Prescribes confidentiality and peer review protections for such data. Directs the Comptroller General to report to the Congress on State laws that relate to patient safety data peer review systems. Directs the Secretary to ensure that the Center for Quality Improvement and Patient Safety supports public and private sector initiatives to improve patient safety for items and services furnished through health care providers. Charges the Center with: (1) providing for the certification and recertification of patient safety organizations; and (2) establishing a Patient Safety Database to collect, support, and coordinate the analysis of non-identifiable information concerning patient safety that is reported. Requires the Secretary to: (1) develop voluntary, national standards that promote the interoperability of health care information technology systems across all health care settings; and (2) encourage health care providers to adopt appropriate evidence-based methods to improve patient safety. Directs the Secretary to appoint a Medical Information Technology Advisory Board to advise and make recommendations on medical information technology.
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 877 Introduced in House (IH)]
108th CONGRESS
1st Session
H. R. 877
To amend title XI of the Social Security Act to improve patient safety.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 25, 2003
Mrs. Johnson of Connecticut (for herself, Mr. Stark, Mr. Thomas, Mr.
Camp, Mr. Lewis of Kentucky, Mr. McInnis, Mr. Houghton, Mr. Herger, Mr.
Weller, Mr. Smith of New Jersey, Mr. English, and Mr. Peterson of
Pennsylvania) introduced the following bill; which was referred to the
Committee on Ways and Means, and in addition to the Committee on Energy
and Commerce, 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 amend title XI of the Social Security Act to improve patient safety.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Patient Safety
Improvement Act of 2003''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Patient safety improvements.
``Part D--Patient Safety Improvements
``Sec. 1181. Voluntary reporting of patient safety data;
definitions.
``Sec. 1182. Confidentiality and peer review protections.
``Sec. 1183. Center for Quality Improvement and Patient Safety.
``Sec. 1184. Interoperability standards for health care
information technology systems.
``Sec. 1185. Voluntary adoption of methods to improve patient
safety.
``Sec. 1186. Evaluation and report.
Sec. 3. Medical Information Technology Advisory Board.
SEC. 2. PATIENT SAFETY IMPROVEMENTS.
Title XI of the Social Security Act is amended by adding at the end
the following new part:
``Part D--Patient Safety Improvements
``voluntary reporting of patient safety data; definitions
``Sec. 1181. (a) Collection and Voluntary Reporting of Patient
Safety Data.--In order to improve patient safety and the quality of
health care delivery, a health care provider (as defined in subsection
(d)) may voluntarily collect and develop patient safety data (as
defined in subsection (e)) and report such data to one or more patient
safety organizations (as defined in subsection (f)) in a manner that is
confidential and privileged (as described in section 1182).
``(b) Use of Patient Safety Data by Patient Safety Organizations.--
Patient safety organizations shall analyze the patient safety data
reported and develop (and report back to health care providers)
information to improve patient safety and the quality of health care
delivery and shall submit non-identifiable information derived from
such data in a uniform manner to the Center for Quality Improvement and
Patient Safety (for inclusion in the Patient Safety Database, if
applicable). Such non-identifiable information may be disclosed and
shared with other patient safety organizations. Identifiable patient
safety data may be disclosed to other patient safety organizations with
the explicit authorization for each such disclosure by the reporting
provider involved.
``(c) Functions of Center.--The Center for Quality Improvement and
Patient Safety conducts patient safety activities consistent with
section 1183.
``(d) Health Care Providers Covered.--For purposes of this part,
the term `health care provider' means a provider of services (as
defined in section 1861(u) and including a hospital, skilled nursing
facility, home health agency, and hospice program) that provides
services for which payment may be made under part A of title XVIII and
the provider's employees, and includes physicians insofar as they
furnish health care services in the health care provider.
``(e) Patient Safety Data Covered.--
``(1) In general.--For purposes of this part, the term
`patient safety data' means any data, reports, records,
memoranda, analyses, deliberative work, statements, or root
cause analyses that are collected or developed to improve
patient safety or health care quality and that--
``(A) are collected or developed by a health care
provider for the purpose of reporting to a patient
safety organization and that are reported on a timely
basis to such an organization;
``(B) are collected or developed by a patient
safety organization or by (or on behalf of) the Center
for Quality Improvement and Patient Safety, regardless
of whether the data are transmitted to the health care
provider that reported the original data; or
``(C) describes corrective actions taken by a
health care provider in response to the provider's
reporting of data to that organization, regardless of
whether the organization has transmitted under
subsection (f)(2) information to the health care
provider that reported the original data, and that are
reported on a timely basis to such an organization.
``(2) Construction regarding use of data.--
``(A) Internal use permitted to improve patient
safety, quality, and efficiency.--Nothing in this part
shall be construed to limit or discourage a health care
provider from developing and using patient safety data
within the provider to improve patient safety, health
care quality, or administrative efficiency of the
provider.
``(B) Treatment.--Information that is collected or
developed as patient safety data is not disqualified
from being treated as patient safety data because of
its development or use for the purposes described in
subparagraph (A) and such development or use shall not
constitute a waiver of any privilege or protection
established under section 1182 or under State law.
``(f) Qualifications of Patient Safety Organizations.--
``(1) In general.--For purposes of this part, the term
`patient safety organization' means a private or public
organization that conducts activities to improve patient safety
and the quality of health care delivery by assisting health
care providers that report to such organizations and that has
been certified by the Secretary as--
``(A) performing each of the activities described
in paragraph (2); and
``(B) meets the other requirements of paragraphs
(3) through (5).
``(2) Activities described.--The activities referred to in
paragraph (1)(A) are the following:
``(A) The collection and analysis of patient safety
data that are voluntarily reported by more than one
health care provider on a local, regional, State, or
national basis.
``(B) The development and dissemination of
information to health care providers and other patient
safety organizations with respect to improving patient
safety, such as recommendations, protocols, or
information regarding best practices.
``(C) The utilization of patient safety data to
carry out activities under this paragraph to improve
patient safety and to provide assistance to health care
providers to minimize patient risk.
``(3) Conduct of activities.--In conducting activities
under paragraph (2), a patient safety organization shall--
``(A) maintain confidentiality with respect to
individually identifiable health information;
``(B) submit non-identifiable information to the
Center for Quality Improvement and Patient Safety in a
format established by the Secretary; and
``(C) maintain appropriate security measures with
respect to patient safety data.
``(4) Organization requirements.--The requirements of this
paragraph for an organization are that--
``(A) the organization is managed, controlled, and
operated independently from health care providers which
report patient safety data to it under this part;
``(B) if the organization no longer qualifies as a
patient safety organization, with respect to any
patient safety data that it received from a health care
provider, the organization shall do one of the
following:
``(i) with the approval of the provider and
another patient safety organization, transfer
such data to such other organization;
``(ii) if practicable, return the data to
the provider; or
``(iii) destroy the patient safety data;
``(C) if the organization charges a fee for the
activities it performs with respect to health care
providers, the fee shall be uniform among all classes
or types of health care providers (taking into account
the size of the health care provider);
``(D) the organization seeks to collect data from
health care providers in a standardized manner that
permits valid comparisons of similar cases among
similar health care providers; and
``(E) the organization meets such other
requirements as the Secretary may by regulation
require.
For purposes of subparagraph (A), an organization is controlled
by a health care provider if the provider is able to
significantly influence or direct the actions or policies of
the organization.
``(5) Limitation on use of patient safety data by patient
safety organizations.--A patient safety organization may not
use patient safety data reported by a health care provider in
accordance with this part to take regulatory or enforcement
actions it otherwise performs (or is responsible for
performing) in relation to such provider.
``(6) Technical assistance.--The Secretary may provide
technical assistance to patient safety organizations in
providing recommendations and advice to health care providers
reporting patient safety data under this part. Such assistance
shall include advice with respect to methodology,
communication, dissemination of information, data collection,
security, and confidentiality concerns.
``(g) Construction.--Nothing in this part shall be construed to
limit or discourage the reporting of information relating to patient
safety within a health care provider.
``confidentiality and peer review protections
``Sec. 1182. (a) In General.--Notwithstanding any other provision
of law, patient safety data shall be privileged and confidential in
accordance with this section.
``(b) Scope of Privilege.--Subject to the succeeding provisions of
this section, such data shall not be--
``(1) subject to a civil or administrative subpoena;
``(2) subject to discovery in connection with a civil or
administrative proceeding;
``(3) disclosed pursuant to section 552 of title 5, United
States Code (commonly known as the Freedom of Information Act)
or any other similar Federal or State law; or
``(4) admitted as evidence or otherwise disclosed in any
civil or administrative proceeding.
``(c) Clarification of Scope.--The privilege established by this
section with respect to patient safety data described in section
1181(e)(1)(A) shall apply to information, such as records of a
patient's medical diagnosis and treatment, other primary health care
information, and other information, to the extent that such information
was collected or developed for the purpose specified in such section
and is reported in accordance with such section. Such privilege shall
not apply to information merely by reason of its inclusion, or the fact
of its submission, in a report under such section. Information
available from sources other than a report made under such section may
be discovered or admitted in a civil or administrative proceeding, if
discoverable or admissible under applicable state law.
``(d) Information Not Subject to Privilege.--The privilege
established by this section shall not apply to one or more of the
following:
``(1) Medical records and other primary health records.--
Records of a patient's medical diagnosis and treatment and
other primary health records of a health care provider. Such
privilege shall not apply to such information by reason of its
inclusion within patient safety data.
``(2) Non-identifiable information used by database.--Non-
identifiable information from a patient safety organization to
the Patient Safety Database and the further disclosure of such
data by the Center for Quality Improvement and Patient Safety.
``(e) Reporter Protection.--
``(1) In general.--A health care provider may not use
against an individual in an adverse employment action described
in paragraph (2) the fact that the individual in good faith
reported--
``(A) to the provider with the intention of having
it reported to a patient safety organization, or
``(B) directly to a patient safety
organization, information that would constitute patient safety data
under section 1181(e)(1)(A) if the provider were to have submitted it
on a timely basis to a patient safety organization in accordance with
such section.
``(2) Adverse employment action.--For purposes of this
subsection, an `adverse employment action' includes--
``(A) the failure to promote an individual or
provide any other employment-related benefit for which
the individual would otherwise be eligible;
``(B) an evaluation or decision made in relation to
accreditation, certification, credentialing or
licensing of the individual; and
``(C) a personnel action that is adverse to the
individual concerned.
``(3) Remedies.--The provisions of the first sentence of
section 1128A(a) shall apply with respect to a health care
provider's violation of paragraph (1) in the same manner as
they apply to an act referred to in section 1128A(a)(7).
``(f) Penalty.--It is unlawful for any person to disclose any
patient safety data in violation of the provisions of this section. Any
person violating such provisions shall be subject to the same sanctions
under section 1160(c) (relating to, upon conviction, a fine of not more
than $1,000, imprisonment for not more than 6 months, or both, per
disclosure and payment of the costs of prosecution) as a person who
discloses any information described in section 1160(a).
``(g) Rules of Construction.--
``(1) No limitation of other privileges.--Subject to
paragraph (2), nothing in this section shall be construed as
affecting other privileges that are available under Federal or
State laws that provide greater peer review or confidentiality
protections than the peer review and confidentiality
protections provided for in this section.
``(2) No effect on state mandatory reporting
requirements.--Nothing in this part shall be construed as
preempting or otherwise affecting any State law mandatory
reporting requirement for health care providers.
``(h) Application of Privacy Regulations.--For purposes of applying
the regulations promulgated pursuant to section 264(c) of the Health
Insurance Portability and Accountability Act of 1996 (Public Law 104-
191; 110 Stat. 2033)--
``(1) patient safety organizations shall be treated as
business associates;
``(2) activities of such organizations described in section
1181(f)(2)(A) in relation to a health care provider are deemed
to be health care operations of the provider; and
``(3) the disclosure of identifiable information under the
voluntary program under this part by such an organization shall
be treated as necessary for the proper management and
administration of the organization.
Nothing in this section shall be construed to alter or affect the
implementation of such regulation or such section 264(c).
``(i) Waivers.--Nothing in this part shall be construed as
precluding a health care provider from waiving the privilege or
confidentiality protections under this section.
``(j) Continuation of Privilege.--Patient safety data of an
organization that is certified as a patient safety organization shall
continue to be privileged and confidential, in accordance with this
section, if the organization's certification is terminated or revoked
or if the organization otherwise ceases to qualify as a patient safety
organization until the data are otherwise disposed of in accordance
with section 1181(f)(4).
``(k) Survey and Report.--
``(1) Survey.--The Comptroller General of the United States
shall conduct a survey of State laws that relate to patient
safety data peer review systems, including laws that establish
an evidentiary privilege applicable to data developed in such
systems, and shall review the manner in which such laws have
been interpreted by the courts and the effectiveness of such
laws in promoting patient safety.
``(2) Report.--Not later than 9 months after the date of
enactment of this section, the Comptroller General shall
prepare and submit to Congress a report concerning the results
of the survey conducted under paragraph (1).
``center for quality improvement and patient safety
``Sec. 1183. (a) In General.--The Secretary shall ensure that the
Center for Quality Improvement and Patient Safety (in this section
referred to as the `Center') supports public and private sector
initiatives to improve patient safety for items and services furnished
through health care providers.
``(b) Duties.--
``(1) In general.--The Secretary shall ensure that the
Center carries out the following duties:
``(A) Provide for the certification and
recertification of patient safety organizations in
accordance with subsection (d).
``(B) Collect and disseminate information related
to patient safety.
``(C) Establish a Patient Safety Database to
collect, support, and coordinate the analysis of non-
identifiable information submitted to the Database in
accordance with subsection (e).
``(D) Facilitate the development of consensus among
health care providers, patients, and other interested
parties concerning patient safety and recommendations
to improve patient safety.
``(E) Provide technical assistance to States that
have (or are developing) medical errors reporting
systems, assist States in developing standardized
methods for data collection, and collect data from
State reporting systems for inclusion in the Patient
Safety Database.
``(2) Consultation.--In carrying out the duties under
paragraph (1) (including the establishment of the Database),
the Secretary shall consult with and develop partnerships, as
appropriate, with health care organizations, health care
providers, public and private sector entities, patient safety
organizations, health care consumers, and other relevant
experts to improve patient safety.
``(c) Certification and Recertification Process.--
``(1) In general.--The initial certification and
recertification of a patient safety organization under
subsection (b)(1)(A) shall be made under a process that is
approved by the Secretary and is consistent with criteria
published by the Secretary.
``(2) Revocation.--Such a certification or recertification
may be revoked by the Secretary upon a showing of cause
(including the disclosure of data in violation of section
1182).
``(3) Termination.--Such a certification provided for a
patient safety organization shall terminate (subject to
recertification) on the earlier of--
``(A) the date that is 3 years after the date on
which such certification was provided; or
``(B) the date on which the Secretary revokes the
certification.
``(d) Implementation and Consultation.--In carrying out subsection
(c)(1), the Secretary shall--
``(1) facilitate the development of patient safety goals
and track the progress made in meeting those goals; and
``(2) ensure that data submitted by a patient safety
organization to the Patient Safety Database, as provided for
under subsection (e), are comparable and useful for research
and analysis and that the research findings and patient safety
alerts that result from such analyses are presented in clear
and consistent formats that enhance the usefulness of such
alerts.
``(e) Patient Safety Database.--
``(1) In general.--The Secretary shall--
``(A) establish a Patient Safety Database to
collect non-identifiable information concerning patient
safety that is reported on a voluntary basis; and
``(B) establish common formats for the voluntary
reporting of data under subparagraph (A), including the
establishment of necessary data elements, common and
consistent definitions, and a standardized computer
interface for the processing of such data.
``(2) Database.--In carrying out this subsection, the
Secretary--
``(A) shall establish and modify as necessary
criteria to determine the organizations that may
voluntarily contribute to, and the data that comprises,
the Patient Safety Database;
``(B) shall ensure that the Patient Safety Database
is only used by qualified entities or individuals as
determined appropriate by the Secretary in accordance
with criteria applied by the Secretary; and
``(C) may enter into contracts for the
administration of the Database with private and public
entities with experience in the administration of
similar databases.
``(3) Non-identifiable information.--For purposes of this
part, the term `non-identifiable information' means information
that is presented in a form and manner that prevents the
identification of any health care provider, patient, and the
reporter of the information.
``(f) Funding.--The Secretary shall transfer from the Federal
Hospital Insurance Trust Fund established under section 1817 such sums
as are necessary for each fiscal year to carry out this section.
``interoperability standards for health care information technology
systems
``Sec. 1184. (a) In General.--By not later than 2 years after the
date of the enactment of this part, the Secretary shall develop or
adopt (and shall periodically review and update) voluntary, national
standards that promote the interoperability of health care information
technology systems across all health care settings. In promulgating
regulations to carry out this section, the Secretary shall take into
account the cost that meeting such standards would have on providing
health care in the United States and the increased efficiencies in
providing such care achieved under the standards.
``(b) Consultation and Coordination.--The Secretary shall develop
and update such standards in consultation with (and with coordination
between)--
``(1) the National Committee for Vital and Health
Statistics, and
``(2) the Medical Information Technology Advisory Board
(established under section 3 of the Patient Safety Improvement
Act of 2003).
``(c) Dissemination.--The Secretary shall provide for the
dissemination of the standards developed and updated under this
section.
``(d) Funding.--The Secretary shall transfer from the Federal
Hospital Insurance Trust Fund established under section 1817 such sums
as are necessary for each fiscal year to carry out this section.
``voluntary adoption of methods to improve patient safety
``Sec. 1185. The Secretary shall encourage health care providers to
adopt appropriate evidence-based methods to improve patient safety.
Such methods shall not constitute national practice guidelines.
``evaluation and report
``Sec. 1186. (a) Evaluation.--The Comptroller General of the United
States shall conduct a comprehensive evaluation of the implementation
of this part. Such evaluation shall include an examination of the
following:
``(1) The health care providers that reported patient
safety data under this part and the patient safety
organizations to which they reported the information.
``(2) What types of events were so reported on.
``(3) The usefulness of the analyses, information, and
recommendations provided by patient safety organizations in
response to such reported information.
``(4) The response of health care providers to such
analyses, information, and recommendations, including a survey
of providers to obtain estimates of the percentage of providers
by category who have adopted specific error-reduction methods
and, if applicable, reasons for not adopting specific
practices.
``(5) The effectiveness of the program under this part in
reducing medical errors.
``(b) Report.--Not later than 5 years after the date the provisions
of this part are first implemented, the Comptroller General shall
submit to Congress a report on the evaluation conducted under
subsection (a).''.
SEC. 3. MEDICAL INFORMATION TECHNOLOGY ADVISORY BOARD.
(a) Establishment.--
(1) In general.--Not later than 3 months after the date of
the enactment of this Act, the Secretary of Health and Human
Services (in this section referred to as the ``Secretary'')
shall appoint an advisory board to be known as the ``Medical
Information Technology Advisory Board'' (in this section
referred to as the ``MITAB'').
(2) Chairman.--The Secretary shall designate one member as
chairman. The chairman shall be an individual affiliated with
an organization having expertise creating American National
Standards Institute (ANSI) accepted standards in health care
information technology and a member of the National Committee
for Vital and Health Statistics.
(b) Composition.--
(1) In general.--The MITAB shall consist of not more than
17 members that include--
(A) experts from the fields of medical information,
information technology, medical continuous quality
improvement, medical records security and privacy,
individual and institutional health care clinical
providers, health researchers, and health care
purchasers;
(B) one or more staff experts from each of the
following: the Centers for Medicare & Medicaid
Services, the Agency for Healthcare Research and
Quality, and the Institute of Medicine of the National
Academy of Sciences;
(C) representatives of private organizations with
expertise in medical infomatics;
(D) a representative of a teaching hospital; and
(E) one or more representatives of the health care
information technology industry.
(2) Terms of appointment.--The term of any appointment
under paragraph (1) to the MITAB shall be for the life of the
MITAB.
(3) Meetings.--The MITAB shall meet at the call of its
chairman or a majority of its members.
(4) Vacancies.--A vacancy on the MITAB shall be filled in
the same manner in which the original appointment was made not
later than 30 days after the MITAB is given notice of the
vacancy and shall not affect the power of the remaining members
to execute the duties of the MITAB.
(5) Compensation.--Members of the MITAB shall receive no
additional pay, allowances, or benefits by reason of their
service on the MITAB.
(6) Expenses.--Each member of the MITAB shall receive
travel expenses and per diem in lieu of subsistence in
accordance with sections 5702 and 5703 of title 5, United
States Code.
(c) Duties.--
(1) In general.--The MITAB shall on an ongoing basis
advise, and make recommendations to, the Secretary regarding
medical information technology, including the following:
(A) The best current practices in medical
information technology.
(B) Methods for the adoption (not later than 2
years after the date of the enactment of this section)
of a uniform health care information system interface
between and among old and new computer systems.
(C) Recommendations for health care vocabulary,
messaging, and other technology standards (including a
common lexicon for computer technology) necessary to
achieve the interoperability of health care information
systems for the purposes described in subparagraph (E).
(D) Methods of implementing--
(i) health care information technology
interoperability standardization; and
(ii) records security.
(E) Methods to promote information exchange among
health care providers so that long-term compatibility
among information systems is maximized, in order to do
one or more of the following:
(i) To maximize positive outcomes in
clinical care--
(I) by providing decision support
for diagnosis and care; and
(II) by assisting in the emergency
treatment of a patient presenting at a
facility where there is no medical
record for the patient.
(ii) To contribute to (and be consistent
with) the development of the patient assessment
instrument provided for under section 545 of
the Medicare, Medicaid, and SCHIP Benefits
Improvement and Protection Act of 2000, and to
assist in minimizing the need for new and
different records as patients move from
provider to provider.
(iii) To reduce or eliminate the need for
redundant records, paperwork, and the
repetitive taking of patient histories and
administering of tests.
(iv) To minimize medical errors, such as
administration of contraindicated drugs.
(v) To provide a compatible information
technology architecture that facilitates future
quality and cost-saving needs and that avoids
the financing and development of information
technology systems that are not readily
compatible.
(2) Reports.--
(A) Initial report.--No later than 18 months after
the date of the enactment of this Act, the MITAB shall
submit to Congress and the Secretary an initial report
concerning the matters described in paragraph (1). The
report shall include--
(i) the practices described in paragraph
(1)(A), including the status of health care
information technology standards being
developed by private sector and public-private
groups;
(ii) recommendations for accelerating the
development of common health care terminology
standards;
(iii) recommendations for completing
development of health care information system
messaging standards; and
(iv) progress toward meeting the deadline
described in paragraph (1)(B) for adoption of
methods described in such paragraph.
(B) Subsequent reports.--During each of the 2 years
after the year in which the report is submitted under
subparagraph (A), the MITAB shall submit to Congress
and the Secretary an annual report relating to
additional recommendations, best practices, results of
information technology improvements, analyses of
private sector efforts to implement the
interoperability standards established in section 1184
of the Social Security Act, and such other matters as
may help ensure the most rapid dissemination of best
practices in health care information technology.
(d) Staff and Support Services.--
(1) Executive director.--
(A) Appointment.--The Chairman shall appoint an
executive director of the MITAB.
(B) Compensation.--The executive director shall be
paid the rate of basic pay for level V of the Executive
Schedule.
(2) Staff.--With the approval of the MITAB, the executive
director may appoint such personnel as the executive director
considers appropriate.
(3) Applicability of civil service laws.--The staff of the
MITAB shall be appointed without regard to the provisions of
title 5, United States Code, governing appointments in the
competitive service, and shall be paid without regard to the
provisions of chapter 51 and subchapter III of chapter 53 of
such title (relating to classification and General Schedule pay
rates).
(4) Experts and consultants.--With the approval of the
MITAB, the executive director may procure temporary and
intermittent services under section 3109(b) of title 5, United
States Code.
(e) Powers.--
(1) Hearings and other activities.--For the purpose of
carrying out its duties, the MITAB may hold such hearings and
undertake such other activities as the MITAB determines to be
necessary to carry out its duties.
(2) Detail of federal employees.--Upon the request of the
MITAB, the head of any Federal agency is authorized to detail,
without reimbursement, any of the personnel of such agency to
the MITAB to assist the MITAB in carrying out its duties. Any
such detail shall not interrupt or otherwise affect the civil
service status or privileges of the Federal employee.
(3) Technical assistance.--Upon the request of the MITAB,
the head of a Federal agency shall provide such technical
assistance to the MITAB as the MITAB determines to be necessary
to carry out its duties.
(4) Obtaining information.--The MITAB may secure directly
from any Federal agency information necessary to enable it to
carry out its duties, if the information may be disclosed under
section 552 of title 5, United States Code. Upon request of the
Chairman of the MITAB, the head of such agency shall furnish
such information to the MITAB.
(f) Termination.--The MITAB shall terminate 30 days after the date
of submission of its final report under subsection (c)(2)(B).
(g) Applicability of FACA.--The provisions of the Federal Advisory
Committee Act (5 U.S.C. App.) shall apply to the MITAB.
(h) Funding.--The Secretary shall transfer from the Federal
Hospital Insurance Trust Fund established under section 1817 of the
Social Security Act (42 U.S.C. 1395i) such sums as are necessary for
each fiscal year to carry out this section.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
Referred to the Subcommittee on Health, for a period to be subsequently determined by the Chairman.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by Voice Vote.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 108-31, Part I.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 108-31, Part I.
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House Committee on Energy and Commerce Granted an extension for further consideration ending not later than March 13, 2003.
Committee on Energy and Commerce discharged.
Committee on Energy and Commerce discharged.
Placed on the Union Calendar, Calendar No. 24.