692 
SEC. 813. EXTENDING COMPETITIVE GRANTS FOR THE DE-
VELOPMENT OF LOAN PROGRAMS TO FACILI-
TATE ADOPTION OF CERTIFIED EHR TECH-
NOLOGY BY PROVIDERS SERVING RACIAL 
AND ETHNIC MINORITY GROUPS. 
Section 3014(e) of the Public Health Service Act (42 
U.S.C. 300jj–34(e)) is amended— 
(1) in paragraph (3), by striking at the end 
‘‘or’’; 
(2) in paragraph (4), by striking the period at 
the end and inserting ‘‘; or’’; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(5) carry out any of the activities described in 
a previous paragraph of this subsection with respect 
to communities with a high proportion of individuals 
from racial and ethnic minority groups (as defined 
in section 1707(g)).’’. 
SEC. 814. AUTHORIZATION OF APPROPRIATIONS. 
Section 3018 of the Public Health Service Act (42 
U.S.C. 300jj–38) is amended by striking ‘‘fiscal years 
2009 through 2013’’ and inserting ‘‘fiscal years 2017 
through 2021’’. 
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Subtitle C—Additional Research 
and Studies 
SEC. 831. DATA COLLECTION AND ASSESSMENTS CON-
DUCTED IN COORDINATION WITH MINORITY- 
SERVING INSTITUTIONS. 
Section 3001(c)(6) of the Public Health Service Act 
(42 U.S.C. 300jj–11(c)(6)) is amended by adding at the 
end the following new subparagraph: 
‘‘(F) DATA
COLLECTION
AND
ASSESS-
MENTS
CONDUCTED
IN
COORDINATION
WITH 
MINORITY-SERVING INSTITUTIONS.— 
‘‘(i) IN
GENERAL.—In carrying out 
subparagraph (C) with respect to commu-
nities with a high proportion of individuals 
from racial and ethnic minority groups (as 
defined in section 1707(g)), the National 
Coordinator shall, to the greatest extent 
possible, coordinate with an entity de-
scribed in clause (ii). 
‘‘(ii) 
MINORITY-SERVING
INSTITU-
TIONS.—For purposes of clause (i), an en-
tity described in this clause is a historically 
Black college or university, a Hispanic- 
serving institution, a tribal college or uni-
versity, or an Asian-American-, Native 
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American-, and Pacific Islander-serving in-
stitution with an accredited public health, 
health policy, or health services research 
program.’’. 
SEC. 832. STUDY OF HEALTH INFORMATION TECHNOLOGY 
IN 
MEDICALLY 
UNDERSERVED 
COMMU-
NITIES. 
(a) IN GENERAL.—Not later than 24 months after 
the date of enactment of this Act, the Secretary of Health 
and Human Services shall— 
(1) enter into an agreement with the Institute 
of Medicine of the National Academies (or, if the In-
stitute of Medicine declines, another appropriate 
public or nonprofit private entity) to conduct a study 
on the development, implementation, and effective-
ness of health information technology within medi-
cally underserved areas (as described in subsection 
(c)); and 
(2) submit a report to Congress describing the 
results of such study, including any recommenda-
tions for legislative or administrative action. 
(b) STUDY.—The study described in subsection 
(a)(1) shall— 
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(1) identify barriers to successful implementa-
tion of health information technology in medically 
underserved areas; 
(2) examine the impact of health information 
technology on providing quality care and reducing 
the cost of care to individuals in such areas, includ-
ing the impact of such technology on improved 
health outcomes for individuals, including which 
technology worked for which population and how it 
improved health outcomes for that population; 
(3) examine the impact of health information 
technology on improving health-care-related deci-
sions by both patients and providers in such areas; 
(4) identify specific best practices for using 
health information technology to foster the con-
sistent provision of physical accessibility and reason-
able policy accommodations in health care to individ-
uals with disabilities in such areas; 
(5) assess the feasibility and costs associated 
with the use of health information technology in 
such areas; 
(6) evaluate whether the adoption and use of 
qualified electronic health records (as described in 
section 3000(13) of the Public Health Service Act 
(42 U.S.C. 300jj(13)) is effective in reducing health 
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disparities, including analysis of clinical quality 
measures reported by Medicare and Medicaid pro-
viders pursuant to programs to encourage the adop-
tion and use of certified EHR technology; 
(7) identify providers in medically underserved 
areas that are not electing to adopt and use elec-
tronic health records and determine what barriers 
are preventing those providers from adopting and 
using such records; and 
(8) examine urban and rural community health 
systems and determine the impact that health infor-
mation technology may have on the capacity of pri-
mary health providers in those systems. 
(c) MEDICALLY UNDERSERVED AREA.—The term 
‘‘medically underserved area’’ means— 
(1) a population that has been designated as a 
medically underserved population under section 
330(b)(3) of the Public Health Service Act (42 
U.S.C. 254b(b)(3)); 
(2) an area that has been designated as a 
health professional shortage area under section 332 
of the Public Health Service Act (42 U.S.C. 254e); 
(3) an area or population that has been des-
ignated as a medically underserved community under 
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section 799B(6) of the Public Health Service Act 
(42 U.S.C. 295p(6)); or 
(4) an area or population that— 
(A) is not described in paragraphs (1) 
through (3) of this subsection; 
(B) experiences significant barriers to ac-
cessing quality health services; and 
(C) has a high prevalence of diseases or 
conditions described in title VII of this Act, 
with such diseases or conditions having a dis-
proportionate impact on racial and ethnic mi-
nority groups (as defined in section 1707(g) of 
the Public Health Service Act (42 U.S.C. 300u- 
6(g))) or a subgroup of people with disabilities 
who have specific functional impairments. 
Subtitle D—Closing Gaps in 
Funding To Adopt Certified EHRs 
SEC. 841. EXTENDING MEDICAID EHR INCENTIVE PAY-
MENTS 
TO 
REHABILITATION 
FACILITIES, 
LONG-TERM CARE FACILITIES, AND HOME 
HEALTH AGENCIES. 
Section 1903(t)(2)(B) of the Social Security Act (42 
U.S.C. 1396b(t)(2)(B)) is amended— 
(1) in clause (i), by striking ‘‘, or’’ and insert-
ing a semicolon; 
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