‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions under paragraph 
(1) may be in cash or in kind, fairly evaluated, in-
cluding equipment or services. Amounts provided by 
the Federal Government, or services assisted or sub-
sidized to any significant extent by the Federal Gov-
ernment, may not be included in determining the 
amount of such contributions. 
‘‘(e) EVALUATION.—The Secretary shall take such 
action as may be necessary to evaluate the projects funded 
under this section and publish, make available, and dis-
seminate the results of such evaluations on as wide a basis 
as is practicable. 
‘‘(f) REPORTS.—Not later than 1 year after the date 
of enactment of this title, and annually thereafter, the Sec-
retary shall submit to the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee on Fi-
nance of the Senate, and the Committee on Energy and 
Commerce and the Committee on Ways and Means of the 
House of Representatives a report that— 
‘‘(1) describes the specific projects established 
under this section; and 
‘‘(2) contains recommendations for Congress 
based on the evaluation conducted under subsection 
(e).
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$5,000,000 for fiscal year 2007, and such sums as may 
be necessary for each of fiscal years 2008 through 2010. 
‘‘(h) SUNSET.—This section shall not apply after 
September 30, 2010. 
‘‘SEC. 2907. LICENSURE AND THE ELECTRONIC EXCHANGE 
OF HEALTH INFORMATION. 
‘‘(a) IN GENERAL.—The Secretary shall carry out, 
or contract with a private entity to carry out, a study that 
examines— 
‘‘(1) the variation among State laws that relate 
to the licensure, registration, and certification of 
medical professionals; and 
‘‘(2) how such variation among State laws im-
pacts the secure electronic exchange of health infor-
mation— 
‘‘(A) among the States; and 
‘‘(B) between the States and the Federal 
Government. 
‘‘(b) REPORT AND RECOMMENDATIONS.—Not later 
than 1 year after the date of enactment of this title, the 
Secretary shall publish a report that— 
‘‘(1) describes the results of the study carried 
out under subsection (a); and
‘‘(2) makes recommendations to States regard-
ing the harmonization of State laws based on the re-
sults of such study. 
‘‘SEC. 2908. QUALITY MEASUREMENT SYSTEMS. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services, the Secretary of Veterans Affairs, the 
Secretary of Defense, and representatives of other relevant 
Federal agencies, as determined appropriate by the Sec-
retary, (referred to in the section as the ‘Secretaries’) shall 
jointly develop a quality measurement system for the pur-
pose of measuring the quality of care patients receive. 
‘‘(b) REQUIREMENTS.—The Secretaries shall ensure 
that the quality measurement system developed under sub-
section (a) comply with the following: 
‘‘(1) MEASURES.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the Secretaries shall select measures 
of quality to be used by the Secretaries under 
the systems. 
‘‘(B) REQUIREMENTS.—In selecting the 
measures to be used under each system pursu-
ant to subparagraph (A), the Secretaries shall, 
to the extent feasible, ensure that— 
‘‘(i) such measures are evidence 
based, reliable and valid;
‘‘(ii) such measures include measures 
of process, structure, patient experience, 
efficiency, and equity; and 
‘‘(iii) such measures include measures 
of overuse, underuse, and misuse of health 
care items and services. 
‘‘(2) PRIORITIES.—In developing the system 
under subsection (a), the Secretaries shall ensure 
that priority is given to— 
‘‘(A) measures with the greatest potential 
impact for improving the quality and efficiency 
of care provided under Federal programs; 
‘‘(B) measures that may be rapidly imple-
mented by group health plans, health insurance 
issuers, physicians, hospitals, nursing homes, 
long-term care providers, and other providers; 
and 
‘‘(C) measures which may inform health 
care decisions made by consumers and patients. 
‘‘(3) WEIGHTS OF MEASURES.—The Secretaries 
shall assign weights to the measures used by the 
Secretaries under each system established under 
subsection (a). 
‘‘(4) RISK ADJUSTMENT.—The Secretaries shall 
establish procedures to account for differences in pa-