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‘‘(2) IMPLEMENTATION AWARD.—To be eligible to 
receive an implementation grant or contract under 
subsection (a)(2), an entity— 
‘‘(A) may be a hospital or other health care 
provider or consortium or providers, as deter-
mined by the Secretary; and 
‘‘(B) shall have demonstrated expertise in 
providing information and technical support 
and assistance to health care providers regarding 
quality improvement. 
‘‘(c) APPLICATION.— 
‘‘(1) TECHNICAL
ASSISTANCE
AWARD.—To re-
ceive a technical assistance grant or contract under 
subsection (a)(1), an eligible entity shall submit an 
application to the Secretary at such time, in such 
manner, and containing— 
‘‘(A) a plan for a sustainable business 
model that may include a system of— 
‘‘(i) charging fees to institutions and 
providers that receive technical support 
from the entity; and 
‘‘(ii) reducing or eliminating such fees 
for such institutions and providers that 
serve low-income populations; and 
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‘‘(B) such other information as the Director 
may require. 
‘‘(2) IMPLEMENTATION
AWARD.—To receive a 
grant or contract under subsection (a)(2), an eligible 
entity shall submit an application to the Secretary at 
such time, in such manner, and containing— 
‘‘(A) a plan for implementation of a model 
or practice identified in the research conducted 
by the Center including— 
‘‘(i) financial cost, staffing require-
ments, and timeline for implementation; 
and 
‘‘(ii) pre- and projected post-implemen-
tation quality measure performance data in 
targeted improvement areas identified by 
the Secretary; and 
‘‘(B) such other information as the Director 
may require. 
‘‘(d) MATCHING
FUNDS.—The Director may not 
award a grant or contract under this section to an entity 
unless the entity agrees that it will make available (directly 
or through contributions from other public or private enti-
ties) non-Federal contributions toward the activities to be 
carried out under the grant or contract in an amount equal 
to $1 for each $5 of Federal funds provided under the grant 
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or contract. Such non-Federal matching funds may be pro-
vided directly or through donations from public or private 
entities and may be in cash or in-kind, fairly evaluated, 
including plant, equipment, or services. 
‘‘(e) EVALUATION.— 
‘‘(1) IN GENERAL.—The Director shall evaluate 
the performance of each entity that receives a grant 
or contract under this section. The evaluation of an 
entity shall include a study of— 
‘‘(A) the success of such entity in achieving 
the implementation, by the health care institu-
tions and providers assisted by such entity, of 
the models and practices identified in the re-
search conducted by the Center under section 
933; 
‘‘(B) the perception of the health care insti-
tutions and providers assisted by such entity re-
garding the value of the entity; and 
‘‘(C) where practicable, better patient health 
outcomes and lower cost resulting from the as-
sistance provided by such entity. 
‘‘(2) EFFECT
OF
EVALUATION.—Based on the 
outcome of the evaluation of the entity under para-
graph (1), the Director shall determine whether to 
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renew a grant or contract with such entity under this 
section. 
‘‘(f) COORDINATION.—The entities that receive a grant 
or contract under this section shall coordinate with health 
information technology regional extension centers under 
section 3012(c) and the primary care extension program 
established under section 399W regarding the dissemination 
of quality improvement, system delivery reform, and best 
practices information.’’. 
SEC. 3502. ESTABLISHING COMMUNITY HEALTH TEAMS TO 
SUPPORT THE PATIENT-CENTERED MEDICAL 
HOME. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall establish a program to provide grants to or 
enter into contracts with eligible entities to establish com-
munity-based interdisciplinary, interprofessional teams 
(referred to in this section as ‘‘health teams’’) to support 
primary care practices, including obstetrics and gynecology 
practices, within the hospital service areas served by the 
eligible entities. Grants or contracts shall be used to— 
(1) establish health teams to provide support 
services to primary care providers; and 
(2) provide capitated payments to primary care 
providers as determined by the Secretary. 
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(b) ELIGIBLE ENTITIES.—To be eligible to receive a 
grant or contract under subsection (a), an entity shall— 
(1)(A) be a State or State-designated entity; or 
(B) be an Indian tribe or tribal organization, as 
defined in section 4 of the Indian Health Care Im-
provement Act; 
(2) submit a plan for achieving long-term finan-
cial sustainability within 3 years; 
(3) submit a plan for incorporating prevention 
initiatives and patient education and care manage-
ment resources into the delivery of health care that is 
integrated with community-based prevention and 
treatment resources, where available; 
(4) ensure that the health team established by the 
entity includes an interdisciplinary, interprofessional 
team of health care providers, as determined by the 
Secretary; such team may include medical specialists, 
nurses, pharmacists, nutritionists, dieticians, social 
workers, behavioral and mental health providers (in-
cluding substance use disorder prevention and treat-
ment providers), doctors of chiropractic, licensed com-
plementary and alternative medicine practitioners, 
and physicians’ assistants; 
(5) agree to provide services to eligible individ-
uals with chronic conditions, as described in section 
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