; and (D) for a mechanism by which the Director and Administrator may— (i) update such information specific to each such community, to the extent practicable, in real-time or near real-time and as specified by the Director and Administer; (ii) verify the validity of such information and the validity of the changes in such information for each such community over such specified periods; and (iii) assess and measure the extent of such changes for each such participating community, including the amount of any reductions in expenditures under the State plan under title XIX of the Social Security Act and the extent to which such reductions are attributable to such changes with respect to each such community in such State. (2) No additional funding No additional funds are authorized to be appropriated to carry out this subsection. This subsection shall be carried out using amounts otherwise made available to the Secretary. (b) Localized community health improvement program grants (1) In general The Secretary of Health and Human Services shall, subject to paragraph (5), carry out a grant program under which the Secretary may award grants to States for purposes of carrying out localized community health improvement programs described in paragraph (3). In this section such States awarded such grants are referred to as participating States . (2) Application To be eligible for a grant under this subsection, a State shall— (A) submit to the Secretary an application, in such manner, at such time, and containing such information as specified by the Secretary; and (B) enter into an arrangement with the Secretary under which— (i) the State agrees to establish and maintain a localized community health improvement program described in paragraph (3); (ii) the Secretary agrees to provide the State with integrated epidemiological and claims health information maintained in the database established under subsection (a) specific to each participating community within the State