Access to Claims Data Act
Sponsored By: Representative Joyce (PA)
Introduced
Summary
This bill would enable qualified clinical data registries and clinician-led registries to request Medicare claims data so they can link claims with clinical outcomes and drive quality improvement. The Health and Human Services Secretary would have to set up that request process by January 1, 2026.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More claims data for clinical registries
If enacted, HHS would set up a process by January 1, 2026 for clinical data registries to request claims data. They could get Medicare data, and possibly Medicaid and CHIP data if HHS allows. Data could be by provider, specialty, state, or nationwide. Registries could link claims with outcomes, check and improve care quality, and publish deidentified research. Registries would not need to be qualified entities to use this process. CMS would charge a reasonable fee equal to its cost to provide the data, with fees going to the CMS Program Management Account.
Sponsors & CoSponsors
Sponsor
Joyce (PA)
PA • R
Cosponsors
Schrier
WA • D
Sponsored 7/10/2025
Clarke (NY)
NY • D
Sponsored 8/15/2025
Roll Call Votes
No roll call votes available for this bill.
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