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42 U.S.C. § 256iCommunity-based collaborative care network program

submitted 82 years ago by Pub. L. 111-148 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 395 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Secretary may give grants to networks of health providers serving low-income communities. A network must include a certain kind of hospital and every local federally qualified health center. That's true unless one refuses to join, or doesn't exist locally. Grant money can pay for outreach, transportation, and direct care.

(a) In general. The Secretary may award grants to eligible groups to support "community-based collaborative care networks" that meet the rules in subsection (b). (b) Community-based collaborative care networks. (1) A network is a group of health care providers, even within one organization, sharing one governing structure, that together give coordinated, integrated health care to low-income people, in a form the Secretary defines. (2) A network must include a hospital meeting the standards in section 1396r-4(b)(1) and every federally qualified health center in the community - unless that kind of provider doesn't exist locally, refuses to join, or sets unreasonable conditions on joining. (3) In choosing which networks to fund, the Secretary favors those offering the widest range of services to low-income people, including the widest range of providers who already serve many low-income patients, and those that include a county or city health department. (c) Application. (1) A qualifying network must apply to the Secretary. (2) In later years, the Secretary may renew grants for past recipients based on how well they performed. (d) Use of funds. (1) Grantees may use the money to: (A) help low-income people access and use health services, enroll in coverage programs, and find a regular primary care provider or medical home; (B) provide case management and care management; (C) do health outreach, including through neighborhood health workers; (D) provide transportation; (E) expand capacity through telehealth, after-hours, or urgent care; and (F) provide direct patient care. (2) For grantees that are also Health Resources and Services Administration grant recipients, the Secretary may cap how much grant money goes to direct care, or add other requirements. (e) Authorization of appropriations. Congress may spend whatever amount is needed to run this section, for each year from 2011 through 2015.
the actual law source: uscode.house.gov ↗public domain
(a) In general

The Secretary may award grants to eligible entities to support community-based collaborative care networks that meet the requirements of subsection (b).

(b) Community-based collaborative care networks
(1) Description

A community-based collaborative care network (referred to in this section as a “network”) shall be a consortium of health care providers with a joint governance structure (including providers within a single entity) that provides comprehensive coordinated and integrated health care services (as defined by the Secretary) for low-income populations.

(2) Required inclusion

A network shall include the following providers (unless such provider does not exist within the community, declines or refuses to participate, or places unreasonable conditions on their participation):

(A)

A hospital that meets the criteria in section 1396r–4(b)(1) of this title; and

(B)

All Federally qualified health centers (as defined in section 1395x(aa) of this title1 located in the community.

(3) Priority

In awarding grants, the Secretary shall give priority to networks that include—

(A)

the capability to provide the broadest range of services to low-income individuals;

(B)

the broadest range of providers that currently serve a high volume of low-income individuals; and

(C)

a county or municipal department of health.

(c) Application
(1) Application

A network described in subsection (b) shall submit an application to the Secretary.

(2) Renewal

In subsequent years, based on the performance of grantees, the Secretary may provide renewal grants to prior year grant recipients.

(d) Use of funds
(1) Use by grantees

Grant funds may be used for the following activities:

(A)

Assist low-income individuals to—

(i)

access and appropriately use health services;

(ii)

enroll in health coverage programs; and

(iii)

obtain a regular primary care provider or a medical home.

(B)

Provide case management and care management.

(C)

Perform health outreach using neighborhood health workers or through other means.

(D)

Provide transportation.

(E)

Expand capacity, including through telehealth, after-hours services or urgent care.

(F)

Provide direct patient care services.

(2) Grant funds to HRSA grantees

The Secretary may limit the percent of grant funding that may be spent on direct care services provided by grantees of programs administered by the Health Resources and Services Administration or impose other requirements on such grantees deemed necessary.

(e) Authorization of appropriations

There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2011 through 2015.

Source credit: (July 1, 1944, ch. 373, title III, § 340I, formerly § 340H, as added Pub. L. 111–148, title X, § 10333, Mar. 23, 2010, 124 Stat. 970; renumbered § 340I, Pub. L. 115–63, title III, § 301(c)(2), Sept. 29, 2017, 131 Stat. 1172.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 111-148 · 124 Stat. 970
  • 2017Amended · Pub. L. 115-63 · 131 Stat. 1172

A history note hasn’t been published yet. The record shows enactment by Pub. L. 111-148 on 1944-07-01.

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