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    AN ACT concerning public health.

 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:



 
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    Section 1. Short title. This Act may be cited as the 
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Community Health Center Construction Act.
 
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    Section 5. Definitions. In this Act:

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    "Board" means the Illinois Capital Development Board.
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    "Community health center site" means a new physical site 
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where a community
health center will provide primary health 
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care services either to a medically
underserved population or 
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area or to the uninsured population of this State.

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    "Community provider" means a Federally Qualified Health 
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Center (FQHC) or
FQHC Look-Alike (Community Health Center or 
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health center), designated as such
by the Secretary of the 
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United States Department of Health and Human Services,
that 
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operates at least one federally designated primary health care 
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delivery
site in the State of Illinois.

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    "Department" means the Illinois Department of Public 
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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.

 


 






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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.

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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, ovarian, and 
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            cervical 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 substance abuse 
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    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 center
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
center (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
center regarding the availability and 
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    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 center 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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    "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 eligible for any
State or federal 
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government-sponsored health care program.

 
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    Section 10. Operation of the grant program. 

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    (a) The Board, in consultation with the Department, shall 
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establish the Community Health Center Construction Grant 
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Program and may make grants to eligible community providers 
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subject to appropriations out of funds reserved for capital 
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improvements or expenditures as provided for in this Act. The 
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Program shall operate in a manner so that the estimated cost of 
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the Program during the fiscal year will not exceed the total 
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appropriation for the Program. The grants shall be for the 
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purpose of constructing or renovating new community health 
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center sites, renovating existing community health center 
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sites, and purchasing equipment to provide primary health care 
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services to medically underserved populations or areas as 
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defined in Section 5 of this Act or providing primary health 
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care services to the uninsured population of Illinois.

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    (b) A recipient of a grant to establish a new community 
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health center site must add each such site to the recipient's 
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established service area for the purpose of extending federal 
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FQHC or FQHC Look Alike status to the new site in accordance 
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with federal regulations.


 
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    Section 15. Eligibility for grant. To be eligible for a 
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grant under this Act,
a recipient must be a community provider 
 


 






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as defined in Section 5 of this Act.

 
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    Section 20. Use of grant moneys.  A recipient of a grant 
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under this Act may
use the grant moneys to do any one or more of 
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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.


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        (3) Construct or renovate new or existing community 
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    health center sites.



 
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    Section 25. Reporting. Within 60 days after the first year 
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of a grant under this Act, the grant recipient must submit a 
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progress report to the Department. The Department may assist 
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each grant recipient in meeting the goals and objectives stated 
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in the original grant proposal submitted by the recipient, that 
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grant moneys are being used for appropriate purposes, and that 
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residents of the community are being served by the new 
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community health center sites established with grant moneys.


 
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    Section 99. Effective date. This Act takes effect upon 
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becoming law.