‘‘(iv) with respect to the collection of 
information relating to beneficiaries who 
are children, issue guidance on the collec-
tion of such information from a parent, 
legal guardian, or any other person who is 
legally authorized to share such informa-
tion on behalf of the child when the direct 
collection of such information from chil-
dren may not otherwise be feasible or ap-
propriate; and 
‘‘(v) regularly evaluate the method 
under such subparagraph and the informa-
tion reported using such method, and, as 
needed, make updates to the method and 
the information reported. 
‘‘(2) SOCIAL DETERMINANTS OF HEALTH.—The 
information collected in accordance with the method 
made available under paragraph (1) shall, to the ex-
tent practicable, include standardized definitions for 
identifying social determinants of health needs iden-
tified in the ICD–10 diagnostic codes Z55 through 
Z65 (or any such successor diagnostic codes), as de-
fined by the Healthy People 2020 and related initia-
tives of the Office of Disease Prevention and Health 
Promotion of the Department of Health and Human 
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Services, or any other standardized set of definitions 
for social determinants of health identified by the 
Secretary. Such definitions shall incorporate meas-
ures for quantifying the relative severity of any such 
social determinant of health need identified in an in-
dividual. 
‘‘(3) FEDERAL
PRIVACY
REQUIREMENTS.— 
Nothing in this subsection shall be construed to su-
persede any Federal privacy or confidentiality re-
quirement, including the regulations promulgated 
under section 264(c) of the Health Insurance Port-
ability and Accountability Act of 1996 and section 
543 of the Public Health Service Act and any regu-
lations promulgated thereunder. 
‘‘(4) APPLICATION TO TERRITORIES.— 
‘‘(A) IN GENERAL.—To the extent that the 
Secretary determines that it is not practicable 
for a State specified in subparagraph (B) to re-
port information in accordance with the method 
made available under paragraph (1), this sub-
section shall not apply with respect to such 
State. 
‘‘(B) 
TERRITORIES
SPECIFIED.—The 
States specified in this subparagraph are Puer-
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to Rico, the Virgin Islands, Guam, American 
Samoa, and the Northern Mariana Islands. 
‘‘(5) APPLICATION.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the requirement for a State to col-
lect information in accordance with the method 
made available under paragraph (1) shall not 
apply to the State before the date that is 4 
years after the date of enactment of this sub-
section. 
‘‘(B) ALTERNATIVE
DATE.—If an action 
plan is submitted to Congress under section 
14(a)(4) of the Healthy Moms and Babies Act, 
in lieu of the date described in subparagraph 
(A), the requirement for a State to collect infor-
mation in accordance with the method made 
available under paragraph (1) shall not apply to 
the State before the date specified in such ac-
tion plan. 
‘‘(6) APPROPRIATION.—There is appropriated 
to the Secretary for fiscal year 2024 and each fiscal 
year thereafter $1,000,000 to carry out the provi-
sions of this section and subsection (b)(2)(B).’’. 
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(c) 
REPORT
ON
DATA
ANALYSES.—Section 
1946(b)(2) of such Act (42 U.S.C. 1396w–5(b)(2)) is 
amended— 
(1) by striking ‘‘Not later than’’ and inserting 
the following: 
‘‘(A) INITIAL REPORTS.—Not later than’’; 
and 
(2) by adding at the end the following: 
‘‘(B) REPORTS ON COLLECTION OF INFOR-
MATION
RELATED
TO
SOCIAL
DETERMINANTS 
OF HEALTH.— 
‘‘(i) IN GENERAL.—Not later than 5 
years after the date on which the require-
ment to collect information under sub-
section (d) is first applicable to States, the 
Secretary shall submit to Congress a re-
port that includes aggregate findings and 
trends across respective beneficiary popu-
lations for improving the identification of 
social determinants of health for bene-
ficiaries under this title and beneficiaries 
under title XXI based on analyses of the 
data collected under subsection (d). 
‘‘(ii) INTERIM
REPORT.—Not later 
than 3 years after the date of enactment 
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of this subparagraph, the Secretary shall 
submit to Congress an interim report on 
progress in developing, implementing, and 
utilizing the method selected by the Sec-
retary under subsection (d)(1) along with 
any available, preliminary information that 
has been collected using such method.’’. 
(d) CONFORMING AMENDMENT.—Section 2107(e)(1) 
of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended by adding at the end the following: 
‘‘(U) Section 1946 (relating to addressing 
health care disparities).’’. 
SEC. 15. REPORT ON PAYMENT METHODOLOGIES FOR 
TRANSFERRING 
PREGNANT 
WOMEN 
BE-
TWEEN FACILITIES BEFORE, DURING, AND 
AFTER CHILDBIRTH. 
(a) IN GENERAL.—Subject to the availability of ap-
propriations, not later than 36 months after the date of 
enactment of this Act, the Secretary shall submit to Con-
gress a report on the payment methodologies under Med-
icaid for the antepartum, intrapartum, and postpartum 
transfer of pregnant women from one health care facility 
to another, including any potential disincentives or regu-
latory barriers to such transfers. 
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