,,ii  #aag? ,,congress  #a/ ,session    
,s4 #eji  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #a1 #bjba ,mr4    
,sullivan 7= himself & ,mr4 ,murphy7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,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 ,/ate %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/+ te*nology plat=m
 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+ 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 o!r       
s]vices1 z det]m9$ by ! ,/ate2  7,b7    
prioritizes connectivity )1             

incorporation (1 & p>tn]%ip ) any       
appropriate exi/+ te*nology plat=ms     
develop$ by public or private           
organizations 9 ! ,/ate = ! purposes    
describ$ 9 subp>agraph 7,a72 &  7,c7    
ensures t--  7i7 reasonable measures are
 tak5 to promote connectivity among     
associat$ entities2 &  7ii7 appropriate 
privacy1 security1 protections are 9    
place1 9 accordance ) applicable ,f$]al 
& ,/ate privacy laws2  7#b7 connect+    
associat$ entities = purposes (         
communication1 s]vice coord9ation &     
consum] assi/ance1 ref]ral & capacity   
managem5t1 outcome track+1 & 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 #c 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#c74  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]s
 reg>d+ basic functionalities1 te*nical 
capacities1 & data /&>ds ne$$ =         
community integration network           
infra/ructure2 &  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 
organizations2 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 7includ+ repres5tation (       
diff]5t types ( associat$ entities7 )9 !
 community integration network          
infra/ructure2  7iii7 propos$ associat$ 
entities & s]vices to be includ$ 9 !    
community integration network           
infra/ructure2 &  7iv7 a plan = access+ 

& l9k+ relevant data to create community
 integration network infra/ructure1     
includ+ a description ( int5d$ s\rces ( 
data2  7,c7 assurances t ! funds aw>d$  
"u ?is section w be us$ solely 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 #c 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 subp>agraphs 7,a71  
7,b71 & 7,c7 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 section4  
7f7 ,au?orization ( appropriations  7#a7
 ,9 g5]al ,!re is au?oriz$ to be        
appropriat$ to c>ry out ?is section     
#aej1jjj1jjj = fiscal ye> #bjbb4  7#b7  
,adm9i/ration ,( ! am\nts appropriat$   
pursuant to p>agraph 7#a71 up to        
#e1jjj1jjj may be us$ = adm9i/rative    
exp5ses4  7#c7 ,duration ( availability 
,am\nts appropriat$ pursuant to p>agraph
 7#a7 %all rema9 available until ! date 
t is #e ye>s aft] ! date ( enactm5t (   
?is ,act4  7g7 ,def9itions ,9 ?is       
section3 7#a7 ,associat$ entities ,! t]m
 associat$ entities means any--  7,a7   
community-bas$ organization t accepts   
ref]rals f heal? c>e organizations & t  
provides s]vices su* z-- 7i7 nutritional
 assi/ance2  7ii7 h\s+2  7iii7 heal?    
c>e1 includ+ 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  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#b7 ,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 & 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+ 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 o!r simil> s]vices1 z designat$
 by ! ,/ate4  7#c7 ,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#d7 ,secret>y ,! t]m ,secret>y ref]s to
 ! ,secret>y ( ,heal? & ,human ,s]vices4
  7#e7 ,/ate ,! t]m ,/ate means a ,/ate1
 t]ritory1 or ! ,di/rict ( ,columbia4   
7#f7 ,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     
report1 & 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 any  
o!r relevant factors2 &  7#b7 describes 

h[ ! funds receiv$ "u section #b 7 us$4 
7b7 ,report & recomm5dations ,n lat] ?an
 #d 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