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‘‘SEC. 3007. FEDERAL HEALTH INFORMATION TECHNOLOGY. 
‘‘(a) IN GENERAL.—The National Coordinator shall 
support the development and routine updating of qualified 
electronic health record technology (as defined in section 
3000) consistent with subsections (b) and (c) and make 
available such qualified electronic health record technology 
unless the Secretary and the HIT Policy Committee deter-
mine through an assessment that the needs and demands 
of providers are being substantially and adequately met 
through the marketplace. 
‘‘(b) CERTIFICATION.—In making such EHR tech-
nology publicly available, the National Coordinator shall 
ensure that the qualified EHR technology described in sub-
section (a) is certified under the program developed under 
section 3001(c)(3) to be in compliance with applicable 
standards adopted under section 3003(a). 
‘‘(c) AUTHORIZATION TO CHARGE A NOMINAL FEE.— 
The National Coordinator may impose a nominal fee for 
the adoption by a health care provider of the health infor-
mation technology system developed or approved under sub-
section (a) and (b). Such fee shall take into account the 
financial circumstances of smaller providers, low income 
providers, and providers located in rural or other medically 
underserved areas. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to require that a private or govern-
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ment entity adopt or use the technology provided under this 
section. 
SEC. 3008. TRANSITIONS. 
‘‘(a) ONCHIT.—Nothing in section 3001 shall be con-
strued as requiring the creation of a new entity to the extent 
that the Office of the National Coordinator for Health Infor-
mation Technology established pursuant to Executive Order 
13335 is consistent with the provisions of section 3001. 
‘‘(b) NATIONAL EHEALTH COLLABORATIVE.—Nothing 
in sections 3002 or 3003 or this subsection shall be con-
strued as prohibiting the National eHealth Collaborative 
from modifying its charter, duties, membership, and any 
other structure or function required to be consistent with 
the requirements of a voluntary consensus standards body 
so as to allow the Secretary to recognize the National 
eHealth Collaborative as the HIT Standards Committee. 
‘‘(c) CONSISTENCY OF RECOMMENDATIONS.—In car-
rying out section 3003(b)(1)(A), until recommendations are 
made by the HIT Policy Committee, recommendations of 
the HIT Standards Committee shall be consistent with the 
most recent recommendations made by such AHIC Suc-
cessor, Inc.
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‘‘SEC. 3009. RELATION TO HIPAA PRIVACY AND SECURITY 
LAW. 
‘‘(a) IN GENERAL.—With respect to the relation of this 
title to HIPAA privacy and security law: 
‘‘(1) This title may not be construed as having 
any effect on the authorities of the Secretary under 
HIPAA privacy and security law. 
‘‘(2) The purposes of this title include ensuring 
that the health information technology standards and 
implementation specifications adopted under section 
3004 take into account the requirements of HIPAA 
privacy and security law. 
‘‘(b) DEFINITION.—For purposes of this section, the 
term ‘HIPAA privacy and security law’ means— 
‘‘(1) the provisions of part C of title XI of the 
Social Security Act, section 264 of the Health Insur-
ance Portability and Accountability Act of 1996, and 
subtitle D of the Health Information Technology for 
Economic and Clinical Health Act; and 
‘‘(2) regulations under such provisions.’’. 
SEC. 13102. TECHNICAL AMENDMENT. 
Section 1171(5) of the Social Security Act (42 U.S.C. 
1320d) is amended by striking ‘‘or C’’ and inserting ‘‘C, 
or D’’.
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PART II—APPLICATION AND USE OF ADOPTED 
HEALTH 
INFORMATION 
TECHNOLOGY 
STANDARDS; REPORTS 
SEC. 13111. COORDINATION OF FEDERAL ACTIVITIES WITH 
ADOPTED 
STANDARDS 
AND 
IMPLEMENTA-
TION SPECIFICATIONS. 
(a) SPENDING
ON
HEALTH
INFORMATION
TECH-
NOLOGY SYSTEMS.—As each agency (as defined in the Exec-
utive Order issued on August 22, 2006, relating to pro-
moting quality and efficient health care in Federal govern-
ment administered or sponsored health care programs) im-
plements, acquires, or upgrades health information tech-
nology systems used for the direct exchange of individually 
identifiable health information between agencies and with 
non-Federal entities, it shall utilize, where available, health 
information technology systems and products that meet 
standards and implementation specifications adopted under 
section 3004(b) of the Public Health Service Act, as added 
by section 13101. 
(b) FEDERAL
INFORMATION
COLLECTION
ACTIVI-
TIES.—With respect to a standard or implementation speci-
fication adopted under section 3004(b) of the Public Health 
Service Act, as added by section 13101, the President shall 
take measures to ensure that Federal activities involving 
the broad collection and submission of health information 
are consistent with such standard or implementation speci-
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fication, respectively, within three years after the date of 
such adoption. 
(c) APPLICATION OF DEFINITIONS.—The definitions 
contained in section 3000 of the Public Health Service Act, 
as added by section 13101, shall apply for purposes of this 
part. 
SEC. 13112. APPLICATION TO PRIVATE ENTITIES. 
Each agency (as defined in such Executive Order 
issued on August 22, 2006, relating to promoting quality 
and efficient health care in Federal government adminis-
tered or sponsored health care programs) shall require in 
contracts or agreements with health care providers, health 
plans, or health insurance issuers that as each provider, 
plan, or issuer implements, acquires, or upgrades health in-
formation technology systems, it shall utilize, where avail-
able, health information technology systems and products 
that meet standards and implementation specifications 
adopted under section 3004(b) of the Public Health Service 
Act, as added by section 13101. 
SEC. 13113. STUDY AND REPORTS. 
(a) REPORT ON ADOPTION OF NATIONWIDE SYSTEM.— 
Not later than 2 years after the date of the enactment of 
this Act and annually thereafter, the Secretary of Health 
and Human Services shall submit to the appropriate com-
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mittees of jurisdiction of the House of Representatives and 
the Senate a report that— 
(1) describes the specific actions that have been 
taken by the Federal Government and private entities 
to facilitate the adoption of a nationwide system for 
the electronic use and exchange of health information; 
(2) describes barriers to the adoption of such a 
nationwide system; and 
(3) contains recommendations to achieve full im-
plementation of such a nationwide system. 
(b) REIMBURSEMENT INCENTIVE STUDY
AND RE-
PORT.— 
(1) STUDY.—The Secretary of Health and 
Human Services shall carry out, or contract with a 
private entity to carry out, a study that examines 
methods to create efficient reimbursement incentives 
for improving health care quality in Federally quali-
fied health centers, rural health clinics, and free clin-
ics. 
(2) REPORT.—Not later than 2 years after the 
date of the enactment of this Act, the Secretary of 
Health and Human Services shall submit to the ap-
propriate committees of jurisdiction of the House of 
Representatives and the Senate a report on the study 
carried out under paragraph (1).
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(c) AGING SERVICES TECHNOLOGY STUDY AND RE-
PORT.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall carry out, or contract with a 
private entity to carry out, a study of matters relat-
ing to the potential use of new aging services tech-
nology to assist seniors, individuals with disabilities, 
and their caregivers throughout the aging process. 
(2) MATTERS TO BE STUDIED.—The study under 
paragraph (1) shall include— 
(A) an evaluation of— 
(i) methods for identifying current, 
emerging, and future health technology that 
can be used to meet the needs of seniors and 
individuals with disabilities and their care-
givers across all aging services settings, as 
specified by the Secretary; 
(ii) methods for fostering scientific in-
novation with respect to aging services tech-
nology within the business and academic 
communities; and 
(iii) developments in aging services 
technology in other countries that may be 
applied in the United States; and 
(B) identification of—
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(i) barriers to innovation in aging 
services technology and devising strategies 
for removing such barriers; and 
(ii) barriers to the adoption of aging 
services technology by health care providers 
and consumers and devising strategies to re-
moving such barriers. 
(3) REPORT.—Not later than 24 months after the 
date of the enactment of this Act, the Secretary shall 
submit to the appropriate committees of jurisdiction 
of the House of Representatives and of the Senate a 
report on the study carried out under paragraph (1). 
(4) DEFINITIONS.—For purposes of this sub-
section: 
(A) AGING
SERVICES
TECHNOLOGY.—The 
term ‘‘aging services technology’’ means health 
technology that meets the health care needs of 
seniors, individuals with disabilities, and the 
caregivers of such seniors and individuals. 
(B) SENIOR.—The term ‘‘senior’’ has such 
meaning as specified by the Secretary. 
GENERAL PROVISIONS—HOPE FOR HOMEOWNERS 
AMENDMENTS 
SEC. 1211. Section 257 of the National Housing Act 
(12 U.S.C. 1715z–23), as amended by the Emergency Eco-
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nomic Stabilization Act of 2008 (Public Law 110–343), is 
amended— 
(1) in subsection (e)(1)(B), by inserting after 
‘‘being reset,’’ the following: ‘‘or has, due to a decrease 
in income,’’; 
(2) in subsection (k)(2), by striking ‘‘and the 
mortgagor’’ and all that follows through the end and 
inserting ‘‘shall, upon any sale or disposition of the 
property to which the mortgage relates, be entitled to 
25 percent of appreciation, up to the appraised value 
of the home at the time when the mortgage being refi-
nanced under this section was originally made. The 
Secretary may share any amounts received under this 
paragraph with the holder of the eligible mortgage re-
financed under this section.’’; 
(3) in subsection (i)— 
(A) by inserting ‘‘, after weighing maxi-
mization of participation with consideration for 
the solvency of the program,’’ after ‘‘Secretary 
shall’’; 
(B) in paragraph (1), by striking ‘‘equal to 
3 percent’’ and inserting ‘‘not more than 2 per-
cent’’; and
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(C) in paragraph (2), by striking ‘‘equal to 
1.5 percent’’ and inserting ‘‘not more than 1 per-
cent’’; and 
(4) by adding at the end the following: 
‘‘(x) AUCTIONS.—The Board shall, if feasible, establish 
a structure and organize procedures for an auction to refi-
nance eligible mortgages on a wholesale or bulk basis. 
‘‘(y) COMPENSATION OF SERVICERS.—To provide in-
centive for participation in the program under this section, 
each servicer of an eligible mortgage insured under this sec-
tion shall be paid $1,000 for performing services associated 
with refinancing such mortgage, or such other amount as 
the Board determines is warranted. Funding for such com-
pensation shall be provided by funds realized through the 
HOPE bond under subsection (w).’’. 
Subtitle B—Testing of Health 
Information Technology 
SEC. 13201. NATIONAL INSTITUTE FOR STANDARDS AND 
TECHNOLOGY TESTING. 
(a) PILOT TESTING OF STANDARDS AND IMPLEMENTA-
TION SPECIFICATIONS.—In coordination with the HIT 
Standards Committee established under section 3003 of the 
Public Health Service Act, as added by section 13101, with 
respect to the development of standards and implementation 
specifications under such section, the Director of the Na-
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tional Institute for Standards and Technology shall test 
such standards and implementation specifications, as ap-
propriate, in order to assure the efficient implementation 
and use of such standards and implementation specifica-
tions. 
(b) VOLUNTARY TESTING PROGRAM.—In coordination 
with the HIT Standards Committee established under sec-
tion 3003 of the Public Health Service Act, as added by 
section 13101, with respect to the development of standards 
and implementation specifications under such section, the 
Director of the National Institute of Standards and Tech-
nology shall support the establishment of a conformance 
testing infrastructure, including the development of tech-
nical test beds. The development of this conformance testing 
infrastructure may include a program to accredit inde-
pendent, non-Federal laboratories to perform testing. 
SEC. 13202. RESEARCH AND DEVELOPMENT PROGRAMS. 
(a) HEALTH CARE INFORMATION ENTERPRISE INTE-
GRATION RESEARCH CENTERS.— 
(1) IN GENERAL.—The Director of the National 
Institute of Standards and Technology, in consulta-
tion with the Director of the National Science Foun-
dation and other appropriate Federal agencies, shall 
establish a program of assistance to institutions of 
higher education (or consortia thereof which may in-
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clude nonprofit entities and Federal Government lab-
oratories) to establish multidisciplinary Centers for 
Health Care Information Enterprise Integration. 
(2) REVIEW; COMPETITION.—Grants shall be 
awarded under this subsection on a merit-reviewed, 
competitive basis. 
(3) PURPOSE.—The purposes of the Centers de-
scribed in paragraph (1) shall be— 
(A) to generate innovative approaches to 
health care information enterprise integration by 
conducting cutting-edge, multidisciplinary re-
search on the systems challenges to health care 
delivery; and 
(B) the development and use of health infor-
mation technologies and other complementary 
fields. 
(4) RESEARCH AREAS.—Research areas may in-
clude— 
(A) interfaces between human information 
and communications technology systems; 
(B) voice-recognition systems; 
(C) software that improves interoperability 
and connectivity among health information sys-
tems;
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(D) software dependability in systems crit-
ical to health care delivery; 
(E) measurement of the impact of informa-
tion technologies on the quality and productivity 
of health care; 
(F) health information enterprise manage-
ment; 
(G) health information technology security 
and integrity; and 
(H) relevant health information technology 
to reduce medical errors. 
(5) APPLICATIONS.—An institution of higher 
education (or a consortium thereof) seeking funding 
under this subsection shall submit an application to 
the Director of the National Institute of Standards 
and Technology at such time, in such manner, and 
containing such information as the Director may re-
quire. The application shall include, at a minimum, 
a description of— 
(A) the research projects that will be under-
taken by the Center established pursuant to as-
sistance under paragraph (1) and the respective 
contributions of the participating entities; 
(B) how the Center will promote active col-
laboration among scientists and engineers from
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different disciplines, such as information tech-
nology, biologic sciences, management, social 
sciences, and other appropriate disciplines; 
(C) technology transfer activities to dem-
onstrate and diffuse the research results, tech-
nologies, and knowledge; and 
(D) how the Center will contribute to the 
education and training of researchers and other 
professionals in fields relevant to health informa-
tion enterprise integration. 
(b) NATIONAL INFORMATION TECHNOLOGY RESEARCH 
AND DEVELOPMENT PROGRAM.—The National High-Per-
formance Computing Program established by section 101 of 
the High-Performance Computing Act of 1991 (15 U.S.C. 
5511) may review Federal research and development pro-
grams related to the development and deployment of health 
information technology, including activities related to— 
(1) computer infrastructure; 
(2) data security; 
(3) development of large-scale, distributed, reli-
able computing systems; 
(4) wired, wireless, and hybrid high-speed net-
working; 
(5) development of software and software-inten-
sive systems;
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(6) human-computer interaction and informa-
tion management technologies; and 
(7) the social and economic implications of in-
formation technology. 
Subtitle C—Incentives for the Use of 
Health Information Technology 
PART I—GRANTS AND LOANS FUNDING 
SEC. 13301. GRANT, LOAN, AND DEMONSTRATION PRO-
GRAMS. 
Title XXX of the Public Health Service Act, as added 
by section 13101, is amended by adding at the end the fol-
lowing new subtitle: 
‘‘Subtitle B—Incentives for the Use 
of Health Information Technology 
‘‘SEC. 3011. IMMEDIATE FUNDING TO STRENGTHEN THE 
HEALTH INFORMATION TECHNOLOGY INFRA-
STRUCTURE. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services shall, using amounts appropriated under 
section 3018, invest in the infrastructure necessary to allow 
for and promote the electronic exchange and use of health 
information for each individual in the United States con-
sistent with the goals outlined in the strategic plan devel-
oped by the National Coordinator (and, as available) under 
section 3001. To the greatest extent practicable, the Sec-
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retary shall ensure that any funds so appropriated shall 
be used for the acquisition of health information technology 
that meets standards and certification criteria adopted be-
fore the date of the enactment of this title until such date 
as the standards are adopted under section 3004. The Sec-
retary shall invest funds through the different agencies with 
expertise in such goals, such as the Office of the National 
Coordinator for Health Information Technology, the Health 
Resources and Services Administration, the Agency for 
Healthcare Research and Quality, the Centers of Medicare 
& Medicaid Services, the Centers for Disease Control and 
Prevention, and the Indian Health Service to support the 
following: 
‘‘(1) Health information technology architecture 
that will support the nationwide electronic exchange 
and use of health information in a secure, private, 
and accurate manner, including connecting health in-
formation exchanges, and which may include updat-
ing and implementing the infrastructure necessary 
within different agencies of the Department of Health 
and Human Services to support the electronic use 
and exchange of health information. 
‘‘(2) Development and adoption of appropriate 
certified electronic health records for categories of pro-
viders not eligible for support under title XVIII or
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XIX of the Social Security Act for the adoption of 
such records. 
‘‘(3) Training on and dissemination of informa-
tion on best practices to integrate health information 
technology, including electronic health records, into a 
provider’s delivery of care, consistent with best prac-
tices learned from the Health Information Technology 
Research Center developed under section 3012, includ-
ing community health centers receiving assistance 
under section 330 of the Public Health Service Act, 
covered entities under section 340B of such Act, and 
providers participating in one or more of the pro-
grams under titles XVIII, XIX, and XXI of the Social 
Security Act (relating to Medicare, Medicaid, and the 
State Children’s Health Insurance Program). 
‘‘(4) Infrastructure and tools for the promotion 
of telemedicine, including coordination among Fed-
eral agencies in the promotion of telemedicine. 
‘‘(5) Promotion of the interoperability of clinical 
data repositories or registries. 
‘‘(6) Promotion of technologies and best practices 
that enhance the protection of health information by 
all holders of individually identifiable health informa-
tion.
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‘‘(7) Improve and expand the use of health infor-
mation technology by public health departments. 
‘‘(8) Provide $300,000,000 to support regional or 
sub-national efforts towards health information ex-
change. 
‘‘(b) COORDINATION.—The Secretary shall ensure 
funds under this section are used in a coordinated manner 
with other health information promotion activities. 
‘‘(c) ADDITIONAL USE OF FUNDS.—In addition to 
using funds as provided in subsection (a), the Secretary 
may use amounts appropriated under section 3018 to carry 
out activities that are provided for under laws in effect on 
the date of enactment of this title. 
‘‘SEC. 3012. HEALTH INFORMATION TECHNOLOGY IMPLE-
MENTATION ASSISTANCE. 
‘‘(a) HEALTH INFORMATION TECHNOLOGY EXTENSION 
PROGRAM.—To assist health care providers to adopt, imple-
ment, and effectively use certified EHR technology that al-
lows for the electronic exchange and use of health informa-
tion, the Secretary, acting through the Office of the National 
Coordinator, shall establish a health information technology 
extension program to provide health information technology 
assistance services to be carried out through the Department 
of Health and Human Services. The National Coordinator 
shall consult with other Federal agencies with demonstrated
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experience and expertise in information technology services, 
such as the National Institute of Standards and Tech-
nology, in developing and implementing this program. 
‘‘(b) HEALTH INFORMATION TECHNOLOGY RESEARCH 
CENTER.— 
‘‘(1) IN GENERAL.—The Secretary shall create a 
Health Information Technology Research Center (in 
this section referred to as the ‘Center’) to provide tech-
nical assistance and develop or recognize best prac-
tices to support and accelerate efforts to adopt, imple-
ment, and effectively utilize health information tech-
nology that allows for the electronic exchange and use 
of information in compliance with standards, imple-
mentation specifications, and certification criteria 
adopted under section 3004(b). 
‘‘(2) INPUT.—The Center shall incorporate input 
from— 
‘‘(A) other Federal agencies with dem-
onstrated experience and expertise in informa-
tion technology services such as the National In-
stitute of Standards and Technology; 
‘‘(B) users of health information technology, 
such as providers and their support and clerical 
staff and others involved in the care and care co-
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ordination of patients, from the health care and 
health information technology industry; and 
‘‘(C) others as appropriate. 
‘‘(3) PURPOSES.—The purposes of the Center are 
to— 
‘‘(A) provide a forum for the exchange of 
knowledge and experience; 
‘‘(B) accelerate the transfer of lessons 
learned from existing public and private sector 
initiatives, including those currently receiving 
Federal financial support; 
‘‘(C) assemble, analyze, and widely dissemi-
nate evidence and experience related to the adop-
tion, implementation, and effective use of health 
information technology that allows for the elec-
tronic exchange and use of information includ-
ing through the regional centers described in sub-
section (c); 
‘‘(D) provide technical assistance for the es-
tablishment and evaluation of regional and local 
health information networks to facilitate the elec-
tronic exchange of information across health care 
settings and improve the quality of health care; 
‘‘(E) provide technical assistance for the de-
velopment and dissemination of solutions to bar-
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riers to the exchange of electronic health informa-
tion; and 
‘‘(F) learn about effective strategies to adopt 
and utilize health information technology in 
medically underserved communities. 
‘‘(c) HEALTH INFORMATION TECHNOLOGY REGIONAL 
EXTENSION CENTERS.— 
‘‘(1) IN GENERAL.—The Secretary shall provide 
assistance for the creation and support of regional 
centers (in this subsection referred to as ‘regional cen-
ters’) to provide technical assistance and disseminate 
best practices and other information learned from the 
Center to support and accelerate efforts to adopt, im-
plement, and effectively utilize health information 
technology that allows for the electronic exchange and 
use of information in compliance with standards, im-
plementation specifications, and certification criteria 
adopted under section 3004. Activities conducted 
under this subsection shall be consistent with the stra-
tegic plan developed by the National Coordinator 
(and, as available) under section 3001. 
‘‘(2) AFFILIATION.—Regional centers shall be af-
filiated with any United States-based nonprofit insti-
tution or organization, or group thereof, that applies 
and is awarded financial assistance under this sec-
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tion. Individual awards shall be decided on the basis 
of merit. 
‘‘(3) OBJECTIVE.—The objective of the regional 
centers is to enhance and promote the adoption of 
health information technology through— 
‘‘(A) assistance with the implementation, ef-
fective use, upgrading, and ongoing maintenance 
of health information technology, including elec-
tronic health records, to healthcare providers na-
tionwide; 
‘‘(B) broad participation of individuals 
from industry, universities, and State govern-
ments; 
‘‘(C) active dissemination of best practices 
and research on the implementation, effective 
use, upgrading, and ongoing maintenance of 
health information technology, including elec-
tronic health records, to health care providers in 
order to improve the quality of healthcare and 
protect the privacy and security of health infor-
mation; 
‘‘(D) participation, to the extent prac-
ticable, in health information exchanges;
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‘‘(E) utilization, when appropriate, of the 
expertise and capability that exists in federal 
agencies other than the Department; and 
‘‘(F) integration of health information tech-
nology, including electronic health records, into 
the initial and ongoing training of health profes-
sionals and others in the healthcare industry 
that would be instrumental to improving the 
quality of healthcare through the smooth and ac-
curate electronic use and exchange of health in-
formation. 
‘‘(4) REGIONAL
ASSISTANCE.—Each regional 
center shall aim to provide assistance and education 
to all providers in a region, but shall prioritize any 
direct assistance first to the following: 
‘‘(A) Public or not-for-profit hospitals or 
critical access hospitals. 
‘‘(B) Federally qualified health centers (as 
defined in section 1861(aa)(4) of the Social Se-
curity Act). 
‘‘(C) Entities that are located in rural and 
other areas that serve uninsured, underinsured, 
and medically underserved individuals (regard-
less of whether such area is urban or rural).
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‘‘(D) Individual or small group practices 
(or a consortium thereof) that are primarily fo-
cused on primary care. 
‘‘(5) FINANCIAL SUPPORT.—The Secretary may 
provide financial support to any regional center cre-
ated under this subsection for a period not to exceed 
four years. The Secretary may not provide more than 
50 percent of the capital and annual operating and 
maintenance funds required to create and maintain 
such a center, except in an instance of national eco-
nomic conditions which would render this cost-share 
requirement detrimental to the program and upon no-
tification to Congress as to the justification to waive 
the cost-share requirement. 
‘‘(6) NOTICE
OF
PROGRAM
DESCRIPTION
AND 
AVAILABILITY OF FUNDS.—The Secretary shall pub-
lish in the Federal Register, not later than 90 days 
after the date of the enactment of this Act, a draft de-
scription of the program for establishing regional cen-
ters under this subsection. Such description shall in-
clude the following: 
‘‘(A) A detailed explanation of the program 
and the programs goals. 
‘‘(B) Procedures to be followed by the appli-
cants.
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‘‘(C) Criteria for determining qualified ap-
plicants. 
‘‘(D) Maximum support levels expected to be 
available to centers under the program. 
‘‘(7) APPLICATION REVIEW.—The Secretary shall 
subject each application under this subsection to 
merit review. In making a decision whether to ap-
prove such application and provide financial support, 
the Secretary shall consider at a minimum the merits 
of the application, including those portions of the ap-
plication regarding— 
‘‘(A) the ability of the applicant to provide 
assistance under this subsection and utilization 
of health information technology appropriate to 
the needs of particular categories of health care 
providers; 
‘‘(B) the types of service to be provided to 
health care providers; 
‘‘(C) geographical diversity and extent of 
service area; and 
‘‘(D) the percentage of funding and amount 
of in-kind commitment from other sources. 
‘‘(8) BIENNIAL EVALUATION.—Each regional cen-
ter which receives financial assistance under this sub-
section shall be evaluated biennially by an evaluation