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"Medically underserved population" means (i) the |
population of an urban or
rural area designated by the |
Secretary of the United States Department of
Health and Human |
Services as
an area with a shortage of personal health services |
or (ii) a population group
designated by the Secretary as |
having a shortage of those services.
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"Primary health care services" means the following:
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(1) Basic health services consisting of the following:
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(A) Health services related to family medicine, |
internal medicine,
pediatrics, obstetrics, or |
gynecology that are furnished by physicians and,
if |
appropriate, physician assistants, nurse |
practitioners, and nurse
midwives.
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(B) Diagnostic laboratory and radiologic services.
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(C) Preventive health services, including the |
following:
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(i) Prenatal and perinatal services.
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(ii) Screenings for breast , ovarian, and |
cervical cancer.
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(iii) Well-child services.
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(iv) Immunizations against vaccine-preventable |
diseases.
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(v) Screenings for elevated blood lead levels,
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communicable diseases, and cholesterol.
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(vi) Pediatric eye, ear, and dental screenings |
to determine
the need for vision and hearing |
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correction and dental care.
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(vii) Voluntary family planning services.
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(viii) Preventive dental services.
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(D) Emergency medical services.
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(E) Pharmaceutical services as appropriate for |
particular health
centers.
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(2) Referrals to providers of medical services and |
other health-related
services (including substance abuse |
and mental health services).
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(3) Patient case management services (including |
counseling, referral, and
follow-up services) and other |
services designed to assist health center
patients in |
establishing eligibility for and gaining access to |
federal, State,
and local programs that provide or |
financially support the provision of
medical, social, |
educational, or other related services.
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(4) Services that enable individuals to use the |
services of the health
center (including outreach and |
transportation services and, if a substantial
number of the |
individuals in the population are of limited |
English-speaking
ability, the services
of appropriate |
personnel fluent in the language spoken by a predominant |
number
of those individuals).
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(5) Education of patients and the general population |
served by the health
center regarding the availability and |
proper use of health services.
|
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(6) Additional health services consisting of services |
that are appropriate
to meet the health needs of the |
population served by the health center involved
and that |
may include the following:
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(A) Environmental health services, including the |
following:
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(i) Detection and alleviation of unhealthful |
conditions
associated with water supply.
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(ii) Sewage treatment.
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(iii) Solid waste disposal.
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(iv) Detection and alleviation of rodent and |
parasite
infestation.
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(v) Field sanitation.
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(vi) Housing.
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(vii) Other environmental factors related to |
health.
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(B) Special occupation-related health services for |
migratory and
seasonal agricultural workers, including |
the following:
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(i) Screening for and control of infectious |
diseases,
including parasitic diseases.
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(ii) Injury prevention programs, which may |
include
prevention of exposure to unsafe levels of |
agricultural chemicals,
including pesticides.
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"Uninsured population" means persons who do not own private |
health care
insurance, are not part of a group insurance plan, |