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<bill bill-stage="Introduced-in-House" dms-id="H09F382046BED45FBB874FAD5568362B1" public-private="public" key="H" bill-type="olc"><metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
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<dc:title>119 HR 9844 IH: Connecting Health and Records Technology for Seniors Act of 2026</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2026-07-22</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session><legis-num display="yes">H. R. 9844</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20260722">July 22, 2026</action-date><action-desc><sponsor name-id="C001061">Mr. Cleaver</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name>, and in addition to the Committee on <committee-name committee-id="HWM00">Ways and Means</committee-name>, 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</action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">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.</official-title></form><legis-body id="HFDF5C30D690142CB9713E4BC3F85DB89" style="OLC"> 
<section id="H86453E0B4EA14FEA8AFEC02EB3610B40" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Connecting Health and Records Technology for Seniors Act of 2026</short-title></quote> or the <quote><short-title>CHARTS Act</short-title></quote>.</text></section> <section id="H19ED611124994BB38959A7E8A59955D8" section-type="subsequent-section"><enum>2.</enum><header>Grants for long-term care and post-acute care providers to use health information technology</header> <subsection id="H260D081659514051B59115E66A2F9A0B"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services (in this section referred to as the <quote>Secretary</quote>) 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 <internal-xref idref="HE8D41ACAAFAB4FA6AC54B6EE1E678FFC" legis-path="2.(c)">subsection (d).</internal-xref></text></subsection> 
<subsection id="HEE43CB37789448BE8F136AF2F1AF43F5"><enum>(b)</enum><header>Duration of grants</header><text>A grant awarded under this section shall be for a period of 3 years.</text></subsection> <subsection id="HF70023DFA6ED42CDA68CF17A518DB6EE"><enum>(c)</enum><header>Amount of grants</header><text>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.</text></subsection> 
<subsection id="HE8D41ACAAFAB4FA6AC54B6EE1E678FFC" commented="no"><enum>(d)</enum><header>Use of funds</header><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/42/300jj">42 U.S.C. 300jj(5)</external-xref>)) that will be used by such provider to—</text> <paragraph id="H54C1F4D01DD240D49B4718FBD0F68C92" commented="no"><enum>(1)</enum><text>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 <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/89">chapter 89</external-xref> of title 5, United States Code;</text></paragraph> 
<paragraph id="HA19A3E699A1D4575B0CA603F229A9AF8" commented="no"><enum>(2)</enum><text>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</text></paragraph> <paragraph id="H70213117A45F4FCFBC2DBC06E780DC79"><enum>(3)</enum><text>implement systems and best practices to—</text> 
<subparagraph id="H079F6C75AA1049BB9E34C422B2A092F6"><enum>(A)</enum><text>enhance the transition of care between health care providers;</text></subparagraph> <subparagraph id="H8C59FEE8CE5F4EB79D8306432B96F68B"><enum>(B)</enum><text>prevent health care providers from furnishing duplicative services to an individual;</text></subparagraph> 
<subparagraph id="HA055740DCEF44DCC96FB99F5E94B1611"><enum>(C)</enum><text>exchange data among the entities described in <internal-xref idref="H54C1F4D01DD240D49B4718FBD0F68C92" legis-path="2.(d)(1)">paragraph (1)</internal-xref> in real time; and</text></subparagraph> <subparagraph id="H45CC3AFE3DD74C19849C2C2A67D296D3"><enum>(D)</enum><text>address patient needs.</text></subparagraph></paragraph></subsection> 
<subsection id="H6ABCFDB2B9374B69892B82C3C6B9B897"><enum>(e)</enum><header>Selecting among applicants</header><text>In awarding grants under this section, the Secretary shall—</text> <paragraph id="H77B0DF97038F4B68A41E8E7DB4217D93"><enum>(1)</enum><text display-inline="yes-display-inline">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 (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>) and individuals enrolled under a State plan (or waiver of such plan) under title XIX of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>); and</text></paragraph> 
<paragraph id="H1A0BED6E8CD641438EEF67C93F62F3B4"><enum>(2)</enum><text display-inline="yes-display-inline">ensure that the grant recipients constitute a diverse and nationally representative sample based on—</text> <subparagraph id="HA213C4369214491BAD45C8F9D7A65397"><enum>(A)</enum><text>the geography, income, race, and ethnicity of the population served by such recipients; and</text></subparagraph> 
<subparagraph id="H6BF080B0F37F427494CFB83435A42C72"><enum>(B)</enum><text>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.</text></subparagraph></paragraph></subsection> <subsection id="H6F0812FEC4714B0AA960E87C020914E3"><enum>(f)</enum><header>Reports</header> <paragraph id="H9C5F5A5FB37F43B19303D2A98D72CED7"><enum>(1)</enum><header>Preliminary report</header><text display-inline="yes-display-inline">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.</text></paragraph> 
<paragraph id="H518CB29D3699492FBF6349C870952A9D"><enum>(2)</enum><header>Final report</header><text>Not later than 6 years after the date of the enactment of this section, the Secretary shall submit to the committees described in <internal-xref idref="H9C5F5A5FB37F43B19303D2A98D72CED7" legis-path="2.(f)(1)">paragraph (1)</internal-xref>, a report that—</text> <subparagraph id="HCF2FE51FA5124349A40D18EA140C90CD"><enum>(A)</enum><text>describes the health information technology developed and adopted using grants awarded under this section;</text></subparagraph> 
<subparagraph id="H5B8417894AF247C9A0A1833F4A703B72"><enum>(B)</enum><text>evaluates how such health information technology improved the coordination of care and transition of care among long-term care and post-acute care providers;</text></subparagraph> <subparagraph id="H758D0F91B80E467B85855C5CAA75A0B0"><enum>(C)</enum><text>evaluates the benefits and costs of such health information technology, including by identifying to whom such benefits and costs accrue;</text></subparagraph> 
<subparagraph id="H98D8329928354912B2A7FBA68F8056FE"><enum>(D)</enum><text display-inline="yes-display-inline">evaluates whether such health information technology resulted in—</text> <clause id="HFE5A5E5E286B4D6D846A9B0836349147"><enum>(i)</enum><text>reduced patient falls and rehospitalizations;</text></clause> 
<clause id="H1678204FE72D4454A14F43B5C0A4E4A4"><enum>(ii)</enum><text>an increase in electronic medication management; and</text></clause> <clause id="HAB3DA5FC6B634C749CD7DF94F251A97B"><enum>(iii)</enum><text>reduced Federal expenditures under the Medicare program under title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>) or the Medicaid program under title XIX of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>);</text></clause></subparagraph> 
<subparagraph id="H0FAFA577109A4E1F84A2E79EED037F40"><enum>(E)</enum><text>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</text></subparagraph> <subparagraph id="H35D6D2141A9346DF81DA3B9362542CFC"><enum>(F)</enum><text>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.</text></subparagraph></paragraph></subsection> 
<subsection id="HF22D179B85584D5FAA34DC70B606F632"><enum>(g)</enum><header>Definitions</header><text>In this section:</text> <paragraph id="HCA6881CE332C4542BB7042B98A9A8F27"><enum>(1)</enum><header>Federal health care program</header><text display-inline="yes-display-inline">The term <term>Federal health care program</term> has the meaning given such term in section 1128B(f) of the Social Security Act (42 U.S.C. 1320a–7b(f)).</text></paragraph> 
<paragraph id="H4D3EBA3BE5944231A98203BCFE8881B8"><enum>(2)</enum><header>Group or individual health insurance coverage; group health plan; health insurance issuer</header><text display-inline="yes-display-inline">The terms <term>group health insurance coverage</term>, <term>group health plan</term>, <term>health insurance issuer</term>, and <term>individual health insurance coverage</term> have the meanings given such terms in section 2791 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-91">42 U.S.C. 300gg–91</external-xref>).</text> </paragraph> <paragraph id="HC6A84F55483644B9991F5918128AEDCF" commented="no"><enum>(3)</enum><header>Long-term care and post-acute care provider</header><text display-inline="yes-display-inline">The term <term>long-term care and post-acute care provider</term> means a skilled nursing facility (as defined in section 1819(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395i-3">42 U.S.C. 1395i–3(a)</external-xref>)), nursing facility (as defined in section 1919(a) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396r">42 U.S.C. 1396r(a)</external-xref>)), or a home health agency (as defined in section 1861(o) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395x">42 U.S.C. 1395x(o)</external-xref>)), that has in effect an agreement to participate in the Medicare program under title XVIII of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1395">42 U.S.C. 1395 et seq.</external-xref>) or the Medicaid program under title XIX of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>).</text></paragraph></subsection> 
<subsection id="HDD583B7908114A43B46CD8EA77538D3C"><enum>(h)</enum><header>Authorization of appropriations</header><text>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.</text></subsection></section> </legis-body></bill>

