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Committee stalls implementation of integrated statewide clinical and claims data system pending legislative authorization and risk assessment
Summary
Committee added language preventing the Agency of Human Services from beginning implementation of an integrated statewide clinical and claims data system until the General Assembly enacts legislation to direct implementation. Members also asked that reports assess advantages, disadvantages and privacy/security risks.
Committee members added guardrails for an integrated statewide clinical and claims data system during markup. The draft now says the Agency of Human Services shall not begin implementation of an integrated statewide system of clinical and claims data unless and until directed to do so by legislation enacted by the General Assembly.
Members discussed feasibility, costs, privacy and security risks. One committee member requested the agency explain the advantages and disadvantages of an integrated system in the report; others suggested the agency obtain consensus from the HIE steering committee or provide a feasibility study and ask the legislature for spending authority before implementation. Committee staff said the report should include an assessment of appropriate privacy and security safeguards and an explanation of implementation risks and costs before any statewide implementation begins.
The committee’s drafting choices indicate a preference for advance legislative authorization and clearer risk reporting rather than immediate administrative implementation without additional legislative direction.
