‘‘(vii) use of health information tech-
nology to link services and provide moni-
toring, as feasible and appropriate. 
‘‘(4) DESIGNATED PROVIDER.—The term ‘des-
ignated provider’ means a physician, clinical practice 
or clinical group practice, rural clinic, community 
health center, public health agency, home health 
agency, or any other entity or provider (including 
pediatricians, gynecologists, and obstetricians) that 
is determined by the State and approved by the Sec-
retary to be qualified to be a birthing network for 
eligible individuals on the basis of documentation ev-
idencing that the physician, practice, or clinic— 
‘‘(A) has the systems and infrastructure in 
place to provide birthing network services; and 
‘‘(B) satisfies the qualification standards 
established by the Secretary under subsection 
(b) and paragraph (7)(B). 
‘‘(5) 
TEAM
OF
HEALTH
CARE
PROFES-
SIONALS.—The term ‘team of health care profes-
sionals’ means a team of health professionals (as de-
scribed in the State plan amendment) that may— 
‘‘(A) include physicians and other profes-
sionals, such as a nurse care coordinator, mid-
wife, nutritionist, social worker, behavioral 
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health professional, or any professionals deemed 
appropriate by the State; and 
‘‘(B) be free standing, virtual, or based at 
a hospital, community health center, rural clin-
ic, clinical practice or clinical group practice, 
academic health center, or any entity deemed 
appropriate by the State and approved by the 
Secretary. 
‘‘(6) HEALTH TEAM.—The term ‘health team’ 
has the meaning given such term for purposes of 
section 3502 of the Patient Protection and Afford-
able Care Act. 
‘‘(7) BIRTHING DATA AND EXCHANGE.— 
‘‘(A) PROPOSAL FOR USE OF HEALTH IN-
FORMATION
TECHNOLOGY.—A State shall in-
clude in the State plan amendment a proposal 
for use of health information technology in pro-
viding birthing network services under this sec-
tion and improving service delivery and coordi-
nation across the care continuum (including the 
use of wireless patient technology to improve 
coordination and management of care and pa-
tient adherence to recommendations made by 
their provider). 
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‘‘(B) INFORMATION
REQUIREMENTS
FOR 
BIRTHING
NETWORKS.—The birthing network 
shall— 
‘‘(i) be in compliance with the Med-
icaid standards for meaningful use of elec-
tronic health records; 
‘‘(ii) participate with the State’s 
health information exchange, as available, 
or operate an exchange among the birthing 
network; 
‘‘(iii) collect demographic information 
on participating newborns and mothers; 
‘‘(iv) use demographic and event- 
based data to identify patients that are 
likely going to need short or long-term fol-
low-up; and 
‘‘(v) providing de-identified demo-
graphic data sets for statistical and social 
science research to develop culturally com-
petent best practices and clinical decision 
support mechanisms for maternal-fetal and 
neonatal care.’’. 
(b) PATIENT SERVICES QUALITY AND PERFORMANCE 
REPORTING.— 
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(1) IN GENERAL.—Not later than 3 years after 
the date of the enactment of this Act, the Secretary 
of Health and Human Services shall survey States 
that have elected the option under section 1947 of 
the Social Security Act, as added by section (a), on 
the nature, extent, and use of such option, particu-
larly as it pertains to— 
(A) terms of pregnancies; 
(B) use of prenatal fetal monitoring; 
(C) use of Caesarean section procedures; 
(D) use of neonatal intensive care services; 
(E) incidence of birthing complications; 
(F) incidence of infant and maternal mor-
tality; 
(G) coordination of maternal-fetal and neo-
natal care for individuals; 
(H) assessment of program implementa-
tion; 
(I) processes and lessons learned (as de-
scribed in subparagraph (B)); 
(J) assessment of quality improvements 
and clinical outcomes under such option; and 
(K) participating mothers’ assessment of 
performance, quality, convenience, and satisfac-
tion. 
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(2) IMPLEMENTATION
REPORTING.—A State 
that has elected the option under such section shall 
report to the Secretary, as necessary, on processes 
that have been developed and lessons learned regard-
ing provision of coordinated care through a birthing 
network for Medicaid beneficiaries for maternal-fetal 
and neonatal care under such option. 
TITLE 
III—IMPROVING 
TELE-
COMMUNICATIONS FOR MED-
ICAL DELIVERY 
SEC. 301. ADDITIONAL PROVIDERS CONSIDERED HEALTH 
CARE PROVIDERS FOR PURPOSES OF UNI-
VERSAL SERVICE SUPPORT. 
Subparagraph (B) of section 254(h)(7) of the Com-
munications Act of 1934 (47 U.S.C. 254(h)(7)) is amend-
ed— 
(1) in clause (vi), by striking ‘‘and’’; 
(2) in clause (vii), by striking ‘‘clauses (i) 
through (vi)’’ and inserting ‘‘clauses (i) through 
(ix)’’; 
(3) by redesignating clause (vii) as clause (x); 
and 
(4) by inserting after clause (vi) the following 
new clauses: 
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‘‘(vii) ambulance providers and other 
emergency medical transport providers; 
‘‘(viii) health clinics of elementary and 
secondary schools and post-secondary edu-
cational institutions; 
‘‘(ix) sites where telehealth services 
are provided under section 1834(m) of the 
Social Security Act (42 U.S.C. 1395m(m)) 
or under a State plan under title XIX of 
such Act (42 U.S.C. 1396 et seq.); and’’. 
SEC. 302. NO CONSIDERATION OF PROVIDER LOCATION IN 
RULES ENHANCING HEALTH CARE PROVIDER 
ACCESS 
TO 
ADVANCED 
TELECOMMUNI-
CATIONS AND INFORMATION SERVICES. 
Section 254(h)(2)(A) of the Communications Act of 
1934 (47 U.S.C. 254(h)(2)(A)) is amended by inserting 
‘‘(regardless of the location of such providers)’’ after 
‘‘health care providers’’. 
Æ 
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