PUBLIC LAW 107-251—OCT. 26, 2002 116 STAT. 1659 "(v) Recruitment, training, and compensation of necessary personnel. "(vi) Acquisition of technology for the purpose of coordinating care. "(vii) Improvements to provider communication, including implementation of shared information systems or shared clinical systems. "(viii) Development of common processes for determining eligibility for the programs provided through the system, including creating common identification cards and single sliding scale discounts. "(ix) Development of specific prevention and disease management tools and processes. "(x) Translation services. "(xi) Carrying out other activities that may be appropriate to a community and that would increase access by the uninsured to health care, such as access initiatives for which private entities provide non-Federal contributions to supplement the Federal funds provided through the grants for the initiatives. "(2) DIRECT PATIENT CARE LIMITATION.—Not more than 15 percent of the funds provided under a grant awarded under this section may be used for providing direct patient care and services. " (3) RESERVATION OF FUNDS FOR NATIONAL PROGRAM PUR- POSES.—The Secretary may use not more than 3 percent of funds appropriated to carry out this section for providing technical assistance to grantees, obtaining assistance of experts and consultants, holding meetings, developing of tools, disseminating of information, evaluation, and carrying out activities that will extend the benefits of programs funded under this section to communities other than the community served by the program funded. "(f) GRANTEE REQUIREMENTS.— "(1) EVALUATION OF EFFECTIVENESS.— ^A grantee under this section shall— "(A) report to the Secretary annually regarding— "(i) progress in meeting the goals and measurable objectives set forth in the grant application submitted by the grantee under subsection (b); and "(ii) the extent to which activities conducted by such grantee have— "(I) improved the effectiveness, efficiency, and coordination of services for uninsured and underinsured individuals in the communities or geographic areas served by such grantee; "(II) resulted in the provision of better quality health care for such individuals; and "(III) resulted in the provision of health care to such individuals at lower cost than would have been possible in the absence of the activities conducted by such grantee; and "(B) provide for an independent annual financial audit of all records that relate to the disposition of funds received through the grant. "(2) PROGRESS.— The Secretary may not renew an annual grant under this section for an entity for a fiscal year unless
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