[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2936 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 2936

 To amend the Public Health Service Act to allow certain public health 
 data modernization grants to be used to track hospital bed capacity, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 17, 2025

Mr. Joyce of Pennsylvania (for himself and Mrs. Dingell) introduced the 
   following bill; which was referred to the Committee on Energy and 
  Commerce, and in addition to the Committee on Ways and Means, for a 
 period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the 
                          committee concerned

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to allow certain public health 
 data modernization grants to be used to track hospital bed capacity, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Addressing Boarding and Crowding in 
the Emergency Department Act of 2025'' or the ``ABC-ED Act of 2025''.

SEC. 2. ALLOWING PUBLIC HEALTH DATA MODERNIZATION GRANTS TO BE USED TO 
              TRACK HOSPITAL BED CAPACITY.

    Section 2823(a)(1) of the Public Health Service Act (42 U.S.C. 
300hh-33(a)(1)) is amended--
            (1) in subparagraph (A), by striking ``and'' at the end;
            (2) in subparagraph (B)(viii), by striking the period at 
        the end and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(C) award grants or cooperative agreements to 
                appropriate entities for the expansion and 
                modernization of public health data systems by--
                            ``(i) developing State- or region-wide, 
                        real-time (or near real-time), accurate, and 
                        scalable systems for tracking--
                                    ``(I) hospital bed capacity; and
                                    ``(II) how such capacity affects 
                                emergency department boarding rates, 
                                wait times for treatment in emergency 
                                departments, and the amount of time 
                                emergency medical services personnel 
                                are waiting in emergency departments to 
                                offload patients; and
                            ``(ii) establishing or maintaining a 
                        public-facing dashboard of the information 
                        tracked pursuant to systems described in clause 
                        (i), with such information redacted in 
                        accordance with applicable privacy laws.''.

SEC. 3. CENTER FOR MEDICARE AND MEDICAID INNOVATION PILOT PROGRAM.

    Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 
1315a(b)(2)) is amended--
            (1) in subparagraph (A), in the third sentence, by 
        inserting ``, and shall include the models described in clauses 
        (xxviii) and (xxix) of such subparagraph'' before the period at 
        the end; and
            (2) in subparagraph (B), by adding at the end the following 
        new clauses:
                            ``(xxviii) Promoting research-based ways to 
                        facilitate improved emergency care for 
                        applicable individuals who are older adults, 
                        including through--
                                    ``(I) sufficient, flexible, and 
                                interdisciplinary staffing and 
                                education of staff at emergency 
                                departments;
                                    ``(II) changes to the physical 
                                infrastructure of emergency 
                                departments;
                                    ``(III) introducing geriatric-
                                focused policies, protocols, and 
                                quality improvement metrics; and
                                    ``(IV) improving coordination 
                                between emergency departments and post-
                                acute care facilities (including senior 
                                care facilities such as skilled nursing 
                                facilities, assisted living facilities, 
                                and independent living facilities) with 
                                respect to such individuals, which may 
                                include the mutual, bidirectional 
                                exchange of medical information and 
                                improvements to the transfer process.
                            ``(xxix) Promoting research-based ways to 
                        facilitate improved emergency care for 
                        applicable individuals experiencing acute 
                        psychiatric crisis, including by--
                                    ``(I) implementing dedicated units 
                                at emergency departments to provide 
                                emergency care to such individuals; and
                                    ``(II) improving transfers between 
                                emergency departments and post-acute 
                                care facilities for such individuals, 
                                which may include expedited placement 
                                at such facilities.''.

SEC. 4. STUDY ON BEST PRACTICES FOR PUBLIC HEALTH DATA SYSTEMS FOR 
              TRACKING HOSPITAL CAPACITY.

    (a) In General.--The Comptroller General of the United States shall 
conduct a study--
            (1) to determine best practices for the development and 
        maintenance of public health data systems for tracking hospital 
        capacity (including such systems supported pursuant to section 
        2823(a)(1) of the Public Health Service Act, as amended by 
        section 2) to ensure that such tracking--
                    (A) is State- or region-wide, real-time (or near 
                real-time), accurate, and scalable;
                    (B) includes tracking of hospital capacity with 
                respect to emergency departments, adult and pediatric 
                intensive care units, inpatient psychiatric services, 
                skilled nursing facilities, and other appropriate types 
                of facilities and services; and
                    (C) is seamlessly and directly integrated with 
                relevant hospital electronic medical records systems; 
                and
            (2) to assess how implementation of such public health data 
        systems for tracking hospital capacity affects--
                    (A) emergency department boarding rates as 
                determined using quality measures and other metrics 
                that are established and utilized by the Centers for 
                Medicare and Medicaid Services and others accreditation 
                entities;
                    (B) wait times for treatment and discharge in 
                emergency departments; and
                    (C) the amount of time emergency medical services 
                personnel are waiting in emergency departments to 
                offload patients.
    (b) Report to Congress.--Not later than 1 year after the date of 
enactment of this Act, the Comptroller General shall--
            (1) complete the study under subsection (a); and
            (2) submit to the Congress a report on the results of such 
        study.
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