I 
118TH CONGRESS 
1ST SESSION H. R. 1557 
To require the Secretary of Health and Human Services to submit a report 
on the interoperability of medical devices. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 10, 2023 
Mrs. MILLER-MEEKS (for herself, Ms. CRAIG, Mr. MURPHY, and Ms. 
SCHRIER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To require the Secretary of Health and Human Services 
to submit a report on the interoperability of medical devices. 
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 ‘‘Better Interoperability 
for Devices Act of 2023’’ or the ‘‘BID Act of 2023’’. 
SEC. 2. REPORT ON THE INTEROPERABILITY OF MEDICAL 
DEVICES. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services (in this section referred to as the 
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‘‘Secretary’’), acting through the Commissioner of Food 
and Drugs and in consultation with the National Coordi-
nator for Health Information Technology, shall prepare 
and submit to the Committee on Energy and Commerce 
of the House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Senate, 
and make publicly available (including through posting on 
the website of the Food and Drug Administration), a re-
port on the state of interoperability of medical devices and 
the implications of such state for the safety and effective-
ness of such medical devices. 
(b) CONTENTS.—The report described in subsection 
(a) shall include— 
(1) a review of existing medical device inter-
operability standards and the extent to which such 
standards have been adopted, including— 
(A) whether medical device interoperability 
standards included in the Recognized Con-
sensus Standards Database of the Food and 
Drug Administration were widely adopted by 
the medical device industry upon inclusion in 
the Database; 
(B) a discussion of how adoption of inter-
operability standards for medical devices sup-
port patient access to data, home-based care, 
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telemedicine, and data sharing among devices 
used in the clinical setting; 
(C) a comparison of the standards used for 
device interoperability with the standards used 
for other aspects of clinical care, such as stand-
ards to ensure the security of health informa-
tion and standards to support interoperability 
among electronic health record systems; 
(D) an assessment of the ability of patients 
to obtain standard data from the devices they 
use, and the associated standards used to facili-
tate access to such data; and 
(E) an analysis of the cost burden on 
health care providers, the medical device indus-
try, and other entities associated with the adop-
tion of medical device interoperability stand-
ards; 
(2) recommendations to improve adoption of de-
vice interoperability standards, including any needed 
guidance, regulatory or statutory changes, or incen-
tives for such adoption; and 
(3) a summary of recommendations or informa-
tion submitted to the Secretary by stakeholders 
under subsection (c). 
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(c) STAKEHOLDER COMMENT.—Not later than 180 
days prior to the submission of the report under sub-
section (a), the Secretary, acting through the Commis-
sioner of Food and Drugs, shall consult with representa-
tives of regulated industry groups, patient groups, aca-
demia, and other interested parties to obtain recommenda-
tions or information relevant to the report. 
Æ 
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