IB 
Union Calendar No. 277 
110TH CONGRESS 
1ST SESSION H. R. 2406 
[Report No. 110–451] 
To authorize the National Institute of Standards and Technology to increase 
its efforts in support of the integration of the healthcare information 
enterprise in the United States. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 21, 2007 
Mr. GORDON of Tennessee introduced the following bill; which was referred 
to the Committee on Science and Technology 
NOVEMBER 15, 2007 
Additional sponsors: Mr. GINGREY, Mr. LIPINSKI, Mr. CARNAHAN, Mr. WU, 
Mr. MATHESON, Ms. BORDALLO, Mr. COHEN, Mr. CHANDLER, Mr. WIL-
SON of Ohio, Mr. COSTELLO, Ms. HOOLEY, Ms. EDDIE BERNICE JOHN-
SON of Texas, Ms. RICHARDSON, Mr. HILL, Mr. MCNERNEY, Mr. MITCH-
ELL, Ms. WOOLSEY, Ms. GIFFORDS, Mr. MILLER of North Carolina, Mr. 
ROTHMAN, Mr. LAMPSON, Mr. BAIRD, Mr. ROSS, Mr. KANJORSKI, Mr. 
MELANCON, Mr. TOWNS, Mr. UDALL of Colorado, and Mr. SESTAK 
NOVEMBER 15, 2007 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 21, 2007] 
A BILL 
To authorize the National Institute of Standards and Tech-
nology to increase its efforts in support of the integration 
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of the healthcare information enterprise in the United 
States. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Healthcare Information 
Technology Enterprise Integration Act’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) The National Institute of Standards and 
Technology, because of the electronic commerce, infor-
mation technology and security expertise in its lab-
oratories and the healthcare component of the Mal-
colm Baldrige National Quality Award, and its long 
history of working with the information technology 
and healthcare industries, is well equipped to com-
plement the healthcare information technology imple-
mentation efforts as established by Executive Order 
13335 of April 27, 2004, by addressing the technical 
challenges posed by healthcare information enterprise 
integration. 
(2) Therefore, it is in the national interest for 
the National Institute of Standards and Technology 
to accelerate its efforts— 
(A) to participate in the development of 
technical standards, standards conformance tests, 
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and enterprise integration processes that are nec-
essary to increase efficiency and quality of care, 
and lower costs in the healthcare industry; and 
(B) ensuring that all components of the 
United States healthcare infrastructure can be a 
part of an electronic information network that is 
reliable, interoperable, and secure. 
SEC. 3. HEALTHCARE INFORMATION ENTERPRISE INTEGRA-
TION INITIATIVE. 
(a) ESTABLISHMENT.—The Director of the National 
Institute of Standards and Technology shall establish an 
initiative for advancing healthcare information enterprise 
integration within the United States. In carrying out this 
section, the Director shall involve various units of the Na-
tional Institute of Standards and Technology, including its 
laboratories and the Malcolm Baldrige National Quality 
Program. This initiative shall build upon ongoing efforts 
of the National Institute of Standards and Technology, the 
private sector, and other Federal agencies, shall involve con-
sortia that include government and industry, and shall be 
designed to permit healthcare information enterprise inte-
gration. These efforts shall complement ongoing activities 
occurring under Executive Order 13335 of April 27, 2004. 
(b) TECHNICAL ACTIVITIES.—In order to carry out 
this section, the Director may focus on— 
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(1) information technology standards and inter-
operability analysis, which may include the develop-
ment of technical testbeds; 
(2) supporting the establishment of conformance 
testing infrastructure, including software conformance 
and certification; 
(3) security; 
(4) medical device communication; 
(5) supporting the provisioning of technical ar-
chitecture products for management and retrieval; 
and 
(6) information management including elec-
tronic health records management, health information 
usability, and access and decision support. 
(c) OTHER ACTIVITIES.—The Director may assist 
healthcare representatives and organizations and Federal 
agencies in the development of technical roadmaps that 
identify the remaining steps needed to ensure that technical 
standards for application protocols, interoperability, data 
integrity, and security, as well as the corollary conformance 
test protocols, will be in place. These roadmaps shall rely 
upon voluntary consensus standards where possible con-
sistent with Federal technology transfer laws. 
(d) PLANS AND REPORTS.—Not later than 90 days 
after the date of enactment of this Act, and annually there-
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after, the Director shall transmit a report to the Committee 
on Science and Technology of the House of Representatives 
and the Committee on Commerce, Science, and Transpor-
tation of the Senate on the activities of the National Insti-
tute of Standards and Technology under this section. 
SEC. 
4. 
FEDERAL 
HEALTHCARE 
INFORMATION 
TECH-
NOLOGY SYSTEMS AND INFRASTRUCTURE. 
(a) GUIDELINES AND STANDARDS.—Not later than 12 
months after the date of enactment of this Act, the Director 
of the National Institute of Standards and Technology, in 
consultation with industry and appropriate Federal agen-
cies, shall report on development of technology-neutral in-
formation technology infrastructure guidelines and stand-
ards, or the adoption of existing technology-neutral indus-
try guidelines and private sector standards, for use by Fed-
eral agencies to enable those agencies to effectively select and 
utilize healthcare information technologies in a manner 
that is— 
(1) sufficiently secure to meet the needs of those 
agencies (as is consistent with the Computer Security 
Act of 1987, as amended, section 225 of the Homeland 
Security Act of 2002, and title III of the E-Govern-
ment Act of 2002), their transaction partners, and the 
general public; 
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