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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
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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
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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
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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.