3004 of the Public Health Service Act (42 
U.S.C. 300jj–14), for the purposes de-
scribed in subparagraph (A), and 
(C) ensures that— 
(i) reasonable measures are taken to 
promote connectivity and interoperable ex-
change among associated entities; 
(ii) appropriate privacy and security 
protections are in place, in accordance with 
applicable Federal and State privacy laws; 
and 
(iii) appropriate accessibility measures 
are in place, in accordance with applicable 
Federal and State law, including the 
Americans with Disabilities Act of 1990 
(42 U.S.C. 12101 et seq.) and section 508 
of the Rehabilitation Act of 1973 (29 
U.S.C. 794(d)); 
(2) connecting associated entities for purposes 
of communication, service coordination and con-
sumer assistance, referral and capacity management, 
outcome tracking, interoperability, eligibility deter-
mination, and related services; 
(3) providing technical assistance and sup-
porting associated entities in connecting and partici-
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pating in the community integration network infra-
structure; 
(4) planning for and implementing actions de-
signed to create sustainable funding models to sup-
port long-term access to community integration net-
work infrastructure; 
(5) designing and implementing a financial 
structure to make the community integration net-
work infrastructure financially self-sustaining not 
later than 4 years after receiving funds under this 
section; and 
(6) evaluating the use of any funds provided 
under this section. 
(c) AWARD OF GRANTS.— 
(1) IN GENERAL.—A grant under this Act shall 
be awarded under such terms and conditions as the 
Secretary shall prescribe, including the guidelines es-
tablished under paragraph (3) and, as determined 
feasible and appropriate by the Secretary, that the 
State shall utilize, where available, health informa-
tion technology systems and products that meet 
standards and implementation specifications adopted 
under section 3004 of the Public Health Service Act 
(42 U.S.C. 300jj–14). 
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(2) MINIMIZING
ADMINISTRATIVE
BURDEN.— 
The Secretary shall seek to minimize the administra-
tive burden of such terms and conditions and ensure 
programmatic flexibility for unique State needs. 
(3) GUIDELINES.—The Secretary shall— 
(A) consult relevant stakeholders, including 
community-based organizations, regarding basic 
functionalities, technical capacities, and data 
standards needed for interoperable community 
integration network infrastructure and the dis-
tinct 
governance 
and 
management 
functionalities of the associated social care de-
livery system; and 
(B) based on such consultations, establish 
guidelines for awarding grants under this sec-
tion, including application requirements. 
(d) APPLICATION.—A State desiring a grant under 
this section shall— 
(1) enter into a public-private partnership with 
one or more— 
(A) private, nonprofit, or philanthropic or-
ganizations, including such organizations in 
rural areas, centers for independent living, area 
agencies on aging, and Aging and Disability 
Resource Centers; or 
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(B) Indian Tribes, Tribal organizations, or 
urban Indian organizations within the State; 
and 
(2) submit to the Secretary an application at 
such time, in such manner, and containing or ac-
companied by such information as the Secretary may 
require, including— 
(A) a description of the agency or depart-
ment in the State government that will coordi-
nate with and oversee the partnership estab-
lished under paragraph (1); 
(B) a plan for the establishment or en-
hancement of a community integration network 
infrastructure including— 
(i) the proposed transparent and com-
petitive process for selecting any new oper-
ational components of the community inte-
gration network infrastructure; 
(ii) the planned governance structure 
(in accordance with subsection (f)) within 
the community integration network infra-
structure; 
(iii) proposed associated entities and 
services to be included in the community 
integration network infrastructure; 
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(iv) accessing and electronically link-
ing, as feasible, relevant data to create 
community integration network infrastruc-
ture, including a description of intended 
sources of data; and 
(v) the use of standards and imple-
mentation specifications developed by na-
tional standards organizations, as feasible, 
and coordination with such organizations 
overall; 
(C) assurances that the funds awarded 
under this section will be used solely to carry 
out authorized activities as described in sub-
section (b) and other related activities; 
(D) potential options, including public-pri-
vate partnerships in addition to the partnership 
described in paragraph (1), for making the 
community integration network infrastructure 
financially self-sustaining not later than 4 years 
after receiving funds under this section; and 
(E) a description of the objectives and out-
come goals of developing the community inte-
gration network infrastructure, including— 
(i) one or more health outcomes; 
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(ii) one or more other important social 
outcomes; 
(iii) improved access to health care or 
social services; and 
(iv) how progress toward the outcomes 
described in clauses (i), (ii), and (iii) will 
be measured through internal performance 
metrics. 
(e) SEPARATE TRIBAL INFRASTRUCTURE.—Nothing 
in this section shall preclude Indian Tribes, Tribal organi-
zations, or urban Indian organizations from establishing 
a community integration network infrastructure that is 
separate from any other public-private partnership receiv-
ing funding under this section, provided that such infra-
structure is interoperable with the community integration 
network infrastructure of each applicable State that re-
ceives a grant under subsection (a). 
(f) PLANNED GOVERNANCE STRUCTURE OF COMMU-
NITY INTEGRATION NETWORK INFRASTRUCTURE.—Com-
munity integration network infrastructure established or 
enhanced using a grant under subsection (a) shall have 
a planned governance structure that is based on a shared 
governance model providing collaborative representation 
for different types of associated entities, including associ-
ated entities that provide social services. 
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(g) EVALUATION.—The Secretary may conduct an 
evaluation of grants awarded under this section, including 
regarding activities and services to establish new or en-
hance existing community integration network infrastruc-
ture and the operations of such community integration 
network infrastructure. 
(h) FEDERAL MATCHES.—Grant funds made avail-
able to States under subsection (a) shall be deemed a non- 
Federal source for purposes of any requirement for match-
ing Federal funds with non-Federal funds, including the 
requirement applicable to State expenditures on tech-
nology that are reimbursable under section 1903(a) of the 
Social Security Act (42 U.S.C. 1396b(a)). 
(i) ELECTRONIC HEALTH RECORDS.—No State re-
ceiving a grant under this section shall be required to in-
corporate electronic health records into the State’s com-
munity integration network infrastructure supported by 
such grant. 
(j) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.— 
(A) TOTAL AMOUNT.—To carry out this 
section (other than subsection (g)), there is au-
thorized to be appropriated $150,000,000 for 
the period of fiscal years 2022 to 2026. 
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(B) ADMINISTRATION.—Of the amounts 
appropriated pursuant to subparagraph (A), up 
to $10,000,000 may be used for administrative 
expenses. 
(2) EVALUATION.—There is authorized to be 
appropriated such sums as may be necessary to 
carry out subsection (g) for fiscal year 2022. 
(3) DURATION OF AVAILABILITY.—Amounts ap-
propriated under this subsection shall remain avail-
able until the date that is 5 years after the date of 
enactment of this Act. 
(k) DEFINITIONS.—In this section: 
(1) AGING
AND
DISABILITY
RESOURCE
CEN-
TER.—The term ‘‘Aging and Disability Resource 
Center’’ has the meaning given such term in section 
102 of the Older Americans Act of 1965 (42 U.S.C. 
3002). 
(2) AREA AGENCY ON AGING.—The term ‘‘area 
agency on aging’’ has the meaning given such term 
in section 102 of the Older Americans Act of 1965 
(42 U.S.C. 3002). 
(3) ASSOCIATED ENTITIES.—The term ‘‘associ-
ated entities’’ means any— 
(A) community-based organization that 
maintains community resource directories, ac-
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cepts referrals from, or provides referrals to, 
health care organizations, or that provides serv-
ices such as— 
(i) nutritional assistance; 
(ii) housing; 
(iii) health care, including telehealth 
services (including through audio-only serv-
ices), preventive health intervention, chron-
ic disease management, and behavioral 
health care; 
(iv) transportation; 
(v) job training; 
(vi) child development or care; 
(vii) caregiving and respite care; 
(viii) disability assistance; 
(ix) independent living services or 
independent living core services; 
(x) care coordination; and 
(xi) domestic violence screening; 
(B) public, or nonprofit or for-profit, pri-
vate health care provider organization; 
(C) public or private funded payor of 
health care services, including home- or commu-
nity-based services; 
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(D) State, local, territorial, or Tribal 
health and social services agency; 
(E) State public housing authority or 
housing finance agency; 
(F) public health information exchange or 
public health information network, as defined 
by the Secretary; or 
(G) other similar entity, as designated by 
the State. 
(4) CENTER FOR INDEPENDENT LIVING.—The 
term ‘‘center for independent living’’ has the mean-
ing given to such term in section 702 of the Reha-
bilitation Act of 1973 (29 U.S.C. 796a). 
(5) COMMUNITY
INTEGRATION
NETWORK
IN-
FRASTRUCTURE.—The term ‘‘community integration 
network infrastructure’’ means infrastructure, exist-
ing on statewide basis with direct network oper-
ations or through collaborations among multiple as-
sociated entities, used to enable the coordination, 
alignment, and connection, of associated entities in 
a State, including such entities that operate region-
ally, for purposes of communication, service coordi-
nation, interoperable information exchange across 
health care and community-based organizations, and 
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referral management of services, with respect to 
services such as— 
(A) nutritional assistance; 
(B) housing; 
(C) health care, including telehealth serv-
ices (including through audio-only services), 
preventive health intervention, chronic disease 
management, and behavioral health care; 
(D) transportation; 
(E) job training; 
(F) child development or care; 
(G) caregiving and respite care; 
(H) disability assistance; 
(I) independent living services or inde-
pendent living core services; 
(J) care coordination; and 
(K) other similar services, as designated by 
the State. 
(6) INDIAN
TRIBE
AND
TRIBAL
ORGANIZA-
TION.—The terms ‘‘Indian Tribe’’ and ‘‘Tribal orga-
nization’’ have the meanings given to the terms ‘In-
dian tribe’ and ‘tribal organization’ in section 4 of 
the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 5304). 
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(7) INDEPENDENT
LIVING
SERVICES; INDE-
PENDENT
LIVING
CORE
SERVICES.—The terms 
‘‘independent living services’’ and ‘‘independent liv-
ing core services’’ have the meanings given to such 
terms in section 7 of the Rehabilitation Act of 1973 
(29 U.S.C. 705). 
(8) SECRETARY.—The term ‘‘Secretary’’ refers 
to the Secretary of Health and Human Services. 
(9) STATE.—The term ‘‘State’’ means a State, 
territory, or the District of Columbia. 
(10) URBAN INDIAN ORGANIZATION.—The term 
‘‘urban Indian organization’’ has the meaning given 
to the term in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603). 
SEC. 3. EVALUATION, REPORT AND RECOMMENDATIONS. 
(a) EVALUATION.—The Comptroller General of the 
United States shall conduct an evaluation that— 
(1) measures the overall impact of the commu-
nity integration network infrastructure established 
or enhanced using funds received under section 2, 
with respect to— 
(A) changes in individual and population 
health outcomes; 
(B) changes in access to health care or so-
cial services; 
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(C) the degree of data sharing using the 
community integration network infrastructure 
established or enhanced using funds received 
under section 2; 
(D) the effectiveness of service coordina-
tion; 
(E) the cost-effectiveness of the provision 
of services; 
(F) any results or anticipated results on 
overall health and social services spending; 
(G) patient and consumer satisfaction with 
service coordination process and services re-
ceived; 
(H) the degree of sustainability of the 
community integration network infrastructure; 
and 
(I) any other relevant factors; and 
(2) describes how the funds received under sec-
tion 2 were used. 
(b) REPORT
AND RECOMMENDATIONS.—Not later 
than 5 years after the date the first grant under this Act 
is awarded, the Comptroller General of the United States 
shall— 
(1)(A) submit a report on the evaluation con-
ducted under subsection (a) to Congress; and 
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(B) make such report publicly available; and 
(2) based on the evaluation conducted under 
subsection (a), make recommendations to States and 
Indian Tribes, Tribal organizations, or urban Indian 
organizations, on how to improve and sustain com-
munity integration network infrastructure estab-
lished or enhanced using funds received under sec-
tion 2. 
Æ 
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