shall take measures to ensure that Federal activities 
involving the broad collection and submission of 
health information are consistent with such guideline 
within three years after the date of such endorse-
ment. 
‘‘(2) PROMOTING
USE
OF
NON-IDENTIFIABLE 
HEALTH
INFORMATION
TO
IMPROVE
HEALTH
RE-
SEARCH AND HEALTH CARE QUALITY.—
‘‘(A) IN
GENERAL.—Where feasible, and 
consistent with applicable privacy or security or 
other laws, the President, in consultation with 
the Secretary, shall take measures to allow 
timely access to useful categories of non-identi-
fiable health information in records maintained 
by the Federal government, or maintained by 
entities under contract with the Federal govern-
ment, to advance health care quality and health 
research where such information is in a form 
that can be used in such research. The Presi-
dent shall consult with appropriate Federal 
agencies, and solicit public comment, on useful 
categories of information, and appropriate 
measures to take. The President may consider 
the administrative burden and the potential for 
improvements in health care quality in deter-
mining such appropriate measures. In addition, 
the President, in consultation with the Sec-
retary, shall encourage voluntary private and 
public sector efforts to allow access to such use-
ful categories of non-identifiable health infor-
mation to advance health care quality and 
health research. 
‘‘(B) NON-IDENTIFIABLE HEALTH INFOR-
MATION DEFINED.—For purposes of this para-
graph, the term ‘non-identifiable health infor-
mation’ means information that is not individ-
ually identifiable health information as defined 
in rules promulgated pursuant to section 264(c) 
of the Health Insurance Portability and Ac-
countability Act of 1996 (42 U.S.C. 1320d–2 
note), and includes information that has been 
de-identified so that it is no longer individually 
identifiable health information, as defined in 
such rules. 
‘‘(3) ANNUAL REVIEW AND REPORT.—For each 
year during the five-year period following the date of 
the enactment of this section, the National Coordi-
nator shall review the operation of health informa-
tion collection by and submission to the Federal gov-
ernment and the purchases (and planned purchases)
of health information technology by the Federal gov-
ernment. For each such year and based on the re-
view for such year, the National Coordinator shall 
submit to the President and Congress recommenda-
tions on methods to—
‘‘(A) streamline (and eliminate redundancy 
in) Federal systems used for the collection and 
submission of health information; 
‘‘(B) improve efficiency in such collection 
and submission; 
‘‘(C) increase the ability to assess health 
care quality; and 
‘‘(D) reduce health care costs.’’. 
SEC. 104. GRANTS TO INTEGRATED HEALTH SYSTEMS TO 
PROMOTE 
HEALTH 
INFORMATION 
TECH-
NOLOGIES TO IMPROVE COORDINATION OF 
CARE FOR THE UNINSURED, UNDERINSURED, 
AND MEDICALLY UNDERSERVED. 
Subpart I of part D of title III of the Public Health 
Service Act (42 U.S.C. 254b et seq.) is amended by adding 
at the end the following:
‘‘SEC. 330M. GRANTS FOR IMPROVEMENT OF THE COORDI-
NATION OF CARE FOR THE UNINSURED, 
UNDERINSURED, AND MEDICALLY UNDER-
SERVED. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to integrated health care systems, in accordance with this 
section, for projects to better coordinate the provision of 
health care through the adoption of new health informa-
tion technology, or the significant improvement of existing 
health information technology, to improve the provision of 
health care to uninsured, underinsured, and medically un-
derserved individuals (including in urban and rural areas) 
through health-related information about such individuals, 
throughout such a system and at the point of service. 
‘‘(b) ELIGIBILITY.—
‘‘(1) APPLICATION.—To be eligible to receive a 
grant under this section, an integrated health care 
system shall prepare and submit to the Secretary an 
application, at such time, in such manner, and con-
taining such information as the Secretary may re-
quire, including—
‘‘(A) a description of the project that the 
system will carry out using the funds provided 
under the grant;
‘‘(B) a description of the manner in which 
the project funded under the grant will advance 
the goal specified in subsection (a); and 
‘‘(C) a description of the populations to be 
served by the adoption or improvement of 
health information technology. 
‘‘(2) OPTIONAL REPORTING CONDITION.—The 
Secretary may also condition the provision of a 
grant to an integrated health care system under this 
section for a project on the submission by such sys-
tem to the Secretary of a report on the impact of 
the health information technology adopted (or im-
proved) under such project on the delivery of health 
care and the quality of care (in accordance with ap-
plicable measures of such quality). Such report shall 
be at such time and in such form and manner as 
specified by the Secretary. 
‘‘(c) INTEGRATED
HEALTH
CARE
SYSTEM
DE-
FINED.—For purposes of this section, the term ‘integrated 
health care system’ means a system of health care pro-
viders that is organized to provide care in a coordinated 
fashion and has a demonstrated commitment to provide 
uninsured, underinsured, and medically underserved indi-
viduals with access to such care.
‘‘(d) PRIORITIES.—In making grants under this sec-
tion, the Secretary shall give priority to an integrated 
health care system—
‘‘(1) that can demonstrate past successful com-
munity-wide efforts to improve the quality of care 
provided and the coordination of care for the unin-
sured, underinsured, and medically underserved; 
‘‘(2) if the project to be funded through such a 
grant—
‘‘(A) will improve the delivery of health 
care and the quality of care provided; and 
‘‘(B) will demonstrate savings for State or 
Federal health care benefits programs or enti-
ties legally obligated under Federal law to pro-
vide health care from the reduction of duplica-
tive health care services, administrative costs, 
and medical errors; or 
‘‘(3) if the project to be funded through such a 
grant will emphasize the improvement of access to 
medical care and medical care for medically under-
served populations which are geographically isolated 
or located in underserved urban areas. 
‘‘(e) LIMITATION, MATCHING REQUIREMENT, AND 
CONDITIONS.—