,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #fjgb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #bc1         
#bjba,mr4 ,kildee 7= himself1 ,mrs4     
,walorski1 ,ms4 ,blunt ,ro*e/]1 & ,mr4  
,hudson7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committees 
on ,agriculture1 ,f9ancial ,s]vices1    
,transportation & ,infra/ructure1 &     
,education & ,labor1 = a p]iod to be    
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to e/abli% a       
program to assi/ ,/ates 9 e/abli%+ or   
enhanc+ community integration network   
infra/ructure = heal? & social s]vices4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,lev]ag+ ,integrat$ ,networks 9       
,communities ,to ,address ,social ,ne$s 
,act ( #bjba or ! ,,l9c ,to ,address    
,social ,ne$s ,act ( #bjba4  #b4        
,program to support e/abli%m5t or       
enhancem5t ( ,/ate community integration

 network infra/ructure  7a7 ,grant      
program ,! ,secret>y %all aw>d grants on
 a competitive basis to ,/ates to       
support su* ,/ates1 ?r\gh public-private
 p>tn]%ips1 to e/abli% new or enhance   
exi/+ community integration network     
infra/ructure ?r\gh au?oriz$ activities 
"u subsection 7b74  7b7 ,au?oriz$       
activities ,a ,/ate1 act+ ?r\gh !       
public-private p>tn]%ip ent]$ into "u   
subsection 7d77#a71 %all use a grant "u 
?is section to c>ry out activities &    
s]vices to e/abli% new or enhance exi/+ 
community integration network           
infra/ructure1 on a /atewide basis ?r\gh
 direct network op]ations or            
collaborations among multiple associat$ 
entities1 :i* may include su* entities t
 op]ate regionally4 ,su* activities &   
s]vices %all include-- 7#a7 e/abli%+ a  
new or enhanc+ an exi/+ int]op]able     
te*nology network t-- 7,a7 enables !    
coord9ation ( public & private provid]s 
& payors ( s]vices = individuals 9 !    
,/ate1 includ+ s]vices su* z-- 7i7      

nutritional assi/ance2  7ii7 h\s+2      
7iii7 heal? c>e1 includ+ teleheal?      
s]vices 7includ+ ?r\gh audio-only       
s]vices71 prev5tive heal? int]v5tion1   
*ronic disease managem5t1 & behavioral  
heal? c>e2  7iv7 transportation2  7v7   
job tra9+2  7vi7 *ild developm5t or c>e2
  7vii7 c>egiv+ & respite c>e2  7viii7  
disability assi/ance2  7ix7 indep5d5t   
liv+ s]vices or indep5d5t liv+ core     
s]vices2  7x7 c>e coord9ation2  7xi7    
dome/ic viol5ce scre5+2 &  7xii7 o!r    
s]vices1 z det]m9$ by ! ,/ate2  7,b7    
prioritizes-- 7i7 p>tn]%ips = ! use (   
te*nology t align ) ! guidel9es e/abli%$
 "u subsection 7c77#c72 &  7ii7         
connectivity ) appropriate exi/+        
te*nology networks develop$ by public or
 private organizations 9 ! ,/ate t      
comply )1 z applicable1 /&>ds adopt$ by 
! ,secret>y "u section #cjjd ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;jj-#ad71 = ! purposes describ$ 9   
subp>agraph 7,a71 &  7,c7 ensures t--   
7i7 reasonable measures are tak5 to     

promote connectivity & int]op]able      
ex*ange among associat$ entities2  7ii7 
appropriate privacy & security          
protections are 9 place1 9 accordance ) 
applicable ,f$]al & ,/ate privacy laws2 
&  7iii7 appropriate accessibility      
measures are 9 place1 9 accordance )    
applicable ,f$]al & ,/ate law1 includ+ !
 ,am]icans ) ,disabilities ,act ( #aiij 
7#db ,u4,s4,c4 #abaja et seq47 & section
 #ejh ( ! ,rehabilitation ,act ( #aigc  
7#bi ,u4,s4,c4 #gid7;d772  7#b7 connect+
 associat$ entities = purposes (        
communication1 s]vice coord9ation &     
consum] assi/ance1 ref]ral & capacity   
managem5t1 outcome track+1              
int]op]ability1 eligibility det]m9ation1
 & relat$ s]vices2  7#c7 provid+        
te*nical assi/ance & support+ associat$ 
entities 9 connect+ & p>ticipat+ 9 !    
community integration network           
infra/ructure2  7#d7 plann+ = &         
implem5t+ actions design$ to create     
su/a9able fund+ models to support       
long-t]m access to community integration

 network infra/ructure2  7#e7 design+ & 
implem5t+ a f9ancial /ructure to make ! 
community integration network           
infra/ructure f9ancially self-su/a9+ n  
lat] ?an #d ye>s aft] receiv+ funds "u  
?is section2 &  7#f7 evaluat+ ! use (   
any funds provid$ "u ?is section4  7c7  
,aw>d ( grants  7#a7 ,9 g5]al ,a grant  
"u ?is ,act %all be aw>d$ "u su* t]ms & 
conditions z ! ,secret>y %all prescribe1
 includ+ ! guidel9es e/abli%$ "u        
p>agraph 7#c7 &1 z det]m9$ feasible &   
appropriate by ! ,secret>y1 t ! ,/ate   
%all utilize1 :]e available1 heal?      
in=mation te*nology sy/ems & products t 
meet /&>ds & implem5tation              
specifications adopt$ "u section #cjjd (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;jj-#ad74  7#b7 ,m9imiz+  
adm9i/rative burd5 ,! ,secret>y %all    
seek to m9imize ! adm9i/rative burd5 (  
su* t]ms & conditions & ensure          
programmatic flexibility = unique ,/ate 
ne$s4  7#c7 ,guidel9es ,! ,secret>y     
%all-- 7,a7 consult relevant /akehold]s1

 includ+ community-bas$ organizations1  
reg>d+ basic functionalities1 te*nical  
capacities1 & data /&>ds ne$$ =         
int]op]able community integration       
network infra/ructure & ! di/9ct        
gov]nance & managem5t functionalities ( 
! associat$ social c>e deliv]y sy/em2 & 
7,b7 bas$ on su* consultations1 e/abli% 
guidel9es = aw>d+ grants "u ?is section1
 includ+ application requirem5ts4  7d7  
,application ,a ,/ate desir+ a grant "u 
?is section %all-- 7#a7 ent] into a     
public-private p>tn]%ip ) "o or m-- 7,a7
 private1 nonpr(it1 or philan?ropic     
organizations1 includ+ su* organizations
 9 rural areas1 c5t]s = indep5d5t liv+1 
area ag5cies on ag+1 & ,ag+ &           
,disability ,res\rce ,c5t]s2 or  7,b7   
,indian ,tribes1 ,tribal organizations1 
or urban ,indian organizations )9 !     
,/ate2 &  7#b7 submit to ! ,secret>y an 
application at su* "t1 9 su* mann]1 &   
conta9+ or accompani$ by su* in=mation z
 ! ,secret>y may require1 includ+-- 7,a7
 a description ( ! ag5cy or dep>tm5t 9 !

 ,/ate gov]nm5t t w coord9ate ) & ov]see
 ! p>tn]%ip e/abli%$ "u p>agraph 7#a72  
7,b7 a plan = ! e/abli%m5t or enhancem5t
 ( a community integration network      
infra/ructure includ+-- 7i7 ! propos$   
transp>5t & competitive process =       
select+ any new op]ational compon5ts ( !
 community integration network          
infra/ructure2  7ii7 ! plann$ gov]nance 
/ructure 79 accordance ) subsection 7f77
 )9 ! community integration network     
infra/ructure2  7iii7 propos$ associat$ 
entities & s]vices to be includ$ 9 !    
community integration network           
infra/ructure2  7iv7 access+ &          
electronically l9k+1 z feasible1        
relevant data to create community       
integration network infra/ructure1      
includ+ a description ( int5d$ s\rces ( 
data2 &  7v7 ! use ( /&>ds &            
implem5tation specifications develop$ by
 national /&>ds organizations1 z        
feasible1 & coord9ation ) su*           
organizations ov]all2  7,c7 assurances t
 ! funds aw>d$ "u ?is section w be us$  

solely to c>ry out au?oriz$ activities z
 describ$ 9 subsection 7b7 & o!r relat$ 
activities2  7,d7 pot5tial options1     
includ+ public-private p>tn]%ips 9      
addition to ! p>tn]%ip describ$ 9       
p>agraph 7#a71 = mak+ ! community       
integration network infra/ructure       
f9ancially self-su/a9+ n lat] ?an #d    
ye>s aft] receiv+ funds "u ?is section2 
&  7,e7 a description ( ! objectives &  
outcome goals ( develop+ ! community    
integration network infra/ructure1      
includ+-- 7i7 "o or m heal? outcomes2   
7ii7 "o or m o!r important social       
outcomes2  7iii7 improv$ access to heal?
 c>e or social s]vices2 &  7iv7 h[      
progress t[>d ! outcomes describ$ 9     
clauses 7i71 7ii71 & 7iii7 w be measur$ 
?r\gh int]nal p]=mance metrics4  7e7    
,sep>ate tribal infra/ructure ,no?+ 9   
?is section %all preclude ,indian       
,tribes1 ,tribal organizations1 or urban
 ,indian organizations f e/abli%+ a     
community integration network           
infra/ructure t is sep>ate f any o!r    

public-private p>tn]%ip receiv+ fund+ "u
 ?is section1 provid$ t su*             
infra/ructure is int]op]able ) !        
community integration network           
infra/ructure ( ea* applicable ,/ate t  
receives a grant "u subsection 7a74  7f7
 ,plann$ gov]nance /ructure ( community 
integration network infra/ructure       
,community integration network          
infra/ructure e/abli%$ or enhanc$ us+ a 
grant "u subsection 7a7 %all h a plann$ 
gov]nance /ructure t is bas$ on a %>$   
gov]nance model provid+ collaborative   
repres5tation = diff]5t types (         
associat$ entities1 includ+ associat$   
entities t provide social s]vices4  7g7 
,evaluation ,! ,secret>y may conduct an 
evaluation ( grants aw>d$ "u ?is        
section1 includ+ reg>d+ activities &    
s]vices to e/abli% new or enhance exi/+ 
community integration network           
infra/ructure & ! op]ations ( su*       
community integration network           
infra/ructure4  7h7 ,f$]al mat*es ,grant
 funds made available to ,/ates "u      

subsection 7a7 %all be deem$ a          
non-,f$]al s\rce = purposes ( any       
requirem5t = mat*+ ,f$]al funds )       
non-,f$]al funds1 includ+ ! requirem5t  
applicable to ,/ate exp5ditures on      
te*nology t are reimbursable "u section 
#aijc7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;b7a774  7i7        
,electronic heal? records ,no ,/ate     
receiv+ a grant "u ?is section %all be  
requir$ to incorporate electronic heal? 
records into ! ,/ate's community        
integration network infra/ructure       
support$ by su* grant4  7j7             
,au?orization ( appropriations  7#a7 ,9 
g5]al  7,a7 ,total am\nt ,to c>ry out   
?is section 7o!r ?an subsection 7g771   
!re is au?oriz$ to be appropriat$       
#aej1jjj1jjj = ! p]iod ( fiscal ye>s    
#bjbb to #bjbf4  7,b7 ,adm9i/ration ,( !
 am\nts appropriat$ pursuant to         
subp>agraph 7,a71 up to #aj1jjj1jjj may 
be us$ = adm9i/rative exp5ses4  7#b7    
,evaluation ,!re is au?oriz$ to be      
appropriat$ su* sums z may be necess>y  

to c>ry out subsection 7g7 = fiscal ye> 
#bjbb4  7#c7 ,duration ( availability   
,am\nts appropriat$ "u ?is subsection   
%all rema9 available until ! date t is  
#e ye>s aft] ! date ( enactm5t ( ?is    
,act4  7k7 ,def9itions ,9 ?is section3  
7#a7 ,ag+ & ,disability ,res\rce ,c5t]  
,! t]m ,ag+ & ,disability ,res\rce ,c5t]
 has ! mean+ giv5 su* t]m 9 section #ajb
 ( ! ,old] ,am]icans ,act ( #aife 7#db  
,u4,s4,c4 #cjjb74  7#b7 ,area ag5cy on  
ag+ ,! t]m area ag5cy on ag+ has ! mean+
 giv5 su* t]m 9 section #ajb ( ! ,old]  
,am]icans ,act ( #aife 7#db ,u4,s4,c4   
#cjjb74  7#c7 ,associat$ entities ,! t]m
 associat$ entities means any-- 7,a7    
community-bas$ organization t ma9ta9s   
community res\rce directories1 accepts  
ref]rals f1 or provides ref]rals to1    
heal? c>e organizations1 or t provides  
s]vices su* z-- 7i7 nutritional         
assi/ance2  7ii7 h\s+2  7iii7 heal? c>e1
 includ+ teleheal? s]vices 7includ+     
?r\gh audio-only s]vices71 prev5tive    
heal? int]v5tion1 *ronic disease        

managem5t1 & behavioral heal? c>e2  7iv7
 transportation2  7v7 job tra9+2  7vi7  
*ild developm5t or c>e2  7vii7 c>egiv+ &
 respite c>e2  7viii7 disability        
assi/ance2  7ix7 indep5d5t liv+ s]vices 
or indep5d5t liv+ core s]vices2  7x7 c>e
 coord9ation2 &  7xi7 dome/ic viol5ce   
scre5+2  7,b7 public1 or nonpr(it or    
=-pr(it1 private heal? c>e provid]      
organization2  7,c7 public or private   
fund$ payor ( heal? c>e s]vices1 includ+
 home- or community-bas$ s]vices2  7,d7 
,/ate1 local1 t]ritorial1 or ,tribal    
heal? & social s]vices ag5cy2  7,e7     
,/ate public h\s+ au?ority or h\s+      
f9ance ag5cy2  7,f7 public heal?        
in=mation ex*ange or public heal?       
in=mation network1 z def9$ by !         
,secret>y2 or  7,g7 o!r simil> entity1 z
 designat$ by ! ,/ate4  7#d7 ,c5t] =    
indep5d5t liv+ ,! t]m c5t] = indep5d5t  
liv+ has ! mean+ giv5 to su* t]m 9      
section #gjb ( ! ,rehabilitation ,act ( 
#aigc 7#bi ,u4,s4,c4 #gif;a74  7#e7     
,community integration network          

infra/ructure ,! t]m community          
integration network infra/ructure means 
infra/ructure1 exi/+ on /atewide basis )
 direct network op]ations or ?r\gh      
collaborations among multiple associat$ 
entities1 us$ to enable ! coord9ation1  
alignm5t1 & connection1 ( associat$     
entities 9 a ,/ate1 includ+ su* entities
 t op]ate regionally1 = purposes (      
communication1 s]vice coord9ation1      
int]op]able in=mation ex*ange across    
heal? c>e & community-bas$              
organizations1 & ref]ral managem5t (    
s]vices1 ) respect to s]vices su* z--   
7,a7 nutritional assi/ance2  7,b7 h\s+2 
7,c7 heal? c>e1 includ+ teleheal?       
s]vices 7includ+ ?r\gh audio-only       
s]vices71 prev5tive heal? int]v5tion1   
*ronic disease managem5t1 & behavioral  
heal? c>e2  7,d7 transportation2  7,e7  
job tra9+2  7,f7 *ild developm5t or c>e2
  7,g7 c>egiv+ & respite c>e2  7,h7     
disability assi/ance2  7,i7 indep5d5t   
liv+ s]vices or indep5d5t liv+ core     
s]vices2  7,j7 c>e coord9ation2 &  7,k7 

o!r simil> s]vices1 z designat$ by !    
,/ate4  7#f7 ,indian tribe & tribal     
organization ,! t]ms ,indian ,tribe &   
,tribal organization h ! mean+s giv5 to 
! t]ms #8,indian tribe' & #8tribal      
organization' 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#g7 indep5d5t liv+ s]vices2 indep5d5t  
liv+ core s]vices ,! t]ms indep5d5t liv+
 s]vices & indep5d5t liv+ core s]vices h
 ! mean+s giv5 to su* t]ms 9 section #g 
( ! ,rehabilitation ,act ( #aigc 7#bi   
,u4,s4,c4 #gje74  7#h7 ,secret>y ,! t]m 
,secret>y ref]s to ! ,secret>y ( ,heal? 
& ,human ,s]vices4  7#i7 ,/ate ,! t]m   
,/ate means a ,/ate1 t]ritory1 or !     
,di/rict ( ,columbia4  7#aj7 ,urban     
indian organization ,! t]m urban ,indian
 organization has ! mean+ giv5 to ! t]m 
9 section #d ( ! ,indian ,heal? ,c>e    
,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 
#c4 ,evaluation1 report & recomm5dations
  7a7 ,evaluation ,! ,comptroll] ,g5]al 
( ! ,unit$ ,/ates %all conduct an       

evaluation t-- 7#a7 measures ! ov]all   
impact ( ! community integration network
 infra/ructure e/abli%$ or enhanc$ us+  
funds receiv$ "u section #b1 ) respect  
to-- 7,a7 *anges 9 individual &         
population heal? outcomes2  7,b7 *anges 
9 access to heal? c>e or social s]vices2
  7,c7 ! degree ( data %>+ us+ !        
community integration network           
infra/ructure e/abli%$ or enhanc$ us+   
funds receiv$ "u section #b2  7,d7 !    
effectiv5ess ( s]vice coord9ation2  7,e7
 ! co/-effectiv5ess ( ! provision (     
s]vices2  7,f7 any results or anticipat$
 results on ov]all heal? & social       
s]vices sp5d+2  7,g7 pati5t & consum]   
satisfaction ) s]vice coord9ation       
process & s]vices receiv$2  7,h7 !      
degree ( su/a9ability ( ! community     
integration network infra/ructure2 &    
7,i7 any o!r relevant factors2 &  7#b7  
describes h[ ! funds receiv$ "u section 
#b 7 us$4  7b7 ,report & recomm5dations 
,n lat] ?an #e ye>s aft] ! date ! fir/  
grant "u ?is ,act is aw>d$1 !           

,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all-- 7#a7 7,a7 submit a report on !   
evaluation conduct$ "u subsection 7a7 to
 ,congress2 &  7,b7 make su* report     
publicly available2 &  7#b7 bas$ on !   
evaluation conduct$ "u subsection 7a71  
make recomm5dations to ,/ates & ,indian 
,tribes1 ,tribal organizations1 or urban
 ,indian organizations1 on h[ to improve
 & su/a9 community integration network  
infra/ructure e/abli%$ or enhanc$ us+   
funds receiv$ "u section #b4