The following amendments were offered:
An amendment in the nature of a substitute by Mr. Deal, #1, was adopted, amended, by a voice vote;
An amendment to the amendment in the nature of a substitute by Mr. Pallone, #1A, providing fund for health information technology while still protecting patients against fraud and abuse, was defeated by a yea-nay vote: 11 - 12;
An amendment to the amendment in the nature of a substitute by Mr. Brown, #1B, providing funding for health information technology through Medicare payment add-ons, competitive grants, and State loan funds, was defeated by a yea-nay vote: 6 - 11;
An amendment to the amendment in the nature of a substitute by Ms. Eshoo, #1C, regarding development of core interoperability guidelines and certification system, was withdrawn;
A substitute amendment for the amendment in the nature of a substitute by Mr. Pallone, #2, the "Wired for Health Care Quality Act" -- identical to S. 1418, which passed the Senate -- requiring the development of standards of interoperability; requiring the Federal Government to abide by these standards; requiring a voluntary certification system for technology vendors that meets the standards so providers can be informed purchasers of information technology products; including funding in the form of grants and loans for providers and regional collaboratives to buy and implement health information technology; maintaining current law on Stark self-referral and anti-kickback fraud and abuse laws, was defeated by a yea-nay vote: 11 - 11;
An amendment to the Pallone substitute by Mrs. Capps, #2A, providing for privacy and security protections beyond current law by (1) requiring consent from a patient to share their health information electronically and allowing patient to control access to their electronic information; (2) applying protections to anyone who has the health information; (3) allowing individuals to enforce protections and get redress when there is a violation; (4) requiring notification to a person if their information has been violated; and (5) requiring reasonable safeguards, such as encryption of data, was defeated by a yea-nay vote: 10 - 12;
An amendment to the amendment in the nature of a substitute by Ms. DeGette, #1D, requiring the Inspector General of the Department of Health and Human Services to conduct a study to assess the effect of safe harbors on the healthcare system and submit a report to Congress on the study, was adopted by a voice vote;
An amendment to the amendment in the nature of a substitute by Mr. Brown, #1E, providing that the National Coordinator shall coordinate and ensure that all Federal agencies and departments have policies and programs in place to prevent unauthorized access to personally identifiable health information created, maintained, or exchanged by the agencies and departments, was withdrawn;
An amendment to the amendment in the nature of a substitute by Ms. Baldwin, #1F, strengthening access to de-identified information for clinical research, was withdrawn.
