Bill > HR4331

This bill requires the Secretary of Health and Human Services to establish a process by January 1, 2026, that allows qualified clinical data registries (organizations that collect and analyze medical data) to request claims data from Medicare, and potentially Medicaid and the Children's Health Insurance Program (CHIP), for specific research and quality improvement purposes. These purposes include linking claims data with clinical outcomes, conducting quality assessments of healthcare providers and suppliers, performing scientifically valid research to improve patient safety, and publishing research analyses using deidentified data. The claims data can be provider-specific, specialty-specific, state-specific, or nationwide. Registries can access this data for a reasonable fee equal to the cost of providing it, with the collected fees deposited into the Centers for Medicare & Medicaid Services Program Management Account. Importantly, these registries will not need to be classified as "qualified entities" to access the claims data, which removes a potential bureaucratic barrier to their research efforts.

Business and Industry

https://www.congress.gov/bill/119th-congress/house-bill/4331/all-info