plan or group or individual 

14 health insurance coverage, respectively. 

15 (2) SCOPE OF INFORMATION AND FORMAT OF

16 SUBMISSION.—The entity maintaining the health 

17 care claims database under this section, in consulta18 tion with the advisory committee convened under 

19 subsection (e), shall— 

20 (A) specify the data elements required to 

21 be submitted under paragraph (1), which shall 

22 include all data related to transactions de23 scribed in subparagraphs (A) and (E) of section 

24 1173(a)(2) of the Social Security Act (42 

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1 ments normally present in such transactions 

2 when adjudicated, and enrollment information; 

3 (B) specify the form and manner for sub4 missions under this subsection and the histor5 ical period to be included in the initial submis6 sion; and 

7 (C) offer an automated submission option 

8 to minimize administrative burdens relating to 

9 the submission of data under this subsection. 

10 (3) DE-IDENTIFICATION OF DATA.—The entity 

11 maintaining the health care claims database under 

12 this section, in consultation with the advisory com13 mittee convened under subsection (e), shall— 

14 (A) establish a process under which data is 

15 de-identified in accordance with section 

16 164.514(a) of title 45, Code of Federal Regula17 tions (or any successor regulations), while re18 taining the ability to link data longitudinally for 

19 the purposes of research on cost and quality 

20 and the ability to complete risk adjustment and 

21 geographic analysis; 

22 (B) ensure that any third-party sub23 contractors who perform the de-identification 

24 process described in subparagraph (A) retain 

25 the minimum necessary information to perform 


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1 such process and adhere to effective security 

2 and encryption practices in data storage and 

3 transmission; 

4 (C) store claims and other data collected 

5 under this subsection only in de-identified form, 

6 in accordance with section 164.514(a) of title 

7 45, Code of Federal Regulations (or any suc8 cessor regulations); and 

9 (D) ensure that data is encrypted, in ac10 cordance with the HIPAA privacy regulation. 

11 (4) OTHER DATA.— 

12 (A) MEDICAID DATA.—The Administrator 

13 of the Centers for Medicare & Medicaid Serv14 ices shall submit all health care claims data 

15 with respect to the Medicare program under 

16 title XVIII of the Social Security Act (42 

17 U.S.C. 1395 et seq.) and the Medicaid program 

18 under title XIX of such Act (42 U.S.C. 1396 et 

19 seq.) in accordance with scope, format, and de20 identification requirements applicable pursuant 

21 to paragraphs (2) and (3). 

22 (B) TRICARE.—The Secretary of Defense 

23 shall submit all health care claims data with re24 spect to the TRICARE program under chapter 

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1 ance with scope, format, and de-identification 

2 requirements applicable pursuant to paragraphs 

3 (2) and (3). 

4 (C) FEHB.—The Director of the Office of 

5 Personnel Management shall submit all health 

6 care claims data with respect to the Federal 

7 Employee Health Benefits program in accord8 ance with scope, format, and de-identification 

9 requirements applicable pursuant to paragraphs 

10 (2) and (3). 

11 (D) STATE DATA.—The entity maintaining 

12 the health care claims database under this sec13 tion may collect data from State all-payer 

14 claims databases that seek access to such health 

15 care claims database. A State may require 

16 health insurance issuers and other payers to 

17 submit claims data to a State-mandated all18 payer claims database, provided that such data 

19 is submitted in a form and manner established 

20 by the Secretary. A State may also require 

21 health insurance issuers and other payers to 

22 submit claims data to the health care claims 

23 database maintained under this section, pro24 vided that such data is submitted in a form and 

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1 sistent with scope, format, and de-identification 

2 requirements applicable pursuant to paragraphs 

3 (2) and (3). 

4 (5) PROHIBITION.—Any individual or entity re5 quired to submit data under this subsection may not 

6 place any restrictions on the use of such data by au7 thorized users under subsection (c)(2). 

8 (e) ADVISORY COMMITTEE.— 

9 (1) IN GENERAL.—Not later than the date that 

10 is 180 days after the date of the enactment of this 

11 Act, the Secretary shall convene an advisory com12 mittee (referred to in this subsection as the ‘‘Com13 mittee’’) to advise the Secretary, any entity awarded 

14 a contract under subsection (b), and Congress on 

15 the establishment, operations, and use of the health 

16 care claims database established and maintained 

17 under this section. 

18 (2) MEMBERSHIP.— 

19 (A) APPOINTMENT.—In accordance with 

20 clause (ii), the Secretary, in consultation with 

21 the Comptroller General of the United States, 

22 shall appoint members to the Committee who 

23 have distinguished themselves in the fields of 

24 health services research, health economics, 

25 health informatics, or the governance of State 


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1 all-payer claims databases, or who represent or2 ganizations likely to submit data to or use the 

3 health care claims database established and 

4 maintained under this section, including pa5 tients, health care providers, group health 

6 plans, health insurance issuers, and third-party 

7 administrators of group health plans. 

8 (B) COMPOSITION.—For purposes of 

9 clause (i)— 

10 (i) the Secretary shall appoint to the 

11 Committee— 

12 (I) one member to serve as the 

13 chair of the Committee; 

14 (II) the Assistant Secretary for 

15 Planning and Evaluation of the De16 partment of Health and Human Serv17 ices; 

18 (III) one representative from the 

19 Centers for Medicare & Medicaid 

20 Services; 

21 (IV) one representative from the 

22 Agency for Health Research and 

23 Quality; 

24 (V) one representative from the 

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1 ment of Health and Human Services 

2 with expertise in data privacy and se3 curity; and 

4 (VI) one representative of the 

5 National Center for Health Statistics; 

6 and 

7 (ii) the Comptroller General of the 

8 United States shall appoint to the Com9 mittee— 

10 (I) one representative from an 

11 employer that sponsors a group health 

12 plan; 

13 (II) one representative from an 

14 employee organization that sponsors a 

15 group health plan; 

16 (III) one academic researcher 

17 with expertise in health economics or 

18 health services research; 

19 (IV) one patient advocate; 

20 (V) one representative of Des21 ignated Standards Maintenance Orga22 nizations named by the Secretary of 

23 Health and Human Services to main24 tain standards adopted under regula25 tions promulgated under section 


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1 264(c) of the Health Insurance Port2 ability and Accountability Act of 1996 

3 (42 U.S.C. 1320d–2 note); 

4 (VI) one representative with ex5 pertise in the governance of State all6 payer claims databases; and 

7 (VII) two additional members. 

8 (C) TERMS AND VACANCIES.—Members of 

9 the Committee shall serve three-year terms on 

10 a staggered basis. A vacancy on the Committee 

11 shall be filled by appointment in a manner con12 sistent with the requirements of this subsection 

13 not later than 90 days after the vacancy arises. 

14 (3) DUTIES.—The Committee shall— 

15 (A) assist and advise the Secretary on the 

16 management of contracts awarded under sub17 section (b); 

18 (B) assist and advise entities awarded such 

19 contracts in establishing— 

20 (i) the appropriate uses of data by all 

21 individuals and entities who are authorized 

22 users pursuant to subsection (c)(2), includ23 ing developing standards for the approval 

24 of applications submitted pursuant to such 

25 subsection; and 


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1 (ii) the appropriate formats and meth2 ods for making available to the public re3 ports and analyses based on the health 

4 care claims database maintained under this 

5 section; 

6 (C) conduct an annual review of whether 

7 data from such health care claims database was 

8 used according to the appropriate uses de9 scribed in subparagraph (B)(ii); 

10 (D) report, as appropriate, to the Sec11 retary and Congress on the operations of such 

12 health care claims database and opportunities 

13 to better achieve the objectives of this section; 

14 (E) establish additional restrictions on re15 searchers who receive compensation from enti16 ties specified by the Committee in order to pro17 tect proprietary financial information; and 

18 (F) establish objectives for research and 

19 public reporting. 

20 (f) FUNDING.— 

21 (1) INITIAL FUNDING.—There are authorized to 

22 be appropriated, and there are appropriated, out of 

23 monies in the Treasury not otherwise appropriated, 

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1 tation of the initial contract and establishment of 

2 the database under this section. 

3 (2) ONGOING FUNDING.—There are authorized 

4 to be appropriated $15,000,000 for each of fiscal 

5 years 2022 through 2026, for purposes of carrying 

6 out this section (other than the grant program 

7 under subsection (h)). 

8 (g) ANNUAL REPORT.—Not later than March 1, 

9 2022, and March 1 of each year thereafter, the entity with 

10 a contract in effect under subsection (b) shall submit to 

11 Congress and the Secretary, and make publicly available 

12 on an internet website, a report containing a description 

13 of— 

14 (1) trends in the price, utilization, and total 

15 spending on health care services, including a geo16 graphic analysis of differences in such trends; 

17 (2) limitations in the data set; 

18 (3) progress towards the objectives of this sec19 tion; and 

20 (4) the performance by the entity of the duties 

21 required under such contract. 

22 (h) GRANTS TO STATES.— 

23 (1) IN GENERAL.—The Secretary may award 

24 grants to States for the purpose of establishing and 


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1 maintaining State all-payer claims databases that 

2 improve transparency of health care claims data. 

3 (2) FUNDING.—There is authorized to be ap4 propriated $100,000,000 for the period of fiscal 

5 years 2021 through 2028 for the purpose of award6 ing grants to States under this subsection. 

7 (i) EXEMPTION FROM PUBLIC DISCLOSURE.— 

8 (1) IN GENERAL.—Data submitted to the 

9 health care claims database under subsection (d) 

10 shall not be considered public records and shall be 

11 exempt from any Federal law relating to public dis12 closure requirements. 

13 (2) RESTRICTIONS ON USES FOR CERTAIN PRO14 CEEDINGS.—Such data may not be subject to dis15 covery or admission as public information or evi16 dence in judicial or administrative proceedings with17 out the consent of the affected parties. 

18 (j) DEFINITIONS.—In this section: 

19 (1) HIPAA PRIVAY REGULATION.—The term 

20 ‘‘HIPAA privacy regulation’’ has the meaning given 

21 such term in section 1180(b)(3) of the Social Secu22 rity Act (42 U.S.C. 1320d–9(b)(3)). 

23 (2) PHSA DEFINITIONS.—The terms ‘‘group 

24 health plan’’, ‘‘group health insurance coverage’’, 

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1 surance coverage’’ have the meanings given such 

2 terms in section 2791 of the Public Health Service 

3 Act (42 U.S.C. 300gg–91). 

4 (3) PROTECTED HEALTH INFORMATION.—The 

5 term ‘‘protected health information’’ has the mean6 ing given such term in section 160.103 of title 45, 

7 Code of Federal Regulations (or any successor regu8 lations). 

9 (4) PROPRIETARY FINANCIAL INFORMATION.— 

10 The term ‘‘proprietary financial information’’— 

11 (A) means data that would disclose the 

12 terms of a specific contract between an indi13 vidual health care provider or facility and a spe14 cific group health plan, Medicaid managed care 

15 organization or other managed care entity, or 

16 health insurance issuer offering group or indi17 vidual health insurance coverage; and 

18 (B) does not include any billing or pay19 ment information from claims between such a 

20 provider or facility and such a health plan, 

21 managed care organization or other managed 

22 care entity, or health insurance issuer. 

23 (k) CONFORMING AMENDMENTS.— 

24 (1) PHSA.—Subpart II of part A of title 

25 XXVII of the Public Health Service Act (42 U.S.C. 


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1 300gg–11 et seq.) is amended by adding at the end 

2 the following new section: 

3 ‘‘SEC. 2730. HEALTH CARE CLAIMS DATABASE REPORTING 

4 REQUIREMENT. 

5 ‘‘A group health plan and a health insurance issuer 

6 offering group or individual health insurance coverage 

7 shall comply with the provisions of section 1(d) of the Fed8 eral All-Payer Claims Database Act of 2020.’’. 

9 (2) ERISA.— 

10 (A) IN GENERAL.—Subpart B of part 7 of 

11 subtitle B of title I of the Employee Retirement 

12 Income Security Act of 1974 (29 U.S.C. 1185 

13 et seq.) is amended by adding at the end the 

14 following new section: 

15 ‘‘SEC. 716. HEALTH CARE CLAIMS DATABASE REPORTING 

16 REQUIREMENT. 

17 ‘‘A group health plan and a health insurance issuer 

18 offering group health insurance coverage shall comply with 

19 the provisions of section 1(d) of the Federal All-Payer 

20 Claims Database Act of 2020.’’. 

21 (B) CLERICAL AMENDMENT.—The table of 

22 contents in section 1 of such Act is amended by 

23 inserting after the item relating to section 714 

24 the following new items: 

‘‘Sec. 715. Additional market reforms. 

‘‘Sec. 716. Health care claims database reporting requirement.’’. 


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1 (3) IRC.— 

2 (A) IN GENERAL.—Subchapter B of chap3 ter 100 of the Internal Revenue Code of 1986 

4 is amended by adding at the end the following 

5 new section: 

6 ‘‘SEC. 9816. HEALTH CARE CLAIMS DATABASE REPORTING 

7 REQUIREMENT. 

8 ‘‘A group health plan shall comply with the provisions 

9 of section 1(d) of the Federal All-Payer Claims Database 

10 Act of 2020.’’. 

11 (B) CLERICAL AMENDMENT.—The table of 

12 sections for such subchapter is amended by 

13 adding at the end the following new items: 

‘‘Sec. 9815. Additional market reforms. 

‘‘Sec. 9816. Health care claims database reporting requirement.’’. 

14 SEC. 3. STUDY AND REPORTS BY COMPTROLLER GENERAL. 

15 (a) STUDY.—The Comptroller General of the United 

16 States shall conduct a study on— 

17 (1) the performance of each entity awarded a 

18 contract under subsection (b) of section 1; 

19 (2) the privacy and security of any data sub20 mitted to such entity under subsection (d) of such 

21 section; and 

22 (3) the costs incurred by such entity in per23 forming duties under such a contract. 


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26 

•HR 8967 IH

1 (b) REPORTS.—Not later than two years after the ef2 fective date of the first contract awarded under section 

3 1(b), and again not later than four years after such effec4 tive date, the Comptroller General of the United States 

5 shall submit to Congress a report containing the results 

6 of the study conducted under subsection (a), together with 

7 recommendations for such legislation and administrative 

8 action as the Comptroller General determines appropriate. 

Æ 


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