---
kind: "section"
citation: "42 U.S.C. § 247d–11"
title: "42"
title_heading: "The Public Health and Welfare"
number: "247d–11"
heading: "State All Payer Claims Databases"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/247d-11"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter II — General Powers and Duties"
  - "Part B — Federal-State Cooperation"
---

# §247d–11. State All Payer Claims Databases

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) shall make one-time grants to eligible [States](/usc/42/201.md?p=f) for the purposes described in [subsection (b)](#b).
- (b) **Uses—** A [State](/usc/42/201.md?p=f) may use a grant received under [subsection (a)](#a) for one of the following purposes:
  - (1) To establish a [State](/usc/42/201.md?p=f) All Payer Claims Database.
  - (2) To improve an[^1] existing [State](/usc/42/201.md?p=f) All Payer Claims Databases.[^1]
- (c) **Eligibility—** To be eligible to receive a grant under [subsection (a)](#a), a [State](/usc/42/201.md?p=f) shall submit to the [Secretary](/usc/42/201.md?p=c) an application at such time, in such manner, and containing such information as the [Secretary](/usc/42/201.md?p=c) specifies, including, with respect to a [State](/usc/42/201.md?p=f) All Payer Claims Database, at least specifics on how the [State](/usc/42/201.md?p=f) will ensure uniform data collection and the privacy and security of such data.
- (d) **Grant period and amount—** Grants awarded under this section shall be for a period of 3-years,[^2] and in an amount of $2,500,000, of which $1,000,000 shall be made available to the [State](/usc/42/201.md?p=f) for each of the first 2 years of the grant period, and $500,000 shall be made available to the [State](/usc/42/201.md?p=f) for the third year of the grant period.
- (e) **Authorized users—**
  - (1) **Application—** An entity desiring authorization for access to a [State](/usc/42/201.md?p=f) All Payer Claims Database that has received a grant under this section shall submit to the [State](/usc/42/201.md?p=f) All Payer Claims Database an application for such access, which shall include—
    - (A) in the case of an entity requesting access for research purposes—
      - (i) a description of the uses and methodologies for evaluating health system performance using such data; and
      - (ii) documentation of approval of the research by an institutional review board, if applicable for a particular plan of research; or
    - (B) in the case of an entity such as an [employer](/usc/42/300gg–91.md?p=d-6), [health insurance issuer](/usc/42/300gg–91.md?p=b-2), third-party [administrator](/usc/42/4005.md?p=1), or [health care provider](/usc/42/300aa–33.md?p=1), requesting access for the purpose of quality improvement or cost-containment, a description of the intended uses for such data.
  - (2) **Requirements—**
    - (A) **Access for research purposes—** Upon approval of an application for research purposes under [paragraph (1)(A)](#e-1-A), the authorized user shall enter into a data use and confidentiality agreement with the [State](/usc/42/201.md?p=f) All Payer Claims Database that has received a grant under this subsection, which shall include a prohibition on attempts to reidentify and disclose individually identifiable health information and proprietary financial information.
    - (B) **Customized reports—** [Employers](/usc/42/300gg–91.md?p=d-6) and [employer](/usc/42/300gg–91.md?p=d-6) organizations may request customized reports from a [State](/usc/42/201.md?p=f) All Payer Claims Database that has received a grant under this section, at cost, subject to the requirements of this section with respect to privacy, security, and proprietary financial information.
    - (C) **Non-customized reports—** A [State](/usc/42/201.md?p=f) All Payer Claims Database that has received a grant under this section shall make available to all authorized users aggregate data sets available through the [State](/usc/42/201.md?p=f) All Payer Claims Database, free of charge.
  - (3) **Waivers—** The [Secretary](/usc/42/201.md?p=c) may waive the requirements of this subsection of a [State](/usc/42/201.md?p=f) All Payer Claims Database to provide access of entities to such database if such [State](/usc/42/201.md?p=f) All Payer Claims Database is substantially in compliance with this subsection.
- (f) **Expanded access—**
  - (1) **Multi-State applications—** The [Secretary](/usc/42/201.md?p=c) may prioritize applications submitted by a [State](/usc/42/201.md?p=f) whose application demonstrates that the [State](/usc/42/201.md?p=f) will work with other [State](/usc/42/201.md?p=f) All Payer Claims Databases to establish a single application for access to data by authorized users across multiple [States](/usc/42/201.md?p=f).
  - (2) **Expansion of data sets—** The [Secretary](/usc/42/201.md?p=c) may prioritize applications submitted by a [State](/usc/42/201.md?p=f) whose application demonstrates that the [State](/usc/42/201.md?p=f) will implement the reporting format for self-insured [group health plans](/usc/42/300gg–91.md?p=a-1) described in [section 1191d of title 29](/usc/29/1191d.md).
- (g) **Definitions—** In this section—
  - (1) the term “individually identifiable health information” has the meaning given such term in [section 1320d(6) of this title](/usc/42/1320d.md?p=6);
  - (2) the term “proprietary financial information” means data that would disclose the terms of a specific contract between an individual [health care provider](/usc/42/300aa–33.md?p=1) or facility and a specific [group health plan](/usc/42/300gg–91.md?p=a-1), managed care entity (as defined in [section 1396u–2(a)(1)(B) of this title](/usc/42/1396u–2.md?p=a-1-B)) or other managed care organization, or [health insurance issuer](/usc/42/300gg–91.md?p=b-2) offering group or [individual health insurance coverage](/usc/42/300gg–91.md?p=b-5); and
  - (3) the term “[State](/usc/42/201.md?p=f) All Payer Claims Database” means, with respect to a [State](/usc/42/201.md?p=f), a database that may include medical claims, pharmacy claims, dental claims, and eligibility and [provider](/usc/42/299b–21.md?p=8) files, which are collected from private and public payers.
- (h) **Authorization of appropriations—** To carry out this section, there is authorized to be appropriated $50,000,000 for each of fiscal years 2022 and 2023, and $25,000,000 for fiscal year 2024, to remain available until expended.

## Footnotes

[^1]: So in original.
[^2]: So in original. Probably should be “3 years,”.

## Source credit

(July 1, 1944, ch. 373, title III, § 320B, as added Pub. L. 116–260, div. BB, title I, § 115(a), Dec. 27, 2020, 134 Stat. 2875.)

## Notes

### Editorial Notes

### Codification

Section 115(a) of div. BB of Pub. L. 116–260, which directed that section 320B (this section) be added at the end of part B of title III of the Public Health Service Act, was executed as directed, notwithstanding that section 320 of the Public Health Service Act (section 247e of this title) appears in part C of title III of the Act, resulting in section 320B of the Act preceding section 320.