,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #geeh  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ab1         
#bjbf,mr4 ,s*weik]t introduc$ ! foll[+  
bill2 :i* 0 ref]r$ to ! ,committee on   
,arm$ ,s]vices1 & 9 addition to !       
,committee on ,vet]ans' ,affairs1 = 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      
direct ! ,secret>y ( ,def5se & !        
,secret>y ( ,vet]ans ,affairs to jo9tly 
adopt & use int]op]able image-%>+ s(tw>e
 te*nology = ! purpose ( %>+ m$ical     
images & relat$ data at m$ical          
facilities ( ! ,dep>tm5t ( ,def5se &    
,dep>tm5t ( ,vet]ans ,affairs1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,a*iev+ ,int]op]ability (  
,m$ical ,sy/ems ,act ( #bjbe or ! ,,aims
 ,act ( #bjbe4  #b4 ,f9d+s ,congress    
f9ds ! foll[+3 7#a7 ,section #afce ( !  
,national ,def5se ,au?orization ,act =  
,fiscal ,ye> #bjjh 7,public ,law        

#aaj-aha2 #aj ,u4,s4,c4 #ajga note7     
direct$ ! ,secret>y ( ,def5se & !       
,secret>y ( ,vet]ans ,affairs to        
jo9tly-- 7,a7 develop & implem5t        
electronic record sy/ems t all[ full    
int]op]ability ( p]sonal heal? c>e      
in=mation betwe5 ! ,dep>tm5t ( ,def5se &
 ! ,dep>tm5t ( ,vet]ans ,affairs2 &     
7,b7 accel]ate ! ex*ange ( su* in=mation
 betwe5 ! two dep>tm5ts4  7#b7 ,su*     
section e/abli%$ ! ,dep>tm5t (          
,def5se-,dep>tm5t ( ,vet]ans ,affairs   
,int]ag5cy ,program ,(fice 7) a         
,director & ,deputy ,director7 = su*    
purposes & au?oriz$ ! ,secret>ies to    
c>ry out pilot projects to assess !     
feasibility & advisability ( v>i\s      
te*nological approa*es to ! developm5t (
 ! record sy/ems4  7#c7 ,su* section    
also requires-- 7,a7 ! ,director ( !    
,int]ag5cy ,program ,(fice to submit to 
! ,secret>ies & to ,congress annual     
reports on ! activities ( ! ,(fice2     
7,b7 ! ,secret>ies to make su* reports  
available to ! public2 &  7,c7 !        

,comptroll] ,g5]al ( ! ,unit$ ,/ates to 
conduct semiannual assessm5ts ( !       
progress ( ! ,secret>ies 9 c>ry+ out !  
requirem5ts ( su* section4  #c4         
,dep>tm5t ( ,def5se & ,dep>tm5t (       
,vet]ans ,affairs int]op]ability (      
m$ical images & relat$ data  7a7 ,9     
g5]al ,! ,secret>y ( ,vet]ans ,affairs &
 ! ,secret>y ( ,def5se %all jo9tly adopt
 & use int]op]able image-%>+ s(tw>e     
te*nology-- 7#a7 accessible by          
facilities ( ! milit>y heal? s]vice1 z  
well z ! ,,g5esis plat=m ( ! milit>y    
heal? s]vice & ! ,f$]al ,electronic     
,heal? ,record plat=m ( ! ,dep>tm5t (   
,vet]ans ,affairs2 &  7#b7 at ea*       
,dep>tm5t ( ,vet]ans ,affairs &         
,dep>tm5t ( ,def5se m$ical facility4    
7b7 ,scope ,! te*nology adopt$ & us$ "u 
subsection 7a7 %all provide =           
int]op]ability betwe5 all ( ! foll[+3   
7#a7 ,milit>y m$ical c5t]s includ$ 9 !  
,milit>y ,heal? ,sy/em4  7#b7 ,dep>tm5t 
( ,vet]ans ,affairs m$ical facilities & 
cl9ics4  7#c7 ,non-,dep>tm5t provid]s t 

h ent]$ into agreem5ts ) ! ,secret>y (  
,vet]ans ,affairs "u section #agjc (    
title #ch1 ,unit$ ,/ates ,code4  7c7    
,plan ,n lat] ?an #ahj days aft] ! date 
( ! enactm5t ( ?is ,act1 ! ,secret>y (  
,def5se & ! ,secret>y ( ,vet]ans        
,affairs %all provide to ! ,committees  
on ,arm$ ,s]vices & ! ,committees on    
,vet]ans' ,affairs ( ! ,h\se (          
,repres5tatives & ! ,s5ate a brief+ &   
submit to su* committees a report on !  
plan ( ! ,secret>ies1 & an associat$    
timel9e1 = a*iev+ ! full int]op]ability 
( m$ical images & relat$ data betwe5 !  
,dep>tm5t ( ,def5se & ,dep>tm5t (       
,vet]ans ,affairs 9 accordance )        
subsection 7a74 ,! plan %all include ea*
 ( ! foll[+3 7#a7 ,! expansion ( !      
s]vices provid$ pursuant to contracts   
ent]$ into betwe5 ! ,secret>y ( ,def5se1
 ! ,secret>y ( ,vet]ans ,affairs1 &     
application-bas$ v5dors t meet          
int]op]ability /&>ds4  7#b7 ,an         
assessm5t & comp>ison ( ! basel9e m$ical
 image int]op]ability t exi/s1 z ( !    

date ( ! enactm5t ( ?is ,act1 betwe5 !  
,dep>tm5t ( ,def5se & ! ,dep>tm5t (     
,vet]ans ,affairs & ext]nal p>tn]s ( su*
 dep>tm5ts1 includ+-- 7,a7 non-,dep>tm5t
 ( ,vet]ans ,affairs imag+ provid]s     
describ$ 9 section #agjc7;c7 ( title    
#ch1 ,unit$ ,/ates ,code2 &  7,b7 imag9+
 provid]s :o are describ$ 9 section     
#aii4f ( title #cb ( ! ,code ( ,f$]al   
,regulations1 or any successor          
regulation4  7#c7 ,an id5tification ( "o
 or m lic5s$ int]op]ability s(tw>e      
te*nology solutions ( *oice t-- 7,a7 is 
%>$ by hospitals & heal? c>e provid]s to
 b5efit pati5ts be=e & aft] dis*>ge f   
provid] c>e & t is accessible to curr5t 
& future provid]s1 9 compliance )       
applicable accessibility requirem5ts1   
includ+ mobile us] int]face1 z e/abli%$ 
9 ! ,in=mation & ,communication         
,te*nology & ,s(tw>e portions ( !       
,revis$ #ejh ,/&>ds "u "p #aaid ( title 
#cf ( ! ,code ( ,f$]al ,regulations1 or 
any successor regulation1 & 9 adh]5ce ) 
! ,web ,cont5t ,accessibility ,guidel9es

 #b4a;,,aa1 z e/abli%$ by ! ,_w ,wide   
,web ,consortium & 9 effect on ! date ( 
! enactm5t ( ?is ,act2  7,b7 enables !  
electronic m$ical records sy/em ( a     
hospital1 or 9 ! case ( a ,dep>tm5t (   
,vet]ans ,affairs facility1 ! ,f$]al    
,electronic ,heal? ,record ( !          
,dep>tm5t1 to int]face ) int]op]ability 
te*nology & o!r electronic m$ical       
records sy/ems & provid]s to promote    
mobile connectivity betwe5 hospital     
sy/ems & facilitate increas$            
communication betwe5 hospital /aff &    
provid]s t use diff]5t or di/9ctive     
onl9e & mobile plat=ms & in=mation      
sy/ems :5 treat+ acute pati5ts2  7,c7   
captures & =w>ds cl9ical data1 includ+  
laboratory results & images1 provid]    
notes1 hi/orical cl9ical conditions1    
proc$ures1 m$ications1 c>diology te/+   
results1 & vital signs1 & provides      
syn*ron\s pati5t cl9ical data to heal?  
c>e provid]s reg>dless ( geographic     
location2  7,d7 provides a syn*ron\s    
data ex*ange t is n bat*$ or delay$1 at 

! po9t ! cl9ical data is captur$ &      
available 9 ! electronic record sy/em ( 
a hospital2  7,e7 is capable ( provid+  
proactive al]ts to heal? c>e provid]s on
 _! sm>tphones or a sm>t device2  7,f7  
all[s bo? syn*ron\s & asyn*ron\s        
communication us+ a native sm>tphone    
application2  7,g7 is mobile1 c be us$  
on multiple electronic devices1 &       
includes ! indu/ry /&>d #ci built-9     
application = ! two mo/ popul> op]at+   
sy/ems & a built-9 application available
 to all us]s2  7,h7 z pati5t-c5tric     
communication & is track$ ) date & "t   
/amp+2  7,i7 provides int]op]ability to 
include imag+-relat$ workfl[s ( image   
ex*ange1 %>+1 & collaboration2  7,j7    
provides ent]prise-wide deploym5t t is  
comp>able to ! size & complexity ( !    
l>ge/ integrat$ heal? c>e sy/em 9 !     
c\ntry2  7,k7 all[s a pati5t to manage  
_! own heal? us+ a mobile application 9 
alignm5t ) we>able te*nology devices or 
! function ref]r$ to z ! ,%>e ,my ,heal?
 ,data available ?r\gh ! ,vet]ans ,heal?

 ,adm9i/ration2  7,l7 adh]es to         
integration /&>ds = s(tw>e applications 
to connect to an electronic heal? record
 sy/em1 or 9 ! case ( a ,dep>tm5t (     
,vet]ans ,affairs m$ical facility or a  
,milit>y ,heal? ,sy/em facility1 use a  
,f$]al ,electronic ,heal? ,record sy/em1
 z e/abli%$ by ! ,(fice ( ! ,national   
,coord9ator = ,heal? ,in=mation         
,te*nology ( ! ,dep>tm5t ( ,heal? &     
,human ,s]vices1 includ+-- 7i7          
,sub/itutable ,m$ical ,applications1    
,reusable ,te*nologies on ,fa/ ,heal?c>e
 ,int]op]ability ,res\rces1 kn[n z      
,,sm>t on ,,fhir1 :i* all[s ?ird-p>ty   
applications to integrate directly )    
electronic heal? records & pati5t       
portals2  7ii7 op5 au?orization protocol
 #b4j 7,o,auth#b7 = session             
au!ntication1 :i* bol/]s security &     
pati5t safety by only all[+ au?oriz$    
us]s ) validat$ access to view1 %>e1 &  
import images & relat$ data2 &  7iii7   
,digital ,imag+ & ,communications 9     
,m$ic9e1 :i* is ! regulat$ /&>d = m$ical

 images2 &  7,m7 is co/-effective ) a   
high return on inve/m5t t is support$ by
 ! use ( artificial intellig5ce 9 !     
image %>+ workfl[4  7d7 ,requirem5ts =  
plan ,9 develop+ ! plan requir$ "u      
subsection 7b71 ! ,secret>ies %all      
ensure t-- 7#a7 ! s(tw>e us$ =          
int]op]able m$ical images & relat$ data 
( ! ,dep>tm5ts is design$ to-- 7,a7     
improve heal? c>e deliv]y & quality by  
address+ ! increas$ co/s1 delays1 &     
pati5t burd5 ( repeat images caus$ by ! 
c\ri]+ ( compact discs & ,,dvd-,r,o,ms z
 ! prim>y me*anism = %>+ pati5ts' m$ical
 images 9 ! cont9uum ( c>e2  7,b7 ! plan
 includes ! developm5t1 by n lat] ?an   
two ye>s aft] ! date ( ! enactm5t ( ?is 
,act1 ( a robu/ data /orage plat=m      
capable ( /or+ heal? data f ! ,dep>tm5t 
( ,vet]ans ,affairs1 ! milit>y heal?    
s]vice1 & heal? in=mation ex*anges us$  
by non-,dep>tm5t provid]s t h ent]$ into
 agreem5ts ) ! ,secret>y ( ,vet]ans     
,affairs "u section #agjc ( title #ch1  
,unit$ ,/ates ,code2  7,c7 provide      

pati5t-c5t]$ c>e by facilitat+ fa/]     
diagnoses1 enabl+ m in=m$ decision-mak+ 
& promot+ bett] communication2  7,d7    
support m effici5t use ( ! "t ( cl9ical 
& support /aff & improve ret5tion by    
help+ to prev5t burn\t2 &  7,e7 promote 
! effective use ( %>$ s]vices betwe5 !  
,dep>tm5ts1 includ+ jo9t facilities &   
milit>y treatm5t facilities t provide   
cl9ic space = ! ,dep>tm5t ( ,vet]ans    
,affairs1 & 9 coord9ation )             
non-,dep>tm5t provid]s t h ent]$ into   
agreem5ts ) ! ,secret>y ( ,vet]ans      
,affairs "u section #agjc ( title #ch1  
,unit$ ,/ates ,code2 &  7#b7 ! plan     
includes an implem5tation timel9e &     
associat$ mile/ones1 & an id5tification 
( ! project$ total co/4  7e7 ,reports ,n
 lat] ?an six mon?s aft] ! date ( !     
submission ( ! report requir$ "u        
subsection 7b71 & annually mon?s        
!reaft]1 ! ,secret>y ( ,def5se & !      
,secret>y ( ,vet]ans ,affairs %all      
jo9tly provide a brief+ & submit to !   
,committees on ,arm$ ,s]vices & !       

,committees on ,vet]ans' ,affairs ( !   
,h\se ( ,repres5tatives & ! ,s5ate on-- 
7#a7 any updates to ! plan includ$ 9 !  
report requir$ "u subsection 7b72 &     
7#b7 metrics & quantifi$ co/ & "t sav+s 
associat$ ) us+ an int]op]able s(tw>e   
solution 9 heal? c>e t complies ) !     
heal? insurance portability &           
acc\ntability act privacy /&>ds "u "p   
#afj & "p #afd1 subp>t ( title #d ( !   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( ! enactm5t ( ?is ,act4  7f7 
,def9itions ,9 ?is section3 7#a7 ,! t]m 
,,g5esis means ! electronic heal? record
 sy/em kn[n z ,,mhs ,,g5esis t is us$ by
 ! milit>y heal? s]vice4  7#b7 ,! t]m   
milit>y treatm5t facility has ! mean+   
giv5 su* t]m 9 section #ajgc;c ( title  
#aj1 ,unit$ ,/ates ,code4  7#c7 ,! t]m  
electronic heal? record means an        
electronic v]sion ( a pati5t's m$ical   
hi/ory1 t-- 7,a7 is ma9ta9$ by ! provid]
 ov] "t1 & may include all ( ! key      
adm9i/rative cl9ical data relevant to t 
p]son's c>e "u a p>ticul> provid]1      

includ+ demographics1 progress notes1   
problems1 m$ications1 vital signs1 pa/  
m$ical hi/ory1 immunizations1 laboratory
 data & radiology reports2  7,b7        
automates access to in=mation & has !   
pot5tial to /reaml9e ! cl9ician's       
workfl[2 &  7,c7 has ! ability to       
support o!r c>e-relat$ activities       
directly or indirectly ?r\gh v>i\s      
int]faces1 includ+ evid5ce-bas$ decision
 support1 quality managem5t1 & outcomes 
report+4