; (G) potential cost savings and other improvements in meeting the objectives described in subparagraph (F); (H) the method or methods by which the recommendations described in subsection (c) will be reviewed, adopted, implemented, and updated as needed; and (I) the method or methods by which impacts and progress toward administrative simplification goals or objectives, including administrative cost savings and return on investment, will be measured and reported. (c) Multi-Stakeholder commission (1) In general Not later than 90 days after the date on which a grant is awarded to a State under this section, the State official described in subsection (b)(2)(B), insurance commissioner, or other appropriate State official shall convene a multi-stakeholder commission, in accordance with this subsection. (2) Membership The commission convened under paragraph (1) shall include representatives from health plans, health care providers, health vendors, relevant State agencies, health care standard development organizations, relevant professional and trade associations, patients, and other entities determined appropriate by the State. (3) Recommendations Not later than one year after the date on which a grant is awarded to a State under this section, the commission shall make recommendations and plans, consistent with the application submitted by the State under subsection (b), and intended to meet the objectives defined in the application. Such recommendations shall comply with, and build upon, all relevant Federal requirements and regulations, and may include— (A) common, uniform specifications, best practices, and conventions, for the efficient, effective exchange of administrative transactions adopted pursuant to the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ); (B) the development of streamlined business processes for the exchange and use of health care administrative data