Home > 108th Congressional Bills > H.R. 919 (ih) To ensure that a public safety officer who suffers a fatal heart attack or stroke while on duty shall be presumed to have died in the line of duty for purposes of public safety officer survivor benefits. [Introduced in House] ...H.R. 919 (ih) To ensure that a public safety officer who suffers a fatal heart attack or stroke while on duty shall be presumed to have died in the line of duty for purposes of public safety officer survivor benefits. [Introduced in House] ...
Union Calendar No. 447
108th CONGRESS
2d Session
H. R. 918
[Report No. 108-727, Part I]
To authorize the Health Resources and Services Administration, the
National Cancer Institute, and the Indian Health Service to make grants
for model programs to provide to individuals of health disparity
populations prevention, early detection, treatment, and appropriate
follow-up care services for cancer and chronic diseases, and to make
grants regarding patient navigators to assist individuals of health
disparity populations in receiving such services.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 26, 2003
Mr. Menendez (for himself, Ms. Pryce of Ohio, Mr. Green of Texas, Ms.
Ros-Lehtinen, Mr. Thompson of Mississippi, Mr. Lincoln Diaz-Balart of
Florida, Mr. Rodriguez, Mrs. Wilson of New Mexico, Mrs. Christensen,
Mr. Quinn, Mr. Serrano, Mr. McCotter, Mr. Pallone, Mr. Pearce, Mr.
Udall of New Mexico, and Mr. Mario Diaz-Balart of Florida) introduced
the following bill; which was referred to the Committee on Energy and
Commerce and in addition to the Committee on Resources, for a period to
be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the
committee concerned
October 5, 2004
Additional sponsors: Ms. Ginny Brown-Waite of Florida, Mr. Frost, Mr.
Ford, Mr. Norwood, Mr. Kildee, Mr. Renzi, Mr. Rangel, Mr. Ramstad, Ms.
Kilpatrick, Mr. Pickering, Mr. Capuano, Mrs. Capito, Mr. Matsui, Mr.
Fletcher, Mr. Israel, Mr. Grijalva, Mr. Green of Wisconsin, Mr.
Oberstar, Mr. LaHood, Mr. Meehan, Mr. Rogers of Michigan, Mr. Stupak,
Mr. Pascrell, Mr. Holt, Ms. McCollum, Ms. Baldwin, Mr. Payne, Mr.
Whitfield, Mr. Kind, Mr. Goss, Mr. Peterson of Minnesota, Mr. Boozman,
Mrs. McCarthy of New York, Mr. Upton, Mr. Burns, Mr. King of New York,
Mr. Cunningham, Mrs. Myrick, Mr. Tiberi, Mr. Smith of Washington, Mr.
Cox, Mr. Wicker, Mr. Castle, Mr. LaTourette, Ms. Hooley of Oregon, Mrs.
Emerson, Mr. Kirk, Mr. Kleczka, Mr. Shimkus, Mr. Weller, Mr. Simmons,
Mr. Nethercutt, Mr. Ryan of Wisconsin, Mr. Ross, Mr. Costello, Mr.
Walsh, Mr. Rogers of Kentucky, Mr. Smith of New Jersey, Mr. Camp, Mrs.
Jones of Ohio, Mr. Boswell, Mr. Barton of Texas, Mr. Gillmor, Mr. Hall,
Mr. Marshall, Mr. Sessions, Mr. Bass, Mr. Johnson of Illinois, Mr.
Terry, Mr. Ferguson, Mr. McDermott, Mr. Hayworth, Mr. Leach, Mr.
Ehlers, Mr. Kingston, Mr. Bradley of New Hampshire, Mr. Kennedy of
Minnesota, Mr. Graves, Mr. Schrock, Mr. Clay, Mrs. Jo Ann Davis of
Virginia, Ms. Jackson-Lee of Texas, Mr. Bishop of Georgia, Mr. Hyde,
Mr. Moore, Mr. Issa, Mr. Waxman, Mr. Kline, Mr. Greenwood, Mr. Davis of
Florida, Mr. Scott of Virginia, Mr. Cramer, Mr. Filner, Mr. McHugh, Mr.
Andrews, Mr. Reyes, Mr. Michaud, Ms. Berkley, Ms. McCarthy of Missouri,
Mr. Towns, Mr. Cummings, Mrs. Kelly, Mr. Bell, Mr. Platts, Mr. Allen,
Mr. Kennedy of Rhode Island, Mr. Bishop of Utah, Mr. Shays, Mr.
Vitter, Mr. Carson of Oklahoma, Mr. Wynn, Ms. Herseth, Mr. Walden of
Oregon, Mr. Rothman, Mr. Deal of Georgia, Mr. Gonzalez, and Mr. McNulty
October 5, 2004
Reported from the Committee on Energy and Commerce with amendments
[Strike out all after the enacting clause and insert the part printed
in italic]
October 5, 2004
Referral to the Committee on Resources extended for a period ending not
later than October 5, 2004
October 5, 2004
Committee on Resources discharged; committed to the Committee of the
Whole House on the State of the Union and ordered to be printed
[For text of introduced bill, see copy of bill as introduced on
February 26, 2003]
_______________________________________________________________________
A BILL
To authorize the Health Resources and Services Administration, the
National Cancer Institute, and the Indian Health Service to make grants
for model programs to provide to individuals of health disparity
populations prevention, early detection, treatment, and appropriate
follow-up care services for cancer and chronic diseases, and to make
grants regarding patient navigators to assist individuals of health
disparity populations in receiving such services.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Patient Navigator Outreach and
Chronic Disease Prevention Act of 2004''.
SEC. 2. PATIENT NAVIGATOR GRANTS.
Subpart V of part D of title III of the Public Health Service Act
(42 U.S.C. 256) is amended by adding at the end the following:
``SEC. 340A. PATIENT NAVIGATOR GRANTS.
``(a) Grants.--The Secretary, acting through the Administrator of
the Health Resources and Services Administration, may make grants to
eligible entities for the development and operation of demonstration
programs to provide patient navigator services to improve health care
outcomes. The Secretary shall coordinate with, and ensure the
participation of, the Indian Health Service, the National Cancer
Institute, the Office of Rural Health Policy, and such other offices
and agencies as deemed appropriate by the Secretary, regarding the
design and evaluation of the demonstration programs.
``(b) Use of Funds.--A condition on the receipt of a grant under
this section is that the grantee agree to use the grant to recruit,
assign, train, and employ patient navigators who have direct knowledge
of the communities they serve to facilitate the care of individuals,
including by performing each of the following duties:
``(1) Acting as contacts, including by assisting in the
coordination of health care services and provider referrals,
for individuals who are seeking prevention or early detection
services for, or who following a screening or early detection
service are found to have a symptom, abnormal finding, or
diagnosis of, cancer or other chronic disease.
``(2) Facilitating the involvement of community
organizations providing assistance to individuals who are at
risk for or who have cancer or other chronic diseases to
receive better access to high-quality health care services
(such as by creating partnerships with patient advocacy groups,
charities, health care centers, community hospice centers,
other health care providers, or other organizations in the
targeted community).
``(3) Notifying individuals of clinical trials and
facilitating enrollment in these trials if requested and
eligible.
``(4) Anticipating, identifying, and helping patients to
overcome barriers within the health care system to ensure
prompt diagnostic and treatment resolution of an abnormal
finding of cancer or other chronic disease.
``(5) Coordinating with the relevant health insurance
ombudsman programs to provide information to individuals who
are at risk for or who have cancer or other chronic diseases
about health coverage, including private insurance, health care
savings accounts, and other publicly funded programs (such as
Medicare, Medicaid, and the State children's health insurance
program).
``(6) Conducting ongoing outreach to health disparity
populations, including the uninsured, rural populations, and
other medically underserved populations, in addition to
assisting other individuals who are at risk for or who have
cancer or other chronic diseases to seek preventative care.
``(c) Grant Period.--
``(1) In general.--Subject to paragraphs (2) and (3), the
Secretary may award grants under this section for periods of
not more than 3 years.
``(2) Extensions.--Subject to paragraph (3), the Secretary
may extend the period of a grant under this section, except
that--
``(A) each such extension shall be for a period of
not more than 1 year; and
``(B) the Secretary may make not more than 4 such
extensions with respect to any grant.
``(3) End of grant period.--In carrying out this section,
the Secretary may not authorize any grant period ending after
September 30, 2010.
``(d) Application.--
``(1) In general.--To seek a grant under this section, an
eligible entity shall submit an application to the Secretary in
such form, in such manner, and containing such information as
the Secretary may require.
``(2) Contents.--At a minimum, the Secretary shall require
each such application to outline how the eligible entity will
establish baseline measures and benchmarks that meet the
Secretary's requirements to evaluate program outcomes.
``(e) Uniform Baseline Measures.--The Secretary shall establish
uniform baseline measures in order to properly evaluate the impact of
the demonstration projects under this section.
``(f) Preference.--In making grants under this section, the
Secretary shall give preference to eligible entities that demonstrate
in their applications plans to utilize patient navigator services to
overcome significant barriers in order to improve health care outcomes
in their respective communities.
``(g) Coordination With Other Programs.--The Secretary shall ensure
coordination of the demonstration grant program under this section with
existing authorized programs in order to facilitate access to high-
quality health care services.
``(h) Study; Reports.--
``(1) Final report by secretary.--Not later than 6 months
after the completion of the demonstration grant program under
this section, the Secretary shall conduct a study of the
results of the program and submit to the Congress a report on
such results that includes the following:
``(A) An evaluation of the program outcomes,
including--
``(i) quantitative analysis of baseline and
benchmark measures; and
``(ii) aggregate information about the
patients served and program activities.
``(B) Recommendations on whether patient navigator
programs could be used to improve patient outcomes in
other public health areas.
``(2) Interim reports by secretary.--The Secretary may
provide interim reports to the Congress on the demonstration
grant program under this section at such intervals as the
Secretary determines to be appropriate.
``(3) Interim reports by grantees.--The Secretary may
require grant recipients under this section to submit interim
reports on grant program outcomes.
``(i) Rule of Construction.--This section shall not be construed to
authorize funding for the delivery of health care services (other than
the patient navigator duties listed in subsection (b)).
``(j) Definitions.--In this section:
``(1) The term `eligible entity' means a public or
nonprofit private health center (including a Federally
qualified health center (as that term is defined in section
1861(aa)(4) of the Social Security Act)), a health facility
operated by or pursuant to a contract with the Indian Health
Service, a hospital, a cancer center, a rural health clinic, an
academic health center, or a nonprofit entity that enters into
a partnership or coordinates referrals with such a center,
clinic, facility, or hospital to provide patient navigator
services.
``(2) The term `health disparity population' means a
population that, as determined by the Secretary, has a
significant disparity in the overall rate of disease incidence,
prevalence, morbidity, mortality, or survival rates as compared
to the health status of the general population.
``(3) The term `patient navigator' means an individual who
has completed a training program approved by the Secretary to
perform the duties listed in subsection (b).
``(k) Authorization of Appropriations.--
``(1) In general.--To carry out this section, there are
authorized to be appropriated $2,000,000 for fiscal year 2006,
$5,000,000 for fiscal year 2007, $8,000,000 for fiscal year
2008, $6,500,000 for fiscal year 2009, and $3,500,000 for
fiscal year 2010.
``(2) Availability.--The amounts appropriated pursuant to
paragraph (1) shall remain available for obligation through the
end of fiscal year 2010.''.
Amend the title so as to read: ``A bill to amend the Public
Health Service Act to authorize a demonstration grant program
to provide patient navigator services to reduce barriers and
improve health care outcomes, and for other purposes.''.
Union Calendar No. 447
108th CONGRESS
2d Session
H. R. 918
[Report No. 108-727, Part I]
_______________________________________________________________________
A BILL
To authorize the Health Resources and Services Administration, the
National Cancer Institute, and the Indian Health Service to make grants
for model programs to provide to individuals of health disparity
populations prevention, early detection, treatment, and appropriate
follow-up care services for cancer and chronic diseases, and to make
grants regarding patient navigators to assist individuals of health
disparity populations in receiving such services.
_______________________________________________________________________
October 5, 2004
Reported from the Committee on Energy and Commerce with amendments
October 5, 2004
Referral to the Committee on Resources extended for a period ending not
later than October 5, 2004
October 5, 2004
Committee on Resources discharged; committed to the Committee of the
Whole House on the State of the Union and ordered to be printed
Pages: 1 Other Popular 108th Congressional Bills Documents:
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