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Public Act 92-0088
SB149 Enrolled LRB9201920DJgcA
AN ACT in relation to medical care.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 1. Short title. This Act may be cited as the
Community Health Center Expansion Act.
Section 5. Definitions. In this Act:
"Community health center site" means a new physical site
where a community health center will provide primary health
care services either to a medically underserved population or
area or to the uninsured population of this State.
"Community provider" means a Federally Qualified Health
Center (FQHC) or FQHC Look-Alike (Community Health Center or
health center), designated as such by the Secretary of the
United States Department of Health and Human Services, that
operates at least one federally designated primary health
care delivery site in the State of Illinois.
"Department" means the Illinois Department of Public
Health.
"Medically underserved area" means an urban or rural area
designated by the Secretary of the United States Department
of Health and Human Services as an area with a shortage of
personal health services.
"Medically underserved population" means (i) the
population of an urban or rural area designated by the
Secretary of the United States Department of Health and Human
Services as an area with a shortage of personal health
services or (ii) a population group designated by the
Secretary as having a shortage of those services.
"Primary health care services" means the following:
(1) Basic health services consisting of the
following:
(A) Health services related to family medicine,
internal medicine, pediatrics, obstetrics, or
gynecology that are furnished by physicians and, if
appropriate, physician assistants, nurse
practitioners, and nurse midwives.
(B) Diagnostic laboratory and radiologic
services.
(C) Preventive health services, including the
following:
(i) Prenatal and perinatal services.
(ii) Screenings for breast and cervical
cancer.
(iii) Well-child services.
(iv) Immunizations against
vaccine-preventable diseases.
(v) Screenings for elevated blood lead
levels, communicable diseases, and cholesterol.
(vi) Pediatric eye, ear, and dental
screenings to determine the need for vision and
hearing correction and dental care.
(vii) Voluntary family planning services.
(viii) Preventive dental services.
(D) Emergency medical services.
(E) Pharmaceutical services as appropriate for
particular health centers.
(2) Referrals to providers of medical services and
other health-related services (including substance abuse
and mental health services).
(3) Patient case management services (including
counseling, referral, and follow-up services) and other
services designed to assist health center patients in
establishing eligibility for and gaining access to
federal, State, and local programs that provide or
financially support the provision of medical, social,
educational, or other related services.
(4) Services that enable individuals to use the
services of the health center (including outreach and
transportation services and, if a substantial number of
the individuals in the population are of limited
English-speaking ability, the services of appropriate
personnel fluent in the language spoken by a predominant
number of those individuals).
(5) Education of patients and the general population
served by the health center regarding the availability
and proper use of health services.
(6) Additional health services consisting of
services that are appropriate to meet the health needs of
the population served by the health center involved and
that may include the following:
(A) Environmental health services, including
the following:
(i) Detection and alleviation of
unhealthful conditions associated with water
supply.
(ii) Sewage treatment.
(iii) Solid waste disposal.
(iv) Detection and alleviation of rodent
and parasite infestation.
(v) Field sanitation.
(vi) Housing.
(vii) Other environmental factors related
to health.
(B) Special occupation-related health services
for migratory and seasonal agricultural workers,
including the following:
(i) Screening for and control of
infectious diseases, including parasitic
diseases.
(ii) Injury prevention programs, which may
include prevention of exposure to unsafe levels
of agricultural chemicals, including
pesticides.
"Uninsured population" means persons who do not own
private health care insurance, are not part of a group
insurance plan, and are not eligible for any State or federal
government-sponsored health care program.
Section 10. Grants.
(a) The Department shall establish a community health
center expansion grant program and may make grants to
eligible community providers subject to appropriations for
that purpose. The grants shall be for the purpose of (i)
establishing new community health center sites to provide
primary health care services to medically underserved
populations or areas as defined in Section 5 or (ii)
providing primary health care services to the uninsured
population of Illinois.
(b) Grants under this Section shall be for periods of 3
years. The Department may make new grants whenever the total
amount appropriated for grants is sufficient to fund both the
new grants and the grants already in effect.
(c) A recipient of a grant to establish a new community
health center site must add each such site to the recipient's
established service area for the purpose of extending federal
FQHC or FQHC Look-Alike status to the new site in accordance
with federal regulations. The grant recipient must complete
this process by the end of the second year of the grant.
Section 15. Eligibility for grant. To be eligible for a
grant under this Act, a recipient must be a community
provider as defined in Section 5 of this Act.
Section 20. Use of grant moneys. A recipient of a grant
under this Act may use the grant moneys to do any one or more
of the following:
(1) Purchase equipment.
(2) Acquire a new physical location for the purpose
of delivering primary health care services.
(3) Hire and train staff.
(4) Develop new practice networks.
(5) Purchase services or products that will
facilitate the provision of health care services at a new
community health center site.
Section 25. Reporting. Within 60 days after the first and
second years of a grant under this Act, the grant recipient
must submit a progress report to the Department. The
Department may assist each grant recipient in meeting the
goals and objectives stated in the original grant proposal
submitted by the recipient, that grant moneys are being used
for appropriate purposes, and that residents of the community
are being served by the new community health center sites
established with grant moneys.
Section 30. Rules; public comment.
(a) The Department shall adopt rules and regulations it
deems necessary for the efficient administration of this Act.
(b) The rules shall provide for a 30-day general public
comment period. Notification of a 30-day general public
comment period shall be given to the community into which a
grant applicant proposes to expand by publication in at least
one newspaper of general circulation in that community. At
the conclusion of the 30-day comment period, the Department
shall no longer accept written comments. The Department
shall review written comments, submitted within the comment
period, before awarding a grant.
(c) The Department shall consider the contents of
written comments only as part of the overall grant review
process.
Section 99. Effective date. This Act takes effect upon
becoming law.
Passed in the General Assembly April 25, 2001.
Approved July 18, 2001.
Effective July 18, 2001.
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