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State Health IT Policy Levers Compendium Directory

The State Health IT Policy Levers Compendium contains 32 distinct policy levers used by states to promote health IT and advance interoperability. A health IT policy lever can be defined as any form of incentive, penalty, or mandate used to effectuate change in support of health IT adoption, use, or interoperability.

The Policy Levers Directory below provides the full list of levers found in the Compendium, including descriptions for each lever and context for how these levers can be or are used to promote health IT and/or advance interoperability. The Compendium was developed by the Office of National Coordinator for Health Information Technology (ONC) in coordination with states.


[.csv] // [.xml]

You can also access the Compendium and its supporting materials as a workbook file through

See the documentation for more information on this data set.


State Health IT Policy Levers Compendium. December 2015.


Table Notes

(1) State Level Authority refers to policy authorities that rest primarily with the state, i.e. non-federal levers.

(2) *These levers would be considered 'state-level policy levers' as called for in the Interoperability Roadmap (p.52), if they are being employed outside of Medicaid. For example, state employee benefits contracts can include health IT requirements.

(3) **The specifics of how states receive MMIS or HITECH financial support is generally out of scope for this Compendium, except where states voluntarily provided additional details as example activities.

The policy levers categorized and catalogued in the Compendium are limited to those that employ joint federal-state authorities (i.e., Medicaid levers), state-level authorities, and private sector levers. State-level authorities generally mean state laws, state regulations, state funding, and state programs (again, outside of Medicaid) that direct the spending of state money on providing care or influencing it in some way. Private-sector levers are included to the extent they are implemented at a state level. Federal-level policies (e.g., Medicare levers) are considered out of scope for the Compendium.

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