Full Text of HB0615 94th General Assembly
HB0615enr 94TH GENERAL ASSEMBLY
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| AN ACT concerning health.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 1. Short title. This Act may be cited as the | 5 |
| Reduction of Racial and Ethnic Health Disparities Act. | 6 |
| Section 5. Legislative findings and intent. | 7 |
| (a) The General Assembly finds that despite State | 8 |
| investments in health care programs, certain racial and ethnic | 9 |
| populations in Illinois continue to have significantly poorer | 10 |
| health outcomes when compared to non-Hispanic whites. The | 11 |
| General Assembly finds that local solutions to health care | 12 |
| problems can have a dramatic and positive effect on the health | 13 |
| status of these populations. Local governments and communities | 14 |
| are best equipped to: identify the health education, health | 15 |
| promotion, and disease prevention needs of the racial and | 16 |
| ethnic populations in their communities; mobilize the | 17 |
| community to address health outcome disparities; enlist and | 18 |
| organize local public and private resources and faith-based | 19 |
| organizations to address these disparities; and evaluate the | 20 |
| effectiveness of interventions. | 21 |
| (b) The Illinois Department of Human Services has several | 22 |
| initiatives to reduce racial and ethnic disparities in infant | 23 |
| mortality and diabetes, and the Illinois Department of Public | 24 |
| Health has several initiatives to address asthma; breast, | 25 |
| cervical, prostate, and colorectal cancer; kidney disease; | 26 |
| HIV/AIDS; hepatitis C; sexually transmitted
diseases; adult | 27 |
| and child immunizations; cardiovascular disease; and | 28 |
| accidental injuries and violence. | 29 |
| (c) It is therefore the intent of the General Assembly to | 30 |
| provide funds within Illinois counties, in the form of | 31 |
| "Reducing Racial and Ethnic Health Disparities: Closing the | 32 |
| Gap" grants, to stimulate the development of community-based |
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| and neighborhood-based projects that will improve the health | 2 |
| outcomes of racial and ethnic populations. Further, it is the | 3 |
| intent of the General Assembly that these programs foster the | 4 |
| development of coordinated, collaborative, and broad-based | 5 |
| participation by public and private entities and by faith-based | 6 |
| organizations. Finally, it is the intent of the General | 7 |
| Assembly that the grant program function as a partnership | 8 |
| between State and local governments, faith-based | 9 |
| organizations, and private-sector health care providers, | 10 |
| including managed care, voluntary health care resources, | 11 |
| social service providers, and nontraditional partners. | 12 |
| Section 10. Definitions. In this Act: | 13 |
| "Department" means the Department of Public Health. | 14 |
| "Director" means the Director of Public Health. | 15 |
| Section 15. Grant program. | 16 |
| (a) Subject to appropriations for that purpose, the | 17 |
| Department shall establish and administer a grant program to | 18 |
| implement this Act. | 19 |
| (b) The Department shall do the following:
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| (1) Publicize the availability of funds and establish | 21 |
| an application process for submitting a grant proposal.
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| (2) Provide technical assistance and training, | 23 |
| including a statewide meeting promoting best practice | 24 |
| programs, as requested, to grant recipients.
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| (3) Develop uniform data reporting requirements for | 26 |
| the purpose of evaluating the performance of the grant | 27 |
| recipients and demonstrating improved health outcomes.
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| (4) Develop a monitoring process to evaluate progress | 29 |
| toward meeting grant objectives.
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| (5) Coordinate with the Illinois Department of Human | 31 |
| Services and existing community-based programs, such as | 32 |
| chronic disease community intervention programs, cancer | 33 |
| prevention and control programs, diabetes control | 34 |
| programs, the Children's Health Insurance (KidCare) |
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| Program, the HIV/AIDS program, immunization programs, and | 2 |
| other related programs at the State and local levels, to | 3 |
| avoid duplication of effort and promote consistency.
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| (c) The Office of Minority Health within the Department | 5 |
| shall establish measurable outcomes to achieve the goal of | 6 |
| reducing health disparities in the following priority areas: | 7 |
| asthma; breast, cervical, prostate, and colorectal cancer | 8 |
| screening; kidney disease; HIV/AIDS; hepatitis C; sexually | 9 |
| transmitted diseases; adult and child immunizations; | 10 |
| cardiovascular disease; and accidental injuries and violence. | 11 |
| The Office of Minority Health shall enhance current data | 12 |
| tools to ensure a statewide assessment of the risk behaviors | 13 |
| associated with the health disparity priority areas identified | 14 |
| in this subsection. To the extent feasible, the Office shall | 15 |
| conduct the assessment so that the results may be compared to | 16 |
| national data. | 17 |
| (d) The Director may appoint an ad hoc advisory committee | 18 |
| to: examine areas where public awareness, public education, | 19 |
| research, and coordination regarding racial and ethnic health | 20 |
| outcome disparities are lacking; consider access and | 21 |
| transportation issues that contribute to health status | 22 |
| disparities; and make recommendations for closing gaps in | 23 |
| health outcomes and increasing the public's awareness and | 24 |
| understanding of health disparities that exist between racial | 25 |
| and ethnic populations. | 26 |
| Section 20. Eligibility for grant. | 27 |
| (a) Any person, entity, or organization within a county may | 28 |
| apply for a grant under this Act and may serve as the lead | 29 |
| agency to administer and coordinate project activities within | 30 |
| the county and develop community partnerships necessary to | 31 |
| implement the grant.
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| (b) Persons, entities, or organizations within adjoining | 33 |
| counties with populations of less than 100,000 may jointly | 34 |
| submit a multicounty grant proposal. The proposal must clearly | 35 |
| identify a single lead agency with respect to program |
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| accountability and administration, however.
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| (c) In addition to the grants awarded under subsections (a) | 3 |
| and (b), up to 20% of the funding for the grant program shall | 4 |
| be dedicated to projects that address improving racial and | 5 |
| ethnic health status within specific urban areas identified by | 6 |
| the Department in rules.
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| (d) Nothing in this Act prevents a person, entity, or | 8 |
| organization within a county or group of counties from | 9 |
| separately contracting for the provision of racial and ethnic | 10 |
| health promotion, health awareness, and disease prevention | 11 |
| services.
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| Section 25. Grant proposal requirements. | 13 |
| (a) A proposal for a grant under this Act must be submitted | 14 |
| to the Department for review.
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| (b) A proposal for a grant must include each of the | 16 |
| following elements:
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| (1) The purpose and objectives of the proposed project, | 18 |
| including identification of the particular racial or | 19 |
| ethnic disparity the project will address. The proposal | 20 |
| must address one or more of the following priority areas:
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| (A) Decreasing racial and ethnic disparities in | 22 |
| maternal and infant mortality rates.
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| (B) Decreasing racial and ethnic disparities in | 24 |
| morbidity and mortality rates relating to cancer.
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| (C) Decreasing racial and ethnic disparities in | 26 |
| morbidity and mortality rates relating to HIV/AIDS.
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| (D) Decreasing racial and ethnic disparities in | 28 |
| morbidity and mortality rates relating to | 29 |
| cardiovascular disease.
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| (E) Decreasing racial and ethnic disparities in | 31 |
| morbidity and mortality rates relating to diabetes.
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| (F) Increasing adult and child immunization rates | 33 |
| in certain racial and ethnic populations.
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| (G) Decreasing racial and ethnic disparities in | 35 |
| oral health care.
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| (2) Identification and relevance of the target | 2 |
| population.
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| (3) Methods for obtaining baseline health status data | 4 |
| and assessment of community health needs.
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| (4) Mechanisms for mobilizing community resources and | 6 |
| gaining local commitment.
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| (5) Development and implementation of health promotion | 8 |
| and disease prevention interventions.
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| (6) Mechanisms and strategies for evaluating the | 10 |
| project's objectives, procedures, and outcomes.
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| (7) A proposed work plan, including a timeline for | 12 |
| implementing the project.
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| (8) The likelihood that project activities will occur | 14 |
| and continue in the absence of funding.
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| (c) The Department shall give priority to proposals that:
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| (1) Represent areas with the greatest documented | 17 |
| racial and ethnic health status disparities.
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| (2) Exceed the minimum local contribution requirements | 19 |
| specified in Section 30.
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| (3) Demonstrate broad-based local support and | 21 |
| commitment from entities representing racial and ethnic | 22 |
| populations, including non-Hispanic whites. Indicators of | 23 |
| support and commitment may include agreements to | 24 |
| participate in the program, letters of endorsement, | 25 |
| letters of commitment, interagency agreements, or other | 26 |
| forms of support.
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| (4) Demonstrate a high degree of participation by the | 28 |
| health care community in clinical preventive service | 29 |
| activities and community-based health promotion and | 30 |
| disease prevention interventions.
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| (5) Have been submitted from counties with a high | 32 |
| proportion of residents living in poverty and with poor | 33 |
| health status indicators.
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| (6) Demonstrate a coordinated community approach to | 35 |
| addressing racial and ethnic health issues within existing | 36 |
| publicly financed health care programs.
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| (7) Incorporate intervention mechanisms that have a | 2 |
| high probability of improving the targeted population's | 3 |
| health status.
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| (8) Demonstrate a commitment to quality management in | 5 |
| all aspects of project administration and implementation.
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| Section 30. Grant awards. | 7 |
| (a) The Department may award one or more grants in a county | 8 |
| or in a group of adjoining counties from which a multicounty | 9 |
| grant proposal is submitted. The Department may award an urban | 10 |
| area grant under subsection (c) of Section 20 in a county or | 11 |
| group of adjoining counties that are also receiving a grant | 12 |
| award under subsection (a) or (b) of Section 20.
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| (b) Units of local government may provide matching grants | 14 |
| to supplement those made by the Department. | 15 |
| (c) The amount of the grant award shall be based on the | 16 |
| county or urban area's population, or on the combined | 17 |
| population in a group of adjoining counties from which a | 18 |
| multicounty application is submitted, and on other factors, as | 19 |
| determined by the Department in rules.
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| (d) The Department shall begin disseminating grant awards | 21 |
| no later than January 1, 2007.
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| (e) The Department shall fund a grant under this Act for | 23 |
| one year and may renew the grant annually upon application to | 24 |
| and approval by the Department, subject to the achievement of | 25 |
| quality standards, objectives, and outcomes and to the | 26 |
| availability of funds.
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| Section 35. Continued operation of programs to reduce | 28 |
| racial and ethnic disparities in infant mortality and diabetes. | 29 |
| Subject to the amounts appropriated for that purpose, the | 30 |
| Illinois Department of Human Services shall continue to operate | 31 |
| programs to reduce racial and ethnic disparities in infant | 32 |
| mortality and diabetes.
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