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21St Century Technology for 21St Century Cures Joint 21ST CENTURY TECHNOLOGY FOR 21ST CENTURY CURES JOINT HEARING BEFORE THE SUBCOMMITTEE ON COMMUNICATIONS AND TECHNOLOGY AND THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED THIRTEENTH CONGRESS SECOND SESSION JULY 17, 2014 Serial No. 113–162 ( Printed for the use of the Committee on Energy and Commerce energycommerce.house.gov U.S. GOVERNMENT PUBLISHING OFFICE 95–732 PDF WASHINGTON : 2015 For sale by the Superintendent of Documents, U.S. Government Publishing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W COMMITTEE ON ENERGY AND COMMERCE FRED UPTON, Michigan Chairman RALPH M. HALL, Texas HENRY A. WAXMAN, California JOE BARTON, Texas Ranking Member Chairman Emeritus JOHN D. DINGELL, Michigan ED WHITFIELD, Kentucky FRANK PALLONE, JR., New Jersey JOHN SHIMKUS, Illinois BOBBY L. RUSH, Illinois JOSEPH R. PITTS, Pennsylvania ANNA G. ESHOO, California GREG WALDEN, Oregon ELIOT L. ENGEL, New York LEE TERRY, Nebraska GENE GREEN, Texas MIKE ROGERS, Michigan DIANA DEGETTE, Colorado TIM MURPHY, Pennsylvania LOIS CAPPS, California MICHAEL C. BURGESS, Texas MICHAEL F. DOYLE, Pennsylvania MARSHA BLACKBURN, Tennessee JANICE D. SCHAKOWSKY, Illinois Vice Chairman JIM MATHESON, Utah PHIL GINGREY, Georgia G.K. BUTTERFIELD, North Carolina STEVE SCALISE, Louisiana JOHN BARROW, Georgia ROBERT E. LATTA, Ohio DORIS O. MATSUI, California CATHY MCMORRIS RODGERS, Washington DONNA M. CHRISTENSEN, Virgin Islands GREGG HARPER, Mississippi KATHY CASTOR, Florida LEONARD LANCE, New Jersey JOHN P. SARBANES, Maryland BILL CASSIDY, Louisiana JERRY MCNERNEY, California BRETT GUTHRIE, Kentucky BRUCE L. BRALEY, Iowa PETE OLSON, Texas PETER WELCH, Vermont DAVID B. MCKINLEY, West Virginia BEN RAY LUJAN, New Mexico CORY GARDNER, Colorado PAUL TONKO, New York MIKE POMPEO, Kansas JOHN A. YARMUTH, Kentucky ADAM KINZINGER, Illinois H. MORGAN GRIFFITH, Virginia GUS M. BILIRAKIS, Florida BILL JOHNSON, Ohio BILLY LONG, Missouri RENEE L. ELLMERS, North Carolina (II) VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W SUBCOMMITTEE ON COMMUNICATIONS AND TECHNOLOGY GREG WALDEN, Oregon Chairman ROBERT E. LATTA, Ohio ANNA G. ESHOO, California Vice Chairman Ranking Member JOHN SHIMKUS, Illinois MICHAEL F. DOYLE, Pennsylvania LEE TERRY, Nebraska DORIS O. MATSUI, California MIKE ROGERS, Michigan BRUCE L. BRALEY, Iowa MARSHA BLACKBURN, Tennessee PETER WELCH, Vermont STEVE SCALISE, Louisiana BEN RAY LUJAN, New Mexico LEONARD LANCE, New Jersey JOHN D. DINGELL, Michigan BRETT GUTHRIE, Kentucky FRANK PALLONE, JR., New Jersey CORY GARDNER, Colorado BOBBY L. RUSH, Illinois MIKE POMPEO, Kansas DIANA DEGETTE, Colorado ADAM KINZINGER, Illinois JIM MATHESON, Utah BILLY LONG, Missouri G.K. BUTTERFIELD, North Carolina RENEE L. ELLMERS, North Carolina HENRY A. WAXMAN, California (ex officio) JOE BARTON, Texas FRED UPTON, Michigan (ex officio) SUBCOMMITTEE ON HEALTH JOSEPH R. PITTS, Pennsylvania Chairman MICHAEL C. BURGESS, Texas FRANK PALLONE, JR., New Jersey Vice Chairman Ranking Member ED WHITFIELD, Kentucky JOHN D. DINGELL, Michigan JOHN SHIMKUS, Illinois ELIOT L. ENGEL, New York MIKE ROGERS, Michigan LOIS CAPPS, California TIM MURPHY, Pennsylvania JANICE D. SCHAKOWSKY, Illinois MARSHA BLACKBURN, Tennessee JIM MATHESON, Utah PHIL GINGREY, Georgia GENE GREEN, Texas CATHY MCMORRIS RODGERS, Washington G.K. BUTTERFIELD, North Carolina LEONARD LANCE, New Jersey JOHN BARROW, Georgia BILL CASSIDY, Louisiana DONNA M. CHRISTENSEN, Virgin Islands BRETT GUTHRIE, Kentucky KATHY CASTOR, Florida H. MORGAN GRIFFITH, Virginia JOHN P. SARBANES, Maryland GUS M. BILIRAKIS, Florida HENRY A. WAXMAN, California (ex officio) RENEE L. ELLMERS, North Carolina JOE BARTON, Texas FRED UPTON, Michigan (ex officio) (III) VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W CONTENTS Page Hon. Greg Walden, a Representative in Congress from the State of Oregon, opening statement ................................................................................................ 1 Prepared statement .......................................................................................... 3 Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement .......................................................................... 3 Hon. Joseph R. Pitts, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 5 Prepared statement .......................................................................................... 5 Hon. Anna G. Eshoo, a Representative in Congress from the State of Cali- fornia, opening statement .................................................................................... 9 Hon. Fred Upton, a Representative in Congress from the State of Michigan, opening statement ................................................................................................ 10 Prepared statement .......................................................................................... 11 Hon. Henry A. Waxman, a Representative in Congress from the State of California, opening statement ............................................................................. 11 WITNESSES Dave Vockell, Chief Executive Officer, Lyfechannel, Inc. .................................... 12 Prepared statement .......................................................................................... 15 Answers to submitted questions 1 ................................................................... 94 Dan Riskin, Founder, Health Fidelity ................................................................... 21 Prepared statement .......................................................................................... 23 Answers to submitted questions ...................................................................... 95 Paul Misener, Vice President, Global Public Policy, Amazon .............................. 29 Prepared statement .......................................................................................... 31 Answers to submitted questions ...................................................................... 109 Robert Jarrin, Senior Director, Government Affairs, Qualcomm Incorporated .. 40 Prepared statement .......................................................................................... 42 Answers to submitted questions ...................................................................... 114 Jonathan M. Niloff, Vice President and Chief Medical Officer, McKesson Connected Care & Analytics ............................................................................... 56 Prepared statement .......................................................................................... 58 Answers to submitted questions ...................................................................... 120 SUBMITTED MATERIAL Letter of July 16, 2014, from Grant Seiffert, President, Telecommunications Industry Association, to subcommittee leadership, submitted by Mr. Pitts ... 7 Article of June 17, 2014, ‘‘Coalition Calls for Action Against EHRs That Block Interoperability,’’ iHealthBeat, submitted by Mr. Gingrey .................... 78 1 Mr. Vockell did not answer submitted questions for the record by the time of printing. (V) VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00005 Fmt 5904 Sfmt 5904 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W VerDate Mar 15 2010 13:37 Aug 05, 2015 Jkt 037690 PO 00000 Frm 00006 Fmt 5904 Sfmt 5904 F:\113THCONGRESS\113162X21CTECHJKTREQ073115\113162X21CTECHPENDING W 21ST CENTURY TECHNOLOGY FOR 21ST CENTURY CURES THURSDAY, JULY 17, 2014 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON COMMUNICATIONS AND TECHNOLOGY, JOINT WITH THE SUBCOMMITTEE ON HEALTH, COMMITTEE ON ENERGY AND COMMERCE, Washington, DC. The subcommittees met, pursuant to notice, at 9:33 a.m., in room 2123, Rayburn House Office Building, Hon. Greg Walden (chair- man of the subcommittee of Communications and Technology) pre- siding. Members present: Representatives Walden, Upton, Barton, Shimkus, Pitts, Terry, Burgess, Blackburn, Gingrey, Scalise, Latta, Lance, Cassidy, Guthrie, Gardner, Kinzinger, Griffith, Bilirakis, Long, Ellmers, Waxman, Pallone, Eshoo, Green, DeGette, Butterfield, Barrow, Matsui, and Braley. Staff present: Clay Alspach, Chief Counsel, Health; Gary Andres, Staff Director; Ray Baum, Senior Policy Advisor/Director of Coali- tions; Sean Bonyun, Communications Director; Matt Bravo, Profes- sional Staff Member; Leighton Brown, Press Assistant; Noelle Clemente, Press Secretary; Andy Duberstein, Deputy Press Sec- retary; Paul Edattel, Professional Staff Member, Health; Gene Fullano, FCC Detailee; Kelsey Guyselman, Counsel, Communica- tions and Technology; Sydne Harwick, Legislative Clerk; Robert Horne, Professional Staff Member, Health; Grace Koh, Counsel, Communications and Technology; Carly
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