Existing Models US National Library of Medicine (NLM) and its National Network of Libraries of Medicine (NN/LM) 8 Regional Medical Libraries  under contract with NLM 140 Resource Libraries  (primarily at medical schools) some 4,500 Primary Access Libraries (primarily at hospitals) established by the Medical Libraries Assistance Act of 1965 national coordination of toxicological and biotechnological information grant funding of Internet connections, research, and outreach to minority and underserved groups