How much notice do you have to give? http://xxxnx.fun/vsf-cfq/ xxxxwwwe "I'm concerned that this program isn't focused on creating an inter-operable system that would allow unaffiliated systems to share medical information,â Sen. John Thune, R-S.D., said in an emailed statement to Fox News. âIt is essential that CMS and the Office of the National Coordinator for Health IT heed feedback from stakeholders and ensure the program they are creating is a wise use of taxpayer dollars," he added.