,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #ihdd  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bb1 #bjbf,mr4 
,cleaver introduced the following bill2 
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committee on ,ways and ,means1  
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
direct the ,secretary of ,health and    
,human ,services to award grants to     
long-term care and post-acute care      
providers for purposes of developing and
 adopting health information technology4
  #a4 ,short title ,this ,act may be    
cited as the ,connecting ,health and    
,records ,technology for ,seniors ,act  
of #bjbf or the ,,charts ,act4  #b4     
,grants for long-term care and          
post-acute care providers to use health 
information technology  7a7 ,in general 
,the ,secretary of ,health and ,human   

,services 7in this section referred to  
as the ,secretary7 shall1 not later than
 #b years after the date of the         
enactment of this section1 award grants 
to long-term care and post-acute care   
providers for purposes of carrying out  
the activities described in subsection  
7d74  7b7 ,duration of grants ,a grant  
awarded under this section shall be for 
a period of #c years4  7c7 ,amount of   
grants ,the ,secretary may not award    
more than #ejj1jjj in grant funds under 
this section to a long-term care and    
post-acute care provider4  7d7 ,use of  
funds ,a long-term care and post-acute  
care provider that receives a grant     
under this section shall use such grant 
to develop and adopt health information 
technology 7as defined in section       
#cjjj7e7 of the ,public ,health ,service
 ,act 7#db ,u4,s4,c4 #cjj;jj7#e777 that 
will be used by such provider to-- 7#a7 
facilitate communication1 coordination1 
and the electronic exchange of data1    
including patient health data1 among    

health care providers1 group health     
plans and health insurance issuers1     
,federal health care programs1 and      
health benefits plans under chapter #hi 
of title #e1 ,united ,states ,code2     
7#b7 improve effectiveness1 efficiency1 
and quality of care through the use of  
clinical decision support1 care         
pathways1 plans of care1 the ,united    
,states ,core ,data for                 
,interoperability published by the      
,national ,coordinator for ,health      
,information ,technology1 notifications1
 monitoring1 interoperability1 and other
 similar tools2 and  7#c7 implement     
systems and best practices to--  7,a7   
enhance the transition of care between  
health care providers2  7,b7 prevent    
health care providers from furnishing   
duplicative services to an individual2  
7,c7 exchange data among the entities   
described in paragraph 7#a7 in real     
time2 and  7,d7 address patient needs4  
7e7 ,selecting among applicants ,in     
awarding grants under this section1 the 

,secretary shall-- 7#a7 give priority to
 long-term care and post-acute providers
 that are more likely to improve the    
health of individuals entitled to       
benefits or enrolled under the ,medicare
 program under title ,,xviii of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq47 and individuals enrolled 
under a ,state plan 7or waiver of such  
plan7 under title ,,xix of such ,act    
7#db ,u4,s4,c4 #acif et seq472 and  7#b7
 ensure that the grant recipients       
constitute a diverse and nationally     
representative sample based on-- 7,a7   
the geography1 income1 race1 and        
ethnicity of the population served by   
such recipients2 and  7,b7 the extent to
 which such population consists of      
individuals that are uninsured1 that    
receive coverage under a ,federal health
 care program1 or that receive coverage 
under a group health plan or group or   
individual health insurance coverage4   
7f7 ,reports  7#a7 ,preliminary report  
,not later than #c years after the date 

of the enactment of this section1 the   
,secretary shall submit to the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate1   
the ,committee on ,finance of the       
,senate1 the ,committee on ,energy and  
,commerce of the ,house of              
,representatives1 and the ,committee on 
,ways and ,means of the ,house of       
,representatives1 a report identifying  
the long-term care and post-acute care  
providers that are awarded grants under 
this section4  7#b7 ,final report ,not  
later than #f years after the date of   
the enactment of this section1 the      
,secretary shall submit to the          
committees described in paragraph 7#a71 
a report that-- 7,a7 describes the      
health information technology developed 
and adopted using grants awarded under  
this section2  7,b7 evaluates how such  
health information technology improved  
the coordination of care and transition 
of care among long-term care and        
post-acute care providers2  7,c7        

evaluates the benefits and costs of such
 health information technology1         
including by identifying to whom such   
benefits and costs accrue2  7,d7        
evaluates whether such health           
information technology resulted in-- 7i7
 reduced patient falls and              
rehospitalizations2  7ii7 an increase in
 electronic medication management2 and  
7iii7 reduced ,federal expenditures     
under the ,medicare program under title 
,,xviii of the ,social ,security ,act   
7#db ,u4,s4,c4 #acie et seq47 or the    
,medicaid program under title ,,xix of  
such ,act 7#db ,u4,s4,c4 #acif et seq472
  7,e7 evaluates the likelihood that    
extending or expanding the ability of   
the ,secretary to award grants under    
this section would result in reduced    
,federal expenditures and improve the   
quality of care under such programs2 and
  7,f7 includes recommendations for     
,congress on extending and expanding the
 ability of the ,secretary to award     
grants under this section based on the  

evaluation conducted under this         
paragraph4  7g7 ,definitions ,in this   
section3 7#a7 ,federal health care      
program ,the term ,federal health care  
program has the meaning given such term 
in section #aabh;,b7f7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;b7f774  7#b7 ,group or       
individual health insurance coverage2   
group health plan2 health insurance     
issuer ,the terms group health insurance
 coverage1 group health plan1 health    
insurance issuer1 and individual health 
insurance coverage have the meanings    
given such terms in section #bgia of the
 ,public ,health ,service ,act 7#db     
,u4,s4,c4 #cjj;gg-#ia74  7#c7 ,long-term
 care and post-acute care provider ,the 
term long-term care and post-acute care 
provider means a skilled nursing        
facility 7as defined in section         
#ahai7;a7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acie;i-#c7;a7771 nursing
 facility 7as defined in section        
#aiai7;a7 of the ,social ,security ,act 

7#db ,u4,s4,c4 #acifr7a7771 or a home   
health agency 7as defined in section    
#ahfa7o7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #aciex7o7771 that has in 
effect an agreement to participate in   
the ,medicare program under title       
,,xviii of the ,social ,security ,act   
7#db ,u4,s4,c4 #acie et seq47 or the    
,medicaid program under title ,,xix of  
such ,act 7#db ,u4,s4,c4 #acif et seq474
  7h7 ,authorization of appropriations  
,there is authorized to be appropriated 
to the ,secretary to carry out this     
section #e1jjj1jjj for each of fiscal   
years #bjbg and #bjbh4