The document discusses the challenges and requirements around implementing electronic medical records (EMRs) based on federal mandates. It notes that EMR standards will not be available until 2010-2011, implementation costs are high, and about 1/3 of existing EMR implementations have failed. It also outlines funding sources like federal loans and grants, and long term benefits like reduced errors and improved care coordination. Certification requirements and panels to develop standards are discussed to ensure EMRs meet federal meaningful use criteria.