(c) Code Sets.-- ``(1) In general.--The Secretary shall adopt standards that-- ``(A) select code sets for appropriate data elements for the transactions referred to in subsection (a)(1) from among the code sets that have been developed by private and public entities; or ``(B) establish code sets for such data elements if no code sets for the data elements have been developed. ``(2) Distribution.--The Secretary shall establish efficient and low-cost procedures for distribution (including electronic distribution) of code sets and modifications made to such code sets under section 1174(b).

Curricular practical training