I 
117TH CONGRESS 
2D SESSION 
H. R. 9644 
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 21, 2022 
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, Education and Labor, and Armed 
Services, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘National All-Payer 
Claims Database Act of 2022’’. 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
SEC. 2. ESTABLISHMENT AND MAINTENANCE OF HEALTH 
CARE CLAIMS DATABASE TO LOWER HEALTH 
CARE COSTS. 
(a) IN GENERAL.—Not later than the date that is 
180 days after the date of the enactment of this Act, the 
Secretary of Health and Human Services (referred to in 
this section as the ‘‘Secretary’’), acting through the Direc-
tor of the Agency for Healthcare Research and Quality 
and in consultation with the Secretary of Labor and the 
Assistant Secretary for Planning and Labor of the De-
partment of Health and Human Services, shall award a 
contract in accordance with subsection (b) to an eligible 
nonprofit entity described in such subsection for purposes 
of carrying out the requirements of such entity under this 
section. 
(b) CONTRACT WITH ELIGIBLE NONPROFIT ENTI-
TY.— 
(1) COMPETITIVE
PROCEDURES.—The Sec-
retary shall award the contract described in sub-
section (a) to an eligible nonprofit entity described 
in paragraph (2) using full and open competition 
procedures pursuant to chapter 33 of title 41, 
United States Code. 
(2) ELIGIBLE NONPROFIT ENTITY.—An eligible 
nonprofit entity described in this paragraph is a 
nonprofit entity that— 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(A) is governed by a board that includes— 
(i) representatives of the academic re-
search community; and 
(ii) individuals with expertise in public 
and employer-sponsored insurance, re-
search using health care claims data, and 
actuarial analysis; and 
(B) conducts its business in an open and 
transparent manner that provides the oppor-
tunity for public comment on its activities. 
(3) CONSIDERATIONS.—In awarding a contract 
to an eligible nonprofit entity under this section, the 
Secretary shall consider the experience of each eligi-
ble nonprofit entity in— 
(A) collecting and aggregating health care 
claims data and ensuring quality assurance and 
privacy and security of such claims data; 
(B) supporting academic, private, and pur-
chaser research on health care costs, spending, 
and utilization for and by privately or publicly 
insured patients; 
(C) working with large health insurance 
issuers, group health plans, and third-party ad-
ministrators of group health plans to assemble 
a health care claims database; 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(D) effectively collaborating with and en-
gaging stakeholders to develop reports; 
(E) meeting budgets and timelines, includ-
ing with respect to developing reports; and 
(F) facilitating the creation of, or sup-
porting, State all-payer claims databases. 
(4) PERIOD OF CONTRACT.— 
(A) IN
GENERAL.—A contract awarded 
under this section shall be for a period of 5 
years (or, in the case of the first such contract 
awarded under this section, for a period of 10 
years) and may be renewed, subject to the full 
and open competition procedures described in 
paragraph (1). 
(B) TRANSITION
OF
CONTRACT.—In the 
case that a contract is not renewed for a subse-
quent 5-year period under subparagraph (A) 
after the use of the full and open competition 
procedures described in paragraph (1), the Sec-
retary shall require the entity whose contract is 
expiring to transfer all data maintained by the 
health care claims database described in para-
graph (5)(A) to the entity to whom the Sec-
retary has awarded a contract for the subse-
quent 5-year period. The entity whose contract 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
is expiring may not disclose such data to any 
other entity or keep such data after the expira-
tion of such contract. 
(5) REQUIREMENTS OF CONTRACT.—Each con-
tract awarded under this section shall require the 
entity awarded such contract to carry out each of 
the following: 
(A) Establish and maintain a health care 
claims database in accordance with the require-
ments of the HIPAA privacy regulation and 
other standards prescribed by the advisory com-
mittee under subsection (e). 
(B) Ensure that such health care claims 
database makes available data submitted under 
subsection (d) in accordance with the require-
ments of subsection (c). 
(C) In the case that the contract is not re-
newed after the end of the 5-year period of the 
contract, carry out the transfer of data required 
pursuant to paragraph (4)(B) during the 18- 
month period ending on the day of the expira-
tion of such contract in accordance with a 
schedule and process determined by the Sec-
retary. 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(D) Comply with the HIPAA privacy regu-
lation in the same manner and to the same ex-
tent as such regulation applies to a covered en-
tity (as defined pursuant to such regulation). 
(E) Strictly limit staff access to such 
health care claims database to staff with appro-
priate training, clearance, and background 
checks, and require such staff to undergo reg-
ular privacy and security training. 
(F) Maintain effective security standards 
for transferring data from such health care 
claims database and making such data available 
to all individuals and entities who are author-
ized users pursuant to subsection (c)(2). 
(G) Adhere to best security practices with 
respect to the management and use of such 
data for health services research, in accordance 
with applicable Federal privacy law. 
(H) Develop cross-State and regional re-
porting using data submitted to such database 
to support Federal and State analyses of health 
care access, utilization, and costs. 
(I) Develop dashboards and other tools in 
such database to allow entities authorized to 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
use such database to view subsets of nationally 
aggregated data. 
(J) Respond to State, Federal, and Con-
gressional requests relating to data maintained 
in such database. 
(K) Establish a committee that includes 
representatives from Federal and State govern-
ments and health care consumers to ensure op-
erations transparency and accountability for the 
actions of the entity. 
(c) AVAILABILITY OF DATA FROM HEALTH CARE 
CLAIMS DATABASE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the entity maintaining the health care claims data-
base described in subsection (b)(5)(A) shall make 
available the data submitted under subsection (d) (in 
accordance with privacy and security policies estab-
lished by the committee described in subsection 
(b)(5)(K)), at cost (taking into account any cost as-
sociated with the acquisition and processing such 
data and other administration costs of the entity) or, 
in the case of a Federal or State agency or State all- 
payer claims database sharing data with the entity, 
at no cost, not later than 6 months after such data 
is so submitted— 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(A) to patients; 
(B) to health care providers and hospitals; 
(C) to group health plans and health insur-
ance issuers offering individual or group health 
insurance coverage; 
(D) to States; 
(E) to any State all-payer claims database 
and regional health care claims database oper-
ated pursuant to the authorization of each 
State covered by such regional health care 
claims database that shares data with the enti-
ty; 
(F) to any individual or entity conducting 
research; 
(G) to the Secretary of Defense for pur-
poses of carrying out the TRICARE program 
under chapter 55 of title 10, United States 
Code; 
(H) to the Secretary of Veterans Affairs 
for purposes of carrying out the VA health care 
program; 
(I) to the Director of the Office of Per-
sonnel Management for purposes of carrying 
out the Federal Employees Health Benefits 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
Program established under chapter 89 of title 
5, United States Code; and 
(J) to the Director of the Congressional 
Budget Office, the Comptroller General of the 
United States, the Administrator of the Centers 
for Medicare & Medicaid Services, the Executive 
Director of the Medicare Payment Advisory 
Commission, and the Executive Director of the 
Medicaid and CHIP Payment Advisory Com-
mission. 
(2) AUTHORIZATION FOR ACCESS TO DATA.— 
(A) IN GENERAL.—The entity maintaining 
the health care claims database described in 
subsection (b)(5)(A) may only make available 
the data described in paragraph (1) to an indi-
vidual or entity described in any of subpara-
graphs (A) through (J) of such paragraph if 
such individual or entity submits an application 
to such entity requesting authorization for ac-
cess to such database in accordance with this 
paragraph. 
(B) APPLICATION.—An application under 
this paragraph shall be submitted at such time, 
in such manner, and containing such informa-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
tion as the Secretary may require and shall in-
clude— 
(i) in the case of an individual or enti-
ty requesting access to the health care 
claims database described in subsection 
(b)(5)(A) for research purposes— 
(I) a description of the uses and 
methodologies for evaluating health 
system performance using the data 
from such database; and 
(II) documentation of approval of 
such research purposes by an institu-
tional review board, if applicable for a 
particular plan of research; and 
(ii) in the case of a group health plan, 
health insurance issuer, third-party admin-
istrator of a group health plan, or health 
care provider requesting access to such 
health care claims database for the pur-
pose of quality improvement or cost-con-
tainment, a description of the intended 
uses for the data from such database. 
(C) DATA
USE
AND
CONFIDENTIALITY 
AGREEMENT.—Upon approval of an application 
under subparagraph (B), the authorized user 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
shall enter into a data use and confidentiality 
agreement with the entity that approved such 
application, which shall include a prohibition on 
attempts to reidentify and disclose protected 
health information and proprietary financial in-
formation. In the case of an approval of an ap-
plication for quality improvement or cost-con-
tainment purposes under subparagraph (B)(ii), 
access to data from the health care claims data-
base described in subsection (b)(5)(A) shall be 
provided in a form and manner such that the 
authorized user may not obtain individually 
identifiable price information with respect to di-
rect competitors. 
(3) AVAILABILITY OF REPORTS AND ANALYSES 
BASED ON DATA.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), the entity maintaining the health 
care claims database described in subsection 
(b)(5)(A), in accordance with policies and pro-
cedures established by the committee described 
in subsection (b)(5)(K), shall make available re-
ports or analyses based on data from such data-
base, including aggregate data sets, free of 
charge. In the case of any such user who ac-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
cesses such data for research purposes, such en-
tity shall require such user, as a condition of 
accessing such data, that such user make any 
research arising from such data available on 
such database free of charge. 
(B) CUSTOMIZED REPORTS.—Group health 
plans and health care providers may request 
customized reports from the entity maintaining 
the health care claims database described in 
subsection (b)(5)(A), at cost, but subject to the 
requirements of the HIPAA privacy regulation. 
(d) SUBMISSION OF DATA TO HEALTH CARE CLAIMS 
DATABASE.— 
(1) IN GENERAL.—Subject to paragraphs (2) 
and (3), a group health plan (through its sponsor, 
third-party administrator, pharmacy benefit man-
ager, or other entity designated by the group health 
plan) or a health insurance issuer offering group or 
individual health insurance coverage shall electroni-
cally submit to the health care claims database 
maintained under this section all claims data (in-
cluding claims with respect to treatment of sub-
stance use disorders and prescription drug claims) 
with respect to the plan or group or individual 
health insurance coverage, respectively. The pre-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
ceding sentence shall not apply with respect to 
claims data submitted to an all-payer claims data-
base established by a State if such database shares 
complete data with the database maintained under 
this section. 
(2) SCOPE OF INFORMATION AND FORMAT OF 
SUBMISSION.—The entity maintaining the health 
care claims database under this section, in consulta-
tion with and approval from the committee convened 
under subsection (e), shall— 
(A) specify the data elements required to 
be submitted under paragraph (1) (and update 
such elements as the entity determines nec-
essary on an annual basis), which shall include 
all data related to transactions described in 
subparagraphs 
(A) 
and 
(E) 
of 
section 
1173(a)(2) of the Social Security Act (42 
U.S.C. 1320d–2(a)(2)), including all data ele-
ments normally present in such transactions 
when adjudicated, and enrollment information; 
(B) on an annual basis, specify the form 
and manner for submissions under this sub-
section and the historical period to be included 
in the initial submission; 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(C) review such submissions for alignment 
with national data standards, internal consist-
ency, cohesiveness (such as cross-file linkage), 
completeness, quality assurance, accuracy, and 
reasonableness, taking into account input from 
group health plans and health insurance 
issuers; 
(D) offer an automated submission option 
to minimize administrative burdens relating to 
the submission of data under this subsection; 
(E) develop a data collection standard for 
use by State all-payer claims databases receiv-
ing Federal funds pursuant to subsection (h); 
(F) curate and normalize cross-State and 
cross-payer data to support comparability and 
analytic use; and 
(G) ensure that States submitting data to 
the entity and using such database have access 
to claims data from Federal health care pro-
grams and self-insured group health plans at 
times and in a manner agreed to by the entity 
and the States. 
(3) DE-IDENTIFICATION OF DATA.—The entity 
maintaining the health care claims database under 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
this section, in consultation with the committee con-
vened under subsection (e), shall— 
(A) establish a process under which data is 
de-identified 
in 
accordance 
with 
section 
164.514(a) of title 45, Code of Federal Regula-
tions (or any successor regulations), prior to re-
lease while retaining the ability to link data lon-
gitudinally for the purposes of research on cost 
and quality and the ability to complete risk ad-
justment and geographic analysis; 
(B) ensure that any third-party sub-
contractors who perform the de-identification 
process described in subparagraph (A) retain 
the minimum necessary information to perform 
such process and adhere to effective security 
and encryption practices in data storage and 
transmission; 
(C) release claims and other data collected 
under this subsection only in de-identified form, 
in accordance with section 164.514(a) of title 
45, Code of Federal Regulations (or any suc-
cessor regulations), unless otherwise determined 
appropriate by the committee convened under 
subsection (e); and 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(D) ensure that data is encrypted, in ac-
cordance with the HIPAA privacy regulation. 
(4) OTHER DATA.— 
(A) MEDICAID AND MEDICARE DATA.—The 
Administrator of the Centers for Medicare & 
Medicaid Services shall submit all health care 
claims data with respect to the Medicare pro-
gram under title XVIII of the Social Security 
Act (42 U.S.C. 1395 et seq.), including claims 
data with respect to items and services fur-
nished under part C or D of such title, and the 
Medicaid program under title XIX of such Act 
(42 U.S.C. 1396 et seq.) in accordance with 
scope, format, and de-identification require-
ments applicable pursuant to paragraphs (2) 
and (3). 
(B) TRICARE.—The Secretary of Defense 
shall submit all health care claims data with re-
spect to the TRICARE program under chapter 
55 of title 10, United States Code, in accord-
ance with scope, format, and de-identification 
requirements applicable pursuant to paragraphs 
(2) and (3). 
(C) FEHB.—The Director of the Office of 
Personnel Management shall submit all health 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
care claims data with respect to the Federal 
Employee Health Benefits program in accord-
ance with scope, format, and de-identification 
requirements applicable pursuant to paragraphs 
(2) and (3). 
(D) STATE DATA.—The entity maintaining 
the health care claims database under this sec-
tion may collect data from State all-payer 
claims databases that seek access to such health 
care claims database. A State receiving funds 
under subsection (h) may require health insur-
ance issuers and other payers to submit claims 
data (including data from self-insured group 
health plans) to a State-mandated all-payer 
claims database, provided that such data is sub-
mitted in accordance with the standard de-
scribed in paragraph (1) of such subsection. 
(5) PROHIBITION.—Any individual or entity re-
quired to submit data under this subsection may not 
place any restrictions on the use of such data by au-
thorized users under subsection (c)(2). 
(e) GOVERNANCE COMMITTEE.— 
(1) IN GENERAL.—Not later than the date that 
is 180 days after the date of the enactment of this 
Act, the Secretary shall convene a governance com-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
mittee (referred to in this subsection as the ‘‘Com-
mittee’’) to advise the Secretary, any entity awarded 
a contract under subsection (b), and Congress on 
the establishment, operations, and use of the health 
care claims database established and maintained 
under this section and other activities carried out by 
the entity with a contract in effect under this sec-
tion. 
(2) MEMBERSHIP.— 
(A) APPOINTMENT.—In accordance with 
clause (ii), the Secretary, in consultation with 
the Comptroller General of the United States, 
shall appoint members to the Committee who 
have distinguished themselves in the fields of 
health services research, health economics, 
health informatics, or the governance of State 
all-payer claims databases, or who represent or-
ganizations likely to submit data to or use the 
health care claims database established and 
maintained under this section, including pa-
tients. 
(B) 
COMPOSITION.—For 
purposes 
of 
clause (i)— 
(i) the Secretary shall appoint to the 
Committee— 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00018
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(VIII) seven representatives from 
State all-payer claims databases elect-
ing to submit data to the national 
database established by the entity 
with a contract in effect under this 
section; and 
(ii) the Comptroller General of the 
United States shall appoint to the Com-
mittee— 
(I) one representative from an 
employer that sponsors a group health 
plan; 
(II) one representative from an 
employee organization that sponsors a 
group health plan or health care pur-
chaser association; 
(III) two researchers with exper-
tise in health economics or health 
services research; 
(IV) two patient advocates; 
(V) one health data privacy and 
security expert; 
(VI) one representative with ex-
pertise in the governance of State all- 
payer claims databases; 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00020
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
(VII) one representative from the 
Employee Benefits Security Adminis-
tration of the Department of Labor; 
and 
(VIII) three additional members, 
at the discretion of the Comptroller 
General. 
(C) TERMS AND VACANCIES.—Members of 
the Committee shall serve three-year terms on 
a staggered basis. A vacancy on the Committee 
shall be filled by appointment in a manner con-
sistent with the requirements of this subsection 
not later than 90 days after the vacancy arises. 
(3) DUTIES.—The Committee shall (directly or 
through the use of contractors)— 
(A) assist and advise the Secretary on the 
awarding and management of contracts award-
ed under subsection (b); 
(B) assist and advise entities awarded such 
contracts in establishing— 
(i) the appropriate uses of data by all 
individuals and entities who are authorized 
users pursuant to subsection (c)(2), includ-
ing developing standards for the approval 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00021
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
of applications submitted pursuant to such 
subsection; 
(ii) the appropriate formats, methods, 
and thresholds for collecting data under 
the national database; and 
(iii) the appropriate formats and 
methods for making available to the public 
reports and analyses based on the health 
care claims database maintained under this 
section; 
(C) conduct an annual review of whether 
data from such health care claims database was 
used according to the appropriate uses de-
scribed in subparagraph (B)(ii); 
(D) report, as appropriate, to the Sec-
retary and Congress on the operations of such 
health care claims database and opportunities 
to better achieve the objectives of this section; 
(E) establish additional restrictions on re-
searchers who receive compensation from enti-
ties specified by the Committee in order to pro-
tect proprietary financial information; 
(F) establish objectives for research and 
public reporting, including setting strategic, re-
porting, and data release objectives and prior-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00022
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
ities, and including advising on the development 
and implementation of a strategic and oper-
ating plan for the entities awarded contracts 
under subsection (b); 
(G) solicit and consider public comments in 
undertaking any duty specified in a preceding 
subparagraph; and 
(H) establish minimum State health data 
collection, exchange, use, privacy, security, and 
release standards for State all-payer claims 
databases receiving Federal funds under sub-
section (h). 
(f) FUNDING.—There are appropriated, out of mon-
ies 
in 
the 
Treasury 
not 
otherwise 
appropriated, 
$50,000,000 for each fiscal year (beginning with fiscal 
year 2023), for the implementation of the initial contract 
and establishment of the database under this section. 
(g) ANNUAL REPORT.—Not later than 2 years after 
a contract is first awarded to an entity under this section, 
and May 1 of each year thereafter, the entity with a con-
tract in effect under subsection (b) shall submit to Con-
gress and the Secretary, and make publicly available on 
an internet website, a report containing a description of— 
(1) trends in national and regional health serv-
ice prices, coverage and service costs, access gaps, 
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00023
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS
behavioral and substance use disorder treatment 
health needs, telehealth adoption, and health care 
utilization, including a geographic analysis of dif-
ferences in such trends; 
(2) limitations in the data set; 
(3) progress towards the objectives of this sec-
tion; 
(4) the performance by the entity of the duties 
required under such contract; and 
(5) security methods employed by the entity to 
protect data submitted to the entity. 
(h) GRANTS TO STATES.— 
(1) IN GENERAL.—The Secretary may award 
grants to States for the purpose of maintaining, es-
tablishing, or utilizing State all-payer claims data-
bases that improve transparency of the health care 
system (including by updating standards or data 
submission requirements) or for the purpose of ex-
panding the capacity of an existing State-all payer 
claims database (including integration with other 
data resources). A State shall be eligible for a grant 
under the preceding sentence only if such State 
agrees to report claims data collected under such 
State all-payer claims database to the national data-
base established by the entity with a contract in ef-
VerDate Sep 11 2014 
03:47 Jan 06, 2023
Jkt 039200
PO 00000
Frm 00024
Fmt 6652
Sfmt 6201
E:\BILLS\H9644.IH
H9644
DMWilson on DSKJM0X7X2PROD with BILLS