,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #ffj  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #ag1 #bjai,mr4
 ,=t5b]ry 7= himself & ,ms4 ,johnson (  
,texas7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to improve ! heal?
 outcomes 9 communities ?r\gh           
community-relevant heal? in=mation & new
 heal? support+ inc5tives & programs    
fund$ )\t fur!r appropriations4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,community ,heal? ,improvem5t1          
,lead]%ip1 & ,developm5t ,act ( #bjai or
 ! ,,*ild ,act4  #b4 ,localiz$ community
 heal? improvem5t programs  7a7 ,mak+   
epidemiology & claims data relevant to  
community heal? improvem5t  7#a7 ,9     
g5]al ,n lat] ?an ,april #a1 #bjbj1 !   
,secret>y ( ,heal? & ,human ,s]vices1   
?r\gh ! ,director ( ! ,c5t]s = ,disease 
,control & ,prev5tion 9 collaboration ) 
! ,adm9i/rator ( ! ,c5t]s = ,m$ic>e     
,m$icaid ,s]vices1 %all1 subject to     
p>agraph 7#b71 provide = ! ma9t5ance ( a

 database ( de-id5tifi$ epidemiological 
& claims heal? in=mation = ! purpose (  
mak+ su* in=mation available 9 a useful 
& in=mative mann] to p>ticipat+         
communities 7z ref]5c$ 9 subsection     
7b77#c77;,b77 9 p>ticipat+ ,/ates 7z    
ref]5c$ 9 subsection 7b77#a77 to support
 su* communities 9 r$uc+ rates ( illness
 7z comp>$ to ! rate ( illness )9 su*   
community z ( a p]iod specifi$ by !     
,secret>y7 & improv+ ! managem5t (      
illnesses to r$uce ! co/ ( heal? c>e    
deliv]y4 ,9 c>ry+ out ?is subsection1 ! 
,director & ,adm9i/rator %all1 subject  
to p>agraph 7#b71 provide--  7,a7 = a   
me*anism t enables ! integration ( su*  
epidemiological & claims heal? in=mation
 = su* purposes2  7,b7 t su* heal?      
in=mation is available = at lea/ ! #bj  
heal? conditions & treatm5ts t are      
associat$ ) ! highe/ exp5ditures "u !   
,m$icaid program "u title ,,xix ( !     
,social ,security ,act2  7,c7 t su*     
heal? in=mation is made available to    
p>ticipat+ ,/ates 9 su* a mann] t       

enables p>ticipat+ communities )9 su*   
,/ates to access su* in=mation t is     
relevant specifically to su*            
communities2 &  7,d7 = a me*anism by :i*
 ! ,director & ,adm9i/rator may-- 7i7   
update su* in=mation specific to ea* su*
 community1 to ! ext5t practicable1 9   
real-"t or ne> real-"t & z specifi$ by !
 ,director & ,adm9i/rator2  7ii7 v]ify !
 validity ( su* in=mation & ! validity (
 ! *anges 9 su* in=mation = ea* su*     
community ov] su* specifi$ p]iods2 &    
7iii7 assess & measure ! ext5t ( su*    
*anges = ea* su* p>ticipat+ community1  
includ+ ! am\nt ( any r$uctions 9       
exp5ditures "u ! ,/ate plan "u title    
,,xix ( ! ,social ,security ,act & !    
ext5t to :i* su* r$uctions are          
attributable to su* *anges ) respect to 
ea* su* community 9 su* ,/ate4  7#b7 ,no
 additional fund+ ,no additional funds  
are au?oriz$ to be appropriat$ to c>ry  
out ?is subsection4 ,?is subsection %all
 be c>ri$ out us+ am\nts o!rwise made   
available to ! ,secret>y4  7b7 ,localiz$

 community heal? improvem5t program     
grants  7#a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices %all1 subject  
to p>agraph 7#e71 c>ry out a grant      
program "u :i* ! ,secret>y may aw>d     
grants to ,/ates = purposes ( c>ry+ out 
localiz$ community heal? improvem5t     
programs describ$ 9 p>agraph 7#c74 ,9   
?is section su* ,/ates aw>d$ su* grants 
are ref]r$ to z p>ticipat+ ,/ates4  7#b7
 ,application ,to be eligible = a grant 
"u ?is subsection1 a ,/ate %all-- 7,a7  
submit to ! ,secret>y an application1 9 
su* mann]1 at su* "t1 & conta9+ su*     
in=mation z specifi$ by ! ,secret>y2 &  
7,b7 ent] into an arrangem5t ) !        
,secret>y "u :i*-- 7i7 ! ,/ate agrees to
 e/abli% & ma9ta9 a localiz$ community  
heal? improvem5t program describ$ 9     
p>agraph 7#c72  7ii7 ! ,secret>y agrees 
to provide ! ,/ate ) integrat$          
epidemiological & claims heal? in=mation
 ma9ta9$ 9 ! database e/abli%$ "u       
subsection 7a7 specific to ea*          
p>ticipat+ community )9 ! ,/ate2 &      

7iii7 ! ,/ate & ,secret>y c>ry out !    
community %>$ sav+s acc\nt agreem5t t]ms
 describ$ 9 subsection 7c74  7#c7       
,localiz$ community heal? improvem5t    
program ,= purposes ( ?is subsection1 a 
localiz$ community heal? improvem5t     
program ( a ,/ate is a program "u :i* ! 
,/ate--  7,a7 ma9ta9s ! integrat$ heal? 
in=mation provid$ to ! ,/ate by !       
,secret>y pursuant to ! arrangem5t      
describ$ 9 p>agraph 7#b77;,b72  7,b7    
makes su* in=mation available to        
qualify+ communities 7z def9$ 9 p>agraph
 7#d77 )9 su* ,/ate :i* reque/ su*      
in=mation & agree to ! t]ms describ$ 9  
subp>agraph 7,d7 & subsection 7c7 79 ?is
 section ref]r$ to z p>ticipat+         
communities7 9 a secure mann] & =mat t  
is mo/ in=mative to su* communities 9   
assi/+ su* communities 9 analyz+ &      
apply+ su* data to ! specific ne$s ( su*
 communities to r$uce ! rates ( illness 
& r$uce ! co/s ( heal? c>e )9 su*       
communities2  7,c7 submits su* data z is
 requir$ by ! ,secret>y to assess !     

ext5t to :i* ! heal? c>e int]v5tions    
implem5t$ to address ne$s ( su*         
communities id5tifi$ ?r\gh ! program are
 affect+ ! rates ( illness & co/s (     
heal? c>e )9 ! ,/ate & communities )9 ! 
,/ate2 &  7,d7 requires t 9 ord] =      
communities to p>ticipate 9 su* program1
 ! communities agree-- 7i7 to provide = 
a secure me?od to make su* in=mation    
available to heal? c>e & o!r relevant   
community work]s1 includ+ ?r\gh an      
int]active da%bo>d sy/em2 &  7ii7 to    
submit su* data z is requir$ by ! ,/ate 
or ,secret>y to assess ! ext5t to :i*   
heal? c>e int]v5tions implem5t$ to      
address ne$s ( su* communities id5tifi$ 
?r\gh ! program are affect+ ! rates (   
illness & co/s ( heal? c>e )9 !         
communities4  7#d7 ,qualify+ community  
def9$ ,= purposes ( ?is section1 ! t]m  
qualify+ community means a local        
community det]m9$ by c5sus block or     
c5sus track level 7bas$ on geographic   
in=mation sy/em data7 ) a def9$         
jurisdictional b\nd>y 7su* z a local    

community e/abli%$ by a high s*ool fe$] 
patt]n or by ! b\nd>ies ( a t[n if su*  
t[n has a population ( few] ?an #be1jjj 
resid5ts7 or a c\nty4  7#e7 ,no         
additional fund+ ,no additional funds   
are au?oriz$ to be appropriat$ to c>ry  
out ?is subsection4 ,?is subsection %all
 be c>ri$ out us+ am\nts o!rwise made   
available to ! ,secret>y4  7c7          
,community %>$ sav+s acc\nt agreem5t    
t]ms ,= purposes ( subsection           
7b77#b77;,b77iii71 community %>$ sav+s  
acc\nt t]ms describ$ 9 ?is subsection1 )
 respect to ! ,secret>y1 a p>ticipat+   
,/ate1 & p>ticipat+ communities )9 su*  
,/ate1 are ! foll[+3  7#a7 ,9 ! case t !
 database e/abli%$ "u subsection 7a71   
?r\gh ! me*anism provid$ = "u subsection
 7a77#d71 demon/rates = any specifi$    
p]iod 7z det]m9$ by ! ,secret>y7 t !re  
are v]ifi$ r$uctions 9 exp5ditures "u ! 
,/ate plan "u title ,,xix ( ! ,social   
,security ,act1 :i* results 9 r$uctions 
9 exp5ditures by ! ,f$]al ,gov]nm5t "u  
su* title1 & attributes su* r$uctions to

 "o or m ( ! p>ticipat+ communities )9  
su* ,/ate1 ! ,secret>y %all transf] to !
 community %>$ sav+s acc\nt e/abli%$ by 
! ,/ate "u subsection 7e7 an am\nt equal
 to #gj p]c5t ( ! am\nt ( su* r$uction s
 demon/rat$ = su* specifi$ p]iod4  7#b7 
,! ,/ate e/abli%es su* a community %>$  
sav+s acc\nt 9 accordance ) subsection  
7e7 & agrees to transf] to ea*          
p>ticipat+ community )9 su* ,/ate #ajj  
p]c5t ( su* am\nts transf]r$ "u p>agraph
 7#a7 t are v]ifi$ by ! ,secret>y z     
attributable to su* community4  7#c7    
,ea* p>ticipat+ community 9 su* ,/ate-- 
7,a7 e/abli%es a community %>$ sav+s    
bo>d describ$ 9 subsection 7d7 t        
det]m9es h[ funds transf]r$ to su*      
community "u p>agraph 7#b7 are to be us$
 = purposes ( promot+ ! heal? & wellness
 ( resid5ts ( su* community2 &  7,b7    
uses su* funds only = su* purposes & 9  
accordance ) ! uses det]m9$ by su* bo>d4
  7d7 ,community %>$ sav+s bo>d ,=      
purposes ( ?is section1 a community %>$ 
sav+s bo>d1 ) respect to a p>ticipat+   

community 7:i* may be a c\nty7 )9 a     
p>ticipat+ ,/ate1 is a bo>d--  7#a7     
consi/+ ( at lea/ #g memb]s1 appo9t$ by 
! gov]n+ (ficials ( ! community ?r\gh   
su* a process t is specifi$ by !        
community 7& approv$ by ! ,/ate71       
includ+--  7,a7 at lea/ #a memb] )      
public heal? exp]i5ce2 &  7,b7 memb]s ) 
bus9ess1 civic1 educational1 or         
fai?-bas$ exp]i5ce2  7#b7 t is          
repres5tative ( ! geographic compon5ts t
 are includ$ 9 ! community2 &  7#c7 t   
hires a fiduci>y ag5t to manage a       
community %>$ sav+s acc\nt on behalf ( !
 bo>d4  7e7 ,community %>$ sav+s acc\nt 
,= purposes ( ?is section1 ! t]m        
community %>$ sav+s acc\nt means1 )     
respect to a p>ticipat+ community )9 a  
p>ticipat+ ,/ate1 a tru/ creat$ or      
organiz$ 9 ! ,unit$ ,/ates = ! exclusive
 b5efit ( ! community1 z def9$ by !     
community %>$ sav+s bo>d "u subsection  
7d7 = su* p>ticipat+ community1 b only  
if ! writt5 gov]n+ in/rum5t creat+ !    
tru/ meets ! foll[+ requirem5ts3  7#a7  

,! tru/ee is a bank 7z def9$ 9 section  
#djh7n7 ( ! ,int]nal ,rev5ue ,code (    
#aihf7 or su* o!r p]son :o demon/rates  
to ! satisfaction ( ! ,director t !     
mann] 9 :i* su* o!r p]son w adm9i/] !   
tru/ w be consi/5t ) ! requirem5ts ( ?is
 section4  7#b7 ,no contribution w be   
accept$ unless x is 9 ca%4  7#c7        
,)drawals may only be made by ! fiduci>y
 ag5t describ$ 9 subsection 7d77#c7 hir$
 by su* bo>d pursuant to a plan develop$
 by ! community & approv$ by ! ,/ate &  
local gov]nm5t4