State of Illinois
92nd General Assembly

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HB0281 Engrossed                              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:
HB0281 Engrossed            -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,
HB0281 Engrossed            -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.
HB0281 Engrossed            -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.
HB0281 Engrossed            -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.

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