Executive Order 13410: Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs

President: George W. Bush

Required federal health programs to use interoperable IT and publish quality and price information.

Status: In effect. Is Executive Order 13410 still in effect? Yes. Executive Order 13410 remains in effect. See Federal Register record.

What does Executive Order 13410 do?

Agencies were to use recognized interoperability standards in new or upgraded systems and contracts, measure care quality, disclose program prices and encourage efficient care by January 1, 2007. Medicaid and SCHIP were expressly outside its definition. The Office of the National Coordinator’s FY 2010 performance report identifies EO 13410 as an agency interoperability requirement and describes later certification work.

Administration position: The order directed participating federal programs and contracting, subject to law and appropriations.
SignedAugust 22, 2006
Earlier frameworkFederal programs including Medicare, FEHB, TRICARE, IHS and VA had separate health IT and purchasing arrangements.
Responsible bodyFederal health program agencies and HHS Secretary
Follow-up evidence2010: The Office of the National Coordinator’s FY 2010 performance report identifies EO 13410 as an agency interoperability requirement and describes later certification work.

Before and after

Before the order

Federal programs including Medicare, FEHB, TRICARE, IHS and VA had separate health IT and purchasing arrangements.

After the order

Agencies were to use recognized interoperability standards in new or upgraded systems and contracts, measure care quality, disclose program prices and encourage efficient care by January 1, 2007. Medicaid and SCHIP were expressly outside its definition.

The Office of the National Coordinator’s FY 2010 performance report identifies EO 13410 as an agency interoperability requirement and describes later certification work.

What did the signed order change?

Federal programs including Medicare, FEHB, TRICARE, IHS and VA had separate health IT and purchasing arrangements. Agencies were to use recognized interoperability standards in new or upgraded systems and contracts, measure care quality, disclose program prices and encourage efficient care by January 1, 2007. Medicaid and SCHIP were expressly outside its definition.

What happened later?

ONC — FY 2010 performance report: The Office of the National Coordinator’s FY 2010 performance report identifies EO 13410 as an agency interoperability requirement and describes later certification work.

What does that evidence establish?

New contracts were to follow normal renewal cycles; no additional federal spending was assumed. The order created no private enforceable right. The later report is evidence of federal health IT work, not proof that every program met each 2007 duty. Read the signed order for its original terms.

Who had to do what

Agency / officeActionTiming / position
Federal health program agencies and HHS SecretaryAdopt recognized standards, quality measures and price transparency in program cyclesUnder the signed order and governing law

What happened next

EO 13410 signed.

Signed order and identified follow-up evidence checked.