H.R. 2936

119 HR 2936 IH: ABC-ED Act of 2025
 U.S. House of Representatives
 2025-04-17
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I  119th CONGRESS  1st Session  H. R. 2936  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.
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 .
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.
 .
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.
 .
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.