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Government Affairs Home > Washington Highlights > March 14, 2003

House-Passed Bill Permits Confidential Reporting of Medical Errors

March 14, 2003 - The House of Representatives March 12 passed (418-6) legislation (H.R. 663) that creates a voluntary and confidential medical errors reporting system. The system would compile, review, and analyze the data with the intent of providing evidence-based information that would help prevent medical errors. Calling the bill "serious stuff," Energy and Commerce Committee Chairman Billy Tauzin (R-La.) praised H.R. 663 as a major step forward in healthcare quality improvement.

The legislation amends the Public Health Service Act and is not funded by the Medicare Trust Fund. House Budget Committee Chairman Jim Nussle (R-Iowa) had criticized a similar patient safety bill passed in the Ways and Means Committee (H.R. 877) for using Medicare funds. H.R. 663 includes several provisions outlined in H.R. 877.

Under H.R. 663, state-licensed/authorized providers could report data to an HHS-certified "Patient Safety Organization" (PSO). The legislation grants legal protections for the data, and it establishes financial penalties for breaches in confidentiality ($10,000/violation) or retaliation against reporters ($20,000/violation).

The bill authorizes $25 million annually in FYs 2004 and 2005 for matching grants to help hospitals and other providers purchase information technologies that would improve patient care quality and reduce medical errors. It also establishes a role for the Agency for Healthcare Research and Quality (AHRQ) and encourages the development of private-public partnerships to improve the organization and delivery of healthcare services. The legislation also addresses the implementation of "product identification technology" (e.g., barcodes for medical supplies).

Information:
Christiane Mitchell, Senior Legislative Affairs Manager
AAMC Government Relations
cmitchell@aamc.org
(202) 828-0526

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