upon standards and definitions, as the Sec-
retary determines appropriate. 
‘‘(C) The effectiveness of donor aid in ad-
dressing health care needs and priorities in in-
sular areas. 
‘‘(D) The progress toward implementation 
of recommendations of the Committee on 
Health Care Services in the United States—As-
sociated Pacific Basin that are set forth in the 
1998 report entitled ‘Pacific Partnerships for 
Health: Charting a New Course’. 
‘‘(2) REPORT.—An agreement described in 
paragraph (1) shall require the Health and Medicine 
Division to submit to the Secretary and to Congress, 
not later than 2 years after the date of the enact-
ment of the Health Equity and Accountability Act of 
2022, a report containing a description of the results 
of the study conducted under paragraph (1), includ-
ing the conclusions and recommendations of the 
Health and Medicine Division for each of the items 
described in subparagraphs (A) through (D) of such 
paragraph. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
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priated such sums as may be necessary for fiscal years 
2023 through 2027.’’. 
SEC. 1010. CLARIFICATION OF SIMPLIFIED ADMINISTRA-
TIVE REPORTING REQUIREMENT. 
Section 11(a) of the Food and Nutrition Act of 2008 
(7 U.S.C. 2020(a)) is amended by adding at the end the 
following: 
‘‘(5) SIMPLIFIED ADMINISTRATIVE REPORTING 
REQUIREMENT.—With respect to any obligation of a 
State agency to comply with the notification require-
ment under paragraph (2) of section 421(e) of the 
Personal Responsibility and Work Opportunity Rec-
onciliation Act of 1996 (8 U.S.C. 1631(e)), notwith-
standing the requirement to include in that notifica-
tion the names of the sponsor and the sponsored 
alien involved, the State agency shall be considered 
to have complied with the notification requirement if 
the State agency submits to the Attorney General a 
report that includes the aggregate number of excep-
tions granted by the State agency under paragraph 
(1) of that section.’’. 
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SEC. 1011. DATA COLLECTION REGARDING PANDEMIC PRE-
PAREDNESS, 
TESTING, 
INFECTIONS, 
AND 
DEATHS. 
(a) SKILLED NURSING FACILITIES QUALITY RE-
PORTING.—Section 1819 of the Social Security Act (42 
U.S.C. 1395i–3) is amended by adding at the end the fol-
lowing new subsection: 
‘‘(l) REQUIREMENTS RELATING TO REPORTING DUR-
ING PUBLIC HEALTH EMERGENCIES.—During a public 
health emergency declared by the Secretary pursuant to 
section 319 of the Public Health Service Act, a skilled 
nursing facility shall, not later than one year after the first 
day of such declaration, and monthly thereafter during the 
application of such declaration, submit to the Secretary 
the following information, with respect to such facility and 
the residents of such facility: 
‘‘(1) 
Information 
described 
in 
section 
483.80(g)(1) of title 42, Code of Federal Regula-
tions. 
‘‘(2) The age, race, ethnicity, sex, sexual ori-
entation, gender identity, socioeconomic status, dis-
ability status, and preferred language of the resi-
dents of such skilled nursing facility.’’. 
(b) TRANSPARENCY OF DEMOGRAPHIC INFORMATION 
IN CERTAIN SETTINGS.— 
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(1) DEMOGRAPHIC
INFORMATION.—The Sec-
retary of Health and Human Services shall post the 
following information with respect to skilled nursing 
facilities (as defined in section 1819(a) of the Social 
Security Act (42 U.S.C. 1395i–3(a))), congregate 
care settings (including skilled nursing facilities, as-
sisted living facilities, prisons and jails, residential 
behavioral health care and psychiatric facilities, and 
facilities providing services for aging adults and peo-
ple with disabilities), and nursing facilities (as de-
fined in section 1919(a) of such Act (42 U.S.C. 
1396r(a))) on the Nursing Home Compare website 
(as described in section 1819(i) of the Social Secu-
rity Act (42 U.S.C. 1395i–3(i))), or a successor 
website, aggregated by State: 
(A) The age, race, ethnicity, sex, sexual 
orientation, gender identity, socioeconomic sta-
tus, disability status, and preferred language of 
the residents of such skilled nursing facilities, 
congregate care settings (including skilled nurs-
ing facilities, assisted living facilities, prisons 
and jails, residential behavioral health care and 
psychiatric facilities, and facilities providing 
services for aging adults and people with dis-
abilities), and nursing facilities with suspected 
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or confirmed infections, including residents pre-
viously treated for COVID–19. 
(B) The age, race, ethnicity, sex, sexual 
orientation, gender identity, socioeconomic sta-
tus, disability status, and preferred language 
relating to total deaths and public health emer-
gency-related deaths among residents of such 
skilled nursing facilities, congregate settings 
(including skilled nursing facilities, assisted liv-
ing facilities, prisons and jails, residential be-
havioral health care and psychiatric facilities, 
and facilities providing services for aging adults 
and people with disabilities), and nursing facili-
ties. 
(2) CONFIDENTIALITY.—Any information re-
ported under this subsection that is made available 
to the public shall be made so available in a manner 
that protects the identity of residents of skilled nurs-
ing facilities, congregate care settings (including 
skilled nursing facilities, assisted living facilities, 
prisons and jails, residential behavioral health care 
and psychiatric facilities, and facilities providing 
services for aging adults and people with disabil-
ities), and nursing facilities. 
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(3) IMPLEMENTATION.—The Secretary may im-
plement the provisions of this subsection by program 
instruction or otherwise. 
(c) EQUITABLE DATA COLLECTION AND DISCLOSURE 
REGARDING PANDEMICS.—Part A of title XI of the Social 
Security Act (42 U.S.C. 1301 et seq.) as amended by sec-
tion 1003, is further amended by adding at the end the 
following new section: 
‘‘SEC. 1150E. EQUITABLE DATA COLLECTION AND DISCLO-
SURE REGARDING PANDEMICS. 
‘‘(a) IN GENERAL.—Not later than 60 days after the 
Secretary submits to Congress written notification of the 
determination that a disease or disorder presents a public 
health emergency or that a public health emergency other-
wise exists, subject to the succeeding subsections, the Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention and the Administrator of the 
Centers for Medicare & Medicaid Services and in consulta-
tion with the Director of the Indian Health Service, shall 
collect and make publicly available on the website of the 
Centers for Disease Control and Prevention and the Cen-
ters for Medicare & Medicaid Services, and update every 
day during a pandemic, data collected across all surveil-
lance systems relating to a public health emergency de-
clared under section 319 of the Public Health Service Act 
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‘‘(D) the percentage of vaccine doses allo-
cated and administered to each priority group. 
‘‘(b) APPLICATION OF CERTAIN STANDARDS WITH 
RESPECT TO DATA COLLECTION.—To the extent prac-
ticable, data collected under subsection (a) shall follow 
standards developed by the Department of Health and 
Human Services Office of Minority Health and be col-
lected, analyzed, and reported in accordance with the 
standards promulgated by the Assistant Secretary for 
Planning and Evaluation under title XXXI of the Public 
Health Service Act. 
‘‘(c) PRIVACY.—In publishing data pursuant to sub-
section (a), the Secretary shall take all necessary steps to 
protect the privacy of individuals whose information is in-
cluded in such data, including— 
‘‘(1) complying with privacy protections pro-
vided under the regulations promulgated under sec-
tion 264(c) of the Health Insurance and Account-
ability Act of 1996; and 
‘‘(2) protections from all inappropriate internal 
use by an entity that collects, stores, or receives the 
data, including use of such data in determinations of 
eligibility (or continued eligibility) in health plans, 
and from inappropriate uses.’’. 
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(d) REPORT REQUIREMENTS FOLLOWING PUBLIC 
HEALTH EMERGENCIES.— 
(1) PUBLICLY AVAILABLE SUMMARY.—Not later 
than 60 days after the date on which the Secretary 
of Health and Human Services certifies that a public 
health emergency declared under section 319 of the 
Public Health Service Act has ended, the Secretary 
shall make publicly available on the website of the 
Department of Health and Human Services a sum-
mary of the final statistics related to such emer-
gency. 
(2) REPORT TO CONGRESS.—Not later than 60 
days after the date on which the Secretary certifies 
that a public health emergency declared under sec-
tion 319 of the Public Health Service Act has ended, 
the Secretary shall submit the Committee on Health, 
Education, Labor, and Pensions and the Committee 
on Finance of the Senate and the Committee on En-
ergy and Commerce and the Committee on Ways 
and Means of the House of Representatives a re-
port— 
(A) describing the testing, hospitalization, 
mortality rates, vaccination rates, and preferred 
language of patients associated with the pan-
demic by race and ethnicity, rural and urban 
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areas (as defined in section 1886(d)(2)(D) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395ww(d)(2)(D)), and congregate care set-
tings (including skilled nursing facilities, as-
sisted living facilities, prisons and jails, residen-
tial behavioral health care and psychiatric facili-
ties, and facilities providing services for aging 
adults and people with disabilities) and noncon-
gregate care settings (as such terms are defined 
by the Secretary); and 
(B) proposing evidenced-based response 
strategies to safeguard the health of these com-
munities in future pandemics. 
SEC. 1012. COMMISSION ON ENSURING DATA FOR HEALTH 
EQUITY. 
(a) IN GENERAL.—Not later than 30 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall establish a commission, to be known as the 
‘‘Commission on Ensuring Data for Health Equity’’ (re-
ferred to in this section as the ‘‘Commission’’) to provide 
clear and robust guidance to improve the collection, anal-
ysis, and use of demographic data in responding to future 
public health emergencies. 
(b) MEMBERSHIP AND CHAIRPERSON.— 
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(1) MEMBERSHIP.—The Commission shall be 
composed of— 
(A) the Assistant Secretary for Prepared-
ness and Response; 
(B) the Director of the Centers for Disease 
Control and Prevention; 
(C) the Director of the National Institutes 
of Health; 
(D) the Commissioner of Food and Drugs; 
(E) the Administrator of the Federal 
Emergency Management Agency; 
(F) the Director of the National Institute 
on Minority Health and Health Disparities; 
(G) the Director of the Indian Health 
Service; 
(H) the Administrator of the Centers for 
Medicare & Medicaid Services; 
(I) the Director of the Agency for 
Healthcare Research and Quality; 
(J) the Surgeon General; 
(K) the Administrator of the Health Re-
sources and Services Administration; 
(L) the Director of the Office of Minority 
Health; 
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(M) the Director of the Office of Women’s 
Health; 
(N) the Chairperson of the National Coun-
cil on Disability; 
(O) at least 4 State, local, territorial, and 
Tribal public health officials representing de-
partments of public health, or an Urban Indian 
health representative, who shall represent juris-
dictions from different regions of the United 
States with relatively high concentrations of 
historically marginalized populations and rural 
populations, to be appointed by the Secretary; 
(P) the National Coordinator for Health 
Information Technology; 
(Q) at least 3 independent individuals with 
expertise on racially and ethnically diverse rep-
resentation with knowledge or field experience 
with community-based participatory research on 
racial and ethnic disparities in public health, to 
be appointed by the Secretary; and 
(R) at least 4 individuals with expertise on 
health equity and demographic data disparities 
with knowledge of, or field experience in, lan-
guage, ability, sex, sexual orientation, gender 
identity, or socioeconomic status. 
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(2) CHAIRPERSON.—The Assistant Secretary 
for Preparedness and Response shall serve as the 
Chairperson of the Commission. 
(c) DUTIES.—The Commission shall— 
(1) examine barriers to collecting, analyzing, 
and using demographic data in public health; 
(2) determine how to best use such data to pro-
mote health equity across the United States and re-
duce racial, Tribal, and other demographic dispari-
ties in health outcomes; 
(3) gather available data related to treatment of 
individuals with disabilities during the COVID–19 
pandemic and other public health emergencies, in-
cluding access to vaccinations, denial of treatment 
for preexisting conditions, removal or denial of dis-
ability related equipment (including ventilators and 
continuous positive airway pressure (commonly re-
ferred to as CPAP) machines), and data on comple-
tion of do-not-resuscitate orders, and identify bar-
riers to obtaining accurate and timely data related 
to treatment of such individuals; 
(4) solicit input from public health officials, 
community-connected organizations, health care pro-
viders, State and local agency officials, Tribal offi-
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cials, and other experts on barriers to, and best 
practices for, collecting demographic data; and 
(5) recommend policy changes that the data in-
dicates are necessary to reduce demographic dispari-
ties in health outcomes. 
(d) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Commission shall submit 
to Congress, and publish on the website of the Department 
of Health and Human Services, a report containing— 
(1) the findings of the Commission pursuant to 
subsection (c); 
(2) to the extent possible, an analysis of— 
(A) racial and other demographic dispari-
ties in COVID–19 mortality, including an anal-
ysis of comorbidities and case fatality rates; 
(B) sex, sexual orientation, and gender 
identity disparities in COVID–19 treatment and 
mortality; and 
(C) Federal Government policies that dis-
parately exacerbate the COVID–19 impact, and 
recommendations to improve racial and other 
demographic disparities in health outcomes; 
(3) an analysis of COVID–19 treatment of indi-
viduals with disabilities, including equity of access to 
treatment and equipment and intersections of dis-
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ability status with other demographic factors, includ-
ing race; 
(4) an analysis of what demographic data is 
currently being collected, the accuracy of that data 
and any gaps, how this data is currently being used 
to inform efforts to combat COVID–19, and what 
resources are needed to supplement existing public 
health data collection; and 
(5) the Commission’s recommendations with re-
spect to— 
(A) how to enhance State, local, territorial, 
and Tribal capacity to conduct public health re-
search on COVID–19 and in future public 
health emergencies, with a focus on expanded 
capacity to analyze data on disparities cor-
related with race, ethnicity, income, sex, sexual 
orientation, gender identity, age, disability sta-
tus, specific geographic areas, and other rel-
evant demographic characteristics; 
(B) how to collect, process, and disclose to 
the public the data described in subparagraph 
(A) in a way that maintains individual privacy 
while helping direct the State, local, and Tribal 
response to public health emergencies; 
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(C) how to improve demographic data col-
lection related to COVID–19 and other public 
health emergencies in the short-term and long- 
term, including how to continue to grow and 
value the Tribal sovereignty of data and infor-
mation concerning urban and rural Tribal com-
munities; 
(D) how to improve transparency and eq-
uity of treatment for individuals with disabil-
ities during the COVID–19 public health emer-
gency and future emergencies; and 
(E) how to support State, local, and Tribal 
capacity to eliminate barriers to vaccinations, 
testing, and treatment during the COVID–19 
pandemic and future public health emergencies. 
(e) STAFF OF COMMISSION.— 
(1) ADDITIONAL STAFF.—The Chairperson of 
the Commission may appoint and fix the pay of ad-
ditional staff to the Commission as the Chairperson 
considers appropriate. 
(2) APPLICABILITY OF CERTAIN CIVIL SERVICE 
LAWS.—The staff of the Commission may be ap-
pointed without regard to the provisions of title 5, 
United States Code, governing appointments in the 
competitive service, and may be paid without regard 
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to the provisions of chapter 51 and subchapter III 
of chapter 53 of that title relating to classification 
and General Schedule pay rates. 
(3) DETAILEES.—Any Federal Government em-
ployee may be detailed to the Commission without 
reimbursement from the Commission, and the 
detailee shall retain the rights, status, and privileges 
of his or her regular employment without interrup-
tion. 
(f) COORDINATION WITH OTHER EFFORTS.—The 
Secretary shall, in establishing the Commission under this 
section, take such steps as may be necessary to ensure 
that the work of the Commission does not overlap with, 
or otherwise duplicate, other Federal Government efforts 
with respect to ensuring health equity in data collection 
in public health emergencies. 
(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section. 
SEC. 1013. TASK FORCE ON PREVENTING BIAS IN AI AND 
ALGORITHMS. 
(a) IN GENERAL.—Not later than 30 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall establish a Task Force to be known as the 
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‘‘Task Force on Preventing AI and Algorithmic Bias in 
Healthcare’’ (referred to in this section as the ‘‘Task 
Force’’) to provide clear and robust guidance on how to 
ensure that the development and integration of artificial 
intelligence and algorithmic technologies within the health 
care service delivery process does not exacerbate health 
disparities and expands access to health care services. 
(b) MEMBERSHIP AND CHAIRPERSON.— 
(1) MEMBERSHIP.—The Task Force shall be 
composed of— 
(A) the Chief Information Officer of the 
Department of Health and Human Services; 
(B) the Director of the Centers for Disease 
Control and Prevention; 
(C) the Director of the National Institutes 
of Health; 
(D) the Commissioner of Food and Drugs; 
(E) the Administrator of the Federal 
Emergency Management Agency; 
(F) the Director of the National Institute 
on Minority Health and Health Disparities; 
(G) the Director of the Indian Health 
Service; 
(H) the Administrator of the Centers for 
Medicare & Medicaid Services; 
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