State of Illinois
91st General Assembly
Legislation

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[ Engrossed ][ House Amendment 001 ]

91_HB1544

 
                                              LRB9101121SMdvC

 1        AN ACT regarding medical care.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    Comprehensive Primary Medical Care Program Act.

 6        Section 5.  Definitions.  As used in this Act:
 7        "Additional  health services" means services that are not
 8    included as required primary health  services  and  that  are
 9    appropriate to meet the health needs of the population served
10    by the community provider involved. Such term may include:
11             (1)  environmental health services, including:
12                  (A)  the    detection    and   alleviation   of
13             unhealthful conditions associated with water supply;
14                  (B)  sewage treatment;
15                  (C)  solid waste disposal;
16                  (D)  treatment   of   rodent   and    parasitic
17             infestation;
18                  (E)  field sanitation;
19                  (F)  housing; and
20                  (G)  other  environmental  services  related to
21             health; and
22             (2)  in the case of  community  providers  receiving
23        grants  for  migratory and seasonal agricultural workers,
24        special occupation-related health services for  migratory
25        and seasonal agricultural workers, including:
26                  (A)  screening  for  and  control of infectious
27             diseases, including parasitic diseases; and
28                  (B)  injury  prevention   programs,   including
29             prevention   of   exposure   to   unsafe  levels  of
30             agricultural chemicals including pesticides.
31        "Service area" means the geographical area  served  by  a

 
                            -2-               LRB9101121SMdvC
 1    community provider.
 2        "Community  provider" means public health departments and
 3    those entities eligible to receive funding under Section  330
 4    of the federal Public Health Service Act.
 5        "Department" means the Department of Human Services.
 6        "Medically  underserved  population" means the population
 7    of an urban or rural area designated by the Secretary  as  an
 8    area  with  a  shortage  of  personal  health  services  or a
 9    population group designated by  the  Secretary  as  having  a
10    shortage of such services.
11        "Required primary health services" means:
12             (1)  basic  health  services  which, for purposes of
13        this Act, shall consist of:
14                  (A) health services related to family medicine,
15             internal  medicine,   pediatrics,   obstetrics,   or
16             gynecology  that  are  furnished  by  physicians and
17             where  appropriate,  physician   assistants,   nurse
18             practitioners, and nurse midwives;
19                  (B)   diagnostic   laboratory   and  radiologic
20             services;
21                  (C) preventive health services, including:
22                       (i) prenatal and perinatal services;
23                       (ii) screening  for  breast  and  cervical
24                  cancer;
25                       (iii) well-child services;
26                       (iv)         immunizations         against
27                  vaccine-preventable diseases;
28                       (v)  screenings  for  elevated  blood lead
29                  levels, communicable diseases, and cholesterol;
30                       (vi)  pediatric  eye,  ear,   and   dental
31                  screenings to determine the need for vision and
32                  hearing correction and dental care;
33                       (vii)  voluntary family planning services;
34                  and
 
                            -3-               LRB9101121SMdvC
 1                       (viii) preventive dental services;
 2                  (D) emergency medical services; and
 3                  (E)   pharmaceutical   services   as   may   be
 4             appropriate for particular providers;
 5             (2) referrals to providers of medical  services  and
 6        other  health-related services (including substance abuse
 7        and mental health services);
 8             (3)  patient  case  management  services  (including
 9        counseling, referral, and follow-up services)  and  other
10        services  designed  to assist community provider patients
11        in establishing eligibility for  and  gaining  access  to
12        federal,  State,  and  local  programs  that  provide  or
13        financially  support  the  provision  of medical, social,
14        educational, or other related services;
15             (4) services that  enable  individuals  to  use  the
16        services  of  the  community provider (including outreach
17        and transportation services and, if a substantial  number
18        of the individuals in the population served by a provider
19        are  of limited English-speaking ability, the services of
20        appropriate personnel fluent in the language spoken by  a
21        predominant number of such individuals); and
22             (5) education of patients and the general population
23        served   by   the   community   provider   regarding  the
24        availability and proper use of health services.
25        "Secretary" means the Secretary of Human Services.

26        Section  10.   Grant  program.   The   Department   shall
27    establish   the  Comprehensive  Primary  Medical  Care  Grant
28    Program for the purpose  of  establishing  new  comprehensive
29    primary   care   medical   practices,   supporting   existing
30    practices, and maintaining the newly created practices.

31        Section  15.   Eligibility  for  grant.  Any entity which
32    meets the criteria to be a community provider,  provides  the
 
                            -4-               LRB9101121SMdvC
 1    required   primary  health  services,  and  adjusts  fees  in
 2    accordance with a patient's income is eligible to  receive  a
 3    grant under this Act.

 4        Section  20.  Operation of program.  Over a 5 year period
 5    the Department shall issue grants to establish  and  maintain
 6    community  providers.   At  the end of the initial 5 years of
 7    the program, the Department shall establish a permanent grant
 8    program to continue to support the community  providers  that
 9    have received a grant under this Act.

10        Section  25.   Use  of the grant funds. The funds granted
11    under this Act must be restricted to  communities  identified
12    as  having  a need for care and may be used for the following
13    purposes:
14             (1)  to acquire sites;
15             (2)  to expand an existing practice;
16             (3)  to purchase equipment;
17             (4)  to hire and train staff; and
18             (5)  to develop practice networks.

19        Section 99.  Effective date.  This Act takes effect  upon
20    becoming law.

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