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[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Hudson River Valley Special Resource
Study Act''.

SEC. 2. DEFINITIONS.

In this Act:
(1) Secretary.--The term ''Secretary'' means the Secretary
of the Interior.
(2) Study area.--The term ''study area''--
(A) means the portion of the Hudson River that
flows from Rodgers Island at Fort Edward to the
southern-most boundary of Westchester County, New York;
and
(B) includes any relevant sites and landscapes
within the counties in New York that abut the area
described in subparagraph (A).

SEC. 3. FINDINGS.

Congress finds as follows:
(1) The Hudson River Valley possesses important and unique
cultural, historical, natural, recreational and scenic
resources that have been central to the development and
sustainment of our Nation.
(2) The Hudson River Valley encompasses a rich array of
sensitive natural resources ranging from the River itself and
its vast estuarine district, to its wetlands, refuges, parks,
forests, farmlands, preserves, cliffs, mountains, and valleys.
(3) The Hudson River and its tributaries are home to a
number of rare and threatened animal species, habitats, and
plants.
(4) The Hudson River Valley is home to myriad biking,
heritage, pedestrian and scenic trail systems on the eastern
and western sides of the River that are now connected by the
Walkway Over the Hudson bridge, which has been designated as a
National Recreation Trail.
(5) Throughout history, the Hudson River Valley has played
a central role in the development of our nation, starting from
the vibrant Native American communities that first inhabited
the land, to Henry Hudson's voyage up the river later named for
him in the vessel Half Moon in 1609 and later with the American
Revolution, the debate on our Constitution, the first
successful steamboat voyage by Robert Fulton in 1807, the
Industrial Revolution, and the modern labor and environmental
movements.
(6) The Hudson River Valley gave birth to important
movements in American art, architecture and literature through
the work of Andrew Jackson Downing, Alexander Jackson Davis,
Thomas Cole, Frederick Church and their associates from the
Hudson River School of Art, as well as through authors such as
Washington Irving, James Fenimore Cooper, William Cullen
Bryant, Susan and Anna Warner, and John Burroughs.
(7) The depictions and descriptions of the Hudson River
Valley's renowned scenery and natural resources played a
central role in the recognition of the value of the landscape
and the development of an American esthetic and environmental
ideal.
(8) A 1996 National Park Service study called the Hudson
River Valley ''the landscape that defined America.''.
(9) The Hudson River Valley has been the subject of
multiple State and Federal inventories, studies, and plans that
should greatly assist a National Park Service special resource
study.

SEC. 4. AUTHORIZATION OF STUDY.

(a) In General.--As soon as funds are made available for this
purpose, the Secretary shall complete a study of the Hudson River
Valley in the State of New York to evaluate--
(1) the national significance of the area; and
(2) the suitability and feasibility of designating the area
as a unit of the National Park System.
(b) Study Guidelines.--In conducting the study under subsection
(a), the Secretary shall--
(1) use the criteria for the study of areas for potential
inclusion in the National Park System included in section 8 of
Public Law 91-383, as amended by section 303 of the National
Parks Omnibus Management Act of 1998 (Public Law 105-391; 112
Stat. 3501); and
(2) closely examine park unit models, in particular
national river and recreation areas, as well as other landscape
protection models, that--
(A) encompass large areas of non-Federal lands
within their designated boundaries;
(B) foster public and private collaborative
arrangements for achieving National Park Service
objectives; and
(C) protect and respect the rights of private land
owners.

SEC. 5. REPORT.

Not later than 24 months after the date that funds are first made
available for this purpose, the Secretary shall submit to the Committee
on Energy and Natural Resources of the Senate and the Committee on
Natural Resources of the House of Representatives a report on the
findings, conclusions, and recommendations of the study authorized by
this Act.
[A]: Hudson River Valley Special Resource Study Act - Directs the Secretary of the Interior to complete a study of the Hudson River Valley in the state of New York to evaluate: (1) the national significance of the part of the Hudson River that flows from Rodgers Island at Fort Edward to the southern-most boundary of Westchester County, New York, including any relevant sites and landscapes within counties in New York that abut that part of the River (the study area); and (2) the suitability and feasibility of designating the study area as a unit of the National Park System.

[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Adult Day Achievement Center
Enhancement Act''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) One in 6 people in the United States lives with a
neurological disease or condition that can often result in
disability, and which may require the individual to seek
assistance in carrying out the activities of daily living.
Neurological diseases or conditions such as multiple sclerosis
(MS), early-onset Parkinson's disease, and traumatic brain
injury (TBI) often affect younger adults in the middle of their
lives.
(2) Multiple sclerosis is a chronic, often disabling
disease that attacks the central nervous system with symptoms
ranging from numbness in limbs to paralysis and loss of vision.
Most individuals with MS are diagnosed between the ages of 20
and 50. It is estimated that more than 400,000 individuals in
the United States are living with MS. Individuals living with
MS who experience more severe forms of the disease are likely
to require either home care or nursing home placement, though
the vast majority would prefer to remain at home to receive the
care they need. Where home care is concerned, approximately 80
percent of such care is provided by informal, unpaid,
caregivers who are generally family members.
(3) Parkinson's disease is a chronic, progressive
neurological disease. The 4 primary symptoms of Parkinson's
disease are tremor, or trembling in hands, arms, legs, jaw, and
face; rigidity, or stiffness of the limbs and trunk;
bradykinesia, or slowness of movement; and postural
instability, or impaired balance and coordination. It is
estimated that nearly 1,000,000 individuals live with
Parkinson's disease and, of those individuals, 5 to 10 percent
are diagnosed with the disease before age 60 and deemed
''early-onset''.
(4) Traumatic brain injury is a neurological condition that
typically results from a blow or jolt to the head or a
penetrating head injury and that can impact one or more parts
of the brain, thereby temporarily or permanently disrupting
normal brain function. The Centers for Disease Control and
Prevention estimates that 1,400,000 new cases of TBI occur
annually, resulting in disabilities affecting up to 90,000
individuals among a broad range of age groups. Traumatic brain
injury is a serious issue that affects military service
members. Estimates in prior military conflicts, indicate that
TBI was present in 14 to 20 percent of surviving casualties.
(5) Family caregivers are a crucial source of support and
assistance for individuals suffering with disabilities. Family
caregivers, the majority of whom are women, provide an
estimated $306,000,000,000 in unpaid services annually. The
current pool of potential family caregivers is dwindling, from
11 potential caregivers for each individual needing care today
to a projected ratio of 4 potential caregivers for each such
individual by 2050.
(6) Recent studies indicate that the total estimated cost
to employers for full-time employees with intensive caregiving
responsibilities is $17,100,000,000 annually. The total
estimated cost to employers for all full-time, employed
caregivers is $33,600,000,000 annually.
(7) Adult day programs can offer services, including
medical care, rehabilitation therapies, dignified assistance
with the activities of daily living, nutrition therapy, health
monitoring, social interaction, stimulating activities, and
transportation to seniors, individuals with disabilities, and
younger adults with chronic diseases.
(8) Adult day programs geared toward individuals living
with neurological diseases or conditions such as MS,
Parkinson's disease, TBI, or other similar diseases or
conditions, provide an important response to the needs of
individuals living with these conditions and the caregivers of
such individuals. Adult day programs can help to ameliorate
symptoms, reduce dependency, provide important socialization
opportunities, and maintain quality of life.
(9) Adult day programs have been shown to provide a range
of documented benefits, including improvements in functional
status, social support, and reductions in fatigue, depression,
and pain. Adult day programs also reduce ongoing medical care
and hospital costs and decrease admissions to nursing home
facilities, which can be costly for many families, by allowing
individuals to receive health and social services while
continuing to live at home.
(10) There are currently few adult day programs focused on
younger adult populations in the United States. As a result,
the majority of individuals living with neurological diseases
are unable to access this important opportunity for maximizing
their health and wellness. Although individuals living with
neurological diseases or conditions may be able to access other
existing adult day programs, such programs are not typically
intended for younger adults living with chronic diseases or
conditions, and may not provide the appropriate services to
meet the age-related or disability status of these individuals.

SEC. 3. ESTABLISHMENT OF ADULT DAY PROGRAMS.

(a) Survey of Existing Adult Day Programs.--
(1) In general.--Not later than 90 days after the date of
the enactment of this section, the Assistant Secretary for
Aging shall initiate a comprehensive survey of current adult
day programs that provide care and support to individuals
living with neurological diseases or conditions, including
multiple sclerosis, Parkinson's disease, traumatic brain
injury, and any other similar disease or condition.
(2) Survey elements.--In carrying out the survey under
paragraph (1), the Assistant Secretary for Aging may utilize
existing publicly available research on adult day programs, and
shall--
(A) identify ongoing successful adult day programs,
including by providing a brief description of how such
programs were initially established and funded;
(B) develop a set of best practices to help guide
the establishment and replication of additional
successful adult day programs, including--
(i) program guidelines;
(ii) recommendations on the scope of
services that should be provided (which may
include rehabilitation therapy, psychosocial
support, social stimulation and interaction,
and spiritual, educational, or other such
services); and
(iii) performance goals and indicators to
measure and analyze the outcomes generated by
the services provided and to evaluate the
overall success of the program; and
(C) evaluate the extent to which the Administration
on Aging supports adult day programs, either directly
or indirectly, through current Federal grant programs.
(3) Report.--Not later than 180 days after initiating the
survey under paragraph (1), the Assistant Secretary for Aging
shall prepare and make publicly available a summary report on
the results of the survey. Such report shall include each of
the elements described in paragraph (2).
(b) Establishment of Grant Program.--
(1) In general.--Not later than 90 days after producing the
report required by subsection (a)(3), the Assistant Secretary
for Aging shall establish within the Administration on Aging a
competitive grant program for awarding grants annually to
eligible entities, based on the best practices developed under
subsection (a), to fund adult day programs.
(2) Eligible entities.--In order to be eligible for a grant
under this subsection, an entity shall demonstrate the
following:
(A) Understanding of the special needs of
individuals living with neurological diseases or
conditions such as multiple sclerosis, Parkinson's
disease, traumatic brain injury, or other similar
diseases or conditions, including the functional
abilities of such individuals and the potential
complications across all types of cases and stages of
such diseases or conditions.
(B) Understanding of the issues experienced by
family caregivers who assist a family member with a
neurological disease or condition such as multiple
sclerosis, Parkinson's disease, traumatic brain injury,
or other similar disease or condition.
(C) A capacity to provide the services recommended
by the best practices developed under subsection (a).
(3) Additional selection requirement.--The Assistant
Secretary for Aging shall not award a grant to an entity under
this subsection if the amount of the award would constitute
more than 40 percent of the operating budget of the entity in
the fiscal year for which funds for the grant are authorized to
be expended. For purposes of this subsection, the fair market
value of annual in-kind contributions of equipment or services
shall be considered as part of the operating budget of the
entity.
(4) Selection of grant recipients.--Not later than 90 days
after establishing the grant program under this subsection, the
Assistant Secretary for Aging shall award the first annual
series of grants under the program. In awarding grants under
this subsection, the Assistant Secretary shall ensure, to the
extent practicable, a diverse geographic representation among
grant recipients and that, subject to the availability of
appropriations--
(A) a minimum of 5 entities are selected as grant
recipients for the first fiscal year for which such
grants are awarded;
(B) a minimum of 10 entities are selected as grant
recipients for the second such fiscal year;
(C) a minimum of 12 entities are selected as grant
recipients for the third such fiscal year; and
(D) a minimum of 15 entities are selected as grant
recipients for the fourth such fiscal year.
(5) Report.--No later than 1 year after the initial award
of grants under this subsection, and annually thereafter, the
Assistant Secretary for Aging shall prepare and make publicly
available a brief summary report on the grant program under
this section. Each such report shall include the following:
(A) A description of the adult day programs
receiving funding under this section, including the
amount of Federal funding awarded and the expected
outcomes of each program.
(B) A description of performance goals and
indicators to monitor the progress of grant recipients
in--
(i) responding to the needs of individuals
living with neurological diseases or conditions
such as multiple sclerosis, Parkinson's
disease, traumatic brain injury, and other
similar diseases or conditions; and
(ii) assisting the family caregivers of
such individuals.
(C) Any plans for improving oversight and
management of the grant program.
(c) Definitions.--In this Act:
(1) The term ''adult day program'' means a program that
provides comprehensive and effective care and support services
to individuals living with neurological diseases or conditions
such as multiple sclerosis, Parkinson's disease, traumatic
brain injury, or other similar diseases or conditions that may
result in a functional or degenerative disability and to the
family caregivers of such individuals, and that may assist such
individuals and family caregivers in ways that--
(A) maintain or improve the functional abilities of
such individuals, or otherwise help such individuals
adjust to changing functional abilities;
(B) prevent the onset of complications associated
with severe forms of the disease or condition;
(C) promote alternatives to placement in nursing
homes;
(D) reduce the strain on family caregivers taking
care of a family member living with such a disease or
condition;
(E) focus on supporting the emotional, social, and
intellectual needs of a younger adult population; or
(F) address the needs of veterans living with such
a disease or condition.
(2) The term ''family caregiver'' means a family member or
foster parent who provides unpaid assistance (which may include
in-home monitoring, management, supervision, care and
treatment, or other similar assistance) to another adult family
member with a special need.
(d) Authorization of Appropriations.--There are authorized to be
appropriated, in addition to amounts otherwise made available for such
purpose, such sums as may be necessary to carry out this section.
[A]: Adult Day Achievement Center Enhancement Act - Requires the Assistant Secretary for Aging to initiate a comprehensive survey of current adult day programs that provide care and support to individuals living with neurological diseases or conditions, including multiple sclerosis, Parkinson's disease, or traumatic brain injury. Requires the Assistant Secretary to identify ongoing successful adult day programs and develop a set of best practices to help guide the establishment and replication of additional successful adult day programs.

Directs the Assistant Secretary to establish a competitive grant program for awarding grants annually to fund adult day programs. Defines an "adult day program" as a program that provides comprehensive and effective care and support services to individuals living with neurological diseases or conditions and to their family caregivers and that may assist them in ways that: (1) maintain or improve their functional abilities or otherwise help them adjust to their changing functional abilities; (2) prevent the onset of complications associated with severe forms of the disease or condition; (3) promote alternatives to placement in nursing homes; (4) reduce the strain on family caregivers taking care of a family member living with such a disease or condition; (5) focus on supporting the emotional, social, and intellectual needs of a younger adult population; or (6) address the needs of veterans living with such a disease or condition.

[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Ensuring Patient Access to
Healthcare Records Act of 2016''.

SEC. 2. PROMOTION OF ACCESS TO DATA, VIA RESEARCH AND USER FRIENDLY
PRESENTATIONS AND APPLICATIONS.

(a) In General.--Subtitle D of the Health Information Technology
for Economic and Clinical Health Act (42 U.S.C. 17921 et seq.) is
amended by adding at the end the following:

''PART 3--HEALTH CARE CLEARINGHOUSES; DATA PROCESSING TO EMPOWER
PATIENTS AND IMPROVE THE HEALTH CARE SYSTEM

''SEC. 13451. MODERNIZING THE ROLE OF CLEARINGHOUSES IN HEALTH CARE.

''(a) Efforts To Promote Access to and Leveraging of Health
Information.--
''(1) In general.--The Secretary shall, through the
updating of existing policies and development of policies that
support dynamic technology solutions, promote patient access to
information related to their care, including real world
outcomes and economic data (including claims, eligibility, and
payment data), in a manner that would ensure that such
information is available in a form convenient for the patient,
in a reasonable manner, and without burdening the health care
provider involved.
''(2) Requirement.--Activities carried out under paragraph
(1) shall include the development of policies to enable covered
entities with access to health information to--
''(A) provide patient access to information related
to their care, including real world outcomes and
economic data; and
''(B) develop patient engagement tools, reports,
analyses, and presentations based on population health,
epidemiological, and health services outcomes data,
that may demonstrate a fiscal or treatment benefit to
the taxpayer.
''(b) Treatment as Covered Entity for Specified Functions.--
''(1) In general.--With respect to the use and disclosure
of protected health information, the Secretary shall--
''(A) not consider health care clearinghouses that
engage in the functions described in paragraph (3) to
be business associates under HIPAA-related provisions
(as defined in subsection (j)(3)) regardless of the
role of such clearinghouses in collecting or receiving
the information; and
''(B) consider such clearinghouses to be covered
entities under such provisions of law for all purposes.
Such clearinghouses shall not be considered business associates
for data translation, analytic, cloud computing, or any other
purpose.
''(2) Data accuracy and security requirement.--In order to
use health data as authorized by this section, a clearinghouse
or other covered entity engaging in activities authorized under
this section shall be certified to have the necessary expertise
and technical infrastructure to ensure the accuracy and
security of such claims, eligibility, and payment data through
receipt of an accreditation by the Electronic Healthcare
Network Accreditation Commission, or by an equivalent
accreditation program determined appropriate by the Secretary.
''(3) Enhancing treatment, quality improvement, research,
public health efforts and other functions.--
''(A) Equivalent authority to other covered
entities.--Subject to paragraph (2), a health care
clearinghouse shall--
''(i) in addition to carrying out claims
processing functions, be permitted to use and
disclose protected health information in the
same manner as other covered entities,
including for purposes of treatment, payment,
health care operations as permitted by section
164.506 of title 45, Code of Federal
Regulations, research, and public health as
permitted by section 164.512 of title 45, Code
of Federal Regulations, and creating de-
identified information as permitted by section
164.502(d) of title 45, Code of Federal
Regulations; and
''(ii) use or disclose protected health
information as required by section
164.502(a)(2) of title 45, Code of Federal
Regulations.
''(B) Additional authority.--Subject to paragraph
(2), a health care clearinghouse and other covered
entity shall, in addition to claims processing
functions, be permitted to--
''(i) provide individuals with access to
their own protected health information as
described in subsection (d);
''(ii) subject to subsection (c)(2), and on
behalf of both covered entities and non-covered
entities, use and disclose protected health
information for health care operations purposes
(as defined by section 164.501 of title 45,
Code of Federal Regulations) without respect to
whether the recipient of the information has or
had a relationship with the individual;
''(iii) subject to subsection (c)(2), and
upon the request of a covered entity, benchmark
the operations of such covered entity against
the operations of one or more other covered
entities that have elected to participate in
such benchmarking; and
''(iv) subject to subsection (c)(2), use
protected health information to facilitate
clinical trial recruitment.
''(c) Authorities Relating to Data Processing.--
''(1) In general.--In carrying out HIPAA-related
provisions, the Secretary shall permit a health care
clearinghouse to aggregate protected health information that
the clearinghouse possesses in order to carry out the functions
described in subsection (b)(3). Subject to section
164.502(a)(5)(i) of title 45, Code of Federal Regulations, a
health care clearinghouse may carry out the functions described
in subsection (b)(3) without obtaining individual authorization
under section 164.508 of title 45, Code of Federal Regulations.
''(2) Privacy.--For purposes of clauses (ii) through (iv)
of subsection (b)(3)(B), with respect to any report, analysis,
or presentation provided by the clearinghouse to a third party,
such report, analysis, or presentation--
''(A) shall include only de-identified data; or
''(B) if containing protected health information,
shall include such data that is subject to a qualifying
data use agreement (as defined in subsection (j)).
''(3) Fee permitted.--Nothing in this paragraph shall be
construed to prohibit an individual's right to access claims
and payment records in HIPAA standard format for a reasonable,
cost-based fee pursuant to section 164.524(c)(4) of title 45,
Code of Federal Regulations. In requesting access to records
held by a health care clearinghouse, the individual shall
identify the health care provider or providers that rendered
care.
''(d) Comprehensive Records at the Request of an Individual.--
''(1) In general.--When a health care clearinghouse
receives a written request from an individual for the protected
health information of the individual, the clearinghouse shall
provide to the individual a comprehensive record of such
information (across health care providers and health plans and
longitudinal in scope), unless the clearinghouse determines in
its sole discretion that providing a comprehensive record is
not technologically feasible.
''(2) Purchase from other clearinghouses.--In preparing a
comprehensive record for an individual under paragraph (1), a
health care clearinghouse may, with the permission of the
individual, purchase the protected health information of the
individual from one or more other health clearinghouses (and
the cost of such purchase may be included in a fair-market fee
charged to the individual as provided for under paragraph (1)).
''(e) Situations Not Involving Direct Interaction With
Individuals.--Sections 164.400 through 164.414 (relating to breach
notification) and sections 164.520 through 164.528 (relating to
individual rights) of title 45, Code of Federal Regulations, shall
apply to a health care clearinghouse that engages in the functions
described in subsection (b)(3) to the extent that such clearinghouse
has current contact information pursuant to direct interaction with the
individual involved. In the case of each other individual, the
clearinghouse shall provide notice to the covered entity of any breach
of unsecured protected health information and provide a notice of
privacy practices on its website.
''(f) Transition.--
''(1) In general.--Nothing in this section shall be
construed to provide a health care clearinghouse greater
authority to use and disclose protected health information than
that provided to another covered entity.
''(2) Existing agreements.--With respect to agreements
entered into by a health care clearinghouse prior to the date
of enactment of this section, a provision of such an agreement
that conflicts with this section shall not have any legal force
or effect. The preceding sentence may not be construed as
affecting any provision of an agreement that does not conflict
with this section.
''(g) Safe Harbor and Clarification of Liability.--In the case of a
health care clearinghouse that engages in a function described in
subsection (b), only that clearinghouse may be held liable for a
violation of a HIPAA-related provision (and a covered entity that
provided data or data access to the clearinghouse shall not be liable
for such violations).
''(h) Enforcement.--Section 13410(a)(2) shall apply to this section
in the same manner as such section applies to parts 1 and 2.
''(i) Relation to Other Laws.--
''(1) Application of hitech rule.--Section 13421 shall
apply to this section in the same manner as such section
applies to parts 1 and 2, except to the extent that such
section 13421 concerns section 1178(a)(2)(B) of the Social
Security Act.
''(2) State laws regarding unfair or deceptive acts or
practices.--This part shall not be construed to preempt the law
of any State that prohibits unfair or deceptive acts or
practices.
''(j) Definitions.--In this part:
''(1) De-identified.--The term 'de-identified', with
respect to health information, means such information that is
not individually identifiable as determined in accordance with
the standards under section 164.514(b) of title 45, Code of
Federal Regulations.
''(2) Health care clearinghouse.--The term 'health care
clearinghouse' has the meaning given such term in section 1171
of the Social Security Act.
''(3) HIPAA-related provision.--The term 'HIPAA-related
provision' means the provisions of each of the following:
''(A) This subtitle.
''(B) Part C of title XI of the Social Security
Act.
''(C) Regulations promulgated pursuant to sections
262(a) and 264(c) of the Health Insurance Portability
and Accountability Act of 1996 or this subtitle.
''(4) Individual.--The term 'individual', with respect to
protected health information, has the meaning applicable under
section 160.103 of title 45, Code of Federal Regulations.
''(5) Qualifying data use agreement.--The term 'qualifying
data use agreement' means an agreement, which may be
electronic, that establishes the permitted uses and disclosures
of protected health information by the recipient consistent
with this paragraph. A qualifying data use agreement between
the health care clearinghouse and the data recipient shall--
''(A) establish the permitted uses and disclosures
of such information by the recipient which shall be
limited to the original purpose of disclosure under
subsection (b)(3)(B); and
''(B) provide that the data recipient will--
''(i) not use or further disclose the
information other than as permitted by the
qualifying data use agreement or as otherwise
required by law;
''(ii) use appropriate safeguards to
prevent use or disclosure of the information
other than as provided for by the qualifying
data use agreement; and
''(iii) ensure that any agents to whom it
provides the data agree to the same
restrictions and conditions that apply to the
data recipient with respect to such
information.''.
(b) Regulations.--Not later than 30 days after the date of the
enactment of this Act, the Secretary of Health and Human Services shall
promulgate regulations to carry out the amendment made by subsection
(a).
(c) Conforming Amendment.--Section 1171(2) of the Social Security
Act (42 U.S.C. 1320d(2)) is amended by inserting before the period the
following: ''or receives a standard transaction from another entity and
processes or facilitates the processing of health information into
nonstandard format or nonstandard data content for the receiving
entity. Such term also includes an entity that carries out such
processing functions, processes standard health care claims, processes
health care claim payments or provides advice on such, and processes
eligibility claims relating to health plan transactions on behalf of a
HIPAA covered entity and in addition, engages in any of the functions
described in subsection (a) of section 13451 of the Health Information
Technology for Economic and Clinical Health Act''.
[A]:
Ensuring Patient Access to Healthcare Records Act of 2016 This bill amends the Health Information Technology for Economic and Clinical Health Act to require the Department of Health and Human Services to develop and update policies that enable certain health care clearinghouses, plans, and providersto: (1) provide patients with access to information related to their care; and (2) develop patient-engagement tools, reports, analyses, and presentations that may demonstrate benefit to the taxpayer.