Title V, SEC. 5101. ESTABLISHMENT OF HEALTH INFORMATION SYSTEM. 
      (a) In General. Not later than 2 years after the date of the enactment of 
    this Act, the National Health Board shall develop and implement a health 
    information system by which the Board shall collect, report, and regulate 
    the collection and dissemination of the health care information described 
    in subsection (e) pursuant to standards promulgated by the Board and (if 
    applicable) consistent with policies established as part of the National 
    Information Infrastructure Act of 1993. 

      (b) Privacy. The health information system shall be developed and 
    implemented in a manner that is consistent with the privacy and security 
    standards established under section 5120. 

      (c) Reduction in Administrative Costs. The health information system 
    shall be developed and implemented in a manner that is consistent with the 
    objectives of reducing wherever practicable and appropriate 

        (1) the costs of providing and paying for health care; 

        (2) the time, effort, and financial resources expended by persons to 
      provide information to States and the Federal Government. 

      (d) Uses of Information. The health care information described in 
    subsection (e) shall be collected and reported in a manner that facilitates 
    its use for the following purposes: 

        (1) Health care planning, policy development, policy evaluation, and 
      research by Federal, State, and local governments and regional and 
      corporate alliances. 

        (2) Establishing and monitoring payments for health services by the 
      Federal Government, States, regional alliances, and corporate alliances. 

        (3) Assessing and improving the quality of health care. 

        (4) Measuring and optimizing access to health care. 

        (5) Evaluating the cost of specific clinical or administrative 
      functions. 

        (6) Supporting public health functions and objectives. 

        (7) Improving the ability of health plans, health care providers, and 
      consumers to coordinate, improve, and make choices about health care. 

        (8) Managing and containing costs at the alliance and plan levels. 

      (e) Health Care Information. The health care information referred to in 
    subsection (a) shall include data on 

        (1) enrollment and disenrollment in health plans; 

        (2) clinical encounters and other items and services provided by health 
      care providers; 

        (3) administrative and financial transactions and activities of 
      participating States, regional alliances, corporate alliances, health 
      plans, health care providers, employers, and individuals that are 
      necessary to determine compliance with this Act or an Act amended by this 
      Act; 

        (4) the characteristics of regional alliances, including the number, 
      and demographic characteristics of eligible individuals residing in each 
      alliance area; 

        (5) the characteristics of corporate alliances, including the number, 
      and demographic characteristics of individuals who are eligible to be 
      enrolled in each corporate alliance health plan and individuals with 
      respect to whom a large employer has exercised an option under section 
      1311 to make ineligible for such enrollment; 

        (6) terms of agreement between health plans and the health care 
      providers who are members of provider networks of the plans (as defined 
      in section 1402(f)); 

        (7) payment of benefits in cases in which benefits may be payable under 
      a health plan and any other insurance policy or health program; 

        (8) utilization management by health plans and health care providers; 

        (9) the information collected and reported by the Board or disseminated 
      by other individuals or entities as part of the National Quality 
      Management Program under subtitle A; 

        (10) grievances filed against regional alliances, corporate alliances, 
      and health plans and the resolutions of such grievances; and 

        (11) any other fact that may be necessary to determine whether a health 
      plan or a health care provider has complied with a Federal statute 
      pertaining to fraud or misrepresentation in the provision or purchasing 
      of health care or in the submission of a claim for benefits or payment 
      under a health plan.