Human Services Committee

Filed: 5/21/2008

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 3472

2     AMENDMENT NO. ______. Amend House Bill 3472 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 1. Short title. This Act may be cited as the
5 Community Health Center Construction Act.
 
6     Section 5. Definitions. In this Act:
7     "Board" means the Illinois Capital Development Board.
8     "Community health center site" means a new physical site
9 where a community health center will provide primary health
10 care services either to a medically underserved population or
11 area or to the uninsured population of this State.
12     "Community provider" means a Federally Qualified Health
13 Center (FQHC) or FQHC Look-Alike (Community Health Center or
14 health center), designated as such by the Secretary of the
15 United States Department of Health and Human Services, that
16 operates at least one federally designated primary health care

 

 

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1 delivery site in the State of Illinois.
2     "Department" means the Illinois Department of Public
3 Health.
4     "Medically underserved area" means an urban or rural area
5 designated by the Secretary of the United States Department of
6 Health and Human Services as an area with a shortage of
7 personal health services.
8     "Medically underserved population" means (i) the
9 population of an urban or rural area designated by the
10 Secretary of the United States Department of Health and Human
11 Services as an area with a shortage of personal health services
12 or (ii) a population group designated by the Secretary as
13 having a shortage of those services.
14     "Primary health care services" means the following:
15         (1) Basic health services consisting of the following:
16             (A) Health services related to family medicine,
17         internal medicine, pediatrics, obstetrics, or
18         gynecology that are furnished by physicians and, if
19         appropriate, physician assistants, nurse
20         practitioners, and nurse midwives.
21             (B) Diagnostic laboratory and radiologic services.
22             (C) Preventive health services, including the
23         following:
24                 (i) Prenatal and perinatal services.
25                 (ii) Screenings for breast, ovarian, and
26             cervical cancer.

 

 

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1                 (iii) Well-child services.
2                 (iv) Immunizations against vaccine-preventable
3             diseases.
4                 (v) Screenings for elevated blood lead levels,
5             communicable diseases, and cholesterol.
6                 (vi) Pediatric eye, ear, and dental screenings
7             to determine the need for vision and hearing
8             correction and dental care.
9                 (vii) Voluntary family planning services.
10                 (viii) Preventive dental services.
11             (D) Emergency medical services.
12             (E) Pharmaceutical services as appropriate for
13         particular health centers.
14         (2) Referrals to providers of medical services and
15     other health-related services (including substance abuse
16     and mental health services).
17         (3) Patient case management services (including
18     counseling, referral, and follow-up services) and other
19     services designed to assist health center patients in
20     establishing eligibility for and gaining access to
21     federal, State, and local programs that provide or
22     financially support the provision of medical, social,
23     educational, or other related services.
24         (4) Services that enable individuals to use the
25     services of the health center (including outreach and
26     transportation services and, if a substantial number of the

 

 

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1     individuals in the population are of limited
2     English-speaking ability, the services of appropriate
3     personnel fluent in the language spoken by a predominant
4     number of those individuals).
5         (5) Education of patients and the general population
6     served by the health center regarding the availability and
7     proper use of health services.
8         (6) Additional health services consisting of services
9     that are appropriate to meet the health needs of the
10     population served by the health center involved and that
11     may include the following:
12             (A) Environmental health services, including the
13         following:
14                 (i) Detection and alleviation of unhealthful
15             conditions associated with water supply.
16                 (ii) Sewage treatment.
17                 (iii) Solid waste disposal.
18                 (iv) Detection and alleviation of rodent and
19             parasite infestation.
20                 (v) Field sanitation.
21                 (vi) Housing.
22                 (vii) Other environmental factors related to
23             health.
24             (B) Special occupation-related health services for
25         migratory and seasonal agricultural workers, including
26         the following:

 

 

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1                 (i) Screening for and control of infectious
2             diseases, including parasitic diseases.
3                 (ii) Injury prevention programs, which may
4             include prevention of exposure to unsafe levels of
5             agricultural chemicals, including pesticides.
6     "Uninsured population" means persons who do not own private
7 health care insurance, are not part of a group insurance plan,
8 and are not eligible for any State or federal
9 government-sponsored health care program.
 
10     Section 10. Grants.
11     (a) The Board, in consultation with the Department, shall
12 establish a community health center construction grant program
13 and may make grants to eligible community providers subject to
14 appropriations for that purpose. The grants shall be for the
15 purpose of constructing or renovating new community health
16 center sites, renovating existing community health center
17 sites, and purchasing equipment to provide primary health care
18 services to medically underserved populations or areas as
19 defined in Section 5 of this Act or providing primary health
20 care services to the uninsured population of Illinois.
21     (b) A recipient of a grant to establish a new community
22 health center site must add each such site to the recipient's
23 established service area for the purpose of extending federal
24 FQHC or FQHC Look Alike status to the new site in accordance
25 with federal regulations.
 

 

 

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1     Section 15. Eligibility for grant. To be eligible for a
2 grant under this Act, a recipient must be a community provider
3 as defined in Section 5 of this Act.
 
4     Section 20. Use of grant moneys. A recipient of a grant
5 under this Act may use the grant moneys to do any one or more of
6 the following:
7         (1) Purchase equipment.
8         (2) Acquire a new physical location for the purpose of
9     delivering primary health care services.
10         (3) Construct or renovate new or existing community
11     health center sites.
 
12     Section 25. Reporting. Within 60 days after the first year
13 of a grant under this Act, the grant recipient must submit a
14 progress report to the Department. The Department may assist
15 each grant recipient in meeting the goals and objectives stated
16 in the original grant proposal submitted by the recipient, that
17 grant moneys are being used for appropriate purposes, and that
18 residents of the community are being served by the new
19 community health center sites established with grant moneys.
 
20     Section 30. No authority to make or promulgate rules.
21 Notwithstanding any other rulemaking authority that may exist,
22 neither the Governor nor any agency or agency head under the

 

 

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1 jurisdiction of the Governor has any authority to make or
2 promulgate rules to implement or enforce the provisions of this
3 Act. If, however, the Governor believes that rules are
4 necessary to implement or enforce the provisions of this Act,
5 the Governor may suggest rules to the General Assembly by
6 filing them with the Clerk of the House and Secretary of the
7 Senate and by requesting that the General Assembly authorize
8 such rulemaking by law, enact those suggested rules into law,
9 or take any other appropriate action in the General Assembly's
10 discretion. Nothing contained in this Act shall be interpreted
11 to grant rulemaking authority under any other Illinois statute
12 where such authority is not otherwise explicitly given. For the
13 purposes of this Act, "rules" is given the meaning contained in
14 Section 1-70 of the Illinois Administrative Procedure Act, and
15 "agency" and "agency head" are given the meanings contained in
16 Sections 1-20 and 1-25 of the Illinois Administrative Procedure
17 Act to the extent that such definitions apply to agencies or
18 agency heads under the jurisdiction of the Governor.
 
19     Section 99. Effective date. This Act takes effect upon
20 becoming law.".