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92_HB0281eng HB0281 Engrossed LRB9201920DJgcA 1 AN ACT in relation to 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 Community Health Center Expansion Act. 6 Section 5. Definitions. In this Act: 7 "Community health center site" means a new physical site 8 where a community health center will provide primary health 9 care services either to a medically underserved population or 10 area or to the uninsured population of this State. 11 "Community provider" means a Federally Qualified Health 12 Center (FQHC) or FQHC Look-Alike (Community Health Center or 13 health center), designated as such by the Secretary of the 14 United States Department of Health and Human Services, that 15 operates at least one federally designated primary health 16 care delivery site in the State of Illinois. 17 "Department" means the Illinois Department of Public 18 Health. 19 "Medically underserved area" means an urban or rural area 20 designated by the Secretary of the United States Department 21 of Health and Human Services as an area with a shortage of 22 personal health services. 23 "Medically underserved population" means (i) the 24 population of an urban or rural area designated by the 25 Secretary of the United States Department of Health and Human 26 Services as an area with a shortage of personal health 27 services or (ii) a population group designated by the 28 Secretary as having a shortage of those services. 29 "Primary health care services" means the following: 30 (1) Basic health services consisting of the 31 following: HB0281 Engrossed -2- LRB9201920DJgcA 1 (A) Health services related to family medicine, 2 internal medicine, pediatrics, obstetrics, or 3 gynecology that are furnished by physicians and, if 4 appropriate, physician assistants, nurse 5 practitioners, and nurse midwives. 6 (B) Diagnostic laboratory and radiologic 7 services. 8 (C) Preventive health services, including the 9 following: 10 (i) Prenatal and perinatal services. 11 (ii) Screenings for breast and cervical 12 cancer. 13 (iii) Well-child services. 14 (iv) Immunizations against 15 vaccine-preventable diseases. 16 (v) Screenings for elevated blood lead 17 levels, communicable diseases, and cholesterol. 18 (vi) Pediatric eye, ear, and dental 19 screenings to determine the need for vision and 20 hearing correction and dental care. 21 (vii) Voluntary family planning services. 22 (viii) Preventive dental services. 23 (D) Emergency medical services. 24 (E) Pharmaceutical services as appropriate for 25 particular health centers. 26 (2) Referrals to providers of medical services and 27 other health-related services (including substance abuse 28 and mental health services). 29 (3) Patient case management services (including 30 counseling, referral, and follow-up services) and other 31 services designed to assist health center patients in 32 establishing eligibility for and gaining access to 33 federal, State, and local programs that provide or 34 financially support the provision of medical, social, HB0281 Engrossed -3- LRB9201920DJgcA 1 educational, or other related services. 2 (4) Services that enable individuals to use the 3 services of the health center (including outreach and 4 transportation services and, if a substantial number of 5 the individuals in the population are of limited 6 English-speaking ability, the services of appropriate 7 personnel fluent in the language spoken by a predominant 8 number of those individuals). 9 (5) Education of patients and the general population 10 served by the health center regarding the availability 11 and proper use of health services. 12 (6) Additional health services consisting of 13 services that are appropriate to meet the health needs of 14 the population served by the health center involved and 15 that may include the following: 16 (A) Environmental health services, including 17 the following: 18 (i) Detection and alleviation of 19 unhealthful conditions associated with water 20 supply. 21 (ii) Sewage treatment. 22 (iii) Solid waste disposal. 23 (iv) Detection and alleviation of rodent 24 and parasite infestation. 25 (v) Field sanitation. 26 (vi) Housing. 27 (vii) Other environmental factors related 28 to health. 29 (B) Special occupation-related health services 30 for migratory and seasonal agricultural workers, 31 including the following: 32 (i) Screening for and control of 33 infectious diseases, including parasitic 34 diseases. HB0281 Engrossed -4- LRB9201920DJgcA 1 (ii) Injury prevention programs, which may 2 include prevention of exposure to unsafe levels 3 of agricultural chemicals, including 4 pesticides. 5 "Uninsured population" means persons who do not own 6 private health care insurance, are not part of a group 7 insurance plan, and are not eligible for any State or federal 8 government-sponsored health care program. 9 Section 10. Grants. 10 (a) The Department shall establish a community health 11 center expansion grant program and may make grants to 12 eligible community providers subject to appropriations for 13 that purpose. The grants shall be for the purpose of (i) 14 establishing new community health center sites to provide 15 primary health care services to medically underserved 16 populations or areas as defined in Section 5 or (ii) 17 providing primary health care services to the uninsured 18 population of Illinois. 19 (b) Grants under this Section shall be for periods of 3 20 years. The Department may make new grants whenever the total 21 amount appropriated for grants is sufficient to fund both the 22 new grants and the grants already in effect. 23 (c) A recipient of a grant to establish a new community 24 health center site must add each such site to the recipient's 25 established service area for the purpose of extending federal 26 FQHC or FQHC Look-Alike status to the new site in accordance 27 with federal regulations. The grant recipient must complete 28 this process by the end of the second year of the grant. 29 Section 15. Eligibility for grant. To be eligible for a 30 grant under this Act, a recipient must be a community 31 provider as defined in Section 5 of this Act. HB0281 Engrossed -5- LRB9201920DJgcA 1 Section 20. Use of grant moneys. A recipient of a grant 2 under this Act may use the grant moneys to do any one or more 3 of the following: 4 (1) Purchase equipment. 5 (2) Acquire a new physical location for the purpose 6 of delivering primary health care services. 7 (3) Hire and train staff. 8 (4) Develop new practice networks. 9 (5) Purchase services or products that will 10 facilitate the provision of health care services at a new 11 community health center site. 12 Section 25. Reporting. Within 60 days after the first and 13 second years of a grant under this Act, the grant recipient 14 must submit a progress report to the Office of Rural Health 15 within the Department. The Department shall ensure that each 16 grant recipient is meeting the goals and objectives stated in 17 the original grant proposal submitted by the recipient, that 18 grant moneys are being used for appropriate purposes, and 19 that residents of the community are being served by the new 20 community health center sites established with grant moneys. 21 Section 99. Effective date. This Act takes effect upon 22 becoming law.