Section 591.20  Definitions

            "Act" means the Immigration and Nationality Act (8 USC 1182(e) and 8 USC 1184(l)).

            "Community Health Center" means community/migrant health centers or health care for the homeless projects supported under Section 329, 330 or 340 of the federal Public Health Service Act (42 USC 254b, 254c, and 256), respectively, or federally qualified health center look-alikes, as designated by the U.S. Public Health Service.

            "Center" means the Center for Rural Health of the Illinois Department of Public Health.

            "Department" means the Illinois Department of Public Health.

            "Downstate" means those Illinois counties other than Cook, Lake, McHenry, DuPage, Will and Kane.

            "Federal fiscal year" means the 12-month period beginning October 1 and ending September 30 of the following year.  The federal fiscal year may be divided into four calendar quarters: October 1 though December 31; January 1 through March 31; April 1 through June 30; and July 1 through September 30.

            "Full time practice" means maintaining 40 hours of ambulatory access as required under the Act and the Code of Federal Regulations.

            "Health Professional Shortage Area" or "HPSA"  is a designation given by the U.S. Department of Health and Human Services, Shortage Designation Branch.  The HPSA designation is based on the ratio of primary care physicians to population and is used to identify areas needing additional primary care physicians. The list of HPSAs is published periodically in the Federal Register, and can be found at http://belize.hrsa.gov/newhpsa/newhpsa.cfm.

            "Medical facility" means a facility for the delivery of health services and includes:

            a community health center, local health department, outpatient medical facility, or community mental health center;

            a hospital, State mental hospital, facility for long-term care or rehabilitation facility;

            a facility for delivery of health services to inmates in a U.S. penal or correctional institution (under section 323 of the Public Health Service Act) or a State correctional institution;

            a Public Health Service medical facility (used in connection with the delivery of health service under Section 320, 321, 322, 324, 325 or 326 of the Public Health Service Act); or any other federal medical facility.

"Medically underserved area" or "MUA" is a designation given by the

U.S. Department of  Health and Human Services, Shortage Designation Branch.

The MUA designation is based on the availability of primary care physicians,

demographic characteristics, and health status of the residents of a service area

and is used to identify areas in need of additional health care services.  The list

of MUAs can be found at http://bphc.hrsa.gov/databases/newmua.

"Medically underserved population" or "MUP" is a designation given by the

U.S. Department of Health and Human Services, Shortage Designation Branch. 

The MUP designation means that a particular population group, such as a group

of  area residents with incomes at or below twice the federal poverty level, is in

need of additional health care services.  The list of MUPs can be found

at http://bphc.hrsa.gov/databases/newmua.

"Physician" means a person licensed to practice medicine in all its branches

under the Medical  Practice Act of 1987 [225 ILCS 60].

            "Primary care" means health care that encompasses prevention services, basic diagnostic and treatment services, and support services such as laboratory, radiology, transportation, and pharmacy.  Primary care is comprehensive in nature and not organ or problem specific, is  oriented toward the longitudinal care of the patient, and includes responsibility for coordination of other health and social services as they relate to patients' needs.

            "Primary care physician" means a person licensed to practice medicine in all its branches under the Medical Practice Act of 1987 [225 ILCS 60] with a specialty in family practice, general internal medicine, general pediatrics, obstetrics/gynecology, or medicine/pediatrics.

"Psychiatric physician" or "psychiatrist" means a person licensed to practice medicine in all its branches under the Medical Practice Act of 1987 [225 ILCS 60] with a specialty in psychiatry.

            "Rural" means any geographic area not located in a U.S. Bureau of the Census Metropolitan Statistical Area or a county located within a Metropolitan Statistical Area but having a population of 60,000 or less.

            "Urban" means any geographic area located in a U.S. Bureau of the Census Metropolitan Statistical Area, except a county located within a Metropolitan Statistical Area having a population of 60,000 or less.

(Source:  Amended at 29 Ill. Reg. 3327, effective February 16, 2005)