The document summarizes discussions from a working group meeting regarding the selection and design of reference materials for genome sequencing. It was attended by approximately 25 people from federal agencies, clinical labs, and technology companies. Options discussed included plasmids with cancer mutations from NCI, tumor-normal cell line pairs, and cell lines from HorizonDx and Acrometrix that contain engineered variants. The working group aims to define testing protocols to evaluate reference material performance across labs and assess their ability to characterize sequencing platforms and tests.