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II
116TH CONGRESS
2D SESSION
S. 4990
To require the Office for Civil Rights of the Department of Health and
Human Services to conduct a study and issue a report on the de-
identification of data pursuant to privacy regulations.
IN THE SENATE OF THE UNITED STATES
DECEMBER 9, 2020
Mr. CASSIDY introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
A BILL
To require the Office for Civil Rights of the Department
of Health and Human Services to conduct a study and
issue a report on the de-identification of data pursuant
to privacy regulations.
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 ‘‘Health Data De-identi-
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fication Report Act’’.
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SEC. 2. STUDY AND REPORT BY THE HHS OFFICE FOR CIVIL
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RIGHTS.
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(a) IN GENERAL.—The Office for Civil Rights of the
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Department of Health and Human Services, in coopera-
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tion with the National Institute of Standards and Tech-
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nology, shall conduct a study that considers and compares
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the effectiveness and validity of safe harbor and expert
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determination as methods of carrying out the de-identi-
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fication of data required under section 164.514 of title 45,
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Code of Federal Regulations (as in effect on the date of
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enactment of this Act), and shall submit to Congress a
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report on such study not later than 270 days of the date
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of enactment of this Act.
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(b) CONTENT OF STUDY AND REPORT.—The study
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and report under subsection (a) shall consider—
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(1) any known instances where data that was
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de-identified as required under section 164.514 of
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title 45, Code of Federal Regulations (as in effect on
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the date of enactment of this Act) became re-identi-
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fied, even partially, and, with respect to each such
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instance, how such re-identification occurred and
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any harm incurred by any individual whose data was
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re-identified;
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(2) the frequency by which each of the safe har-
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bor method and the expert determination method is
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used for the de-identification of data as described in
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•S 4990 IS
subsection (a), and the sizes of the data sets on
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which each such method is used;
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(3) the costs of each such method of de-identi-
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fication, and the relative utility of the data that is
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de-identified through each such method;
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(4) which of the 2 methods of de-identification
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renders data less likely to be easily re-identifiable;
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(5) whether either such method removes infor-
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mation that would help address health care dispari-
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ties, thereby making it more difficult to address such
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disparities;
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(6) which of the 2 methods is most commonly
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used for purposes of medical research, and the bene-
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fits and disadvantages of using each such method
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for such purpose;
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(7) the risk of re-identification by each of the
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2 methods, especially when the resulting de-identi-
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fied dataset will be accessible by entities that have
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access to additional data;
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(8) whether or not there are use cases that can-
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not be performed using data de-identified by either
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of the 2 methods; and
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(9) the ease or difficulty of expert determina-
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tion, taking into consideration cost, accessibility, and
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qualifications of experts.
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