Private practices are less likely to invest in electronic health record (EHR) technology. As of 2016, about 49% of private practice health care professionals maintained EHR technology, while about 70% of integrated health care professionals (such as those in hospitals or group practices) maintained EHR technology. The American Reinvestment & Recovery Act (ARRA) was enacted on February 17, 2009. ARRA includes the "Health Information Technology for Economic and Clinical Health (HITECH) Act" which supports the concept of electronic health records – meaningful use (EHR-MU), as led by the Centers for Medicare & Medicaid Services (CMS) and the Office of the . . .