SB0005sam002 95TH GENERAL ASSEMBLY

Sen. Carol Ronen

Filed: 5/8/2007

09500SB0005sam002 LRB095 08883 DRJ 35794 a

AMENDMENT TO SENATE BILL 5

AMENDMENT NO. ______. Amend Senate Bill 5, AS AMENDED, with reference to page and line numbers of Senate Amendment No. 1, by replacing lines 20 through 23 on page 111, all of pages 112 through 117, and lines 1 through 6 on page 118 with the following:

"ARTICLE 30. BUILDING HEALTHCARE CAPACITY THROUGH COMMUNITY

HEALTH PROVIDER TARGETED EXPANSION

Section 30-1. Short title. This Article may be cited as the Community Health Provider Targeted Expansion Act. All references in this Article to "this Act" mean this Article.

Section 30-5. Definitions. In this Act:

"Community health provider site" means a site where a community health provider provides or will provide primary health care services (and, if applicable, specialty health care services) to targeted populations.

"Department" means the 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 or as otherwise designated by the Department of Public Health.

"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 or as otherwise designated by the Department of Public Health.

"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 addiction treatment and mental health services).

(3) Patient case management services (including counseling, referral, and follow-up services) and other services designed to assist health provider 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 provider (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 provider 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 provider 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.

"Specialty health care services" means health care services, other than primary health care services, provided by such specialists, as the Department may determine by rule. "Specialty health care services" may include, without limitation, dental services, mental health services, behavioral health services, and optometry services.

"Targeted populations" means one or more of the following: the medically underserved population, persons in a medically underserved area, the uninsured population of this State and persons enrolled in a means-tested healthcare program administered by the Department of Healthcare and Family Services.

"Uninsured population" means persons who do not own private health care insurance, are not part of a group insurance plan, and are not enrolled in any State or federal government-sponsored means-tested healthcare program.

Section 30-10. Grants.

(a) The Department shall establish a community health provider targeted expansion grant program and may make grants subject to appropriations. The grants shall be for the purpose of (i) establishing new community health provider sites, (ii) expanding primary health care services at existing community health provider sites, or (iii) adding or expanding specialty health care services at existing community health center sites, in each case to serve one or more of the targeted populations in this State. The Department may use up to 5% of the appropriation for this program for administration of the program.

(b) Grants under this Section shall be for a period not to exceed 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) The Department shall consult with the Department of Healthcare and Family Services and the Department of Human Services to identify geographic areas of the State in need of primary health services and specialty care services for one or more targeted populations. The Department may target grants in accordance with those identified needs, with respect to geographic areas, categories of services or targeted populations.

Section 30-15. Use of grant moneys. In accordance with grant agreements respecting grants awarded under this Act, a recipient of a grant 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 or specialty health care services.

(3) Hire and train staff.

(4) Develop new practice networks.

(5) Purchase services or products that shall facilitate the provision of health care services at a community health center site.

Section 30-20. 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 demonstrating that the recipient is meeting the goals and objectives stated in the grant, that grant moneys are being used for appropriate purposes, and that residents of the community are being served by the targeted expansions established with grant moneys. Within 60 days after the final year of a grant under this Act, the grant recipient must submit a final report to the Department demonstrating that the recipient has met the goals and objectives stated in the grant, that grant moneys were used for appropriate purposes, and that residents of the community are being served by the targeted expansions established with grant moneys.

Section 30-25. Rules. The Department shall adopt rules it deems necessary for the efficient administration of this Act.".