IN THE SENATE OF THE UNITED STATES
April 27, 2016
Mr. Manchin (for himself and Mrs. Capito) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
To amend the Public Health Service Act to provide for the sharing of health information concerning an individual's substance abuse treatment by certain entities.
This Act may be cited as
Confidentiality of records
Expansion of who can consent
Section 543(b) of the Public Health Service Act (42 U.S.C. 290dd–2(b)) is amended—
in paragraph (1)—
or oral after
or a parent, legal guardian, or spouse of the patient, after
in paragraph (2)—
(or parent, legal guardian, or spouse) after
or oral after
Exception for sharing of certain information
Section 543(e) of the Public Health Service Act (42 U.S.C. 290dd–2(e)) is amended—
in paragraph (1), by striking
; or and inserting a semicolon;
in paragraph (2), by striking the period and inserting
; or; and
after paragraph (2), by inserting the following:
within accountable care organizations described in section 1899 of the Social Security Act (42 U.S.C. 1395jjj), health information exchanges (as defined for purposes of section 3013), health homes (as defined in section 1945(h)(3) of such Act (42 U.S.C. 1396w–4(h)(3))), or other integrated care arrangements (in existence before, on, or after the date of the enactment of this paragraph) involving the interchange of electronic health records (as defined in section 13400 of division A of Public Law 111–5 (42 U.S.C. 17921(5))) containing information described in subsection (a), for purposes of attaining interoperability, improving care coordination, reducing health care costs, and securing or providing patient safety.
Inclusion of opioid addiction history in patient records
Development of standards
Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services shall develop and disseminate standards to provide information to hospitals and physicians relating to prominently displaying the history of opioid addiction in the medical records of patients (including electronic health records) if the patients have consented to having such information included in such records.
The standards developed under subsection (a) shall take into account the following:
The potential for addiction relapse or overdose death if opioid medications are prescribed to an individual recovering from opioid addiction.
The need to display the past opioid addiction of a patient in a manner similar to other potentially lethal medical concerns, including drug allergies and contraindications.
The need for information about past opioid addiction to be prominently displayed when a physician or medical professional is prescribing medication.
The need for a variety of medical professionals, including physicians, nurses, and pharmacists, to have access to information described in this section when prescribing or dispensing opioid medication to ensure that the medication is medically appropriate given the history of addiction of the patient.