electronic medical record adoption, to re-
ceive guidance in the selection of vendors 
of health information technology products 
and services that are appropriate within 
the context of the individual practice and 
the community setting, to implement 
health information technology solutions 
and manage the project at the practice 
level, and to address the ongoing need for 
upgrades, maintenance, and security of of-
fice-based health information technologies. 
(iii) The capability to provide con-
sultations and advice to small medical 
practices to facilitate adoption of health in-
formation technologies. 
(g) CERTIFICATION.—Not later than the date that is 
1 year after the date of the enactment of this Act, the 
Secretary shall establish a program of certifying health in-
formation infrastructures that are in compliance with the 
requirements of subsection (a)(3)(A) and any other re-
quirements of the national health information infrastruc-
ture as established by the Secretary. 
(h) AUTHORIZATION OF APPROPRIATIONS.—
(1) IN GENERAL.—To carry out the provisions 
of this section other than subsection (f)(2), there are 
authorized to be appropriated—
(A) for phase I grants under subsection 
(a), $55,000,000 for fiscal year 2005 and 
$167,000,000 for each of fiscal years 2006, 
2007, and 2008; 
(B) for phase II grants under subsection 
(b), $400,000,000 for each of fiscal years 2009 
through 2013; and 
(C) for phase III grants under subsection 
(c), such sums as may be necessary for fiscal 
year 2014 and each subsequent fiscal year. 
(2) TECHNICAL ASSISTANCE.—
(A) IN GENERAL.—Of the amount appro-
priated to carry out this section for a fiscal 
year, not more than than 10 percent of such 
amount or $5,000,000, whichever is lesser, may 
be used to provide technical assistance under 
subsection (f)(1). 
(B) NATIONAL
TECHNICAL
ASSISTANCE 
CENTER.—To carry out subsection (f)(2), there 
is authorized to be appropriated $2,500,000 for 
each of fiscal years 2005 through 2008.
SEC. 103. STANDARDS FOR INTEROPERABILITY OF HEALTH 
INFORMATION TECHNOLOGY SYSTEMS. 
(a) STANDARDS.—Not later than 1 year after the 
date of the enactment of this Act, after considering the 
recommendations of the Working Group, the Secretary of 
Health and Human Services, the Secretary of Defense, 
and the Secretary of Veterans Affairs, acting jointly, shall 
adopt data standards for the interoperability of health in-
formation technology systems. 
(b) PERIODIC REVIEW.—The Secretary of Health 
and Human Services, the Secretary of Defense, and the 
Secretary of Veterans Affairs, acting jointly, shall periodi-
cally review the data standards adopted under subsection 
(a) and, as appropriate, revise such standards. 
(c) APPLICATION.—The Secretary of Health and 
Human Services, the Secretary of Defense, and the Sec-
retary of Veterans Affairs shall require that each program 
using health information technology of the Department of 
Health and Human Services, the Department of Defense, 
and the Department of Veterans Affairs, respectively, 
complies with the data standards adopted under sub-
section (a). 
(d) WORKING GROUP.—
(1) ESTABLISHMENT.—The Secretary of Health 
and Human Services shall convene a Working Group 
to formulate recommendations on the adoption of
data standards for the interoperability of health in-
formation technology systems. 
(2) MEMBERSHIP.—The members of the Work-
ing Group shall include the following: 
(A) Health informatics experts from the 
Department of Defense, the Department of 
Health and Humans Services, the Department 
of Veterans Affairs, the Indian Health Service, 
and the private sector. 
(B) Practicing physicians. 
(C) Nurses. 
(D) Representatives of other health care 
providers. 
(E) Hospital administrators and hospital 
chief information officers. 
(F) Representatives of standards develop-
ment organizations. 
(G) Representatives of standards develop-
ment organizations. 
(H) Representatives of the Agency for 
Healthcare Research and Quality. 
(I) Representatives of the National Library 
of Medicine. 
(J) Other individuals, as determined ap-
propriate by the Secretary, with expertise rel-