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The American Recovery and Reinvestment Act of 2009 ( ARRA ) and Health Information Technology for Economic and Clinical Health Act ( HITECH ) legislation specified HL7 versions 2. 3. 1 and 2. 5. 1, and the HL7 Continuity of Care Document ( CCD ), as the healthcare standards to meet certain certification requirements.

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The American Recovery and Reinvestment Act of 2009 as signed by President Barack Obama includes a 65 % subsidy to employees for COBRA-enabled insurance for up to 9 months after an involuntary termination ( this has since been expanded to 15 months ).

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