text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Working Families' Access to Health 
  Innovations Act of 2013''.
  
  SEC. 2. AMENDMENT OF SMALL BUSINESS ACT.
  
      The Small Business Act is amended by redesignating section 45 as 
  section 46 and by inserting after section 44 the following:
  
  ``SEC. 45. 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 (including 
          electronic medical record technology) that--
                      ``(A) supports the compliance with 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));
                      ``(B) is purchased by an eligible professional to 
                  aid in the provision of health care in a health care 
                  setting; and
                      ``(C) provides for--
                              ``(i) enhancement of continuity of care for 
                          patients through electronic storage, 
                          transmission, and exchange of relevant personal 
                          health data and information, such that this 
                          information is accessible at the times and 
                          places where clinical decisions will be or are 
                          likely to be made;
                              ``(ii) enhancement of communication between 
                          patients and health care providers;
                              ``(iii) improvement of quality measurement 
                          by eligible professionals enabling them to 
                          collect, store, measure, and report on the 
                          processes and outcomes of individual and 
                          population performance and quality of care;
                              ``(iv) improvement of evidence-based 
                          decision support; or
                              ``(v) enhancement of consumer and patient 
                          empowerment.
          Such term does not include information technology the sole use 
          of which is financial management, maintenance 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 such Act (42 U.S.C. 1395u(b)(18)(C)).
                      ``(C) A physical or occupational therapist or a 
                  qualified speech-language pathologist.
                      ``(D) A qualified audiologist (as defined in 
                  section 1861(ll)(4)(B) of such Act (42 U.S.C. 
                  1395x(ll)(4)(B))).
                      ``(E) A State-licensed pharmacist.
                      ``(F) A State-licensed supplier of durable medical 
                  equipment, prosthetics, orthotics, or supplies.
                      ``(G) A State-licensed, a State-certified, or a 
                  nationally accredited home health care provider.
              ``(3) The term `qualified eligible professional' means an 
          eligible professional whose practice--
                      ``(A) is a small business concern; and
                      ``(B)(i) is in a medically underserved community 
                  (as defined in section 799B(6) of the Public Health 
                  Service Act (42 U.S.C. 295p(6)));
                      ``(ii) serves individuals at least 50 percent of 
                  whom are entitled to benefits or enrolled under title 
                  XVIII of the Social Security Act; or
                      ``(iii) serves an area that consists predominantly 
                  of low-income families (as defined in section 3 of the 
                  United States Housing Act of 1937 (42 U.S.C. 1437a)).
      ``(b) Loan Guarantees for Qualified Eligible Professionals.--
              ``(1) Guarantee percentage.--Subject to paragraph (2), the 
          Administrator may guarantee up to 90 percent of the amount of 
          the loan made to a qualified eligible professional for the 
          acquisition of health information technology for use in such 
          eligible professional's medical practice and for the costs 
          associated with the installation of such technology.
              ``(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
                      ``(B) $2,000,000 with respect to a single group of 
                  affiliated qualified eligible professionals.
      ``(c) Fees.--(1) The Administrator may impose a guarantee fee on 
  the borrower in an amount not to exceed 2 percent of the total 
  guaranteed portion of any loan guaranteed under this section. The 
  Administrator may also impose annual servicing fees on lenders 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) Interest Rates.--The interest rate charged on a loan 
  guaranteed under this section shall not be greater than 25 basis points 
  below the rate provided for a loan under the program under section 
  7(a).
      ``(e) Deferral Period.--Loans guaranteed under this section shall 
  carry a deferral period of not more than 3 years.
      ``(f) Terms and Conditions for Loan Guarantees.--The loans 
  guaranteed under this section shall be subject to the terms and 
  conditions that apply to the program under section 7(a) or other such 
  terms and conditions as are prescribed by the Administrator.''.
  
  SEC. 3. SMALL BUSINESS DEVELOPMENT CENTER DUTIES.
  
      Section 21(c)(3) of the Small Business Act (15 U.S.C. 648(c)(3)) is 
  amended--
              (1) by striking ``and'' at the end of subparagraph (S);
              (2) by striking the period at the end of subparagraph (T) 
          and inserting a semicolon; and
              (3) by adding at the end the following:
              ``(U) facilitating the training of medical professionals in 
          health information technology systems; and
              ``(V) establishing and providing a network of small health 
          information technology companies available to medical 
          professionals in low-income and underserved areas, as defined 
          by the Secretary of Health and Human Services, for the purpose 
          of aiding medical professionals in such areas to purchase, 
          utilize, and maintain such technology.''.
target: Working Families' Access to Health Innovations Act of 2013 - Amends the Small Business Act to authorize the Administrator of the Small Business Administration (SBA) to guarantee up to 90% of a loan made to a health care professional for the acquisition of health information technology for use in such professional's medical practice and for the costs associated with its installation. Provides loan guarantee limits, and authorizes the Administrator to impose a loan guarantee fee. Requires services provided by a small business development center to include: (1) facilitating the training of medical professionals in health information technology systems; and (2) establishing and providing a network of small health information technology companies available to such professionals in low-income and underserved areas for assistance in purchasing, utilizing, and maintaining such technology.
feat_title: Working Families' Access to Health Innovations Act of 2013