The Certification Commission for Healthcare Information Technology has developed a proposal that would create more certification options for health IT firms and healthcare providers, including open-source developers. CCHIT's proposal would create three certification paths: EHR Comprehensive (EHR-C), EHR Module (EHR-M) and EHR Site (EHR-S). The new options attempt to address concerns from open-source software developers about the costs and licensing issues involved with certification.