I 
111TH CONGRESS 
1ST SESSION H. R. 3014 
To amend the Small Business Act to provide loan guarantees for the acquisi-
tion of health information technology by eligible professionals in solo 
and small group practices, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 24, 2009 
Mrs. DAHLKEMPER
(for herself, Mr. ALTMIRE, Mr. SCHRADER, Ms. 
VELA´ZQUEZ, Mr. SHULER, Ms. CLARKE, Mr. ELLSWORTH, and Mr. NYE) 
introduced the following bill; which was referred to the Committee on 
Small Business 
A BILL 
To amend the Small Business Act to provide loan guarantees 
for the acquisition of health information technology by 
eligible professionals in solo and small group practices, 
and for other purposes. 
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 ‘‘ Small Business Health 
Information Technology Financing Act’’. 
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SEC. 2. AMENDMENT OF SMALL BUSINESS ACT. 
The Small Business Act is amended by redesignating 
section 44 as section 45 and by inserting the following 
new section after section 43: 
‘‘SEC. 44. LOAN GUARANTEES FOR HEALTH INFORMATION 
TECHNOLOGY. 
‘‘(a) DEFINITIONS.—As used in this section: 
‘‘(1) The term ‘health information technology’ 
means computer hardware, software, and related 
technology that supports the meaningful EHR use 
requirements set forth in section 1848(o)(2)(A) of 
the Social Security Act (42 U.S.C. 1395w– 
4(o)(2)(A)) and is purchased by an eligible profes-
sional to aid in the provision of health care in a 
health care setting, including, but not limited to, 
electronic medical records, and that provides for— 
‘‘(A) enhancement of continuity of care for 
patients through electronic storage, trans-
mission, and exchange of relevant personal 
health data and information, such that this in-
formation is accessible at the times and places 
where clinical decisions will be or are likely to 
be made; 
‘‘(B) enhancement of communication be-
tween patients and health care providers; 
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‘‘(C) improvement of quality measurement 
by eligible professionals enabling them to col-
lect, store, measure, and report on the proc-
esses and outcomes of individual and population 
performance and quality of care; 
‘‘(D) improvement of evidence-based deci-
sion support; or 
‘‘(E) enhancement of consumer and pa-
tient empowerment. 
Such term shall not include information technology 
whose sole use is financial management, mainte-
nance of inventory of basic supplies, or appointment 
scheduling. 
‘‘(2) The term ‘eligible professional’ means any 
of the following: 
‘‘(A) A physician (as defined in section 
1861(r) of the Social Security Act (42 U.S.C. 
1395x(r)) 
‘‘(B) A practitioner described in section 
1842(b)(18)(C) of that Act. 
‘‘(C) A physical or occupational therapist 
or a qualified speech-language pathologist. 
‘‘(D) A qualified audiologist (as defined in 
section 1861(ll)(3)(B)) of that Act. 
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‘‘(3) The term ‘qualified eligible professional’ 
means an eligible professional whose office can be 
classified as a small business concern by the Admin-
istrator Small Business Administration for purposes 
of this Act under size standards established under 
section 3 of this Act. 
‘‘(b) LOAN GUARANTEES FOR QUALIFIED ELIGIBLE 
PROFESSIONALS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the Administrator may guarantee up to 90 percent 
of the amount of a loan made to a qualified eligible 
professional to be used for the acquisition of health 
information technology for use in such eligible pro-
fessional’s medical practice and for the costs associ-
ated with the installation of such technology. Except 
as otherwise provided in this section, the terms and 
conditions that apply to loans made under section 
7(a) of the Small Business Act shall apply to loan 
guarantees made under this section. 
‘‘(2) LIMITATIONS ON GUARANTEE AMOUNTS.— 
The maximum amount of loan principal guaranteed 
under this subsection may not exceed— 
‘‘(A) $350,000 with respect to any single 
qualified eligible professional, and 
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‘‘(B) $2,000,000 with respect to a singled 
group of affiliated qualified eligible profes-
sionals. 
‘‘(c) FEES.—(1) The Administrator may impose a 
guarantee fee on the borrower for the purpose of reducing 
the cost (as defined in section 502(5) of the Federal Credit 
Reform Act of 1990) of the guarantee to zero in an 
amount not to exceed 2 percent of the total guaranteed 
portion of any loan guaranteed under this section. The Ad-
ministrator may also impose annual servicing fees on lend-
ers not to exceed 0.5 percent of the outstanding balance 
of the guarantees on lenders’ books. 
‘‘(2) No service fees, processing fees, origination fees, 
application fees, points, brokerage fees, bonus points, or 
other fees may be charged to a loan applicant or recipient 
by a lender in the case of a loan guaranteed under this 
section. 
‘‘(d) DEFERRAL PERIOD.—Loans guaranteed under 
this section shall carry a deferral period of not less than 
1 year and not more than 3 years. The Administrator shall 
have the authority to subsidize interest during the deferral 
period. 
‘‘(e) EFFECTIVE DATE.—No loan may be guaranteed 
under this section until the meaningful EHR use require-
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