I 
119TH CONGRESS 
1ST SESSION H. R. 4331 
To require the Secretary of Health and Human Services to establish a 
process to expand access to claims data under certain Federal health 
plans in order to facilitate research and quality improvement. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 10, 2025 
Mr. JOYCE of Pennsylvania (for himself and Ms. SCHRIER) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on Ways and Means, for a pe-
riod to be subsequently determined by the Speaker, in each case for con-
sideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To require the Secretary of Health and Human Services 
to establish a process to expand access to claims data 
under certain Federal health plans in order to facilitate 
research and quality improvement. 
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 ‘‘Access to Claims Data 
Act’’. 
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SEC. 2. EXPANDED ACCESS TO CLAIMS DATA TO FACILI-
TATE RESEARCH AND QUALITY IMPROVE-
MENT. 
(a) IN GENERAL.—Not later than January 1, 2026, 
the Secretary of Health and Human Services shall estab-
lish a process to allow a qualified clinical data registry 
under section 1848(m)(3)(E) of the Social Security Act 
(42 U.S.C. 1395w–4(m)(3)(E)) or a clinician-led clinical 
data registry under section 4005 of the 21st Century 
Cures Act (P.L. 114–255) to request claims data de-
scribed in subsection (b) (in a form and manner deter-
mined to be appropriate by the Secretary) for the purposes 
of— 
(1) linking such data with clinical outcomes 
data; 
(2) conducting quality assessments and quality 
improvement activities of providers of services (as 
defined in subsection (u) of section 1861 of the So-
cial Security Act (42 U.S.C. 1395x) and suppliers 
(as defined in subsection (d) of such section)), re-
porting the results of such assessments and activities 
to such providers and suppliers, and performing 
risk-adjusted, scientifically valid analyses and re-
search to support quality improvement or patient 
safety; and 
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(3) publishing research and quality improve-
ment analyses, which may include deidentified com-
bined claims and clinical outcomes data. 
(b) CLAIMS DATA DESCRIBED.—For purposes of 
subsection (a), the claims data described in this sub-
section— 
(1) are— 
(A) claims data under the Medicare pro-
gram under title XVIII of the Social Security 
Act (42 U.S.C. 1395 et seq.); and 
(B) if the Secretary determines appro-
priate, claims data under the Medicaid program 
under title XIX of such Act (42 U.S.C. 1396 et 
seq.) and the State Children’s Health Insurance 
Program under title XXI of such Act (42 
U.S.C. 1397aa et seq.); and 
(2) may include provider-specific claims data, 
clinical specialty-specific claims data, State-specific 
claims data, or nationwide claims data. 
(c) TREATMENT
OF QUALIFIED CLINICAL DATA 
REGISTRIES AND CLINICIAN-LED CLINICAL DATA REG-
ISTRIES.—For the purposes of this section, qualified clin-
ical data registries and clinician-led clinical data registries 
shall not be required to be qualified entities, as defined 
in section 1874(e)(2) of the Social Security Act (42 U.S.C. 
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1395kk(e)(2)), or quasi-qualified entities, to access claims 
data pursuant to subsection (a). 
(d) FEE.—Data described in subsection (b) shall be 
made available to a qualified clinical data registry or clini-
cian-led clinical data registry under this section at a rea-
sonable fee equal to the cost of making such data avail-
able. Any fee collected pursuant to the preceding sentence 
shall be deposited into the Centers for Medicare & Med-
icaid Services Program Management Account. 
Æ 
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