Home > 107th Congressional Public Laws > Pub.L. 107-252 To establish a program to provide funds to States to replace punch card ...Pub.L. 107-252 To establish a program to provide funds to States to replace punch card ...
<DOC>
[[Page 116 STAT. 1621]]
Public Law 107-251
107th Congress
An Act
To amend the Public Health Service Act to reauthorize and strengthen the
health centers program and the National Health Service Corps, and to
establish the Healthy Communities Access Program, which will help
coordinate services for the uninsured and underinsured, and for other
purposes. <<NOTE: Oct. 26, 2002 - [S. 1533]>>
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress <<NOTE: Health Care Safety Net
Amendments of 2002.>> assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This <<NOTE: 42 USC 201 note.>> Act may be cited
as the ``Health Care Safety Net Amendments of 2002''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--CONSOLIDATED HEALTH CENTER PROGRAM AMENDMENTS
Sec. 101. Health centers.
Sec. 102. Telemedicine; incentive grants regarding coordination among
States.
TITLE II--RURAL HEALTH
Subtitle A--Rural Health Care Services Outreach, Rural Health Network
Development, and Small Health Care Provider Quality Improvement Grant
Programs
Sec. 201. Grant programs.
Subtitle B--Telehealth Grant Consolidation
Sec. 211. Short title.
Sec. 212. Consolidation and reauthorization of provisions.
Subtitle C--Mental Health Services Telehealth Program and Rural
Emergency Medical Service Training and Equipment Assistance Program
Sec. 221. Programs.
TITLE III--NATIONAL HEALTH SERVICE CORPS PROGRAM
Sec. 301. National Health Service Corps.
Sec. 302. Designation of health professional shortage areas.
Sec. 303. Assignment of Corps personnel.
Sec. 304. Priorities in assignment of Corps personnel.
Sec. 305. Cost-sharing.
Sec. 306. Eligibility for Federal funds.
Sec. 307. Facilitation of effective provision of Corps services.
Sec. 308. Authorization of appropriations.
Sec. 309. National Health Service Corps Scholarship Program.
Sec. 310. National Health Service Corps Loan Repayment Program.
Sec. 311. Obligated service.
Sec. 312. Private practice.
Sec. 313. Breach of scholarship contract or loan repayment contract.
Sec. 314. Authorization of appropriations.
Sec. 315. Grants to States for loan repayment programs.
Sec. 316. Demonstration grants to States for community scholarship
programs.
Sec. 317. Demonstration project.
[[Page 116 STAT. 1622]]
TITLE IV--HEALTHY COMMUNITIES ACCESS PROGRAM
Sec. 401. Purpose.
Sec. 402. Creation of Healthy Communities Access Program.
Sec. 403. Expanding availability of dental services.
Sec. 404. Study regarding barriers to participation of farmworkers in
health programs.
TITLE V--STUDY AND MISCELLANEOUS PROVISIONS
Sec. 501. Guarantee study.
Sec. 502. Graduate medical education.
TITLE VI--CONFORMING AMENDMENTS
Sec. 601. Conforming amendments.
TITLE I--CONSOLIDATED HEALTH CENTER PROGRAM AMENDMENTS
SEC. 101. HEALTH CENTERS.
Section 330 of the Public Health Service Act (42 U.S.C. 254b) is
amended--
(1) in subsection (b)(1)(A)--
(A) in clause (i)(III)(bb), by striking ``screening
for breast and cervical cancer'' and inserting
``appropriate cancer screening'';
(B) in clause (ii), by inserting ``(including
specialty referral when medically indicated)'' after
``medical services''; and
(C) in clause (iii), by inserting ``housing,'' after
``social,'';
(2) in subsection (b)(2)--
(A) in subparagraph (A)(i), by striking ``associated
with water supply;'' and inserting the following:
``associated with--
``(I) water supply;
``(II) chemical and pesticide
exposures;
``(III) air quality; or
``(IV) exposure to lead;'';
(B) by redesignating subparagraphs (A) and (B) as
subparagraphs (C) and (D), respectively; and
(C) by inserting before subparagraph (C) (as so
redesignated by subparagraph (B)) the following:
``(A) behavioral and mental health and substance
abuse services;
``(B) recuperative care services;'';
(3) in subsection (c)(1)--
(A) in subparagraph (B)--
(i) in the heading, by striking
``Comprehensive service delivery'' and inserting
``Managed care'';
(ii) in the matter preceding clause (i), by
striking ``network or plan'' and all that follows
to the period and inserting ``managed care network
or plan.''; and
(iii) in the matter following clause (ii), by
striking ``Any such grant may include'' and all
that follows through the period; and
(B) by adding at the end the following:
``(C) Practice management networks.--The Secretary
may make grants to health centers that receive
assistance under this section to enable the centers to
plan
[[Page 116 STAT. 1623]]
and develop practice management networks that will
enable the centers to--
``(i) reduce costs associated with the
provision of health care services;
``(ii) improve access to, and availability of,
health care services provided to individuals
served by the centers;
``(iii) enhance the quality and coordination
of health care services; or
``(iv) improve the health status of
communities.
``(D) Use of funds.--The activities for which a
grant may be made under subparagraph (B) or (C) may
include the purchase or lease of equipment, which may
include data and information systems (including paying
for the costs of amortizing the principal of, and paying
the interest on, loans for equipment), the provision of
training and technical assistance related to the
provision of health care services on a prepaid basis or
under another managed care arrangement, and other
activities that promote the development of practice
management or managed care networks and plans.'';
(4) in subsection (d)--
(A) by striking the subsection heading and inserting
``Loan Guarantee Program.--'';
(B) in paragraph (1)--
(i) in subparagraph (A), by striking ``the
principal and interest on loans'' and all that
follows through the period and inserting ``up to
90 percent of the principal and interest on loans
made by non-Federal lenders to health centers,
funded under this section, for the costs of
developing and operating managed care networks or
plans described in subsection (c)(1)(B), or
practice management networks described in
subsection (c)(1)(C).'';
(ii) in subparagraph (B)--
(I) in clause (i), by striking
``or'';
(II) in clause (ii), by striking the
period and inserting ``; or''; and
(III) by adding at the end the
following:
``(iii) to refinance an existing loan (as of
the date of refinancing) to the center or centers,
if the Secretary determines--
``(I) that such refinancing will be
beneficial to the health center and the
Federal Government;
``(II) that the center (or centers)
can demonstrate an ability to repay the
refinanced loan equal to or greater than
the ability of the center (or centers)
to repay the original loan on the date
the original loan was made.''; and
(iii) by adding at the end the following:
``(D) Provision directly to networks or plans.--At
the request of health centers receiving assistance under
this section, loan guarantees provided under this
paragraph may be made directly to networks or plans that
are at least majority controlled and, as applicable, at
least majority owned by those health centers.
[[Page 116 STAT. 1624]]
``(E) Federal credit reform.--The requirements of
the Federal Credit Reform Act of 1990 (2 U.S.C. 661 et
seq.) shall apply with respect to loans refinanced under
subparagraph (B)(iii).''; and
(C)(i) by striking paragraphs (6) and (7); and
(ii) by redesignating paragraph (8) as paragraph
(6);
(4) in subsection (e)--
(A) in paragraph (1)--
(i) in subparagraph (B), by striking
``subsection (j)(3)'' and inserting ``subsection
(k)(3)''; and
(ii) by adding at the end the following:
``(C) Operation of networks and plans.--The
Secretary may make grants to health centers that receive
assistance under this section, or at the request of the
health centers, directly to a network or plan (as
described in subparagraphs (B) and (C) of subsection
(c)(1)) that is at least majority controlled and, as
applicable, at least majority owned by such health
centers receiving assistance under this section, for the
costs associated with the operation of such network or
plan, including the purchase or lease of equipment
(including the costs of amortizing the principal of, and
paying the interest on, loans for equipment).'';
(B) in paragraph (5)--
(i) in subparagraph (A), by inserting
``subparagraphs (A) and (B) of'' after ``any
fiscal year under'';
(ii) by redesignating subparagraphs (B) and
(C) as subparagraphs (C) and (D), respectively;
and
(iii) by inserting after subparagraph (A) the
following:
``(B) Networks and plans.--The total amount of grant
funds made available for any fiscal year under paragraph
(1)(C) and subparagraphs (B) and (C) of subsection
(c)(1) to a health center or to a network or plan shall
be determined by the Secretary, but may not exceed 2
percent of the total amount appropriated under this
section for such fiscal year.''; and
(C) by redesignating paragraphs (4) and (5) as
paragraphs (3) and (4), respectively;
(5) in subsection (g)--
(A) in paragraph (2)--
(i) in subparagraph (A), by inserting ``and
seasonal agricultural worker'' after
``agricultural worker''; and
(ii) in subparagraph (B), by striking ``and
members of their families'' and inserting ``and
seasonal agricultural workers, and members of
their families,''; and
(B) in paragraph (3)(A), by striking ``on a seasonal
basis'';
(6) in subsection (h)--
(A) in paragraph (1), by striking ``homeless
children and children at risk of homelessness'' and
inserting ``homeless children and youth and children and
youth at risk of homelessness'';
(B)(i) by redesignating paragraph (4) as paragraph
(5); and
(ii) by inserting after paragraph (3) the following:
[[Page 116 STAT. 1625]]
``(4) Temporary continued provision of services to certain
former homeless individuals.--If any grantee under this
subsection has provided services described in this section under
the grant to a homeless individual, such grantee may,
notwithstanding that the individual is no longer homeless as a
result of becoming a resident in permanent housing, expend the
grant to continue to provide such services to the individual for
not more than 12 months.''; and
(C) in paragraph (5)(C) (as redesignated by
subparagraph (B)), by striking ``and residential
treatment'' and inserting ``, risk reduction, outpatient
treatment, residential treatment, and rehabilitation'';
(7) in subsection (j)(3)--
(A) in subparagraph (E)--
(i) in clause (i)--
(I) by striking ``(i)'' and
inserting ``(i)(I)'';
(II) by striking ``plan; or'' and
inserting ``plan; and''; and
(III) by adding at the end the
following:
``(II) has or will have a
Other Popular 107th Congressional Public Laws Documents:
|
| GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information. |
 |