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42 U.S.C. § 299b–4Research supporting primary care and access in underserved areas

submitted 82 years ago by Pub. L. 106-129 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 662 words · no verdicts yet

in plain englishAI-generated · not legal advice

The Director must convene an independent task force to review evidence on preventive care and publish recommendations in a Guide. The Agency must support the task force and help others use its recommendations. The Agency also runs a Center for Primary Care Research that funds studies on primary care practice.

(a) Preventive Services Task Force (1) Establishment and purpose. The Director must convene an independent Preventive Services Task Force made up of qualified experts. The Task Force reviews scientific evidence on how effective, appropriate, and cost-effective clinical preventive services are, then writes and updates recommendations for the health care community. These go into the Guide to Clinical Preventive Services, for use by primary care providers, health systems, professional groups, employers, community groups, nonprofits, Congress and other policymakers, public health agencies, quality organizations, and groups setting national health goals. The recommendations must consider best-practice advice from the Agency, the National Institutes of Health, the Centers for Disease Control and Prevention, the Institute of Medicine, specialty medical groups, patient groups, and scientific societies. (2) Duties. The Task Force must: (A) Develop new recommendation topics and related actions, including for specific subgroups and age groups. (B) At least once every 5 years, review interventions and update recommendations on existing topics, including better ways to measure health effects. (C) Better connect its work with federal health goals and target-setting. (D) Spread its recommendations more widely. (E) Give technical help to health workers, agencies, and organizations that ask for help using the Guide. (F) Send Congress and related agencies a yearly report on research gaps — such as preventive services with not enough evidence — and recommend priority areas needing more study, including populations and age groups current recommendations don't cover well. (3) Role of Agency. The Agency must give the Task Force ongoing administrative, research, and technical support — including spreading its recommendations, ensuring enough staff, and helping organizations that request help implementing the Guide. (4) Coordination with Community Preventive Services Task Force. The Task Force must coordinate with the Community Preventive Services Task Force and the Advisory Committee on Immunization Practices, including examining how their recommendations connect at the point where clinical care meets community programs. (5) Operation. When carrying out its duties under (2), the Task Force is not subject to the federal advisory committee rules in chapter 10 of title 5. (6) Independence. All Task Force members and their recommendations must be independent and, as much as possible, free from political pressure. (7) Authorization of appropriations. Congress may appropriate whatever funds are needed each year for the Task Force's work. (b) Primary care research (1) In general. The Agency has a Center for Primary Care Research that is the main funding source for primary care practice research within the Department of Health and Human Services. Primary care research here means the first contact when illness or health concerns arise, diagnosis, treatment or referral to specialists, preventive care, and the relationship between clinician and patient within the family and community. (2) Research. The Center must research: (A) The nature and features of primary care practice. (B) How commonly occurring clinical problems are managed. (C) How undifferentiated (not yet diagnosed) clinical problems are managed. (D) The continuity and coordination of health services.
the actual law source: uscode.house.gov ↗public domain
(a) Preventive Services Task Force
(1) Establishment and purpose

The Director shall convene an independent Preventive Services Task Force (referred to in this subsection as the “Task Force”) to be composed of individuals with appropriate expertise. Such Task Force shall review the scientific evidence related to the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services for the purpose of developing recommendations for the health care community, and updating previous clinical preventive recommendations, to be published in the Guide to Clinical Preventive Services (referred to in this section as the “Guide”), for individuals and organizations delivering clinical services, including primary care professionals, health care systems, professional societies, employers, community organizations, non-profit organizations, Congress and other policy-makers, governmental public health agencies, health care quality organizations, and organizations developing national health objectives. Such recommendations shall consider clinical preventive best practice recommendations from the Agency for Healthcare Research and Quality, the National Institutes of Health, the Centers for Disease Control and Prevention, the Institute of Medicine, specialty medical associations, patient groups, and scientific societies.

(2) Duties

The duties of the Task Force shall include—

(A)

the development of additional topic areas for new recommendations and interventions related to those topic areas, including those related to specific sub-populations and age groups;

(B)

at least once during every 5-year period, review 1 interventions and update 2 recommendations related to existing topic areas, including new or improved techniques to assess the health effects of interventions;

(C)

improved integration with Federal Government health objectives and related target setting for health improvement;

(D)

the enhanced dissemination of recommendations;

(E)

the provision of technical assistance to those health care professionals, agencies and organizations that request help in implementing the Guide 3 recommendations; and

(F)

the submission of yearly reports to Congress and related agencies identifying gaps in research, such as preventive services that receive an insufficient evidence statement, and recommending priority areas that deserve further examination, including areas related to populations and age groups not adequately addressed by current recommendations.

(3) Role of Agency

The Agency shall provide ongoing administrative, research, and technical support for the operations of the Task Force, including coordinating and supporting the dissemination of the recommendations of the Task Force, ensuring adequate staff resources, and assistance to those organizations requesting it for implementation of the Guide’s recommendations.

(4) Coordination with Community Preventive Services Task Force

The Task Force shall take appropriate steps to coordinate its work with the Community Preventive Services Task Force and the Advisory Committee on Immunization Practices, including the examination of how each task force’s recommendations interact at the nexus of clinic and community.

(5) Operation

Operation.4 In carrying out the duties under paragraph (2), the Task Force is not subject to the provisions of chapter 10 of title 5.

(6) Independence

All members of the Task Force convened under this subsection, and any recommendations made by such members, shall be independent and, to the extent practicable, not subject to political pressure.

(7) Authorization of appropriations

There are authorized to be appropriated such sums as may be necessary for each fiscal year to carry out the activities of the Task Force.

(b) Primary care research
(1) In general

There is established within the Agency a Center for Primary Care Research (referred to in this subsection as the “Center”) that shall serve as the principal source of funding for primary care practice research in the Department of Health and Human Services. For purposes of this paragraph, primary care research focuses on the first contact when illness or health concerns arise, the diagnosis, treatment or referral to specialty care, preventive care, and the relationship between the clinician and the patient in the context of the family and community.

(2) Research

In carrying out this section, the Center shall conduct and support research concerning—

(A)

the nature and characteristics of primary care practice;

(B)

the management of commonly occurring clinical problems;

(C)

the management of undifferentiated clinical problems; and

(D)

the continuity and coordination of health services.

Source credit: (July 1, 1944, ch. 373, title IX, § 915, as added Pub. L. 106–129, § 2(a), Dec. 6, 1999, 113 Stat. 1659; amended Pub. L. 111–148, title IV, § 4003(a), Mar. 23, 2010, 124 Stat. 541; Pub. L. 117–286, § 4(a)(241), Dec. 27, 2022, 136 Stat. 4332.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 106-129 · 113 Stat. 1659
  • 2010Amended · Pub. L. 111-148 · 124 Stat. 541
  • 2022Amended · Pub. L. 117-286 · 136 Stat. 4332

A history note hasn’t been published yet. The record shows enactment by Pub. L. 106-129 on 1944-07-01.

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