Sen. Carol Ronen
Filed: 5/8/2007
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 5




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    AMENDMENT NO. ______. Amend Senate Bill 5, AS AMENDED, with 
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reference to page and line numbers of Senate Amendment No. 1, 
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by replacing lines 20 through 23 on page 111, all of pages 112 
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through 117, and lines 1 through 6 on page 118 with the 
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following:
 
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"ARTICLE 30. BUILDING HEALTHCARE CAPACITY THROUGH COMMUNITY 
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HEALTH PROVIDER TARGETED EXPANSION

 
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    Section 30-1. Short title. This Article may be cited as the 
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Community Health Provider Targeted Expansion  Act. All 
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references in this Article to "this Act" mean this Article.
 
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    Section 30-5. Definitions. In this Act:
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    "Community health provider site" means a site where a 
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community health provider provides or will provide primary 
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health care services (and, if applicable, specialty health care 
 


 






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services) to targeted populations.
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    "Department" means the Department of Public Health.
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    "Medically underserved area" means an urban or rural area 
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designated by the Secretary of the United States Department of 
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Health and Human Services as an area with a shortage of 
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personal health services or as otherwise designated by the 
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Department of Public Health.
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    "Medically underserved population" means (i) the 
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population of an urban or rural area designated by the 
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Secretary of the United States Department of Health and Human 
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Services as an area with a shortage of personal health services 
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or (ii) a population group designated by the Secretary as 
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having a shortage of those services or as otherwise designated 
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by the Department of Public Health.
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    "Primary health care services" means the following:
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        (1) Basic health services consisting of the following:
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            (A) Health services related to family medicine, 
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        internal medicine, pediatrics, obstetrics, or 
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        gynecology that are furnished by physicians and, if 
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        appropriate, physician assistants, nurse 
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        practitioners, and nurse midwives.
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            (B) Diagnostic laboratory and radiologic services.
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            (C) Preventive health services, including the 
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        following:
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                (i) Prenatal and perinatal services.
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                (ii) Screenings for breast and cervical 
 


 






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            cancer.
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                (iii) Well-child services.
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                (iv) Immunizations against vaccine-preventable 
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            diseases.
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                (v) Screenings for elevated blood lead levels, 
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            communicable diseases, and cholesterol.
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                (vi) Pediatric eye, ear, and dental screenings 
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            to determine the need for vision and hearing 
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            correction and dental care.
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                (vii) Voluntary family planning services.
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                (viii) Preventive dental services.
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            (D) Emergency medical services.
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            (E) Pharmaceutical services as appropriate for 
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        particular health centers.
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        (2) Referrals to providers of medical services and 
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    other health-related services (including addiction 
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    treatment and mental health services).
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        (3) Patient case management services (including 
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    counseling, referral, and follow-up services) and other 
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    services designed to assist health provider patients in 
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    establishing eligibility for and gaining access to 
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    federal, State, and local programs that provide or 
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    financially support the provision of medical, social, 
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    educational, or other related services.
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        (4) Services that enable individuals to use the 
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    services of the health provider (including outreach and 
 


 






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    transportation services and, if a substantial number of the 
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    individuals in the population are of limited 
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    English-speaking ability, the services of appropriate 
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    personnel fluent in the language spoken by a predominant 
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    number of those individuals).
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        (5) Education of patients and the general population 
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    served by the health provider regarding the availability 
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    and proper use of health services.
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        (6) Additional health services consisting of services 
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    that are appropriate to meet the health needs of the 
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    population served by the health provider involved and that 
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    may include the following:
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            (A) Environmental health services, including the 
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        following:
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                (i) Detection and alleviation of unhealthful 
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            conditions associated with water supply.
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                (ii) Sewage treatment.
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                (iii) Solid waste disposal.
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                (iv) Detection and alleviation of rodent and 
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            parasite infestation.
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                (v) Field sanitation.
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                (vi) Housing.
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                (vii) Other environmental factors related to 
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            health.
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            (B) Special occupation-related health services for 
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        migratory and seasonal agricultural workers, including 
 


 






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        the following:
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                (i) Screening for and control of infectious 
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            diseases, including parasitic diseases.
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                (ii) Injury prevention programs, which may 
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            include prevention of exposure to unsafe levels of 
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            agricultural chemicals, including pesticides.
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    "Specialty health care services" means health care 
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services, other than primary health care services, provided by 
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such specialists, as the Department may determine by rule.  
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"Specialty health care services" may include, without 
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limitation, dental services, mental health services, 
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behavioral health services, and optometry services.
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    "Targeted populations" means one or more of the following:  
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the medically underserved population, persons in a medically 
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underserved area, the uninsured population of this State and 
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persons enrolled in a means-tested healthcare program 
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administered by the Department of Healthcare and Family 
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Services.
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    "Uninsured population" means persons who do not own private 
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health care insurance, are not part of a group insurance plan, 
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and are not enrolled in  any State or federal 
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government-sponsored means-tested healthcare program.

 
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    Section 30-10. Grants. 
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    (a) The Department shall establish a community health 
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provider targeted expansion grant program and may make grants 
 


 






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subject to appropriations. The grants shall be for the purpose 
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of (i) establishing new community health provider sites, (ii) 
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expanding primary health care services at existing community 
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health provider sites, or (iii) adding or expanding specialty 
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health care services at existing community health center sites, 
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in each case to serve one or more of the targeted populations 
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in this State. The Department may use up to 5% of the 
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appropriation for this program for administration of the 
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program.
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    (b) Grants under this Section shall be for a period not to 
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exceed 3 years. The Department may make new grants whenever the 
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total amount appropriated for grants is sufficient to fund both 
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the new grants and the grants already in effect.
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    (c) The Department shall consult with the Department of 
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Healthcare and Family Services and the Department of Human 
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Services to identify geographic areas of the State in need of 
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primary health services and specialty care services for one or 
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more targeted populations.  The Department may target grants in 
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accordance with those identified needs, with respect to 
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geographic areas, categories of services or targeted 
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populations.

 
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    Section 30-15. Use of grant moneys. In accordance with 
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grant agreements respecting grants awarded under this Act, a 
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recipient of a grant may use the grant moneys to do any one or 
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more of the following:
 


 






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        (1) Purchase equipment.
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        (2) Acquire a new physical location for the purpose of 
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    delivering primary health care services or specialty 
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    health care services.
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        (3) Hire and train staff.
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        (4) Develop new practice networks.
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        (5) Purchase services or products that shall 
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    facilitate the provision of health care services at a 
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    community health center site.
 
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    Section 30-20. Reporting. Within 60 days after the first 
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and second years of a grant under this Act, the grant recipient 
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must submit a progress report to the Department demonstrating 
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that the recipient is meeting the goals and objectives stated 
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in the grant, that grant moneys are being used for appropriate 
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purposes, and that residents of the community are being served 
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by the targeted expansions established with grant moneys.  
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Within 60 days after the final year of a grant under this Act, 
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the grant recipient must submit a final report to the 
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Department demonstrating that the recipient has met the goals 
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and objectives stated in the grant, that grant moneys were used 
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for appropriate purposes, and that residents of the community 
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are being served by the targeted expansions established with 
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grant moneys.
 
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    Section 30-25. Rules. The Department shall adopt rules it 
 


 






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deems necessary for the efficient administration of this Act.".