H-8188

   Amend Senate File 2196, as passed by the Senate, as follows:
   1.  Page 8, after line 3 by inserting: 

<DIVISION ___
IOWA HEALTH INFORMATION NETWORK
   Sec. ___.  Section 135.154, Code 2014, is amended by adding the following new subsections:
   NEW SUBSECTION.  3A.  “Care coordination” means the management of all aspects of a patient’s care to improve health care quality, patient outcomes, and patient safety.
   NEW SUBSECTION.  19A.  “Public health activities” means actions taken by a participant in its capacity as a public health authority under the Health Insurance Portability and Accountability Act or as required or permitted by other federal or state law.
   NEW SUBSECTION.  23.  “Record locator service” means the functionality of the Iowa health information network that queries data sources to locate and identify potential patient records.
   Sec. ___.  Section 135.156D, subsection 2, Code 2014, is amended to read as follows:
   2.  The Iowa health information network shall not function as a central repository of all health information including but not limited to an all-payer claims database or data warehouse.
   Sec. ___.  Section 135.156E, subsection 13, Code 2014, is amended to read as follows:
   13.  Unless otherwise provided in this division, when using sharing health information through the Iowa health information network or a private health information network maintained in this state that complies with the privacy and security requirements of this chapter for the purposes of patient treatment, a health care professional or a hospital payment or health care operations, as such terms are defined in the Health Insurance Portability and Accountability Act, or for the purposes of public health activities or care coordination, a participant authorized by the department to use the record locator service is exempt from any other state law that is more restrictive than the Health Insurance Portability and Accountability Act that would otherwise prevent or hinder the exchange of patient information by the patient’s health care professional or hospital participant.>
   2.  By renumbering, redesignating, and correcting internal references as necessary.

______________________________
L. MILLER of Scott