Print Friendly SENATE BILL NO. 1072 – Primary/Preventive Care Grant Prog
SENATE BILL NO. 1072
View Daily Data Tracking History
View Bill Text
View Statement of Purpose / Fiscal Impact
Text to be added within a bill has been marked with Bold and
Underline. Text to be removed has been marked with
Strikethrough and Italic. How these codes are actually displayed will
vary based on the browser software you are using.
This sentence is marked with bold and underline to show added text.
This sentence is marked with strikethrough and italic, indicating
text to be removed.
S1072.................................................by HEALTH AND WELFARE
PRIMARY AND PREVENTIVE CARE GRANT PROGRAM - Adds to existing law to define
terms; to establish the Idaho Comprehensive Primary and Preventive Care
Grant Program; to provide for service grant applications and awards; to
provide permissible uses of service grant moneys; to provide for annual
reports; to provide for an advisory council; to provide for the creation of
the Comprehensive Primary and Preventive Care Fund; and to provide the
duties of the Department of Health and Welfare.
02/07 Senate intro - 1st rdg - to printing
02/08 Rpt prt - to Health/Wel
|||| LEGISLATURE OF THE STATE OF IDAHO ||||
Fifty-sixth Legislature First Regular Session - 2001
IN THE SENATE
SENATE BILL NO. 1072
BY HEALTH AND WELFARE COMMITTEE
1 AN ACT
2 RELATING TO THE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE GRANT PROGRAM;
3 AMENDING TITLE 39, IDAHO CODE, BY THE ADDITION OF A NEW CHAPTER 82, TITLE
4 39, IDAHO CODE, TO DEFINE TERMS, TO ESTABLISH THE IDAHO COMPREHENSIVE PRI-
5 MARY AND PREVENTIVE CARE GRANT PROGRAM, TO PROVIDE FOR SERVICE GRANT
6 APPLICATIONS AND AWARDS, PERMISSIBLE USES OF SERVICE GRANT MONEYS AND TO
7 PROVIDE FOR ANNUAL REPORTS, TO PROVIDE FOR AN ADVISORY COUNCIL, TO PROVIDE
8 FOR THE CREATION OF THE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE FUND AND
9 TO PROVIDE FOR DUTIES OF THE DEPARTMENT OF HEALTH AND WELFARE.
10 Be It Enacted by the Legislature of the State of Idaho:
11 SECTION 1. That Title 39, Idaho Code, be, and the same is hereby amended
12 by the addition thereto of a NEW CHAPTER, to be known and designated as Chap-
13 ter 82, Title 39, Idaho Code, and to read as follows:
14 CHAPTER 82
15 IDAHO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE GRANT PROGRAM
16 39-8201. DEFINITIONS. As used in this chapter:
17 (1) "Comprehensive primary care" means the basic entry level of health
18 care provided by health care practitioners or nonphysician health care practi-
19 tioners which is generally provided in an outpatient setting. At a minimum,
20 comprehensive primary care includes providing or arranging for the provision
21 of the following services: primary health care; maternity care, including
22 prenatal care; preventive, developmental and diagnostic services for infants
23 and children; adult preventive services; diagnostic laboratory and radiology
24 services; emergency care for minor trauma; pharmaceutical services; and coor-
25 dination and follow-up for hospital care. Comprehensive primary care may also
26 include optional services based on a patient's needs.
27 (2) "Department" means the Idaho department of health and welfare.
28 (3) "Idaho qualified health center" means an entity which provides com-
29 prehensive primary care services and which:
30 (a) Accepts all patients despite a patient's ability to pay;
31 (b) Uses a sliding fee schedule for payments;
32 (c) Has a community board of directors, the majority of whom are users of
33 such centers;
34 (d) Serves a designated medically underserved area or population, as pro-
35 vided in section 330(b) of the federal public health service act, 42
36 U.S.C. section 254b;
37 (e) Has a demonstrated record of providing cost-effective care; and
38 (f) Provides or arranges for the provision of comprehensive primary care
39 services to persons of all ages.
40 (4) "Medically underserved area" means an area designated by the secre-
41 tary of the United States department of health and human services as an area
42 with a shortage of health care professionals or health services.
1 (5) "Medically underserved population" means a population group desig-
2 nated by the secretary of the United States department of health and human
3 services as having a shortage of health care professionals or health services.
4 (6) "Program" means the Idaho comprehensive primary and preventive care
5 grant program as provided for in this chapter.
6 (7) "Service grant" means a grant by the department to an Idaho qualified
7 health center in accordance with this chapter.
8 (8) "Uninsured or medically indigent patient" means a patient receiving
9 services from an Idaho qualified health center:
10 (a) Who is not eligible for medicaid, medicare or any other type of gov-
11 ernmental health insurance;
12 (b) Who is not receiving third-party payments through an employer for
13 health care costs; and
14 (c) Whose household income, as defined in section 63-701, Idaho Code, is
15 below two hundred percent (200%) of the federal poverty level.
16 39-8202. IDAHO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE GRANT PROGRAM
17 ESTABLISHED. The "Idaho Comprehensive Primary and Preventive Care Grant Pro-
18 gram" is hereby established, under the direction and administration of the
19 department, for the purpose of making service grants to Idaho qualified health
20 centers for their use in providing care to uninsured or medically indigent
21 patients in Idaho. The program shall be established with such state funds as
22 may be appropriated annually by the legislature.
23 39-8203. SERVICE GRANT APPLICATIONS AND AWARDS -- USES OF SERVICE GRANT
24 MONEYS -- ANNUAL REPORTS. (1) Any Idaho qualified health center, as defined in
25 section 39-8201, Idaho Code, desiring to participate in the program shall make
26 application for a service grant to the department in a form prescribed by the
27 department. All applications shall be submitted and reviewed in accordance
28 with the provisions of grant procedures, criteria and standards promulgated by
29 rule by the department. All service grants shall be awarded within thirty (30)
30 days after approval by the department.
31 (2) Service grants awarded to Idaho qualified health centers shall only
32 be used by such centers to:
33 (a) Increase access to comprehensive primary care services to uninsured
34 or medically indigent patients who are served by such centers;
35 (b) Create new services or augment existing services provided to unin-
36 sured or medically indigent patients; or
37 (c) Establish new center sites that offer comprehensive primary care ser-
38 vices in medically underserved areas of the state or to medically
39 underserved populations.
40 (3) Grants received by Idaho qualified health centers pursuant to this
41 chapter shall not be used:
42 (a) To replace federal funds traditionally received by such centers, but
43 may be used to supplement such federal funds;
44 (b) For land or real estate investment; or
45 (c) To finance or satisfy any existing debt.
46 (4) No later than December 1 of each year, an Idaho qualified health cen-
47 ter receiving a service grant shall provide an annual report to the department
48 which details the number of additional uninsured and medically indigent
49 patients that are cared for and the types of services that are provided.
50 39-8204. ADVISORY COUNCIL. (1) There shall be an advisory council in the
51 department to review and make recommendations to the department regarding the
52 awarding of service grants to Idaho qualified health centers. The advisory
1 council shall be composed of eight (8) members, appointed by the director of
2 the department of health and welfare with consideration given for geographic
3 representation of the state, and consisting of the following members:
4 (a) One (1) employee of the department who is knowledgeable in primary
5 and preventive health care issues;
6 (b) One (1) employee of the department who is knowledgeable in medical
7 assistance issues;
8 (c) One (1) representative of a nonprofit organization representing pri-
9 mary health care providers;
10 (d) One (1) representative of an Idaho qualified health center;
11 (e) One (1) health care provider who has training and expertise in pro-
12 viding comprehensive primary care services to medically underserved popu-
13 lations and who is not affiliated with an Idaho qualified health center;
14 (f) Two (2) consumers who currently receive health care services from an
15 Idaho qualified health center; and
16 (g) One (1) rural hospital administrator.
17 (2) Appointments to the advisory council shall be for three (3) years.
18 Council members may be reappointed at the end of each three (3) year period.
19 Initial appointments shall be staggered in such a manner that approximately
20 one-third (1/3) are appointed for one (1) year, one-third (1/3) are appointed
21 for two (2) years, and one-third (1/3) are appointed for three (3) years.
22 (3) Members of the advisory council shall serve and shall be compensated
23 as provided by section 59-509(b), Idaho Code.
24 39-8205. IDAHO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE FUND CREATED.
25 There is hereby created in the state treasury a fund to be known as the "Idaho
26 Comprehensive Primary and Preventive Care Fund." Moneys in the fund may be
27 expended pursuant to appropriation by the legislature, and may be utilized for
28 service grants and for the payment of program administrative costs which are
29 reasonably incurred by the department. Moneys in the fund may consist of
30 appropriations, contributions, grants, gifts, bequests or other sources
31 received. All interest from idle moneys in the fund shall be returned to the
32 fund. Any unexpended balance in the fund at the end of each fiscal year shall
33 remain in the fund.
34 39-8206. DUTIES OF THE DEPARTMENT. The department shall:
35 (1) Promulgate rules and forms to govern grant applications and awards;
36 (2) Develop a plan to ensure that grants are equitably distributed among
37 all Idaho qualified health centers; and
38 (3) Develop audits to assure that grant moneys are used to provide and
39 expand care to uninsured and medically indigent patients.
STATEMENT OF PURPQSE
This legislation would create the Idaho Comprehensive
Primary and Preventive Care Grant Program that would provide
money to Idaho qualified health centers located in medically
underserved areas to treat uninsured patients. The service
grants could be used to 1). increase access to comprehensive
primary care services for uninsured people, 2) create new
services or augment existing services provided to uninsured
patients, and 3) establish new center sites that offer
comprehensive primary care services in medically underserved
areas of the state or to medically underserved populations.
The grant program would be administratively housed in
the Idaho Department of Health & Welfare. The legislation
creates an Advisory Board that would make recommendations
about grant implementation to the department. In addition,
the legislation provides for an annual reporting of grant
expenditures which details the number of additional
uninsured patients that are cared for and the types of
An appropriation of $4 million from the state general
fund would provide approximately 50,000 primary care visits
to 15,625 uninsured Idahoans.
The use of Idaho qualified health centers as medical
homes for these patients could reduce the impact on both the
county indigent programs and the Catastrophic Health Care
Fund for treatment of the chronically ill.
The estimated cost of the semi-annual advisory board
meetings is $2,000 and will be deducted from the
Contact: Representative Max Black, 332-1139 Bill
Foxcroft/Sarah LaPlante Idaho Primary Care
Association, 345 2335 ipca@idahopca . org
STATEMENT OF PURPOSE/FISCAL NOTE S 107