; or (II) exercised its right of conscience in accordance with clause (ii) or (iv). . (b) Clarification with respect to advance directives Paragraph (2) of section 7 of the Assisted Suicide Funding Restriction Act of 1997 ( 42 U.S.C. 14406 ) is amended to read as follows: (2) to require any provider or organization, or any employee of such a provider or organization, to follow or be bound by a request from an individual or legally authorized representative, an advance directive, or a portable treatment order that directs the purposeful causing of, or the purposeful assisting in causing, the death of any individuals, such as by assisted suicide, euthanasia, or mercy killing. . (c) GAO study on health care decisionmaking laws and barriers to the use of advance directives (1) Study The Comptroller General of the United States shall conduct a study that examines the use, portability, and electronic storage of advance directives and that identifies barriers towards adopting, using, and following advance directives in the clinical setting. Such examination shall include issues that remain unresolved after the Stage 3 Meaningful Use final rule, including barriers and solutions to finding and accessing advance care planning documents, best practices for alerting eligible providers to the presence of an advance care plan, and best practices for transmitting advance care plans across sites of care. (2) Report Not later than 1 year after the date of the enactment of this Act, the Comptroller General shall submit to Congress a report on the study conducted under paragraph (1) and shall include in the report such recommendations regarding improving advance health care planning as the Comptroller General deems appropriate. 8. Additional requirements for facilities (a) Requirements (1) In general Section 1866(a)(1) of the Social Security Act ( 42 U.S.C. 1395cc(a)(1) ) is amended— (A) in subparagraph (Y), by striking the period at the end and inserting ; and