I 
113TH CONGRESS 
1ST SESSION H. R. 2843 
To amend title XI of the Social Security Act to provide for the public 
availability of Medicare claims data. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 25, 2013 
Mr. SENSENBRENNER (for himself and Mr. CUMMINGS) introduced the fol-
lowing bill; which was referred to the Committee on Ways and Means, 
and in addition to the Committee on Energy and Commerce, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend title XI of the Social Security Act to provide 
for the public availability of Medicare claims data. 
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 ‘‘Medicare Data Access 
for Transparency and Accountability Act’’. 
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SEC. 2. PUBLIC AVAILABILITY OF MEDICARE CLAIMS DATA. 
(a) IN GENERAL.—Section 1128J of the Social Secu-
rity Act (42 U.S.C. 1320a–7k) is amended by adding at 
the end the following new subsection: 
‘‘(f) PUBLIC AVAILABILITY OF MEDICARE CLAIMS 
DATA.— 
‘‘(1) IN GENERAL.—The Secretary shall, to the 
extent consistent with applicable information, pri-
vacy, security, and disclosure laws, including the 
regulations promulgated under the Health Insurance 
Portability and Accountability Act of 1996 and sec-
tion 552a of title 5, United States Code, make avail-
able to the public claims and payment data of the 
Department of Health and Human Services related 
to title XVIII, including data on payments made to 
any provider of services or supplier under such title. 
‘‘(2) IMPLEMENTATION.— 
‘‘(A) IN
GENERAL.—Not later than De-
cember 31, 2014, the Secretary shall promul-
gate regulations to carry out this subsection. 
‘‘(B) REQUIREMENTS.—The regulations 
promulgated under subparagraph (A) shall en-
sure that— 
‘‘(i) the data described in paragraph 
(1) is made available to the public through 
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a searchable database that the public can 
access at no cost; 
‘‘(ii) such database— 
‘‘(I) includes the amount paid to 
each provider of services or supplier 
under title XVIII, the items or serv-
ices for which such payment was 
made, and the location of the provider 
of services or supplier; 
‘‘(II) is organized based on the 
specialty or the type of provider of 
services or supplier involved; 
‘‘(III) is searchable based on the 
type of items or services furnished; 
and 
‘‘(IV) includes a disclaimer that 
the aggregate data in the database 
does not reflect on the quality of the 
items or services furnished or of the 
provider of services or supplier who 
furnished the items or services; and 
‘‘(iii) each provider of services or sup-
plier in the database is identified by a 
unique identifier that is available to the 
public (such as the National Provider Iden-
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tifier of the provider of services or sup-
plier). 
‘‘(C) SCOPE OF DATA.—The database shall 
include data for fiscal year 2014, and each year 
fiscal year thereafter.’’. 
(b) INFORMATION NOT EXEMPT UNDER THE FREE-
DOM OF INFORMATION ACT.—The term ‘‘personnel and 
medical files and similar files the disclosure of which 
would constitute a clearly unwarranted invasion of per-
sonal privacy’’, as used in section 552(b)(6) of title 5, 
United States Code, does not include the information re-
quired to be made available to the public under section 
1128J(f) of the Social Security Act, as added by sub-
section (a). 
Æ 
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