[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9844 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 9844

To direct the Secretary of Health and Human Services to award grants to 
long-term care and post-acute care providers for purposes of developing 
              and adopting health information technology.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 22, 2026

 Mr. Cleaver introduced the following bill; which was referred to the 
 Committee on Energy and Commerce, and in addition to the Committee on 
   Ways and Means, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
To direct the Secretary of Health and Human Services to award grants to 
long-term care and post-acute care providers for purposes of developing 
              and adopting health information technology.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Connecting Health and Records 
Technology for Seniors Act of 2026'' or the ``CHARTS Act''.

SEC. 2. GRANTS FOR LONG-TERM CARE AND POST-ACUTE CARE PROVIDERS TO USE 
              HEALTH INFORMATION TECHNOLOGY.

    (a) In General.--The Secretary of Health and Human Services (in 
this section referred to as the ``Secretary'') shall, not later than 2 
years after the date of the enactment of this section, award grants to 
long-term care and post-acute care providers for purposes of carrying 
out the activities described in subsection (d).
    (b) Duration of Grants.--A grant awarded under this section shall 
be for a period of 3 years.
    (c) Amount of Grants.--The Secretary may not award more than 
$500,000 in grant funds under this section to a long-term care and 
post-acute care provider.
    (d) Use of Funds.--A long-term care and post-acute care provider 
that receives a grant under this section shall use such grant to 
develop and adopt health information technology (as defined in section 
3000(5) of the Public Health Service Act (42 U.S.C. 300jj(5))) that 
will be used by such provider to--
            (1) facilitate communication, coordination, and the 
        electronic exchange of data, including patient health data, 
        among health care providers, group health plans and health 
        insurance issuers, Federal health care programs, and health 
        benefits plans under chapter 89 of title 5, United States Code;
            (2) improve effectiveness, efficiency, and quality of care 
        through the use of clinical decision support, care pathways, 
        plans of care, the United States Core Data for Interoperability 
        published by the National Coordinator for Health Information 
        Technology, notifications, monitoring, interoperability, and 
        other similar tools; and
            (3) implement systems and best practices to--
                    (A) enhance the transition of care between health 
                care providers;
                    (B) prevent health care providers from furnishing 
                duplicative services to an individual;
                    (C) exchange data among the entities described in 
                paragraph (1) in real time; and
                    (D) address patient needs.
    (e) Selecting Among Applicants.--In awarding grants under this 
section, the Secretary shall--
            (1) give priority to long-term care and post-acute 
        providers that are more likely to improve the health of 
        individuals entitled to benefits or enrolled under the Medicare 
        program under title XVIII of the Social Security Act (42 U.S.C. 
        1395 et seq.) and individuals enrolled under a State plan (or 
        waiver of such plan) under title XIX of such Act (42 U.S.C. 
        1396 et seq.); and
            (2) ensure that the grant recipients constitute a diverse 
        and nationally representative sample based on--
                    (A) the geography, income, race, and ethnicity of 
                the population served by such recipients; and
                    (B) the extent to which such population consists of 
                individuals that are uninsured, that receive coverage 
                under a Federal health care program, or that receive 
                coverage under a group health plan or group or 
                individual health insurance coverage.
    (f) Reports.--
            (1) Preliminary report.--Not later than 3 years after the 
        date of the enactment of this section, the Secretary shall 
        submit to the Committee on Health, Education, Labor, and 
        Pensions of the Senate, the Committee on Finance of the Senate, 
        the Committee on Energy and Commerce of the House of 
        Representatives, and the Committee on Ways and Means of the 
        House of Representatives, a report identifying the long-term 
        care and post-acute care providers that are awarded grants 
        under this section.
            (2) Final report.--Not later than 6 years after the date of 
        the enactment of this section, the Secretary shall submit to 
        the committees described in paragraph (1), a report that--
                    (A) describes the health information technology 
                developed and adopted using grants awarded under this 
                section;
                    (B) evaluates how such health information 
                technology improved the coordination of care and 
                transition of care among long-term care and post-acute 
                care providers;
                    (C) evaluates the benefits and costs of such health 
                information technology, including by identifying to 
                whom such benefits and costs accrue;
                    (D) evaluates whether such health information 
                technology resulted in--
                            (i) reduced patient falls and 
                        rehospitalizations;
                            (ii) an increase in electronic medication 
                        management; and
                            (iii) reduced Federal expenditures under 
                        the Medicare program under title XVIII of the 
                        Social Security Act (42 U.S.C. 1395 et seq.) or 
                        the Medicaid program under title XIX of such 
                        Act (42 U.S.C. 1396 et seq.);
                    (E) evaluates the likelihood that extending or 
                expanding the ability of the Secretary to award grants 
                under this section would result in reduced Federal 
                expenditures and improve the quality of care under such 
                programs; and
                    (F) includes recommendations for Congress on 
                extending and expanding the ability of the Secretary to 
                award grants under this section based on the evaluation 
                conducted under this paragraph.
    (g) Definitions.--In this section:
            (1) Federal health care program.--The term ``Federal health 
        care program'' has the meaning given such term in section 
        1128B(f) of the Social Security Act (42 U.S.C. 1320a-7b(f)).
            (2) Group or individual health insurance coverage; group 
        health plan; health insurance issuer.--The terms ``group health 
        insurance coverage'', ``group health plan'', ``health insurance 
        issuer'', and ``individual health insurance coverage'' have the 
        meanings given such terms in section 2791 of the Public Health 
        Service Act (42 U.S.C. 300gg-91).
            (3) Long-term care and post-acute care provider.--The term 
        ``long-term care and post-acute care provider'' means a skilled 
        nursing facility (as defined in section 1819(a) of the Social 
        Security Act (42 U.S.C. 1395i-3(a))), nursing facility (as 
        defined in section 1919(a) of the Social Security Act (42 
        U.S.C. 1396r(a))), or a home health agency (as defined in 
        section 1861(o) of the Social Security Act (42 U.S.C. 
        1395x(o))), that has in effect an agreement to participate in 
        the Medicare program under title XVIII of the Social Security 
        Act (42 U.S.C. 1395 et seq.) or the Medicaid program under 
        title XIX of such Act (42 U.S.C. 1396 et seq.).
    (h) Authorization of Appropriations.--There is authorized to be 
appropriated to the Secretary to carry out this section $5,000,000 for 
each of fiscal years 2027 and 2028.
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