The CHARTS Act establishes a grant program to help long-term and post-acute care providers adopt health information technology to improve care coordination and data exchange.
Emanuel Cleaver
Representative
MO-5
The CHARTS Act establishes a grant program to help long-term and post-acute care providers adopt advanced health information technology. This initiative aims to improve care coordination, streamline data exchange, and enhance patient outcomes by facilitating seamless transitions between healthcare settings.
The Connecting Health and Records Technology for Seniors (CHARTS) Act aims to fix the digital disconnect in long-term care by creating a specialized grant program for nursing homes and home health agencies. Starting in 2027, the Secretary of Health and Human Services will begin awarding up to $500,000 per provider to help them upgrade to modern health information technology. With a total budget of $10 million spread over two years (FY 2027 and 2028), the bill focuses on moving facilities away from clunky, fragmented systems and toward real-time electronic data exchange that follows patients as they move between hospitals, nursing homes, and their own residences.
Think of the last time you had to fill out the same three forms at different doctor’s offices—now imagine that frustration multiplied for a senior recovering from a stroke. This bill targets that exact bottleneck. Under Section 2, grant recipients must use funds to adopt tech that facilitates "real-time" data exchange. This means when a patient moves from a hospital to a skilled nursing facility, their care plan and medication list should arrive before they do. For a nurse at a home health agency, this could mean having instant access to clinical decision support tools rather than waiting for a faxed report from a specialist, reducing the risk of giving a patient a medication they’ve already received elsewhere.
The bill isn't just about buying new iPads; it’s about specific health outcomes. Section 2 requires the government to prioritize providers who serve Medicare and Medicaid patients and ensures the money goes to a diverse group of facilities—from urban centers to rural areas. The goal is to use tech to solve very human problems: preventing falls, managing medications electronically, and stopping "duplicative services" that drive up costs. For a family managing a parent’s care, this could mean fewer frantic phone calls to verify history and a lower chance of their loved one being rehospitalized because a piece of paper got lost in transition.
Because this involves taxpayer money, the CHARTS Act includes a built-in report card. By year three, the Secretary must tell Congress who got the money, and by year six, a final report must prove if the tech actually worked. This evaluation (Section 2) will look at whether the $10 million investment actually saved the government money in the long run by reducing federal spending on Medicare and Medicaid. While the $500,000 cap per provider is a solid start for a mid-sized facility, the real test will be whether these individual upgrades can successfully talk to the broader, often complicated, national healthcare network.