[ Search ] [ PDF text ] [ Legislation ]
[ Home ] [ Back ] [ Bottom ]
| [ Engrossed ] |
92_HB0281
LRB9201920DJgcA
1 AN ACT in relation to medical care.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 1. Short title. This Act may be cited as the
5 Community Health Center Expansion Act.
6 Section 5. Definitions. In this Act:
7 "Community health center site" means a new physical site
8 where a community health center will provide primary health
9 care services either to a medically underserved population or
10 area or to the uninsured population of this State.
11 "Community provider" means a Federally Qualified Health
12 Center (FQHC) or FQHC Look-Alike (Community Health Center or
13 health center), designated as such by the Secretary of the
14 United States Department of Health and Human Services, that
15 operates at least one federally designated primary health
16 care delivery site in the State of Illinois.
17 "Department" means the Illinois Department of Public
18 Health.
19 "Medically underserved area" means an urban or rural area
20 designated by the Secretary of the United States Department
21 of Health and Human Services as an area with a shortage of
22 personal health services.
23 "Medically underserved population" means (i) the
24 population of an urban or rural area designated by the
25 Secretary of the United States Department of Health and Human
26 Services as an area with a shortage of personal health
27 services or (ii) a population group designated by the
28 Secretary as having a shortage of those services.
29 "Primary health care services" means the following:
30 (1) Basic health services consisting of the
31 following:
-2- LRB9201920DJgcA
1 (A) Health services related to family medicine,
2 internal medicine, pediatrics, obstetrics, or
3 gynecology that are furnished by physicians and, if
4 appropriate, physician assistants, nurse
5 practitioners, and nurse midwives.
6 (B) Diagnostic laboratory and radiologic
7 services.
8 (C) Preventive health services, including the
9 following:
10 (i) Prenatal and perinatal services.
11 (ii) Screenings for breast and cervical
12 cancer.
13 (iii) Well-child services.
14 (iv) Immunizations against
15 vaccine-preventable diseases.
16 (v) Screenings for elevated blood lead
17 levels, communicable diseases, and cholesterol.
18 (vi) Pediatric eye, ear, and dental
19 screenings to determine the need for vision and
20 hearing correction and dental care.
21 (vii) Voluntary family planning services.
22 (viii) Preventive dental services.
23 (D) Emergency medical services.
24 (E) Pharmaceutical services as appropriate for
25 particular health centers.
26 (2) Referrals to providers of medical services and
27 other health-related services (including substance abuse
28 and mental health services).
29 (3) Patient case management services (including
30 counseling, referral, and follow-up services) and other
31 services designed to assist health center patients in
32 establishing eligibility for and gaining access to
33 federal, State, and local programs that provide or
34 financially support the provision of medical, social,
-3- LRB9201920DJgcA
1 educational, or other related services.
2 (4) Services that enable individuals to use the
3 services of the health center (including outreach and
4 transportation services and, if a substantial number of
5 the individuals in the population are of limited
6 English-speaking ability, the services of appropriate
7 personnel fluent in the language spoken by a predominant
8 number of those individuals).
9 (5) Education of patients and the general population
10 served by the health center regarding the availability
11 and proper use of health services.
12 (6) Additional health services consisting of
13 services that are appropriate to meet the health needs of
14 the population served by the health center involved and
15 that may include the following:
16 (A) Environmental health services, including
17 the following:
18 (i) Detection and alleviation of
19 unhealthful conditions associated with water
20 supply.
21 (ii) Sewage treatment.
22 (iii) Solid waste disposal.
23 (iv) Detection and alleviation of rodent
24 and parasite infestation.
25 (v) Field sanitation.
26 (vi) Housing.
27 (vii) Other environmental factors related
28 to health.
29 (B) Special occupation-related health services
30 for migratory and seasonal agricultural workers,
31 including the following:
32 (i) Screening for and control of
33 infectious diseases, including parasitic
34 diseases.
-4- LRB9201920DJgcA
1 (ii) Injury prevention programs, which may
2 include prevention of exposure to unsafe levels
3 of agricultural chemicals, including
4 pesticides.
5 "Uninsured population" means persons who do not own
6 private health care insurance, are not part of a group
7 insurance plan, and are not eligible for any State or federal
8 government-sponsored health care program.
9 Section 10. Grants.
10 (a) The Department shall establish a community health
11 center expansion grant program and may make grants to
12 eligible community providers subject to appropriations for
13 that purpose. The grants shall be for the purpose of (i)
14 establishing new community health center sites to provide
15 primary health care services to medically underserved
16 populations or areas as defined in Section 5 or (ii)
17 providing primary health care services to the uninsured
18 population of Illinois.
19 (b) Grants under this Section shall be for periods of 3
20 years. The Department may make new grants whenever the total
21 amount appropriated for grants is sufficient to fund both the
22 new grants and the grants already in effect.
23 (c) A recipient of a grant to establish a new community
24 health center site must add each such site to the recipient's
25 established service area for the purpose of extending federal
26 FQHC or FQHC Look-Alike status to the new site in accordance
27 with federal regulations. The grant recipient must complete
28 this process by the end of the second year of the grant.
29 Section 15. Eligibility for grant. To be eligible for a
30 grant under this Act, a recipient must be a community
31 provider as defined in Section 5 of this Act.
-5- LRB9201920DJgcA
1 Section 20. Use of grant moneys. A recipient of a grant
2 under this Act may use the grant moneys to do any one or more
3 of the following:
4 (1) Purchase equipment.
5 (2) Acquire a new physical location for the purpose
6 of delivering primary health care services.
7 (3) Hire and train staff.
8 (4) Develop new practice networks.
9 (5) Purchase services or products that will
10 facilitate the provision of health care services at a new
11 community health center site.
12 Section 25. Reporting. Within 60 days after the first and
13 second years of a grant under this Act, the grant recipient
14 must submit a progress report to the Office of Rural Health
15 within the Department. The Department shall ensure that each
16 grant recipient is meeting the goals and objectives stated in
17 the original grant proposal submitted by the recipient, that
18 grant moneys are being used for appropriate purposes, and
19 that residents of the community are being served by the new
20 community health center sites established with grant moneys.
21 Section 99. Effective date. This Act takes effect upon
22 becoming law.