,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bh  ,,9 ,,! ,,h\se ,,(             
,,repres5tatives  ,janu>y #c1 #bjac ,ms4
 ,velzquez introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,small      
,bus9ess  ,a ,,bill  ,to am5d ! ,small  
,bus9ess ,act to provide loan gu>antees 
= ! acquisition ( heal? in=mation       
te*nology by eligible pr(essionals 9    
solo & small gr\p practices1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,work+ ,families' ,access  
to ,heal? ,innovations ,act ( #bjac4    
#b4 ,am5dm5t ( small bus9ess act ,!     
,small ,bus9ess ,act is am5d$ by        
r$esignat+ section #de z section #df &  
by ins]t+ aft] section #dd ! foll[+3    
#de4 ,loan gu>antees = heal? in=mation  
te*nology  7a7 ,def9itions ,z us$ 9 ?is 
section3  7#a7 ,! t]m heal? in=mation   
te*nology means comput] h>dw>e1 s(tw>e1 
& relat$ te*nology 7includ+ electronic  
m$ical record te*nology7 t--  7,a7      
supports ! compliance ) ! mean+ful ,,ehr
 use requirem5ts set =? 9 section       

#ahdh7o77#b77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#aciew-#d7o77#b77;,a772  7,b7 is pur*as$
 by an eligible pr(essional to aid 9 !  
provision ( heal? c>e 9 a heal? c>e     
sett+2 &  7,c7 provides =--  7i7        
enhancem5t ( cont9uity ( c>e = pati5ts  
?r\gh electronic /orage1 transmission1 &
 ex*ange ( relevant p]sonal heal? data &
 in=mation1 su* t ?is in=mation is      
accessible at ! times & places :]e      
cl9ical decisions w be or are likely to 
be made2  7ii7 enhancem5t (             
communication betwe5 pati5ts & heal? c>e
 provid]s2  7iii7 improvem5t ( quality  
measurem5t by eligible pr(essionals     
enabl+ !m to collect1 /ore1 measure1 &  
report on ! processes & outcomes (      
individual & population p]=mance &      
quality ( c>e2  7iv7 improvem5t (       
evid5ce-bas$ decision support2 or  7v7  
enhancem5t ( consum] & pati5t emp[]m5t4 
,su* t]m does n include in=mation       
te*nology ! sole use ( :i* is f9ancial  
managem5t1 ma9t5ance ( inv5tory ( basic 

supplies1 or appo9tm5t s*$ul+4  7#b7 ,! 
t]m eligible pr(essional means any ( !  
foll[+3  7,a7 ,a physician 7z def9$ 9   
section #ahfa7r7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciex7r7774  7,b7  
,a practition] describ$ 9 section       
#ahdb7;b77#ah77;,c7 ( su* ,act 7#db     
,u4,s4,c4 #acieu7b77#ah77;,c774  7,c7 ,a
 physical or occupational !rapi/ or a   
qualifi$ spee*-language pa?ologi/4  7,d7
 ,a qualifi$ audiologi/ 7z def9$ 9      
section #ahfa7ll77#d77;,b7 ( su* ,act   
7#db ,u4,s4,c4 #aciex7ll77#d77;,b7774   
7,e7 ,a ,/ate-lic5s$ ph>maci/4  7,f7 ,a 
,/ate-lic5s$ suppli] ( durable m$ical   
equipm5t1 pro/hetics1 or?otics1 or      
supplies4  7,g7 ,a ,/ate-lic5s$1 a      
,/ate-c]tifi$1 or a nationally accr$it$ 
home heal? c>e provid]4  7#c7 ,! t]m    
qualifi$ eligible pr(essional means an  
eligible pr(essional ^: practice--  7,a7
 is a small bus9ess conc]n2 &  7,b7 7i7 
is 9 a m$ically und]s]v$ community 7z   
def9$ 9 section #gii;,b7#f7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      

#biep7#f7772  7ii7 s]ves individuals at 
lea/ #ej p]c5t ( :om are entitl$ to     
b5efits or enroll$ "u title ,,xviii ( ! 
,social ,security ,act2 or  7iii7 s]ves 
an area t consi/s pr$om9antly (         
l[-income families 7z def9$ 9 section #c
 ( ! ,unit$ ,/ates ,h\s+ ,act ( #aicg   
7#db ,u4,s4,c4 #adcg;a774  7b7 ,loan    
gu>antees = qualifi$ eligible           
pr(essionals  7#a7 ,gu>antee p]c5tage   
,subject to p>agraph 7#b71 !            
,adm9i/rator may gu>antee up to #ij     
p]c5t ( ! am\nt ( ! loan made to a      
qualifi$ eligible pr(essional = !       
acquisition ( heal? in=mation te*nology 
= use 9 su* eligible pr(essional's      
m$ical practice & = ! co/s associat$ ) !
 in/allation ( su* te*nology4  7#b7     
,limitations on gu>antee am\nts ,!      
maximum am\nt ( loan pr9cipal gu>ante$  
"u ?is subsection may n exce$--  7,a7   
#cej1jjj ) respect to any s+le qualifi$ 
eligible pr(essional2 &  7,b7 #b1jjj1jjj
 ) respect to a s+le gr\p ( affiliat$   
qualifi$ eligible pr(essionals4  7c7    

,fees  7#a7 ,! ,adm9i/rator may impose a
 gu>antee fee on ! borr[] 9 an am\nt n  
to exce$ #b p]c5t ( ! total gu>ante$    
portion ( any loan gu>ante$ "u ?is      
section4 ,! ,adm9i/rator may also impose
 annual s]vic+ fees on l5d]s n to exce$ 
#j4e p]c5t ( ! out/&+ balance ( !       
gu>antees on l5d]s' books4  7#b7 ,no    
s]vice fees1 process+ fees1 orig9ation  
fees1 application fees1 po9ts1 brok]age 
fees1 bonus po9ts1 or o!r fees may be   
*>g$ to a loan applicant or recipi5t by 
a l5d] 9 ! case ( a loan gu>ante$ "u ?is
 section4  7d7 ,int]e/ rates ,! int]e/  
rate *>g$ on a loan gu>ante$ "u ?is     
section %all n be great] ?an #be basis  
po9ts bel[ ! rate provid$ = a loan "u ! 
program "u section #g7;a74  7e7 ,def]ral
 p]iod ,loans gu>ante$ "u ?is section   
%all c>ry a def]ral p]iod ( n m ?an #c  
ye>s4  7f7 ,t]ms & conditions = loan    
gu>antees ,! loans gu>ante$ "u ?is      
section %all be subject to ! t]ms &     
conditions t apply to ! program "u      
section #g7;a7 or o!r su* t]ms &        

conditions z are prescrib$ by !         
,adm9i/rator4  4  #c4 ,small bus9ess    
developm5t c5t] duties ,section         
#ba7;c77#c7 ( ! ,small ,bus9ess ,act    
7#ae ,u4,s4,c4 #fdh7;c77#c77 is am5d$-- 
7#a7 by /rik+ & at ! end ( subp>agraph  
7,s72  7#b7 by /rik+ ! p]iod at ! end ( 
subp>agraph 7,t7 & ins]t+ a semicolon2 &
  7#c7 by add+ at ! end ! foll[+3  7,u7 
facilitat+ ! tra9+ ( m$ical pr(essionals
 9 heal? in=mation te*nology sy/ems2 &  
7,v7 e/abli%+ & provid+ a network (     
small heal? in=mation te*nology         
companies available to m$ical           
pr(essionals 9 l[-income & und]s]v$     
areas1 z def9$ by ! ,secret>y ( ,heal? &
 ,human ,s]vices1 = ! purpose ( aid+    
m$ical pr(essionals 9 su* areas to      
pur*ase1 utilize1 & ma9ta9 su*          
te*nology4  4