(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Purpose. 
Sec. 3. Establishment of a Blueprint for Health for disease prevention, health 
promotion, and education about and better management of 
chronic conditions. 
Sec. 4. Strategic plan. 
Sec. 5. Chronic care management programs. 
Sec. 6. Incentives for prevention of chronic disease. 
Sec. 7. Health information technology. 
Sec. 8. Recommendations to Congress; annual report. 
SEC. 2. PURPOSE. 
It is the purpose of this Act to establish a Blueprint 
for Health which is designed— 
(1) to create a national integrated medical 
home model of care that enhances primary care, en-
courages multidisciplinary coordination, and pro-
motes disease prevention, health promotion, and 
education about and better management of chronic 
conditions; 
(2) to increase Americans’ access to affordable, 
appropriate, high quality care through the use of the 
integrated medical home model; and 
(3) to reduce costs to the United States health 
care system through the application of such model. 
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SEC. 3. ESTABLISHMENT OF A BLUEPRINT FOR HEALTH 
FOR DISEASE PREVENTION, HEALTH PRO-
MOTION, AND EDUCATION ABOUT AND BET-
TER 
MANAGEMENT 
OF 
CHRONIC 
CONDI-
TIONS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this Act referred to as the ‘‘Sec-
retary’’) shall create consistent with this Act a program 
(in this Act referred to as the ‘‘Blueprint for Health’’) 
that provides a national infrastructure for disease preven-
tion, health promotion, and education about and better 
management of chronic conditions through the use of a 
nationwide integrated medical home model of care (in this 
Act referred to as the ‘‘integrated medical home model of 
care’’) in a manner that is designed to initiate, coordinate, 
and evaluate measures for promoting health and pre-
venting disease in the United States. 
(b) ELEMENTS OF BLUEPRINT.—The Blueprint for 
Health shall include the following elements: 
(1) STRATEGIC
PLAN.—A strategic plan de-
scribed in section 4 for designing the integrated 
medical home model of care. 
(2) CHRONIC CARE MANAGEMENT PROGRAMS.— 
Chronic care management programs described in 
section 5. 
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(3) PREVENTION INCENTIVES.—Incentives for 
the prevention of chronic disease described in section 
6. 
(4) ASSESSMENT OF HIT INITIATIVES.—A plan 
described in section 7 for the assessment of current 
health information technology initiatives. 
(c) EXECUTIVE COMMITTEE.— 
(1) IN GENERAL.—The Secretary shall convene 
an executive committee to advise the Secretary on 
the creation and implementation of the Blueprint for 
Health. 
(2) COMPOSITION.—The executive committee 
shall include representation from national and State 
medical, hospital, and pharmaceutical associations, 
consumer and patient advocacy groups, labor 
groups, employer and other purchasing groups, and 
the health insurance industry. 
SEC. 4. STRATEGIC PLAN. 
The Blueprint for Health shall include a strategic 
plan for designing the integrated medical home model of 
care that includes the following: 
(1) Recommended elements of an integrated co-
ordinated chronic care management model that in-
corporates the following: 
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(A) Medical practices acting as medical 
homes in being primary caregivers in close co-
ordination with other elements. The elements 
for such homes may be based on guidelines de-
veloped for such homes by the National Com-
mittee for Quality Assurance. 
(B) Early disease detection and risk strati-
fication. 
(C) Community care teams that provide 
care support for medical homes and assist in 
coordinating care among medical homes, hos-
pitals, prevention programs, multidisciplinary 
specialists, and others. 
(2) A plan for the formation of such community 
care teams that may include panel managers, public 
health prevention specialists, nurse coordinators, so-
cial workers, dieticians, community health workers, 
care coordinators, behavioral health specialists, and 
other patient support personnel. 
(3) Incentives for patient self management, 
community-based initiatives, and system and infor-
mation technology reforms, intended for use by all 
providers and health plans, including Medicare, 
Medicaid, the Federal employees health benefits pro-
gram, and other Federal programs. 
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(4) A description of recommended prevention 
programs and a strategy for integrating them into 
the integrated medical home model of care. 
(5) A plan to ensure that chronically ill patients 
have a low level of cost sharing under the integrated 
medical home model of care. 
(6) Alignment of health care information tech-
nology initiatives with information technology needs. 
(7) Development and use of outcome and re-
porting measures designed to track the progress of 
patients meeting clinically recommended treatment 
goals. 
(8) A strategy for ensuring the broad support 
of the integrated medical home model of care by 
health insurers, hospitals, and health care profes-
sionals, including specialists and other physicians. 
(9) Recommendations for better integrating 
specialty care services into primary care practices to 
ensure care coordination and the use of best prac-
tices. 
(10) Recommendations for the consultation of 
providers experienced with the development and im-
plementation of an integrated medical home model 
of care as this Act’s care coordination model is de-
veloped. 
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(11) A strategy for standardizing outcome and 
financial measures to ensure consistency among all 
health plans, including Medicare, Medicaid, the Fed-
eral employees health benefits program, and other 
Federal programs. 
SEC. 5. CHRONIC CARE MANAGEMENT PROGRAMS. 
The Secretary shall include in the Blueprint for 
Health chronic care management programs which provide 
for at least the following: 
(1) Methods for identifying and enrolling chron-
ically ill patients and for encouraging primary care 
physicians, specialists, hospitals, and others to par-
ticipate in such programs. 
(2) Development of health risk appraisal or as-
sessment for individuals enrolled under Medicare, 
Medicaid, or the Federal employees health benefits 
program. 
(3) A process for coordinating care among 
health professionals including multidisciplinary care 
teams and specialty care providers. 
(4) Methods for increasing communication 
among health care professionals and patients, in-
cluding patient education, self-management, and fol-
low up plans. 
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(5) Process and outcome measures to provide 
performance feedback for health care professionals 
and information on the quality of care. 
(6) Payment methodologies to create financial 
incentives for patient participation and to allow pri-
mary care physicians to meet specific standards of 
a medical home program. Such financial incentives 
shall include— 
(A) enhanced payment to medical prac-
tices, such as a per member per month fee, 
based on standards for a medical home, such as 
the National Committee for Quality Assurance 
standards for a patient centered medical home; 
(B) payment for care support services, 
such as community care teams or other applica-
ble approaches, across all insurers, including 
multi-payer private plans and Medicare, Med-
icaid, and other public plans; and 
(C) the support of a community based sav-
ings sharing and reinvestment model, such as 
an accountable care organization, which incor-
porates a balanced set of financial and quality 
incentives, such as the Institute for Healthcare 
Improvement’s Triple Aims. 
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SEC. 6. INCENTIVES FOR PREVENTION OF CHRONIC DIS-
EASE. 
(a) IN GENERAL.—The Secretary shall include in the 
Blueprint for Health a plan to provide incentives to pre-
vent chronic diseases, including investments in healthy 
and sustainable local and regional food systems as well 
as the broader use of lifestyle changes, such as through 
diet, exercise, and smoking cessation in the schools, com-
munities, and workplace. 
(b) COMPILATION
OF
EFFECTIVE
PRACTICES.— 
Based on recommendations set forth by the United States 
Preventive Services Task Force, the Secretary shall com-
pile a list of effective practices that would serve as a basis 
for establishing programs to prevent chronic disease and 
that could be included in the Blueprint for Health. 
(c) RECOMMENDATIONS.—The plan under subsection 
(a) may include the following: 
(1) Grant opportunities and Federal tax credits 
for localities to conduct community assessment, 
intervention, and activation plans in which public 
health data are collected and analyzed to identify 
areas in greatest need of prevention and wellness 
programs. 
(2) Federal tax credits and incentive grants to 
local education agencies, businesses, local depart-
ments of public health, communities, hospitals, 
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health care providers, and other entities so that they 
may adopt effective models of wellness shown to 
lower costs and improve health. 
(3) Incentives for individuals to take proactive 
preventative measures, including weight manage-
ment and smoking cessation. 
(4) Federal tax credits and incentive grants to 
local education agencies, businesses, local depart-
ments of public health, communities, hospitals, 
health care providers and other entities to promote 
the development of healthy and sustainable local and 
regional food systems. 
SEC. 7. HEALTH INFORMATION TECHNOLOGY. 
(a) IN GENERAL.—The Blueprint for Health shall 
promote the effective, efficient, national use of health care 
information technology initiatives. 
(b) ASSESSMENT.—As part of the Blueprint for 
Health, the Secretary shall commission an assessment to 
be presented to Congress not later than two years after 
the date of the enactment of this Act that examines the 
implementation of the health information technology pro-
visions enacted as part of the American Recovery and Re-
investment Act of 2009 (Public Law 111–5). This assess-
ment shall evaluate the implementation of such provisions 
as they apply to chronic care management, and determine 
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if further action is needed to ensure that the funding pro-
vided in such Act under such provisions is used effectively 
and efficiently to help ensure the effective management 
of chronic disease. 
SEC. 8. RECOMMENDATIONS TO CONGRESS; ANNUAL RE-
PORT. 
(a) IN GENERAL.—Not later than 1 year after the 
date of the enactment of this Act, the Secretary shall 
present to Congress recommendations for legislation to 
implement the Blueprint for Health, including the estab-
lishment of programs designed to enhance primary care, 
promote multidisciplinary care coordination, prevent dis-
ease, improve quality, contain costs, more effectively man-
age chronic illness, and promote good health and preven-
tion initiatives. 
(b) ANNUAL REPORT.—The Secretary shall submit 
an annual report to Congress on the status of the imple-
mentation of the Blueprint for Health. 
Æ 
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