I find it more interesting that this publication of names is part of HIPPA. I really wish each piece of legislation was restricted to small units of scope.
This is a consequence of attempting to make every piece of new legislation revenue neutral. If the main purpose of the bill will cost money, Congress will look elsewhere to find new revenue. That is how a bill about patient data portability ends up having tax implications for expats.
It would certainly be within the rules for Congress to just pass spending and revenue bills separately, but it would be politically difficult.
Anything significant requires a lot of compromises in the legislature. It makes sense to put all the compromises in one bill so they can all be passed at once. Otherwise after a few pieces had been passed, the other legislators could reneg on their parts.
I could be wrong, but I believe a Schulze method would solve that. The compromises could remain independent pieces which pass or don't pass depending on a preference matrix.
It would certainly be within the rules for Congress to just pass spending and revenue bills separately, but it would be politically difficult.