Access to Claims Data Act

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 4331 Introduced in House (IH)] <DOC> 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 following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee 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 Representatives 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''. SEC. 2. EXPANDED ACCESS TO CLAIMS DATA TO FACILITATE RESEARCH AND QUALITY IMPROVEMENT. (a) In General.--Not later than January 1, 2026, the Secretary of Health and Human Services shall establish 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 described in subsection (b) (in a form and manner determined to be appropriate by the Secretary) for the purposes of-- (1) linking such data with clinical outcomes data; (2) conducting quality assessments and qual