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I
116TH CONGRESS
1ST SESSION H. R. 3558
To direct the Secretary of Health and Human Services to conduct a study
on the state of hospital infrastructure in the United States, and for
other purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 27, 2019
Mr. ENGEL (for himself and Mr. KING of New York) introduced the following
bill; which was referred to the Committee on Energy and Commerce
A BILL
To direct the Secretary of Health and Human Services to
conduct a study on the state of hospital infrastructure
in the United States, and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘21st Century Hospitals
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Act’’.
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SEC. 2. HHS STUDY ON HOSPITAL INFRASTRUCTURE.
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(a) STUDY.—The Secretary of Health and Human
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Services, in consultation with State departments of health
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•HR 3558 IH
and other public health entities, shall conduct a study on
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the state of hospital infrastructure in the United States.
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(b) TOPICS.—The study under subsection (a) shall
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include the following:
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(1) An assessment of barriers to accessing cap-
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ital for infrastructure at hospitals serving vulnerable
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populations, such as hospitals described in section
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1886(d)(5)(F)(i) of the Social Security Act (42
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U.S.C. 1395ww(d)(5)(F)(i), relating to dispropor-
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tionate share payments), sole community hospitals
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(as defined in section 1886(d)(5)(D)(iii) of such Act
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(42 U.S.C. 1395ww(d)(5)(F)(i)), critical access hos-
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pitals (as defined in section 1861(mm)(1) of such
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Act (42 U.S.C. 1395x(mm)(1)), and public hospitals,
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including—
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(A) recommendations for addressing such
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barriers, which may include recommendations
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for grants or low-cost borrowing vehicles;
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(B) analysis of the impact of such barriers
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on managing infrastructure at such hospitals,
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including with respect to life-safety issues and
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emergency preparedness; and
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(C) identification of public funds that are
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available for—
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•HR 3558 IH
(i) bringing such hospitals into com-
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pliance with applicable laws; and
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(ii) ensuring that such hospitals and
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the communities they serve are appro-
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priately prepared for responding to emer-
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gencies including public health emer-
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gencies.
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(2) An assessment of the state of health infor-
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mation technology at hospitals in the United States,
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including—
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(A) the state of electronic medical records
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and the dependence of hospitals and health sys-
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tems on technology that is outdated or de-
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bunked; and
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(B) barriers associated with updating
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health information technology, including with
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respect to hardware, software, administrative
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burden, staff training, and associated costs.
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(c) REPORT.—Not later than 1 year after the date
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of enactment of this Act, the Secretary of Health and
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Human Services shall complete the study under this sec-
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tion and submit a report on the results of such study to
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the Committee on Energy and Commerce of the House
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of Representatives and the Committee on Health, Edu-
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cation, Labor, and Pensions of the Senate.
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