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| [ Introduced ] | [ House Amendment 001 ] |
91_HB1544eng HB1544 Engrossed 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 HB1544 Engrossed -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 primary care 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 HB1544 Engrossed -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 "Uninsured population" means persons that do not own 27 private health care insurance, are not a part of a group 28 insurance plan, and are not eligible for any State or federal 29 government sponsored health care provision program. 30 Section 10. Grant program. The Department shall 31 establish the Comprehensive Primary Medical Care Grant 32 Program for the purpose of establishing new comprehensive 33 primary care medical practices, supporting existing HB1544 Engrossed -4- LRB9101121SMdvC 1 practices, and maintaining the newly created practices. 2 Section 15. Eligibility for grant. To be eligible to 3 receive a grant under this Act an entity must meet the 4 following criteria: 5 (a) The entity must: 6 (1) meet the criteria to be a community provider; 7 or 8 (2) be a physician or group of physicians licensed 9 to practice medicine in all its branches, at least 5% of 10 the total practice of which includes any patient mix of 11 persons eligible for medical assistance under Article V 12 of the Illinois Public Aid Code or persons who lack 13 private health insurance and are not eligible for 14 Medicare or medical assistance under Article V of the 15 Illinois Public Aid Code. 16 (b) The entity must provide the required primary health 17 services. 18 (c) The entity must adjust fees in accordance with a 19 patient's income. 20 (d) The entity must serve a medically underserved 21 population and an uninsured population. 22 Section 20. Operation of program. Over a 5 year period 23 the Department shall issue grants to establish and maintain 24 community providers. At the end of the initial 5 years of 25 the program, the Department shall establish a permanent grant 26 program to continue to support the community providers that 27 have received a grant under this Act until newly created 28 comprehensive primary care medical practices are eligible for 29 and are receiving permanent federal grant funding under 30 Section 330 of the Public Health Services Act. 31 Section 25. Use of the grant funds. The funds granted HB1544 Engrossed -5- LRB9101121SMdvC 1 under this Act must be restricted to communities identified 2 as having a need for care and may be used for the following 3 purposes: 4 (1) to acquire sites; 5 (2) to expand an existing practice; 6 (3) to purchase equipment; 7 (4) to hire and train staff; and 8 (5) to develop practice networks. 9 Section 99. Effective date. This Act takes effect upon 10 becoming law.