Full Text of SB0005 95th General Assembly
SB0005sam002 95TH GENERAL ASSEMBLY
|
Sen. Carol Ronen
Filed: 5/8/2007
|
|
09500SB0005sam002 |
|
LRB095 08883 DRJ 35794 a |
|
| 1 |
| AMENDMENT TO SENATE BILL 5
| 2 |
| AMENDMENT NO. ______. Amend Senate Bill 5, AS AMENDED, with | 3 |
| reference to page and line numbers of Senate Amendment No. 1, | 4 |
| by replacing lines 20 through 23 on page 111, all of pages 112 | 5 |
| through 117, and lines 1 through 6 on page 118 with the | 6 |
| following: | 7 |
| "ARTICLE 30. BUILDING HEALTHCARE CAPACITY THROUGH COMMUNITY | 8 |
| HEALTH PROVIDER TARGETED EXPANSION | 9 |
| Section 30-1. Short title. This Article may be cited as the | 10 |
| Community Health Provider Targeted Expansion Act. All | 11 |
| references in this Article to "this Act" mean this Article. | 12 |
| Section 30-5. Definitions. In this Act: | 13 |
| "Community health provider site" means a site where a | 14 |
| community health provider provides or will provide primary | 15 |
| health care services (and, if applicable, specialty health care |
|
|
|
09500SB0005sam002 |
- 2 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| services) to targeted populations. | 2 |
| "Department" means the Department of Public Health. | 3 |
| "Medically underserved area" means an urban or rural area | 4 |
| designated by the Secretary of the United States Department of | 5 |
| Health and Human Services as an area with a shortage of | 6 |
| personal health services or as otherwise designated by the | 7 |
| Department of Public Health. | 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 or as otherwise designated | 14 |
| by the Department of Public Health. | 15 |
| "Primary health care services" means the following: | 16 |
| (1) Basic health services consisting of the following: | 17 |
| (A) Health services related to family medicine, | 18 |
| internal medicine, pediatrics, obstetrics, or | 19 |
| gynecology that are furnished by physicians and, if | 20 |
| appropriate, physician assistants, nurse | 21 |
| practitioners, and nurse midwives. | 22 |
| (B) Diagnostic laboratory and radiologic services. | 23 |
| (C) Preventive health services, including the | 24 |
| following: | 25 |
| (i) Prenatal and perinatal services. | 26 |
| (ii) Screenings for breast and cervical |
|
|
|
09500SB0005sam002 |
- 3 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| cancer. | 2 |
| (iii) Well-child services. | 3 |
| (iv) Immunizations against vaccine-preventable | 4 |
| diseases. | 5 |
| (v) Screenings for elevated blood lead levels, | 6 |
| communicable diseases, and cholesterol. | 7 |
| (vi) Pediatric eye, ear, and dental screenings | 8 |
| to determine the need for vision and hearing | 9 |
| correction and dental care. | 10 |
| (vii) Voluntary family planning services. | 11 |
| (viii) Preventive dental services. | 12 |
| (D) Emergency medical services. | 13 |
| (E) Pharmaceutical services as appropriate for | 14 |
| particular health centers. | 15 |
| (2) Referrals to providers of medical services and | 16 |
| other health-related services (including addiction | 17 |
| treatment and mental health services). | 18 |
| (3) Patient case management services (including | 19 |
| counseling, referral, and follow-up services) and other | 20 |
| services designed to assist health provider patients in | 21 |
| establishing eligibility for and gaining access to | 22 |
| federal, State, and local programs that provide or | 23 |
| financially support the provision of medical, social, | 24 |
| educational, or other related services. | 25 |
| (4) Services that enable individuals to use the | 26 |
| services of the health provider (including outreach and |
|
|
|
09500SB0005sam002 |
- 4 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| transportation services and, if a substantial number of the | 2 |
| individuals in the population are of limited | 3 |
| English-speaking ability, the services of appropriate | 4 |
| personnel fluent in the language spoken by a predominant | 5 |
| number of those individuals). | 6 |
| (5) Education of patients and the general population | 7 |
| served by the health provider regarding the availability | 8 |
| and proper use of health services. | 9 |
| (6) Additional health services consisting of services | 10 |
| that are appropriate to meet the health needs of the | 11 |
| population served by the health provider involved and that | 12 |
| may include the following: | 13 |
| (A) Environmental health services, including the | 14 |
| following: | 15 |
| (i) Detection and alleviation of unhealthful | 16 |
| conditions associated with water supply. | 17 |
| (ii) Sewage treatment. | 18 |
| (iii) Solid waste disposal. | 19 |
| (iv) Detection and alleviation of rodent and | 20 |
| parasite infestation. | 21 |
| (v) Field sanitation. | 22 |
| (vi) Housing. | 23 |
| (vii) Other environmental factors related to | 24 |
| health. | 25 |
| (B) Special occupation-related health services for | 26 |
| migratory and seasonal agricultural workers, including |
|
|
|
09500SB0005sam002 |
- 5 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| the following: | 2 |
| (i) Screening for and control of infectious | 3 |
| diseases, including parasitic diseases. | 4 |
| (ii) Injury prevention programs, which may | 5 |
| include prevention of exposure to unsafe levels of | 6 |
| agricultural chemicals, including pesticides. | 7 |
| "Specialty health care services" means health care | 8 |
| services, other than primary health care services, provided by | 9 |
| such specialists, as the Department may determine by rule. | 10 |
| "Specialty health care services" may include, without | 11 |
| limitation, dental services, mental health services, | 12 |
| behavioral health services, and optometry services. | 13 |
| "Targeted populations" means one or more of the following: | 14 |
| the medically underserved population, persons in a medically | 15 |
| underserved area, the uninsured population of this State and | 16 |
| persons enrolled in a means-tested healthcare program | 17 |
| administered by the Department of Healthcare and Family | 18 |
| Services. | 19 |
| "Uninsured population" means persons who do not own private | 20 |
| health care insurance, are not part of a group insurance plan, | 21 |
| and are not enrolled in any State or federal | 22 |
| government-sponsored means-tested healthcare program.
| 23 |
| Section 30-10. Grants. | 24 |
| (a) The Department shall establish a community health | 25 |
| provider targeted expansion grant program and may make grants |
|
|
|
09500SB0005sam002 |
- 6 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| subject to appropriations. The grants shall be for the purpose | 2 |
| of (i) establishing new community health provider sites, (ii) | 3 |
| expanding primary health care services at existing community | 4 |
| health provider sites, or (iii) adding or expanding specialty | 5 |
| health care services at existing community health center sites, | 6 |
| in each case to serve one or more of the targeted populations | 7 |
| in this State. The Department may use up to 5% of the | 8 |
| appropriation for this program for administration of the | 9 |
| program. | 10 |
| (b) Grants under this Section shall be for a period not to | 11 |
| exceed 3 years. The Department may make new grants whenever the | 12 |
| total amount appropriated for grants is sufficient to fund both | 13 |
| the new grants and the grants already in effect. | 14 |
| (c) The Department shall consult with the Department of | 15 |
| Healthcare and Family Services and the Department of Human | 16 |
| Services to identify geographic areas of the State in need of | 17 |
| primary health services and specialty care services for one or | 18 |
| more targeted populations. The Department may target grants in | 19 |
| accordance with those identified needs, with respect to | 20 |
| geographic areas, categories of services or targeted | 21 |
| populations.
| 22 |
| Section 30-15. Use of grant moneys. In accordance with | 23 |
| grant agreements respecting grants awarded under this Act, a | 24 |
| recipient of a grant may use the grant moneys to do any one or | 25 |
| more of the following: |
|
|
|
09500SB0005sam002 |
- 7 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| (1) Purchase equipment. | 2 |
| (2) Acquire a new physical location for the purpose of | 3 |
| delivering primary health care services or specialty | 4 |
| health care services. | 5 |
| (3) Hire and train staff. | 6 |
| (4) Develop new practice networks. | 7 |
| (5) Purchase services or products that shall | 8 |
| facilitate the provision of health care services at a | 9 |
| community health center site. | 10 |
| Section 30-20. Reporting. Within 60 days after the first | 11 |
| and second years of a grant under this Act, the grant recipient | 12 |
| must submit a progress report to the Department demonstrating | 13 |
| that the recipient is meeting the goals and objectives stated | 14 |
| in the grant, that grant moneys are being used for appropriate | 15 |
| purposes, and that residents of the community are being served | 16 |
| by the targeted expansions established with grant moneys. | 17 |
| Within 60 days after the final year of a grant under this Act, | 18 |
| the grant recipient must submit a final report to the | 19 |
| Department demonstrating that the recipient has met the goals | 20 |
| and objectives stated in the grant, that grant moneys were used | 21 |
| for appropriate purposes, and that residents of the community | 22 |
| are being served by the targeted expansions established with | 23 |
| grant moneys. | 24 |
| Section 30-25. Rules. The Department shall adopt rules it |
|
|
|
09500SB0005sam002 |
- 8 - |
LRB095 08883 DRJ 35794 a |
|
| 1 |
| deems necessary for the efficient administration of this Act.".
|
|