1. Short title This Act may be cited as the Community Health Improvement, Leadership, and Development Act of 2018 or the CHILD Act . 2. Localized community health improvement programs (a) Making epidemiology and claims data relevant to community health improvement (1) In general Not later than April 1, 2019, the Secretary of Health and Human Services, through the Director of the Centers for Disease Control and Prevention in collaboration with the Administrator of the Centers for Medicare & Medicaid Services, shall, subject to paragraph (2), provide for the maintenance of a database of de-identified epidemiological and claims health information for the purpose of making such information available in a useful and informative manner to participating communities (as referenced in subsection (b)(3)(B)) in participating States (as referenced in subsection (b)(1)) to support such communities in reducing rates of illness (as compared to the rate of illness within such community as of a period specified by the Secretary) and improving the management of illnesses to reduce the cost of health care delivery. In carrying out this subsection, the Director and Administrator shall, subject to paragraph (2), provide— (A) for a mechanism that enables the integration of such epidemiological and claims health information for such purposes; (B) that such health information is available for at least the 20 health conditions and treatments that are associated with the highest expenditures under the Medicaid program under title XIX of the Social Security Act; (C) that such health information is made available to participating States in such a manner that enables participating communities within such States to access such information that is relevant specifically to such communities; 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