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SEC. 263. CHANGES IN MEMBERSHIP AND DUTIES OF NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS.

                                                                                                                                                                                                                                                                                                                        

 Title[ Title II\Subtitle F                                                           Contents

                                                                                                                                                                                                                                                                                                                       


    Section 306(k) of the Public Health Service Act (42 U.S.C. 242k(k))

is amended--

            (1) in paragraph (1), by striking ``16'' and inserting

        ``18'';

            (2) by amending paragraph (2) to read as follows:


    ``(2) The members of the Committee shall be appointed from among

persons who have distinguished themselves in the fields of health

statistics, electronic interchange of health care information, privacy

and security of electronic information, population-based public health,

purchasing or financing health care services, integrated computerized

health information systems, health services research, consumer interests

in health information, health data standards, epidemiology, and the

provision of health services. Members of the Committee shall be

appointed for terms of 4 years.'';


            (3) by redesignating paragraphs (3) through (5) as

        paragraphs (4) through (6), respectively, and inserting after

        paragraph (2) the following:


    ``(3) Of the members of the Committee--

            ``(A) 1 shall be appointed, not later than 60 days after the

        date of the enactment of the Health Insurance Portability and

        Accountability Act of 1996, by the Speaker of the House of

        Representatives after consultation with the Minority Leader of

        the House of Representatives;


            ``(B) 1 shall be appointed, not later than 60 days after the

        date of the enactment of the Health Insurance Portability and

        Accountability Act of 1996, by the President pro tempore of the

        Senate after consultation with the Minority Leader of the

        Senate; and


            ``(C) 16 shall be appointed by the Secretary.'';

            (4) by amending paragraph (5) (as so redesignated) to read

        as follows:


    ``(5) The Committee--

            ``(A) shall assist and advise the Secretary--

                    ``(i) to delineate statistical problems bearing on

                health and health services which are of national or

                international interest;


                    ``(ii) to stimulate studies of such problems by

                other organizations and agencies whenever possible or to

                make investigations of such problems through

                subcommittees;


                    ``(iii) to determine, approve, and revise the terms,

                definitions, classifications, and guidelines for

                assessing health status and health services, their

                distribution and costs, for use (I) within the

                Department of Health and Human Services, (II) by all

                programs administered or funded by the Secretary,

                including the Federal-State-local cooperative health

                statistics system referred to in subsection (e), and

                (III) to the extent possible as determined by the head

                of the agency involved, by the Department of Veterans

                Affairs, the Department of Defense, and other Federal

                agencies concerned with health and health services;


                    ``(iv) with respect to the design of and approval of

                health statistical and health information systems

                concerned with the collection, processing, and

                tabulation of health statistics within the Department of

                Health and Human Services, with respect to the

                Cooperative Health Statistics System established under

                subsection (e), and with respect to the standardized

                means for the collection of health information and

                statistics to be established by the Secretary under

                subsection (j)(1);


                    ``(v) to review and comment on findings and

                proposals developed by other organizations and agencies

                and to make recommendations for their adoption or

                implementation by local, State, national, or

                international agencies;


                    ``(vi) to cooperate with national committees of

                other countries and with the World Health Organization

                and other national agencies in the studies of problems

                of mutual interest;


                    ``(vii) to issue <<NOTE: Reports.>>  an annual

                report on the state of the Nation's health, its health

                services, their costs and distributions, and to make

                proposals for improvement of the Nation's health

                statistics and health information systems; and


                    ``(viii) in complying with the requirements imposed

                on the Secretary under part C of title XI of the Social

                Security Act;


            ``(B) shall study the issues related to the adoption of

        uniform data standards for patient medical record information

        and the electronic exchange of such information;


            ``(C) shall <<NOTE: Reports.>>  report to the Secretary not

        later than 4 years after the date of the enactment of the Health

        Insurance Portability and Accountability Act of 1996

        recommendations and legislative proposals for such standards and

        electronic exchange; and


            ``(D) shall be responsible generally for advising the

        Secretary and the Congress on the status of the implementation

        of part C of title XI of the Social Security Act.''; and

            (5) by adding at the end the following:


    ``(7) <<NOTE: Reports.>>  Not later than 1 year after the date of

the enactment of the Health Insurance Portability and Accountability Act

of 1996, and annually thereafter, the Committee shall submit to the

Congress, and make public, a report regarding the implementation of part

C of title XI of the Social Security Act. Such report shall address the

following subjects, to the extent that the Committee determines

appropriate:


            ``(A) The extent to which persons required to comply with

        part C of title XI of the Social Security Act are cooperating in

        implementing the standards adopted under such part.


            ``(B) The extent to which such entities are meeting the

        security standards adopted under such part and the types of

        penalties assessed for noncompliance with such standards.


            ``(C) Whether the Federal and State Governments are

        receiving information of sufficient quality to meet their

        responsibilities under such part.


            ``(D) Any problems that exist with respect to implementation

        of such part.

            ``(E) The extent to which timetables under such part are

        being met.''.

 

                                                                                                                                                                                                                                                                                                                                                                        

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